1. Longitudinal Multi-omics and Microbiome Meta-analysis Identify an Asymptomatic Gingival State That Links Gingivitis, Periodontitis, and Aging
- Author
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Shi Huang, Lijian Jin, Fei Teng, Xiaohui Liu, Lijiang Wang, Tao He, Pengfei Zhu, Zheng Sun, Feng Yue, Xiaoquan Su, Jiquan Liu, Xiujun Xu, Jian Xu, and Gongchao Jing
- Subjects
Proteomics ,Aging ,Gingiva ,microbiome ,Inflammation ,Microbiology ,Asymptomatic ,Cohort Studies ,03 medical and health sciences ,Gingivitis ,0302 clinical medicine ,Virology ,medicine ,Metabolome ,Humans ,Metabolomics ,Longitudinal Studies ,Microbiome ,Periodontitis ,Saliva ,Porphyromonas gingivalis ,030304 developmental biology ,0303 health sciences ,biology ,business.industry ,Microbiota ,disease prevention ,Genomics ,030206 dentistry ,medicine.disease ,biology.organism_classification ,QR1-502 ,Immunology ,Cytokines ,Dysbiosis ,Metagenome ,medicine.symptom ,business ,Research Article - Abstract
A significant portion of world population still fails to brush teeth daily. As a result, the majority of the global adult population is afflicted with chronic gingivitis, and if it is left untreated, some of them will eventually suffer from periodontitis., Most adults experience episodes of gingivitis, which can progress to the irreversible, chronic state of periodontitis, yet roles of plaque in gingivitis onset and progression to periodontitis remain elusive. Here, we longitudinally profiled the plaque metagenome, the plaque metabolome, and salivary cytokines in 40 adults who transited from naturally occurring gingivitis (NG) to healthy gingivae (baseline) and then to experimental gingivitis (EG). During EG, rapid and consistent alterations in plaque microbiota, metabolites, and salivary cytokines emerged as early as 24 to 72 h after oral-hygiene pause, defining an asymptomatic suboptimal health (SoH) stage of the gingivae. SoH features a swift, full activation of 11 salivary cytokines but a steep synergetic decrease of plaque-derived betaine and Rothia spp., suggesting an anti-gum inflammation mechanism by health-promoting symbionts. Global, cross-cohort meta-analysis revealed, at SoH, a greatly elevated microbiome-based periodontitis index driven by its convergence of both taxonomical and functional profiles toward the periodontitis microbiome. Finally, post-SoH gingivitis development accelerates oral microbiota aging by over 1 year within 28 days, with Rothia spp. depletion and Porphyromonas gingivalis elevation as hallmarks. Thus, the microbiome-defined, transient gum SoH stage is a crucial link among gingivitis, periodontitis, and aging.
- Published
- 2021
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