Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study

Dental caries is caused by biofilm-forming acidogenic bacteria, especially <i>Streptococcus mutans</i>, and is still one of the most prevalent human bacterial diseases. The potential use of cannabidiol (CBD) in anti-bacterial therapies has recently emerged. Here we have studied the anti-...

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Main Authors: Tamar Barak, Eden Sharon, Doron Steinberg, Mark Feldman, Ronit Vogt Sionov, Miriam Shalish
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/24/15878
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author Tamar Barak
Eden Sharon
Doron Steinberg
Mark Feldman
Ronit Vogt Sionov
Miriam Shalish
author_facet Tamar Barak
Eden Sharon
Doron Steinberg
Mark Feldman
Ronit Vogt Sionov
Miriam Shalish
author_sort Tamar Barak
collection DOAJ
description Dental caries is caused by biofilm-forming acidogenic bacteria, especially <i>Streptococcus mutans</i>, and is still one of the most prevalent human bacterial diseases. The potential use of cannabidiol (CBD) in anti-bacterial therapies has recently emerged. Here we have studied the anti-bacterial and anti-biofilm activity of CBD against <i>S. mutans</i>. We measured minimum inhibitory concentration (MIC) and minimum biofilm inhibitory concentration (MBIC). The bacterial growth and changes in pH values were measured in a kinetic study. The biofilm biomass was assessed by Crystal Violet staining and 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) metabolic assay. Spinning Disk Confocal Microscopy (SDCM) was used to assess biofilm structure, bacterial viability and extracellular polysaccharide (EPS) production. CBD inhibited <i>S. mutans</i> planktonic growth and biofilm formation in a dose-dependent manner, with similar MIC and MBIC values (5 µg/mL). CBD prevented the bacteria-mediated reduction in pH values that correlated with bacterial growth inhibition. SDCM showed a decrease of 50-fold in live bacteria and EPS production. CBD significantly reduced the viability of preformed biofilms at 7.5 µg/mL with an 80 ± 3.1% reduction of metabolic activity. At concentrations above 20 µg/mL, there was almost no bacterial recovery in the CBD-treated preformed biofilms even 48 h after drug withdrawal. Notably, precoating of the culture plate surfaces with CBD prior to incubation with bacteria inhibited biofilm development. Additionally, CBD was found to induce membrane hyperpolarization in <i>S. mutans</i>. Thus, CBD affects multiple processes in <i>S. mutans</i> including its cariogenic properties. In conclusion, we show that CBD has a strong inhibitory effect against cariogenic bacteria, suggesting that it is a potential drug adjuvant for reducing oral pathogenic bacterial load as well as protecting against dental caries.
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spelling doaj.art-6fb1afa91ed3475aa54388fac8c237762023-11-24T15:29:35ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-12-0123241587810.3390/ijms232415878Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro StudyTamar Barak0Eden Sharon1Doron Steinberg2Mark Feldman3Ronit Vogt Sionov4Miriam Shalish5Biofilm Research Laboratory, The Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, The Hebrew University of Jerusalem, Jerusalem 9112102, IsraelBiofilm Research Laboratory, The Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, The Hebrew University of Jerusalem, Jerusalem 9112102, IsraelBiofilm Research Laboratory, The Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, The Hebrew University of Jerusalem, Jerusalem 9112102, IsraelBiofilm Research Laboratory, The Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, The Hebrew University of Jerusalem, Jerusalem 9112102, IsraelBiofilm Research Laboratory, The Institute of Biomedical and Oral Research (IBOR), Faculty of Dental Medicine, The Hebrew University of Jerusalem, Jerusalem 9112102, IsraelDepartment of Orthodontics, Hadassah Medical Center, Faculty of Dental Medicine, The Hebrew University of Jerusalem, Jerusalem 9112102, IsraelDental caries is caused by biofilm-forming acidogenic bacteria, especially <i>Streptococcus mutans</i>, and is still one of the most prevalent human bacterial diseases. The potential use of cannabidiol (CBD) in anti-bacterial therapies has recently emerged. Here we have studied the anti-bacterial and anti-biofilm activity of CBD against <i>S. mutans</i>. We measured minimum inhibitory concentration (MIC) and minimum biofilm inhibitory concentration (MBIC). The bacterial growth and changes in pH values were measured in a kinetic study. The biofilm biomass was assessed by Crystal Violet staining and 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) metabolic assay. Spinning Disk Confocal Microscopy (SDCM) was used to assess biofilm structure, bacterial viability and extracellular polysaccharide (EPS) production. CBD inhibited <i>S. mutans</i> planktonic growth and biofilm formation in a dose-dependent manner, with similar MIC and MBIC values (5 µg/mL). CBD prevented the bacteria-mediated reduction in pH values that correlated with bacterial growth inhibition. SDCM showed a decrease of 50-fold in live bacteria and EPS production. CBD significantly reduced the viability of preformed biofilms at 7.5 µg/mL with an 80 ± 3.1% reduction of metabolic activity. At concentrations above 20 µg/mL, there was almost no bacterial recovery in the CBD-treated preformed biofilms even 48 h after drug withdrawal. Notably, precoating of the culture plate surfaces with CBD prior to incubation with bacteria inhibited biofilm development. Additionally, CBD was found to induce membrane hyperpolarization in <i>S. mutans</i>. Thus, CBD affects multiple processes in <i>S. mutans</i> including its cariogenic properties. In conclusion, we show that CBD has a strong inhibitory effect against cariogenic bacteria, suggesting that it is a potential drug adjuvant for reducing oral pathogenic bacterial load as well as protecting against dental caries.https://www.mdpi.com/1422-0067/23/24/15878anti-bacterialanti-biofilmcannabidioldental caries<i>Streptococcus mutans</i>
spellingShingle Tamar Barak
Eden Sharon
Doron Steinberg
Mark Feldman
Ronit Vogt Sionov
Miriam Shalish
Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study
International Journal of Molecular Sciences
anti-bacterial
anti-biofilm
cannabidiol
dental caries
<i>Streptococcus mutans</i>
title Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study
title_full Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study
title_fullStr Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study
title_full_unstemmed Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study
title_short Anti-Bacterial Effect of Cannabidiol against the Cariogenic <i>Streptococcus mutans</i> Bacterium: An In Vitro Study
title_sort anti bacterial effect of cannabidiol against the cariogenic i streptococcus mutans i bacterium an in vitro study
topic anti-bacterial
anti-biofilm
cannabidiol
dental caries
<i>Streptococcus mutans</i>
url https://www.mdpi.com/1422-0067/23/24/15878
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AT ronitvogtsionov antibacterialeffectofcannabidiolagainstthecariogenicistreptococcusmutansibacteriumaninvitrostudy
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