Skip to main content
Top
Published in: Clinical Oral Investigations 2/2019

Open Access 01-02-2019 | Original Article

2-Methacryloyloxyethyl phosphorylcholine (MPC)-polymer suppresses an increase of oral bacteria: a single-blind, crossover clinical trial

Authors: Natsumi Fujiwara, Hiromichi Yumoto, Koji Miyamoto, Katsuhiko Hirota, Hiromi Nakae, Saya Tanaka, Keiji Murakami, Yasusei Kudo, Kazumi Ozaki, Yoichiro Miyake

Published in: Clinical Oral Investigations | Issue 2/2019

Login to get access

Abstract

Objectives

The biocompatible 2-methacryloyloxyethyl phosphorylcholine (MPC)-polymers, which mimic a biomembrane, reduce protein adsorption and bacterial adhesion and inhibit cell attachment. The aim of this study is to clarify whether MPC-polymer can suppress the bacterial adherence in oral cavity by a crossover design. We also investigated the number of Fusobacterium nucleatum, which is the key bacterium forming dental plaque, in clinical samples.

Materials and methods

This study was a randomized, placebo-controlled, single-blind, crossover study, with two treatment periods separated by a 2-week washout period. We conducted clinical trial with 20 healthy subjects to evaluate the effect of 5% MPC-polymer mouthwash after 5 h on oral microflora. PBS was used as a control. The bacterial number in the gargling sample before and after intervention was counted by an electronic bacterial counter and a culture method. DNA amounts of total bacteria and F. nucleatum were examined by q-PCR.

Results

The numbers of total bacteria and oral streptcocci after 5 h of 5% MPC-polymer treatment significantly decreased, compared to the control group. Moreover, the DNA amounts of total bacteria and F. nucleatum significantly decreased by 5% MPC-polymer mouthwash.

Conclusions

We suggest that MPC-polymer coating in the oral cavity may suppress the oral bacterial adherence.

