Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review

The spread of biofilm-related diseases in developed countries has led to increased mortality rates and high health care costs. A biofilm is a community of microorganisms that is irreversibly attached to a surface, behaving very differently from planktonic cells and providing resistance to antimicrob...

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Main Authors: Barbara Giordani, Carola Parolin, Beatrice Vitali
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Medical Technology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmedt.2021.769172/full
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author Barbara Giordani
Carola Parolin
Beatrice Vitali
author_facet Barbara Giordani
Carola Parolin
Beatrice Vitali
author_sort Barbara Giordani
collection DOAJ
description The spread of biofilm-related diseases in developed countries has led to increased mortality rates and high health care costs. A biofilm is a community of microorganisms that is irreversibly attached to a surface, behaving very differently from planktonic cells and providing resistance to antimicrobials and immune response. Oral diseases are an excellent example of infection associated with the formation of highly pathogenic biofilms. It is generally accepted that, when the oral homeostasis is broken, the overgrowth of pathogens is facilitated. Among them, Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans are the main etiological agents of periodontitis, while Streptococcus mutans is strongly associated with the onset of dental caries. Other microorganisms, such as the fungus Candida albicans, may also be present and contribute to the severity of infections. Since the common antibiotic therapies usually fail to completely eradicate biofilm-related oral diseases, alternative approaches are highly required. In this regard, the topical administration of probiotics has recently gained interest in treating oral diseases. Thus, the present mini-review focuses on the possibility of using Lactobacillus spp. as probiotics to counteract biofilm-mediated oral infections. Many evidence highlight that Lactobacillus living cells can impede the biofilm formation and eradicate mature biofilms of different oral pathogens, by acting through different mechanisms. Even more interestingly, lactobacilli derivatives, namely postbiotics (soluble secreted products) and paraprobiotics (cell structural components) are able to trigger anti-biofilm effects too, suggesting that they can represent a novel and safer alternative to the use of viable cells in the management of biofilm-related oral diseases.
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spelling doaj.art-d22bc452d9f842cb9c096b2657c6d0562022-12-21T18:29:59ZengFrontiers Media S.A.Frontiers in Medical Technology2673-31292021-10-01310.3389/fmedt.2021.769172769172Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-ReviewBarbara GiordaniCarola ParolinBeatrice VitaliThe spread of biofilm-related diseases in developed countries has led to increased mortality rates and high health care costs. A biofilm is a community of microorganisms that is irreversibly attached to a surface, behaving very differently from planktonic cells and providing resistance to antimicrobials and immune response. Oral diseases are an excellent example of infection associated with the formation of highly pathogenic biofilms. It is generally accepted that, when the oral homeostasis is broken, the overgrowth of pathogens is facilitated. Among them, Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans are the main etiological agents of periodontitis, while Streptococcus mutans is strongly associated with the onset of dental caries. Other microorganisms, such as the fungus Candida albicans, may also be present and contribute to the severity of infections. Since the common antibiotic therapies usually fail to completely eradicate biofilm-related oral diseases, alternative approaches are highly required. In this regard, the topical administration of probiotics has recently gained interest in treating oral diseases. Thus, the present mini-review focuses on the possibility of using Lactobacillus spp. as probiotics to counteract biofilm-mediated oral infections. Many evidence highlight that Lactobacillus living cells can impede the biofilm formation and eradicate mature biofilms of different oral pathogens, by acting through different mechanisms. Even more interestingly, lactobacilli derivatives, namely postbiotics (soluble secreted products) and paraprobiotics (cell structural components) are able to trigger anti-biofilm effects too, suggesting that they can represent a novel and safer alternative to the use of viable cells in the management of biofilm-related oral diseases.https://www.frontiersin.org/articles/10.3389/fmedt.2021.769172/fulllactobacilliprobioticspostbioticsparaprobioticsbiofilmoral diseases
spellingShingle Barbara Giordani
Carola Parolin
Beatrice Vitali
Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review
Frontiers in Medical Technology
lactobacilli
probiotics
postbiotics
paraprobiotics
biofilm
oral diseases
title Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review
title_full Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review
title_fullStr Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review
title_full_unstemmed Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review
title_short Lactobacilli as Anti-biofilm Strategy in Oral Infectious Diseases: A Mini-Review
title_sort lactobacilli as anti biofilm strategy in oral infectious diseases a mini review
topic lactobacilli
probiotics
postbiotics
paraprobiotics
biofilm
oral diseases
url https://www.frontiersin.org/articles/10.3389/fmedt.2021.769172/full
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