Smoking-induced subgingival dysbiosis precedes clinical signs of periodontal disease. 2023

Ryan Tamashiro, and Leah Strange, and Kristin Schnackenberg, and Janelle Santos, and Hana Gadalla, and Lisa Zhao, and Eric C Li, and Emilie Hill, and Brett Hill, and Gurjit S Sidhu, and Mariana Kirst, and Clay Walker, and Gary P Wang
Department of Medicine, Division of Infectious Diseases and Global Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.

Smoking accelerates periodontal disease and alters the subgingival microbiome. However, the relationship between smoking-associated subgingival dysbiosis and progression of periodontal disease is not well understood. Here, we sampled 233 subgingival sites longitudinally from 8 smokers and 9 non-smokers over 6-12 months, analyzing 804 subgingival plaque samples using 16 rRNA sequencing. At equal probing depths, the microbial richness and diversity of the subgingival microbiome was higher in smokers compared to non-smokers, but these differences decreased as probing depths increased. The overall subgingival microbiome of smokers differed significantly from non-smokers at equal probing depths, which was characterized by colonization of novel minority microbes and a shift in abundant members of the microbiome to resemble periodontally diseased communities enriched with pathogenic bacteria. Temporal analysis showed that microbiome in shallow sites were less stable than deeper sites, but temporal stability of the microbiome was not significantly affected by smoking status or scaling and root planing. We identified 7 taxa-Olsenella sp., Streptococcus cristatus, Streptococcus pneumoniae, Streptococcus parasanguinis, Prevotella sp., Alloprevotella sp., and a Bacteroidales sp. that were significantly associated with progression of periodontal disease. Taken together, these results suggest that subgingival dysbiosis in smokers precedes clinical signs of periodontal disease, and support the hypothesis that smoking accelerates subgingival dysbiosis to facilitate periodontal disease progression.

UI MeSH Term Description Entries
D010510 Periodontal Diseases Pathological processes involving the PERIODONTIUM including the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT. Parodontosis,Pyorrhea Alveolaris,Disease, Periodontal,Diseases, Periodontal,Parodontoses,Periodontal Disease
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000073869 Tobacco Smoking The process of SMOKING specific to TOBACCO. Smoking, Tobacco
D000074285 Smokers Persons with a history or habit of SMOKING. Smokers, Non-Tobacco Products,Smokers, Tobacco,Vapers,Non-Tobacco Products Smoker,Non-Tobacco Products Smokers,Smoker,Smoker, Non-Tobacco Products,Smoker, Tobacco,Smokers, Non Tobacco Products,Tobacco Smoker,Tobacco Smokers,Vaper
D012907 Smoking Willful or deliberate act of inhaling and exhaling SMOKE from burning substances or agents held by hand. Smoking Behaviors,Smoking Habit,Behavior, Smoking,Behaviors, Smoking,Habit, Smoking,Habits, Smoking,Smoking Behavior,Smoking Habits
D041963 Bacteroidetes A phylum of bacteria comprising four classes; Bacteroidia, Cytophagia, Flavobacteriia, and Sphingobacteriia. CFB Group Bacteria,Cytophaga-Flavobacteria-Bacteroides Group Bacteria,Cytophagales
D064806 Dysbiosis Changes in quantitative and qualitative composition of MICROBIOTA. The changes may lead to altered host microbial interaction or homeostatic imbalance that can contribute to a disease state often with inflammation. Disbacteriosis,Disbiosis,Dys-symbiosis,Dysbacteriosis,Disbacterioses,Disbioses,Dys symbiosis,Dys-symbioses,Dysbacterioses,Dysbioses

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