Clinical relevance

MPC-polymer can be a potent compound for the control of oral microflora to prevent oral infection.
Literature
1.
go back to reference Beck JD, Offenbacher S (2005) Systemic effects of periodontitis: epidemiology of periodontal disease and cardiovascular disease. J Periodontol 76:2089S–2100SCrossRef Beck JD, Offenbacher S (2005) Systemic effects of periodontitis: epidemiology of periodontal disease and cardiovascular disease. J Periodontol 76:2089S–2100SCrossRef
2.
go back to reference Xiong X, Buekens P, Fraser WD, Beck J, Offenbacher S (2006) Periodontal disease and adverse pregnancy outcomes: a systematic review. BJOG 113:135–143CrossRef Xiong X, Buekens P, Fraser WD, Beck J, Offenbacher S (2006) Periodontal disease and adverse pregnancy outcomes: a systematic review. BJOG 113:135–143CrossRef
3.
go back to reference Scannapieco FA, Mylotte JM (1996) Relationships between periodontal disease and bacterial pneumonia. J Periodontol 67:1114S–1122SCrossRef Scannapieco FA, Mylotte JM (1996) Relationships between periodontal disease and bacterial pneumonia. J Periodontol 67:1114S–1122SCrossRef
4.
go back to reference Terpenning M (2005) Geriatric oral health and pneumonia risk. Clin Infect Dis 40:1807–1810CrossRef Terpenning M (2005) Geriatric oral health and pneumonia risk. Clin Infect Dis 40:1807–1810CrossRef
5.
go back to reference Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C (2005) The global burden of oral diseases and risks to oral health. Bull World Health Organ 83:661–669PubMedPubMedCentral Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C (2005) The global burden of oral diseases and risks to oral health. Bull World Health Organ 83:661–669PubMedPubMedCentral
6.
go back to reference Siqueira WL, Custodio W, McDonald EE (2012) New insights into the composition and functions of the acquired enamel pellicle. J Dent Res 91:1110–1118CrossRef Siqueira WL, Custodio W, McDonald EE (2012) New insights into the composition and functions of the acquired enamel pellicle. J Dent Res 91:1110–1118CrossRef
7.
go back to reference Kolenbrander PE, London J (1993) Adhere today, here tomorrow: oral bacterial adherence. J Bacteriol 175:3247–3252CrossRef Kolenbrander PE, London J (1993) Adhere today, here tomorrow: oral bacterial adherence. J Bacteriol 175:3247–3252CrossRef
8.
go back to reference Donlan RM, Costerton JW (2002) Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev 15:167–193CrossRef Donlan RM, Costerton JW (2002) Biofilms: survival mechanisms of clinically relevant microorganisms. Clin Microbiol Rev 15:167–193CrossRef
9.
go back to reference Kolenbrander PE, Andersen RN, Blehert DS, Egland PG, Foster JS, Palmer RJ Jr (2002) Communication among oral bacteria. Microbiol Mol Biol Rev 66:486–505CrossRef Kolenbrander PE, Andersen RN, Blehert DS, Egland PG, Foster JS, Palmer RJ Jr (2002) Communication among oral bacteria. Microbiol Mol Biol Rev 66:486–505CrossRef
10.
go back to reference Ishihara K, Fukumoto K, Iwasaki Y, Nakabayashi N (1999) Modification of polysulfone with phospholipid polymer for improvement of the blood compatibility. Part 2. Protein adsorption and platelet adhesion. Biomaterials 20:1553–1559CrossRef Ishihara K, Fukumoto K, Iwasaki Y, Nakabayashi N (1999) Modification of polysulfone with phospholipid polymer for improvement of the blood compatibility. Part 2. Protein adsorption and platelet adhesion. Biomaterials 20:1553–1559CrossRef
11.
go back to reference Iwasaki Y, Aiba Y, Morimoto N, Nakabayashi N, Ishihara K (2000) Semiinterpenetrating polymer networks composed of biocompatible phospholipid polymer and segmented polyurethane. J Biomed Mater Res 52:701–708CrossRef Iwasaki Y, Aiba Y, Morimoto N, Nakabayashi N, Ishihara K (2000) Semiinterpenetrating polymer networks composed of biocompatible phospholipid polymer and segmented polyurethane. J Biomed Mater Res 52:701–708CrossRef
12.
go back to reference Lewis AL, Cumming ZL, Goreish HH, Kirkwood LC, Tolhurst LA, Stratford PW (2001) Crosslinkable coatings from phosphorylcholine-based polymers. Biomaterials 22:99–111CrossRef Lewis AL, Cumming ZL, Goreish HH, Kirkwood LC, Tolhurst LA, Stratford PW (2001) Crosslinkable coatings from phosphorylcholine-based polymers. Biomaterials 22:99–111CrossRef
13.
go back to reference Hirota K, Murakami K, Nemoto K, Miyake Y (2005) Coating of a surface with 2-methacryloyloxyethyl phosphorylcholine (MPC) co-polymer significantly reduces retention of human pathogenic microorganisms. FEMS Microbiol Lett 248:37–45CrossRef Hirota K, Murakami K, Nemoto K, Miyake Y (2005) Coating of a surface with 2-methacryloyloxyethyl phosphorylcholine (MPC) co-polymer significantly reduces retention of human pathogenic microorganisms. FEMS Microbiol Lett 248:37–45CrossRef
