Hj. Jansen et Js. Vanderhoeven, PROTEIN-DEGRADATION BY PREVOTELLA-INTERMEDIA AND ACTINOMYCES-MEYERI SUPPORTS THE GROWTH OF NON-PROTEIN-CLEAVING ORAL BACTERIA IN SERUM, Journal of clinical periodontology, 24(5), 1997, pp. 346-353
The proteolytic activities of oral bacteria are thought to play an imp
ortant role in the aetiology of dental abscesses. Bacteria-derived pro
teases may contribute to tissue destruction, and are likely to impair
host defence by degrading immunoglobulins and complement. Degraded per
iodontal tissue and tissue fluid are likely to constitute essential so
urces of nutrients in the abscess. Tissue fluid, which is derived from
serum, is rich in protein and poor in carbohydrate, suggesting that b
reakdown of protein and fermentation of amino acids is a crucial step
to generate energy for growth of the microflora. The number of oral ba
cterial species that perform hydrolytic cleavage of protein into polyp
eptides, the first step in protein degradation, is relatively small co
mpared to the large majority of peptidase-producing species. In this s
tudy, we therefore investigated the growth-promoting effect of protein
ase-producing species like Prevotella intermedia and Actinomyces meyer
i on the growth of some non-proteinase producing bacteria in mixed cul
tures. We used serum as a substitute for the supposed natural substrat
e of the abscess microflora. The breakdown of serum proteins was inves
tigated using capillary electrophoresis. Poor growth was found in mono
- and mixed cultures of non-proteinase producing species Eubacterium l
entum, Fusobacterium nucleatum, Peptostreptococcus micros and Streptoc
occus intermedius. The presence of P. intermedia in mixed cultures str
ongly enhanced growth of these 4 species, according to the hypothesis
that the growth of the mixed cultures was peptide-limited. The enhance
d growth of P. intermedia in pronase-digested serum indicated peptide-
limited growth of this organism in serum, despite its production of pr
oteinase. We found that growth of monocultures of Actinomyces meyeri w
as poor. In contrast, A. meyeri grew well in mixed cultures and its pr
esence stimulated growth of F. nucleatum and P. micros, suggesting a s
ynergistic relationship. The growth of mono- and mixed cultures was in
vestigated using one representative strain of each species. Thus, ther
e is a small risk of having selected unique strains. Proteinase inhibi
tors reduced the growth of Porphyromonas gingivalis, Prevotella nigres
cens, and P. intermedia in trypticase peptone-yeast extract medium wit
h, and without, IgG. Our study indicated that proteinase-producing org
anisms play a key role in mixed cultures of oral bacteria in human ser
um by providing polypeptides for growth. This may explain their associ
ation with dental abscesses.