Evidence map›Paper›PMID 32179736›Full record

ArticleNPJ biofilms and microbiomes2019

Polymicrobial synergy within oral biofilm promotes invasion of dendritic cells and survival of consortia members.

Ahmed El-Awady, Mariana de Sousa Rabelo, Mohamed M Meghil, Mythilypriya Rajendran, Mahmoud Elashiry, Amanda Finger Stadler, Adriana Moura Foz, Cristiano Susin, Giuseppe Alexandre Romito, Roger M Arce and 1 more

Open access · goldAbstract read
In one paragraph

Article in NPJ biofilms and microbiomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review
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  6. The role of salivary metabolomics in chronic periodontitis: bridging oral and systemic diseases.Metabolomics : Official journal of the Metabolomic Society · 2025
    Review
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  19. Immunometabolism in biofilm infection: lessons from cancer.Molecular medicine (Cambridge, Mass.) · 2022
    Review
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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 2 institutions in 3 countries.

Ahmed El-AwadyDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.
Mariana de Sousa RabeloDepartment of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Mohamed M MeghilDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.ORCID 0000-0003-2344-3579
Mythilypriya RajendranDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.
Mahmoud ElashiryDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.
Amanda Finger StadlerDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.
Adriana Moura FozDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.
Cristiano SusinDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.
Giuseppe Alexandre RomitoDepartment of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Roger M ArceDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA.ORCID 0000-0002-4721-4722
Christopher W CutlerDepartment of Periodontics, The Dental College of Georgia, Augusta University, Augusta, GA, USA. chcutler@augusta.edu.ORCID 0000-0003-4396-4072
Augusta University · USUniversidade de São Paulo · BR

Funding

Oral Pathogens and Dendritic Cell SubsetsR01DE014328 · NIDCR · STATE UNIVERSITY NEW YORK STONY BROOK · PI CUTLER, CHRISTOPHER WILLIAM · 2001 to 2014
$5.1M
DC exosome therapy to resolve inflammatory bone loss and oral infectionR01DE029468 · NIDCR · AUGUSTA UNIVERSITY · PI ELSAYED, RANYA · 2021 to 2025
$1.8M
Peripheral blood dendritic cells and periodontitisR21DE020916 · NIDCR · STATE UNIVERSITY NEW YORK STONY BROOK · PI CUTLER, CHRISTOPHER WILLIAM · 2011 to 2012
$362k
NIDCR NIH HHS R01 DE014328NIDCR NIH HHS R01 DE029468NIDCR NIH HHS R21 DE020916
6 · The paper itself

Abstract

Years of human microbiome research have confirmed that microbes rarely live or function alone, favoring diverse communities. Yet most experimental host-pathogen studies employ single species models of infection. Here, the influence of three-species oral microbial consortium on growth, virulence, invasion and persistence in dendritic cells (DCs) was examined experimentally in human monocyte-derived dendritic cells (DCs) and in patients with periodontitis (PD). Cooperative biofilm formation by Streptococcus gordonii, Fusobacterium nucleatum and Porphyromonas gingivalis was documented in vitro using growth models and scanning electron microscopy. Analysis of growth rates by species-specific 16s rRNA probes revealed distinct, early advantages to consortium growth for S. gordonii and F. nucleatum with P. gingivalis, while P. gingivalis upregulated its short mfa1 fimbriae, leading to increased invasion of DCs. F. nucleatum was only taken up by DCs when in consortium with P. gingivalis. Mature consortium regressed DC maturation upon uptake, as determined by flow cytometry. Analysis of dental plaques of PD and healthy subjects by 16s rRNA confirmed oral colonization with consortium members, but DC hematogenous spread was limited to P. gingivalis and F. nucleatum. Expression of P. gingivalis mfa1 fimbriae was increased in dental plaques and hematogenous DCs of PD patients. P. gingivalis in the consortium correlated with an adverse clinical response in the gingiva of PD subjects. In conclusion, we have identified polymicrobial synergy in a three-species oral consortium that may have negative consequences for the host, including microbial dissemination and adverse peripheral inflammatory responses.

Indexed as

Microbial ConsortiaBiofilmsCoinfectionDendritic CellsFimbriae, BacterialFusobacterium nucleatumGingivaHumansInflammationMicrobiotaPeriodontitisPorphyromonas gingivalisRNA, Ribosomal, 16SStreptococcus gordoniiRNA, Ribosomal, 16S

Identifiers

PMID32179736
PMCPMC6423025
OpenAlexW2920933839

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.