42
Anil S, Anand PS. Early Childhood Caries: Prevalence, Risk Factors, and Prevention.
Front Pediatr. 2017 Jul 18;5: 157. doi: 10.3389/fped.2017.00157. PMID:
28770188; PMCID: PMC5514393.Balhaddad AA, Ayoub HM, Gregory RL. InVitro Model of Scardovia wiggsiae Biofilm Formation and Effect of Nicotine.
Braz Dent J. 2020 Sep-Oct;31(5):471-476. doi: 10.1590/0103-6440202003207.
PMID: 33146329.
Becker, MR., Paster, BJ., Leys, EJ., Moeschberger, ML., Kenyon, SG., Galvin, JL.,
Boches, SK., Dewhirst, FE., Griffen, AL. (2002). Molecular analysis of bacterial
species associated with childhood caries. J Clin Microbiol. 40, 1001-1009.
Carda-Diéguez M, Bravo-González LA, Morata IM, Vicente A, Mira A. Highthroughput DNA sequencing of microbiota at interproximal sites. J Oral
Microbiol. 2019 Nov 11;12(1):1687397. doi: 10.1080/20002297.2019.1687397.
PMID: 32002129; PMCID: PMC6853236.
de Vries W, Stouthamer AH. Fermentation of glucose, lactose, galactose, mannitol, and
xylose by bifidobacteria. J Bacteriol. 1968 Aug;96(2):472-8. doi:
10.1128/jb.96.2.472-478.1968. PMID: 5674058; PMCID: PMC252320.
Evans NM, Smith DD, Wicken AJ. Haemin and nicotinamide adenine dinucleotide
requirements of Haemophilus influenzae and Haemophilus parainfluenzae. J Med
Microbiol. 1974 Aug;7(3):359-65. Doi: 10.1099/00222615-7-3-359. PMID:
4371115.
Gazzaniga F, Stebbins R, Chang SZ, McPeek MA, Brenner C. Microbial NAD
metabolism: lessons from comparative genomics. Microbiol Mol Biol Rev. 2009
Sep;73(3):529-41, Table of Contents. doi: 10.1128/MMBR.00042-08. PMID:
19721089; PMCID: PMC2738131.
Gingrich W, Schlenk F. Codehydrogenase I and Other Pyridinium Compounds as VFactor for Hemophilus influenzae and H. parainfluenzae. J Bacteriol. 1944
Jun;47(6):535-50. doi: 10.1128/jb.47.6.535-550.1944. PMID: 16560803; PMCID:
PMC373952.
Henne K, Rheinberg A, Melzer-Krick B, Conrads G. Aciduric microbial taxa including
Scardovia wiggsiae and Bifidobacterium spp. in caries and caries free subjects.
43
Anaerobe. 2015 Oct;35(Pt A):60-5. doi: 10.1016/j.anaerobe.2015.04.011. Epub
2015 Apr 28. PMID: 25933689.
Herbert M, Sauer E, Smethurst G, Kraiss A, Hilpert AK, Reidl J. Nicotinamide ribosyl
uptake mutants in Haemophilus influenzae. Infect Immun. 2003 Sep;71(9):5398401. doi: 10.1128/IAI.71.9.5398-5401.2003. PMID: 12933892; PMCID:
PMC187334.
Hughes CV, Dahlan M, Papadopolou E, Loo CY, Pradhan NS, Lu SC, Mathney JM,
Bravoco A, Kent RL Jr, Tanner AC. Aciduric microbiota and mutans streptococci
in severe and recurrent severe early childhood caries. Pediatr Dent. 2012 MarApr;34(2):e16-23. PMID: 22583872; PMCID: PMC3353719.
Jian W, Dong X. Transfer of Bifidobacterium inopinatum and Bifidobacterium
denticolens to Scardovia inopinata gen. nov., comb. nov., and Parascardovia
denticolens gen. nov., comb. nov., respectively. Int J Syst Evol Microbiol. 2002
May;52(Pt 3):809-812. doi: 10.1099/00207713-52-3-809. PMID: 12054242.
