Evidence map›Paper›PMID 22985885›Full record

ArticleAntimicrobial agents and chemotherapy2012

Novel antibiofilm chemotherapy targets exopolysaccharide synthesis and stress tolerance in Streptococcus mutans to modulate virulence expression in vivo.

Megan L Falsetta, Marlise I Klein, José A Lemos, Bruno B Silva, Senyo Agidi, Kathy K Scott-Anne, Hyun Koo

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
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  6. Synergistic action of specialized metabolites from divergent biosynthesis in the human oral microbiome.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  10. Anticariogenic activity of marine brown algaeFrontiers in cellular and infection microbiology · 2024
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  11. Effect of Extracts, Fractions, and Isolated Molecules ofAntibiotics (Basel, Switzerland) · 2023
    Article
  12. Article
  13. Review
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  15. Article
  16. Article
  17. Article
  18. Article
  19. Incorporation of Apigenin and tt-Farnesol into dental composites to modulate the Streptococcus mutans virulence.Dental materials : official publication of the Academy of Dental Materials · 2021
    Article
  20. Symbiosis and Dysbiosis of the Human Mycobiome.Frontiers in microbiology · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Megan L FalsettaCenter for Oral Biology, University of Rochester Medical Center, Rochester, NY, USA.
Marlise I Klein
José A Lemos
Bruno B Silva
Senyo Agidi
Kathy K Scott-Anne
Hyun Koo
University of Rochester Medical Center · US

Funding

Training Program in Oral ScienceT90DE021985 · NIDCR · UNIVERSITY OF ROCHESTER · PI OVITT, CATHERINE, YULE, DAVID I · 2011 to 2021
$5.6M
Evaluation of a Novel Anti-Caries Approach to Modulate Virulence of S. mutansR01DE018023 · NIDCR · UNIVERSITY OF ROCHESTER · PI KOO, HYUN · 2008 to 2019
$3.4M
Molecular Basis for Caries Inhibiting Effects of Cranberry FlavonoidsR01DE016139 · NIDCR · UNIVERSITY OF ROCHESTER · PI KOO, HYUN · 2004 to 2014
$2.5M
Training Program in Oral ScienceR90DE022529 · NIDCR · UNIVERSITY OF ROCHESTER · PI OVITT, CATHERINE, YULE, DAVID I · 2011 to 2021
$877k
NIDCR NIH HHS R01 DE016139NIDCR NIH HHS R01 DE018023NIDCR NIH HHS R01 DE16139NIDCR NIH HHS R01 DE18023NIDCR NIH HHS R90 DE022529NIDCR NIH HHS T90 DE021985NIDCR NIH HHS T90DE021985
6 · The paper itself

Abstract

Fluoride is the mainstay of dental caries prevention, and yet current applications offer incomplete protection and may not effectively address the infectious character of the disease. Therefore, we evaluated the effectiveness of a novel combination therapy (CT; 2 mM myricetin, 4 mM tt-farnesol, 250 ppm of fluoride) that supplements fluoride with naturally occurring, food-derived, antibiofilm compounds. Treatment regimens simulating those experienced clinically (twice daily for ≤60 s) were used both in vitro over a saliva-coated hydroxyapatite biofilm model and in vivo with a rodent model of dental caries. The effectiveness of CT was evaluated based on the incidence and severity of carious lesions (compared to fluoride or vehicle control). We found that CT was superior to fluoride (positive control, P < 0.05); topical applications dramatically reduced caries development in Sprague-Dawley rats, all without altering the Streptococcus mutans or total populations within the plaque. We subsequently identified the underlying mechanisms through which applications of CT modulate biofilm virulence. CT targets expression of key Streptococcus mutans genes during biofilm formation in vitro and in vivo. These are associated with exopolysaccharide matrix synthesis (gtfB) and the ability to tolerate exogenous stress (e.g., sloA), which are essential for cariogenic biofilm assembly. We also identified a unique gene (SMU.940) that was severely repressed and may represent a potentially novel target; its inactivation disrupted exopolysaccharide accumulation and matrix development. Altogether, CT may be clinically more effective than current anticaries modalities, targeting expression of bacterial virulence associated with pathogenesis of the disease. These observations may have relevance for development of enhanced therapies against other biofilm-dependent infections.

Indexed as

AnimalsAnti-Bacterial AgentsBiofilmsDental CariesDrug CombinationsFarnesolFemaleFlavonoidsFluoridesMicroarray AnalysisMicroscopy, ConfocalMutationPolysaccharidesRatsRats, Sprague-DawleyReal-Time Polymerase Chain ReactionAnti-Bacterial AgentsDrug CombinationsFarnesolFlavonoidsFluoridesmyricetinPolysaccharidesRNA, Bacterial

Identifiers

PMID22985885
PMCPMC3497192
OpenAlexW2169836798

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.