Effects of Natural Sugar on Acidogenic Potential, Biofilm Biomass, and Antiseptic Resistance of Oral Streptococci

Main Article Content

Pimpikar Kanchanadumkerng
Karn Wongsariya*

Abstract

Natural sugar is deliberated as ordinary, non-chemical, and healthy alternatives. However, a diet rich in sugar is well documented as a causative agent for dental caries. The purpose of this study was to investigate the effects of natural sugars, including raw cane, palmyra palm and coconut sugar on the acidogenic profiles, biofilm formation and antiseptic treatment efficacy compared with refined sugar. The study was based on single-species and dual-species of Streptococcus mutans ATCC 25175 and Streptococcus sobrinus ATCC 33402. Our results showed that sucrose was a major component of all samples, with percentages of relative content higher than 89.0. Palmyra sugar gave the least pH change at 180 min of 4.84-4.93, which indicated it was the least acidogenic. Coconut sugar formed the lowest level of biofilm biomass compared to refined sugar (p < 0.05) and other samples. Antiseptic treatment was performed to study the level of percent eradication of bacterial plaque using MTT assay to determine cell viability under biofilm in each sugar medium. Biofilm derived from coconut sugar had a susceptibility to antiseptic treatment with 56.2-61.99% eradication which was higher than the biofilm from palmyra and raw cane sugar. As a result, this study points out the effects of various natural sugars (especially different sources of plant material) on cariogenic potential. However, further experiment should be done to confirm the results in vivo and further study the cariogenic effects of diet supplementation of these fermentable sugars.


 


Keywords: natural sugar; sweetener; dental caries; biofilm


*Corresponding author: Tel.: (+66)2-329-8400 Fax: (+66)2-329-8412


                                             E-mail: karn.wo@kmitl.ac.th

Article Details

Section
Original Research Articles

References

Kassebaum, N.J., Smith, A.G.C., Bernabé, E., Fleming, T.D., Reynolds, A.E., Vos, T., Murray, C.J.L., Marcenes, W. and GBD 2015 Oral Health Collaborators, 2017. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. Journal of Dental Research, 96(4), 380-387.

Pitts, N.B., Zero, D.T., Marsh, P.D., Ekstrand, K., Weintraub, J.A., Ramos-Gomez F, Tagami J, Twetman, S, Tsakos, G. and Ismail, A., 2017. Dental caries. Nature Reviews Disease Primers, 3(1), 1-16.

Okada, M., Kawamura, M., Oda, Y., Yasuda, R.I.E., Kojima, T. and Kurihara, H., 2012. Caries prevalence associated with Streptococcus mutans and Streptococcus sobrinus in Japanese schoolchildren. International Journal of Paediatric Dentistry, 22(5), 342-348.

Zhan, L., 2018. Rebalancing the caries microbiome dysbiosis: targeted treatment and sugar alcohols. Advances in Dental Research, 29(1), 110-116.

Bowen, W.H., Burne, R.A., Wu, H. and Koo, H., 2018. Oral biofilms: pathogens, matrix, and polymicrobial interactions in microenvironments. Trends in Microbiology, 26(3), 229-242.

Sheiham, A. and James, W.P.T., 2014. A reappraisal of the quantitative relationship between sugar intake and dental caries: the need for new criteria for developing goals for sugar intake. BMC Public Health, 14(1), 863.

Giacaman, R.A., 2018. Sugars and beyond. The role of sugars and the other nutrients and their potential impact on caries. Oral Diseases, 24(7), 1185-1197.

WHO, 2015. Guideline: Sugars Intake for Adults and Children. Geneva: World Health Organization.

Moynihan, P., 2016. Sugars and dental caries: evidence for setting a recommended threshold for intake. Advances in Nutrition, 7(1), 149-156.

Cury, J.A., Rebelo, M.A.B., Cury, A.D.B., Derbyshire, M.T.V.C. and Tabchoury, C.P.M., 2000. Biochemical composition and cariogenicity of dental plaque formed in the presence of sucrose or glucose and fructose. Caries Research, 34(6), .491-497.

Leme, A.P., Koo, H., Bellato, C.M., Bedi, G., and Cury, J.A., 2006. The role of sucrose in cariogenic dental biofilm formation-new insight. Journal of Dental Research, 85(10), 878-887.

Saputro, A.D., Van de Walle, D. and Dewettinck, K., 2019. Palm sap sugar: A review. Sugar Tech, 21(6), 862-867.

Seguí, L., Calabuig‐Jiménez, L., Betoret, N. and Fito, P., 2015. Physicochemical and antioxidant properties of non‐refined sugarcane alternatives to white sugar. International Journal of Food Science & Technology, 50(12), 2579-2588.

Phillips, K.M., Carlsen, M.H. and Blomhoff, R., 2009. Total antioxidant content of alternatives to refined sugar. Journal of the American Dietetic Association, 109(1), 64-71.

Asghar, M.T., Yusof, Y.A., Mokhtar, M. N., Ya'acob, M.E., Mohd Ghazali, H., Chang, L. S. and Manaf, Y.N., 2020. Coconut (Cocos nucifera L.) sap as a potential source of sugar: Antioxidant and nutritional properties. Food Science & Nutrition, 8(4), 1777-1787.