Kameda M, Abiko Y, Washio J, Tanner ACR, Kressirer CA, Mizoguchi I, Takahashi N.
Sugar Metabolism of Scardovia wiggsiae, a Novel Caries-Associated Bacterium.
Front Microbiol. 2020 Mar 25;11:479. doi: 10.3389/fmicb.2020.00479. PMID:
32269556; PMCID: PMC7109253.
Kang K, Sun Y, Pan D, Chang B, Sang LX. Nicotinamide Ameliorates Dextran Sulfate
Sodium-Induced Chronic Colitis in Mice through Its Anti-Inflammatory
Properties and Modulates the Gut Microbiota. J Immunol Res. 2021 Mar
6;2021:5084713. doi: 10.1155/2021/5084713. PMID: 33748287; PMCID:
PMC7959969.
Karsten Henne, Anke Rheinberg, Beate Melzer-Krick, Georg Conrads. Aciduric
microbial taxa including Scardovia wiggsiae and Bifidobacterium spp. in caries
and caries free subjects. Anaerobe. 2015 Oct;35(Pt A):60-5. doi:
10.1016/j.anaerobe.2015.04.011. Epub 2015 Apr 28
Leder IG, Handler P. Synthesis of nicotinamide mononucleotide by human erythrocytes
in vitro. J Biol Chem. 1951 Apr;189(2):889-99. PMID: 14832305.
44
Li, Y., Tanner, A. (2015). Effect of Antimicrobial Interventions on the Oral Microbiota
Associated with Early Childhood Caries. Pediatr Dent. 37, 226-244.
Lin Y, Gong T, Ma Q, Jing M, Zheng T, Yan J, Chen J, Pan Y, Sun Q, Zhou X, Li Y.
Nicotinamide could reduce growth and cariogenic virulence of Streptococcus
mutans. J Oral Microbiol. 2022 Mar 23;14(1):2056291. doi:
10.1080/20002297.2022.2056291. PMID: 35341208; PMCID: PMC8956312.
Manome A., Abiko Y., Kawashima J., Washio J., Fukumoto S., Takahashi N. (2019).
Acidogenic potential of oral Bifidobacterium and its high fluoride tolerance.
Front. Microbiol. 16:1099. 10.3389/fmicb.2019.01099
Mantzourani M, Fenlon M, Beighton D. Association between Bifidobacteriaceae and
the clinical severity of root caries lesions. Oral Microbiol Immunol. 2009
Feb;24(1):32-7. doi: 10.1111/j.1399-302X.2008.00470.x. PubMed PMID:
19121067
Miguel Carda-Diéguez, Luis Alberto Bravo-González, Isabel María Morata , Ascensión
Vicente, Alex Mira. High-throughput DNA sequencing of microbiota at
interproximal sites. J OralMicrobiol. 2019Nov11;12(1):1687397.doi:
10.1080/20002297.2019.1687397. eCollection 2020.
Morton DJ, VanWagoner TM, Seale TW, Whitby PW, Stull TL. Catalase as a source of
both X- and V-factor for Haemophilus influenzae. FEMS Microbiol Lett. 2008
Feb;279(2):157-61. doi: 10.1111/j.1574-6968.2007.01020.x. Epub 2007 Dec 18.
PMID: 18093136.
Murray MF. Nicotinamide: an oral antimicrobial agent with activity against both
Mycobacterium tuberculosis and human immunodeficiency virus. Clin Infect Dis.
2003;36(4):453–460.
Norimatsu, Y., Kawashima, J., Takano-Yamamoto, T., Takahashi, N. (2015).
Nitrogenous compounds stimulate glucose-derived acid production by oral
Streptococcus and Actinomyces. Microbiol Immunol. 59, 501-506. doi:
10.1111/1348-0421.12283
45
Rolfe HM. A review of nicotinamide: treatment of skin diseases and potential side
effects. J Cosmet Dermatol. 2014;13(4):324–328.
Ruas-Madiedo P., Hernández-Barranco A., Margolles A., de los Reyes-Gavilán C. G. A
bile salt-resistant derivative of Bifidobacterium animalis has an altered
fermentation pattern when grown on glucose and maltose. Appl. Environ.
