Abstract

BackgroundThe shift of oral microbiota is a critical factor of radiation caries in head and neck cancer patients after the radiotherapy. However, the direct effects of irradiation on the genome and virulence of cariogenic bacteria are poorly described. Here we investigated the genomic mutations and virulence change of Streptococcus mutans (S. mutans), the major cariogenic bacteria, exposed to the therapeutic doses of X-rays.ResultsX-ray reduced the survival fraction of S. mutans and impacted its biofilm formation. We isolated a biofilm formation-deficient mutant #858 whose genome only possessed three synonymous mutations (c.2043 T > C, c.2100C > T, c.2109A > G) in gtfB gene. The “silent mutation” of c.2043 T > C in gtfB gene can cause the down-regulation of all of the gtfs genes’ expression and decrease the GtfB enzyme secretion without the effect on the growth due to the codon bias. #858 and synonymous point mutation strain gtfB2043 T>C, similar to the gtfB gene null mutant Δ gtfB, can significantly decrease the extracellular polysaccharide production, biofilm formation and cariogenic capabilities both in vitro and in vivo compared with wild type.ConclusionThe direct exposure of X-ray radiation can affect the genome and virulence of oral bacteria even at therapeutic doses. The synonymous mutations of genome are negligent factors for gene expression and related protein translation due to the codon usage frequency.

Highlights

  • The shift of oral microbiota is a critical factor of radiation caries in head and neck cancer patients after the radiotherapy

  • Different biofilm formation abilities were observed in these isolates, 12 strains had stronger biofilm formation activities compared to wild type UA159 (WT), while 31 strains reduced the abilities significantly including the most reduced isolate #858 (p < 0.05). These results indicated that therapeutic dose of X-rays can have an impact on virulence characteristics of S. mutans

  • Our results indicated that the GtfB/D band were separated from GtfC in all groups, among them, the GtfB/D of #858, gtfB 2043 T>C and ΔgtfB were significantly reduced compared to WT, which was consistent with the expression of gtfB gene

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Summary

Introduction

The shift of oral microbiota is a critical factor of radiation caries in head and neck cancer patients after the radiotherapy. Eliasson found an increased number of lactobacilli and Candida species in irradiation patients compared with Sjögren’s syndrome group [10]. In addition to these data obtained by traditional cultural method, pyrosequencing was used to detect microecological changes during radiotherapy. It is widely accepted that the shifts of microbial population of the radiation caries patients are mainly due to the decreased amount of saliva flow and the changes of the saliva properties [13], the direct role of irradiation on oral flora is still unclear

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