The tongue microbiome in healthy subjects and patients with intra-oral halitosis

Intra-oral halitosis (IOH) is an unpleasant odor emanating from the oral cavity. It is thought that the microbiota of the dorsal tongue coating plays a crucial role in this condition. The aim of the study was to investigate the composition of the tongue microbiome in subjects with and without IOH. A total of 26 subjects, 16 IOH patients and 10 healthy subjects were recruited based on their organoleptic score and volatile sulfur compound (VSC) measurements. The composition of the tongue microbiome was studied using the 16s amplicon sequencing of the V3-V4 hyper variable region with an Illumina MiSeq. The sequenced data were analyzed using QIIME, and the sequences obtained were distributed across 7 phyla, 27 genera and 825 operational taxonomic units (OTUs). At a higher taxon level, TM7 was associated with IOH patients whereas Gemellaceae was significantly abundant in the healthy subjects. At OTU level, we found several significant OTUs that differentiated the IOH patients from the controls. These included Aggregatibacter (OTU id 4335776), Aggregatibacter segnis (A. segnis), Campylobacter, Capnocytophaga, Clostridiales, Dialister, Leptotrichia, Parvimonas, Peptostreptococcus, Peptococcus, Prevotella, Selenomonas, SR1, Tannerella, TM7-3 and Treponema in the IOH group. In the control group, Aggregatibacter (OTU id 4363066), Haemophilus, Haemophilus parainfluenza (H. parainfluenza), Moryella, Oribacterium, Prevotella, several Streptococcus, Rothia dentocariosa (R. dentocariosa) and OTU from Gemellaceae were significantly abundant. Based on our observation, it was concluded that the bacterial qualitative composition of the IOH and the control group was almost the same, except for the few above-mentioned bacterial species and genera.

[1]  H. Omran,et al.  Mutations in SELENBP1, encoding a novel human methanethiol oxidase, cause extraoral halitosis , 2017, Nature Genetics.

[2]  G. V. D. Van der Weijden,et al.  User perception on various designs of tongue scrapers: an observational survey , 2017, International journal of dental hygiene.

[3]  S. Ehrlich,et al.  Tongue Coating and the Salivary Microbial Communities Vary in Children with Halitosis , 2016, Scientific Reports.

[4]  N. Takahashi Oral Microbiome Metabolism , 2015, Journal of dental research.

[5]  W. Huber,et al.  Moderated estimation of fold change and dispersion for RNA-seq data with DESeq2 , 2014, Genome Biology.

[6]  Keerthana Krishnan,et al.  Community-wide transcriptome of the oral microbiome in subjects with and without periodontitis , 2014, The ISME Journal.

[7]  M. Quirynen,et al.  Halitosis management by the general dental practitioner—results of an international consensus workshop , 2014, Journal of breath research.

[8]  Susan P. Holmes,et al.  Waste Not , Want Not : Why Rarefying Microbiome Data is Inadmissible . October 1 , 2013 , 2013 .

[9]  Rob Knight,et al.  EMPeror: a tool for visualizing high-throughput microbial community data , 2013, GigaScience.

[10]  T. He,et al.  Microbial Basis of Oral Malodor Development in Humans , 2013, Journal of dental research.

[11]  J. Greenman,et al.  Halitology (breath odour: aetiopathogenesis and management). , 2012, Oral diseases.

[12]  Robert C. Edgar,et al.  Search and clustering orders of magnitude faster than BLAST , 2010, Bioinform..

[13]  William A. Walters,et al.  QIIME allows analysis of high-throughput community sequencing data , 2010, Nature Methods.

[14]  A. Tangerman,et al.  Extra-oral halitosis: an overview , 2010, Journal of breath research.

[15]  U. Velden The Dutch periodontal screening index validation and its application in The Netherlands , 2009 .

[16]  M. Quirynen,et al.  Characteristics of 2000 patients who visited a halitosis clinic. , 2009, Journal of clinical periodontology.

[17]  G. Svensäter,et al.  Proteolytic degradation of human salivary MUC5B by dental biofilms. , 2009, Microbiology.

[18]  A. Lussi,et al.  Prevalence of halitosis in the population of the city of Bern, Switzerland: a study comparing self-reported and clinical data. , 2009, European journal of oral sciences.

[19]  M. Shaharabany,et al.  β-Galactosidase activity and H2S production in an experimental oral biofilm , 2009, Journal of breath research.

[20]  D van Steenberghe,et al.  Detection of Odorous Compounds in Breath , 2009, Journal of dental research.

[21]  U. van der Velden The Dutch periodontal screening index validation and its application in The Netherlands. , 2009, Journal of clinical periodontology.

[22]  A. Lennon,et al.  Molecular identification of bacteria on the tongue dorsum of subjects with and without halitosis. , 2008, Oral diseases.

[23]  A. Tangerman,et al.  Intra- and extra-oral halitosis: finding of a new form of extra-oral blood-borne halitosis caused by dimethyl sulphide. , 2007, Journal of clinical periodontology.

[24]  J. Zambon,et al.  Identification of oral bacterial species associated with halitosis. , 2007, Journal of the American Dental Association.

[25]  Eoin L. Brodie,et al.  Greengenes, a Chimera-Checked 16S rRNA Gene Database and Workbench Compatible with ARB , 2006, Applied and Environmental Microbiology.

[26]  J. A. Aas,et al.  Defining the Normal Bacterial Flora of the Oral Cavity , 2005, Journal of Clinical Microbiology.

[27]  Jonathan Pevsner,et al.  Basic Local Alignment Search Tool (BLAST) , 2005 .

[28]  Satoshi Shizukuishi,et al.  Contribution of periodontal pathogens on tongue dorsa analyzed with real-time PCR to oral malodor. , 2004, Microbes and infection.

[29]  E. Goldstein,et al.  Anaerobic bacteria cultured from the tongue dorsum of subjects with oral malodor. , 2003, Anaerobe.

[30]  A. V. van Winkelhoff,et al.  Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis. A dual-center, double-blind placebo-controlled study. , 2003, Journal of clinical periodontology.

[31]  F. Dewhirst,et al.  Diversity of Bacterial Populations on the Tongue Dorsa of Patients with Halitosis and Healthy Patients , 2003, Journal of Clinical Microbiology.

[32]  A. Tangerman Halitosis in medicine: a review. , 2002, International dental journal.

[33]  J. Greenman,et al.  The Tongue Microbiota of Low Odour and Malodorous Individuals , 1996 .

[34]  E. D. De Boever,et al.  Assessing the contribution of anaerobic microflora of the tongue to oral malodor. , 1995, Journal of the American Dental Association.

[35]  M Rosenberg,et al.  Reproducibility and Sensitivity of Oral Malodor Measurements with a Portable Sulphide Monitor , 1991, Journal of dental research.

[36]  M Rosenberg,et al.  Halitosis measurement by an industrial sulphide monitor. , 1991, Journal of periodontology.

[37]  M. B. Edlund,et al.  The formation of hydrogen sulfide and methyl mercaptan by oral bacteria. , 1990, Oral microbiology and immunology.

[38]  R. Weisiger,et al.  [32] Thiol S-methyltransferase , 1981 .

[39]  R. Weisiger,et al.  Thiol S-methyltransferase. , 1981, Methods in enzymology.

[40]  T. Mcnamara,et al.  The role of microorganisms in the production of oral malodor. , 1972, Oral surgery, oral medicine, and oral pathology.