Microbiol. 71 6564–6570. 10.1128/aem.71.11.6564-6570.2005
Sánchez B., Champomier-Vergès M. C., Anglade P., Baraige F., de Los Reyes-Gavilán
C. G., Margolles A., et al. (2005). Proteomic analysis of global changes in protein
expression during bile salt exposure of Bifidobacterium longum NCIMB 8809. J.
Bacteriol. 187 5799–5808. 10.1128/jb.187.16.5799-5808.2005
Shifrine, M., Bierstein, E. A Growth Factor for Haemophilus Species secreted by a
Pseudomonad. Nature 187, 623 (1960). https://doi.org/10.1038/187623a0
Shirmohammadi M, Razeghi S, Shamshiri AR, Mohebbi SZ. Impact of smartphone
application usage by mothers in improving oral health and its determinants in
early childhood: a randomised controlled trial in a paediatric dental setting. Eur
Arch Paediatr Dent. 2022 Aug;23(4):629-639. doi: 10.1007/s40368-022-00731-9.
Epub 2022 Jul 16. PMID: 35841512; PMCID: PMC9287817.
Takahashi, N., Abbe, K., Takahashi-Abbe, S., Yamada, T. (1987). Oxygen sensitivity of
sugar metabolism and interconversion of pyruvate formate-lyase in intact cells of
Streptococcus mutans and Streptococcus sanguis. Infect Immun. 55, 652-656.
Figure legends
Figure 1. Effect of NAM, NA, NAD, and hemin on the growth and final pH of S. wiggsiae.
46
(A) The increase of bacterial growth until 96 hours; (B) The final pH.
Date ware calculated as follow; ΔOD = (OD at 96 hour) – (OD at 0 hour).
Figure 2. Effects of NAM, NAD, and hemin on the acidic end-products. These data show
the proportion of acidic end-products, acetate, formate, and lactate.
Figure 3. A, Synergy effect of NAD and hemin on bacterial growth; B, Synergy effect of
NAD and hemin on the proportion of acidic end-products.
Date ware calculated as follow; ΔOD = (OD at 96 hour) – (OD at 0 hour).
Figure 4. Proposed biosynthetic pathways of S. wiggsiae and H. influensae for NAD
production and enzymes which catalyze these pathways; NAM, Nicotinamide; NAD,
nicotinamide adenine dinucleotide;
NA, nicotinic acid;
mononucleotide; NR, nicotinamide riboside.
47
NMN,
nicotinamide
48
49
50
51
Conclusion
The present study (Chapters I and II) revealed that S. wiggsiae had high acid-productivity
and fluoride tolerance due a unique metabolic pathway F6PPK-shunt. These abilities were
also exhibited in low pH environments, suggesting this bacterium possess high cariesinduce potential. In addition, it was found that NAD and hemin, which are blood
components, and NAM which is a precursor of NAD, promoted the growth and acid
production of S. wiggsiae. In ECC, due to poor oral hygiene, gingivitis with bleeding is
frequently observed along with caries, suggesting that ECC may provide an acidic
environment rich in blood components in which S. wiggsiae grows and exhibits high
cariogenicity. In the present study, we clarified the biochemical characteristics involve in
sugar metabolism and growth promotion in S. wiggsiae, and gained insight into the
contribution of this bacterium to ECC.
52
Acknowledgments
I would like to express my sincere gratitude to my supervisor, Prof. Nobuhiro Takahashi
of Division of Oral Ecology and Biochemistry, Tohoku University Graduate School of
Dentistry, and Prof. Itaru Mizoguchi of Division of Orthodontics and Dentofacial
Orthopedics, Tohoku University Graduate School of Dentistry, for their direction and
review throughout the whole process of research.
Additionally, I would like to express my deepest appreciation to Dr. Yuki Abiko, Dr.
Jumpei Washio, Prof. Anne C. R. Tanner, and Dr. Christine A. Kressirer, for their
elaborated guidance, considerable encouragement, and invaluable discussion that make
my research of great achievement.
53
...