integument formation - biofilms Flashcards

1
Q

What is required for the stabilisation of plaque?

A

synthesis of a bacterial extracellular polysaccharide “matrix” (EPS)

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2
Q

explain these results

A

no bacterial aggregation on gucose

bacterial aggregation shown on sucrose

  • bacteria aggregate when coming into contact with dextran (glucan)
  • the bacteria begin to lay down the extracellular polysaccharide matrix
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3
Q

What converts sucrose to glucan?

A

enzymes : glucosyltransferases (Gtf’s)

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4
Q

what makes glucans soluble

A

contain a higher proportion of alpha 1-6 linked glucans

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5
Q

what makes glucans insoluble?

A

contain predominantly alpha 1-3 linked glucans

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6
Q

which glucans are involved in establishing an EPS matrix

A

insoluble glucans

therefore they are virulence factors

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7
Q

give examples of S.mutants glucotransferases and what glucans they form

A
  • GtfB:
    • insoluble glucan α1,3 linked glucan
    • Very important for stabilisation of the EPS matrix
  • GtfC:
    • mixture of soluble α1,6 linked glucan & insoluble
  • GtfD: soluble glucans
    • Not involved in establishing EPS matrix
    • Not a virulence factor
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8
Q

what is the significance of the C-terminal repeat motifs in GtfC

A
  • able to bind to lysosyme and amylase in the saliva
  • allowing Gtf to bind to the pellicle
  • enzymes can be sequestered to the tooth surfaces through the pellicle
  • drives production of the EPS matrix
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9
Q

What changes to the properties of Gtf occurs when binding to the pellicle?

A

Gtf becomes hyperactive

  • more capable to form crosslinkings that lead to the stabilisation of the EPS matrix
  • more stable at a wider pH range
    • can more optimally convert sucrose into glucans
  • therefore increase in insoluble glucan synthesis
  • most establishment of EPS matrix
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10
Q

what does a signal peptide on Gtf’s show?

which Gtf’s contain them

A

the enzyme is secreted by the bacteria into the oral environment

both GtfC and GtfB have a signal peptide

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11
Q

What is the significance of the C-terminal repeat motifs in GtfB?

A
  • It can form bacterial binding sites
  • allows transfer of Gtf activity from S.mutants to other bacterial species
    • increased synthesis of EPS matrix
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12
Q

how does the EPS matrix lead to a drop in oral pH??

What effect does this drop in oral pH have on Gtf and the EPS matrix?

A
  • EPS matrix is able to be metabolised to acid like sugars
  • therefore drop in pH
  • leads to
    • upregulation of some Gtf activity
    • upregulation of synthesis of Gtf’s by s.mutants
      • increase in matrix production
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13
Q

What other bacteria can further colonise the EPS and how do they effect health?

A
  • acidogenic or aciduric bacteria can colonise the biofilm
    • further establishment of diversity
    • increased caries risk
  • P.gingivalis
    • increased gingivitis risk
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14
Q

what are EPS-microcolonies?

A
  • acidic niches in the biofilm
  • areas that retain acid for prolonged periods of time
  • high bacterial colonisation
    • where enamel erosion will occur
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15
Q

What evidence of is there to show the importance of Gtf’s as virulence factors

A

Genetically modified S.mutants lacking genes encoding glucosyl transferases – GtfB/C

  • did not form EPS-microcolony complexes
    • can be readily neutralised
      • matrix was not crosslinked
    • less complex structures
    • fail to generate acid environments
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16
Q

What do fructosyltransferases

role?

A

convert sucrose into fructan and glucose

fructan is soluble and readily broken down

not involved in plaque formation

17
Q

what counter measures are there for EPS formation?

A
  • change diet
  • chlorhexidine mouthwash inhibits GtfC
  • Cranberry pro-anthocyanidin oligomers block Gtf bound to saliva coated HA
    • Able to block Gtf’s in the pellicle
18
Q

Why is it difficult to stop EPS formation?

A
  • inhibition of Gtf activity in biofilms is less effective
    • Much more difficult to fight bacteria which are in the biofilm
19
Q

What is the normal flora of the oral cavity and teeth surfaces

A
  • Microbes will always colonise tooth surfaces
    • Most are not dangerous to us
    • Some cause disease
  • Commensal microflora ( indigenous / resident ) and transient microflora exist in perfect harmony with the host
    • When relationship is broken
    • Environmental disaster
20
Q

What are the oral diseases associated with biofilms?

A
  • caries formation
  • periodontal disease
  • tartar formation
21
Q

summary of stages of periodontitis

A

begins with gingivitis

  • Inflammation of gingiva only
  • Caused by bacterial biofilm
  • Activates host immune system

periodontitis

  • Severe inflammation of periodontal ligament
  • Caused by host immune system
    • Activation & secretion of proinflammatory cytokines
    • Leads to induction of synthesis of proteinases that can break down bone in extracellular environment
      • Cytokines induce enzyme synthesis
      • Collagenase = bone loss
    • Neck of tooth becomes exposed due to gum line recession
    • Leads to tooth loss
22
Q

where does supra-gingival calculus usually form?

A
  • Especially associated near salivary ducts
    • Where protein concentration important for pellicle formation is high
    • Saliva main source of Ca2+ & PO42-
23
Q

what is calculus

A

calcium reinforced biofilm

when Ca precipitates on enamel surfaces

highly undersirable

huge removal force required to detach

24
Q

what factors are involved in calculus formation

A
  • oral fluids (saliva / GCF)
  • bacteria
  • seeding / nucleating molecules
  • diet
25
Q

what is the mechanisms of calculus formation

A

Pathological calcification so no specific mechanism

  • precipitation and nucleation
  • pH rises & ions precipitate
  • various nucleation molecules (acidic proteins, GAGs)
26
Q
A