Stegues, C. G., Arthur, R. A. and Hashizume, L. N., 2016. Effect of the association of maltodextrin and sucrose on the acidogenicity and adherence of cariogenic bacteria. Archives of Oral Biology, 65, 72-76.

He, Z., Huang, Z., Jiang, W. and Zhou, W., 2019. Antimicrobial activity of cinnamaldehyde on Streptococcus mutans biofilms. Frontiers in Microbiology, 10, 2241.

Zhong, H., Xie, Z., Wei, H., Song, Y. and Wang, M., 2019. Antibacterial and Antibiofilm Activity of Temporin-GHc and Temporin-GHd Against Cariogenic Bacteria, Streptococcus mutans. Frontiers in Microbiology, 10, 2854.

Aizawa, S., Miyasawa-Hori, H., Nakajo, K., Washio, J., Mayanagi, H., Fukumoto, S. and Takahashi, N., 2009. Effects of α-amylase and its inhibitors on acid production from cooked starch by oral streptococci. Caries Research, 43(1), 17-24.

Takara, K., Ushijima, K., Wada, K., Iwasaki, H. and Yamashita, M., 2007. Phenolic compounds from sugarcane molasses possessing antibacterial activity against cariogenic bacteria. Journal of Oleo Science, 56(11), 611-614.

Kawada-Matsuo, M., Oogai, Y. and Komatsuzawa, H., 2017. Sugar allocation to metabolic pathways is tightly regulated and affects the virulence of Streptococcus mutans. Genes, 8(1), 11.

Razak, F.A., Baharuddin, B.A., Akbar, E.F.M., Norizan, A.H., Ibrahim, N.F. and Musa, M.Y., 2017. Alternative sweeteners influence the biomass of oral biofilm. Archives of Oral Biology, 80, 180-184.

Koo, H., Xiao, J., Klein, M.I. and Jeon, J.G., 2010. Exopolysaccharides produced by Streptococcus mutans glucosyltransferases modulate the establishment of microcolonies within multispecies biofilms. Journal of Bacteriology, 192(12), 3024-3032.

Gupta, P., Gupta, N., Pawar, A.P., Birajdar, S.S., Natt, A.S. and Singh, H.P., 2013. Role of sugar and sugar substitutes in dental caries: a review. International Scholarly Research Notices, 2013.

Duarte, S., Klein, M.I., Aires, C.P., Cury, J.A., Bowen, W.H. and Koo, H., 2008. Influences of starch and sucrose on Streptococcus mutans biofilms. Oral Microbiology and Immunology, 23(3), 206-212.

Coulter, J., Jakubovics, N.S., Preshaw, P.M. and German, M.J., 2019. An in vitro model to assess effects of a desensitising agent on bacterial biofilm formation. Acta Biomaterialia Odontologica Scandinavica, 5(1), 1-8.

Conrads, G., de Soet, J.J., Song, L., Henne, K., Sztajer, H., Wagner-Döbler, I. and Zeng, A.P., 2014. Comparing the cariogenic species Streptococcus sobrinus and S. mutans on whole genome level. Journal of Oral Microbiology, 6(1), 26189.

Homer, K.A., Patel, R.U.P.A.L. and Beighton, D.A.V.I.D., 1993. Effects of N-acetylglucosamine on carbohydrate fermentation by Streptococcus mutans NCTC 10449 and Streptococcus sobrinus SL-1. Infection and immunity, 61(1), 295-302.

Jaffé, W.R., 2015. Nutritional and functional components of non centrifugal cane sugar: A compilation of the data from the analytical literature. Journal of Food Composition and Analysis, 43, 194-202.

Jaffé, W.R., 2012. Health effects of non-centrifugal sugar (NCS): a review. Sugar Tech, 14(2), 87-94.

Liu, C., Worthington, R. J., Melander, C. and Wu, H., 2011. A new small molecule specifically inhibits the cariogenic bacterium Streptococcus mutans in multispecies biofilms. Antimicrobial Agents and Chemotherapy, 55(6), 2679-2687.

Wiater, A., Choma, A. and Szczodrak, J., 1999. Insoluble glucans synthesized by cariogenic streptococci: a structural study. Journal of Basic Microbiology: An International Journal on Biochemistry, Physiology, Genetics, Morphology, and Ecology of Microorganisms, 39(4), 265-273.

Ma, R., Sun, M., Wang, S., Kang, Q., Huang, L., Li, T. and Xia, W.W., 2013. Effect of high‐fructose corn syrup on the acidogenicity, adherence and biofilm formation of Streptococcus mutans. Australian Dental Journal, 58(2), 213-218.

Lee, J.S., Ramalingam, S., Jo, I.G., Kwon, Y.S., Bahuguna, A., Oh, Y.S., Kwon, O.J. and Kim, M., 2018. Comparative study of the physicochemical, nutritional, and antioxidant properties of some commercial refined and non-centrifugal sugars. Food Research International, 109, 614-625.