Streptococcus mutans and its metabolism at the molecular level in the ecological context of dental caries

Aim: For decades, the Streptococcus mutans was considered the main agent of caries. This review will show its history and metabolism at the molecular level. By understanding its metabolic pathways involved in the development of carious lesions, it can be possible to develop new methods of modulating...

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Detalles Bibliográficos
Autores: Silva Bittencourt, Patrícia Fernanda, de Brito Barbosa, Cecília, Damé-Teixeira, Nailê
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Revista da Faculdade de Odontologia de Porto Alegre (Online)
Idioma:portugués
OAI Identifier:oai:seer.ufrgs.br:article/118914
Acceso en línea:https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/118914
Access Level:acceso abierto
Palabra clave:Streptococcus mutans
Metabolismo
Cárie dentária
Microbiota
Fatores de virulência
Metabolism
Dental caries
Virulence factors
Descripción
Sumario:Aim: For decades, the Streptococcus mutans was considered the main agent of caries. This review will show its history and metabolism at the molecular level. By understanding its metabolic pathways involved in the development of carious lesions, it can be possible to develop new methods of modulating biofilms in the control of caries, as well as to elucidate the need to continue researching this bacterium. Literature review: Although S. mutans does not constitute a significant proportion in the colonization of the oral microbiota of the sound dentition, its proportion increases when there is continuous acidification of the biofilm, associated with excess carbohydrates in the host diet. This is due to a set of virulence factors, such as adhesion, biofilm formation, acidogenicity, aciduricity, proteases activity, mutacins production and signal transduction pathways. Each of these properties coordinately alters the ecology of the dental biofilm.  Discussion: It is still relevant to understand the metabolism of S. mutans as a model microorganism in carious lesions due to its numerous virulence factors. However, in the context of caries as a dysbiosis, antimicrobial therapeutic strategies, more specifically anti-S.mutans, aiming to eliminate the microorganism, may not be the key to caries control, and the microbiome modulation may become the future of dental clinics. Conclusion: Biofilms associated with caries disease comprise a diverse ecosystem, suggesting a polymicrobial etiology, however, future studies aimed at the prospection, development and interrelationship of S. mutans with other microorganisms and with the human host are still justified in order to unravel the 'homeostasis-dysbiosis' transition.