Evidence map›Paper›PMID 30049240›Full record

ArticleJournal of dental research2018

Association between Oral Candida and Bacteriome in Children with Severe ECC.

J Xiao, A Grier, R C Faustoferri, S Alzoubi, A L Gill, C Feng, Y Liu, R G Quivey, D T Kopycka-Kedzierawski, H Koo and 1 more

Abstract read
In one paragraph

Article in Journal of dental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 4 pooled it
9.7field-weighted citation impact, top 1% 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

95 citing papers in PubMed, 4 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Meta-Analysis Using NGS Data: TheFrontiers in oral health · 2021
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. AJournal of bacteriology · 2026
    Review
  15. Article
  16. Article
  17. Review
  18. Birth Cohort Study IdentifiesJournal of dental research · 2025
    Article
  19. Review
  20. Article

35 more citing papers are in PubMed but not listed here.

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

11 authors at 3 institutions in 1 country.

J Xiao1 Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
A Grier2 Genomics Research Center, University of Rochester Medical Center, Rochester, NY, USA.
R C Faustoferri1 Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
S Alzoubi1 Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
A L Gill3 Department of Microbiology and Immunology, University of Rochester Medical Center, Rochester, NY, USA.
C Feng4 Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY, USA.
Y Liu5 Divisions of Pediatric Dentistry and Community Oral Health, Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
R G Quivey1 Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
D T Kopycka-Kedzierawski1 Eastman Institute for Oral Health, University of Rochester Medical Center, Rochester, NY, USA.
H Koo5 Divisions of Pediatric Dentistry and Community Oral Health, Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
S R Gill2 Genomics Research Center, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester Medical Center · USEastman Chemical Company (United States) · USUniversity of Pennsylvania · US

Funding

Institutional Career Development CoreKL2TR001999 · NCATS · UNIVERSITY OF ROCHESTER · PI XIAO, JIN · 2016 to 2024
$5.2M
S. mutans-C. albicans interactions synergize the virulence of cariogenic biofilmsR01DE025220 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI KOO, HYUN · 2015 to 2019
$2.0M
NCATS NIH HHS KL2 TR001999NIDCR NIH HHS R01 DE025220
6 · The paper itself

Abstract

Candida albicans is an opportunistic fungal organism frequently detected in the oral cavity of children with severe early childhood caries (S-ECC). Previous studies suggested the cariogenic potential of C. albicans, in vitro and in vivo, and further demonstrated its synergistic interactions with Streptococcus mutans. In combination, the 2 organisms are associated with higher caries severity in a rodent model. However, it remains unknown whether C. albicans influences the composition and diversity of the entire oral bacterial community to promote S-ECC onset. With 16s rRNA amplicon sequencing, this study analyzed the microbiota of saliva and supragingival plaque from 39 children (21 S-ECC and 18 caries-free [CF]) and 33 mothers (17 S-ECC and 16 CF). The results revealed that the presence of oral C. albicans is associated with a highly acidogenic and acid-tolerant bacterial community in S-ECC, with an increased abundance of plaque Streptococcus (particularly S. mutans) and certain Lactobacillus/Scardovia species and salivary/plaque Veillonella and Prevotella, as well as decreased levels of salivary/plaque Actinomyces. Concurrent with this microbial community assembly, the activity of glucosyltransferases (cariogenic virulence factors secreted by S. mutans) in plaque was significantly elevated when C. albicans was present. Moreover, the oral microbial community composition and diversity differed significantly by disease group (CF vs. S-ECC) and sample source (saliva vs. plaque). Children and mothers within the CF and S-ECC groups shared microbiota composition and diversity, suggesting a strong maternal influence on children's oral microbiota. Altogether, this study underscores the importance of C. albicans in association with the oral bacteriome in the context of S-ECC etiopathogenesis. Further longitudinal studies are warranted to examine how fungal-bacterial interactions modulate the onset and severity of S-ECC, potentially leading to novel anticaries treatments that address fungal contributions.

Indexed as

MicrobiotaBacteriaCandida albicansCandidiasis, OralChild, PreschoolDental CariesDental PlaqueDMF IndexFemaleHumansMaleMothersNew YorkSalivaCandida speciesearly childhood cariesglucosyltransferasematernal influencemicrobiotaStreptococcus mutans

Identifiers

PMID30049240
PMCPMC6262264
OpenAlexW2884470214

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.