14.
go back to reference Hirota K, Yumoto H, Miyamoto K, Yamamoto N, Murakami K, Hoshino Y, Matsuo T, Miyake Y (2011) MPC-polymer reduces adherence and biofilm formation by oral bacteria. J Dent Res 90:900–905CrossRef Hirota K, Yumoto H, Miyamoto K, Yamamoto N, Murakami K, Hoshino Y, Matsuo T, Miyake Y (2011) MPC-polymer reduces adherence and biofilm formation by oral bacteria. J Dent Res 90:900–905CrossRef
15.
16.
go back to reference Greene C, Vermillion R (1960) The oral hygiene index: a method for classifying oral hygiene status. J Am Dent Assoc 61:172–179CrossRef Greene C, Vermillion R (1960) The oral hygiene index: a method for classifying oral hygiene status. J Am Dent Assoc 61:172–179CrossRef
17.
go back to reference Amou T, Hinode D, Yoshioka M, Grenier D (2014) Relationship between halitosis and periodontal disease - associated oral bacteria in tongue coatings. Int J Dent Hyg 12:145–151CrossRef Amou T, Hinode D, Yoshioka M, Grenier D (2014) Relationship between halitosis and periodontal disease - associated oral bacteria in tongue coatings. Int J Dent Hyg 12:145–151CrossRef
18.
go back to reference Okuda M, Kaneko Y, Ichinohe T, Ishihara K, Okuda K (2003) Reduction of potential respiratory pathogens by oral hygienic treatment in patients undergoing endotracheal anesthesia. J Anesth 17:84–91CrossRef Okuda M, Kaneko Y, Ichinohe T, Ishihara K, Okuda K (2003) Reduction of potential respiratory pathogens by oral hygienic treatment in patients undergoing endotracheal anesthesia. J Anesth 17:84–91CrossRef
19.
go back to reference Hirota K, Inagaki S, Hamada R, Ishihara K, Miyake Y (2014) Evaluation of a rapid oral bacteria quantification system using dielectrophoresis and the impedance measurement. Biocontrol Sci 19:45–49CrossRef Hirota K, Inagaki S, Hamada R, Ishihara K, Miyake Y (2014) Evaluation of a rapid oral bacteria quantification system using dielectrophoresis and the impedance measurement. Biocontrol Sci 19:45–49CrossRef
20.
go back to reference Funahara M, Hayashida S, Sakamoto Y, Yanamoto S, Kosai K, Yanagihara K, Umeda M (2015) Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study. Int J Oral Maxillofac Surg 44:1225–1230CrossRef Funahara M, Hayashida S, Sakamoto Y, Yanamoto S, Kosai K, Yanagihara K, Umeda M (2015) Efficacy of topical antibiotic administration on the inhibition of perioperative oral bacterial growth in oral cancer patients: a preliminary study. Int J Oral Maxillofac Surg 44:1225–1230CrossRef
21.
go back to reference Mattos-Graner RO, Smith DJ, King WF, Mayer MP (2000) Water-insoluble glucan synthesis by mutans streptococcal strains correlates with caries incidence in 12- to 30-month-old children. J Dent Res 79:1371–1377CrossRef Mattos-Graner RO, Smith DJ, King WF, Mayer MP (2000) Water-insoluble glucan synthesis by mutans streptococcal strains correlates with caries incidence in 12- to 30-month-old children. J Dent Res 79:1371–1377CrossRef
22.
go back to reference Nadkarni MA, Martin FE, Jacques NA, Hunter N (2002) Determination of bacterial load by real-time PCR using a broad-range (universal) probe and primers set. Microbiology 148:257–266CrossRef Nadkarni MA, Martin FE, Jacques NA, Hunter N (2002) Determination of bacterial load by real-time PCR using a broad-range (universal) probe and primers set. Microbiology 148:257–266CrossRef
23.
go back to reference Suzuki N, Yoshida A, Saito T, Kawada M, Nakano Y (2004) Quantitative microbiological study of subgingival plaque by real-time PCR shows correlation between levels of Tannerella forsythensis and fusobacterium spp. J Clin Microbiol 42:2255–2257CrossRef Suzuki N, Yoshida A, Saito T, Kawada M, Nakano Y (2004) Quantitative microbiological study of subgingival plaque by real-time PCR shows correlation between levels of Tannerella forsythensis and fusobacterium spp. J Clin Microbiol 42:2255–2257CrossRef
24.
go back to reference Costerton JW, Stewart PS, Greenberg EP (1999) Bacterial biofilms: a common cause of persistent infections. Science 284:1318–1322CrossRef Costerton JW, Stewart PS, Greenberg EP (1999) Bacterial biofilms: a common cause of persistent infections. Science 284:1318–1322CrossRef
25.
go back to reference Tilliss TS, Stach DJ, Cross-Poline GN (1992) Use of toothpicks for chlorhexidine staining. J Clin Periodontol 19:398–400CrossRef Tilliss TS, Stach DJ, Cross-Poline GN (1992) Use of toothpicks for chlorhexidine staining. J Clin Periodontol 19:398–400CrossRef
26.
go back to reference Delecrode TR, Siqueira WL, Zaidan FC, Bellini MR, Moffa EB, Mussi MC, Xiao Y, Buzalaf MA (2015) Identification of acid-resistant proteins in acquired enamel pellicle. J Dent 43:1470–1475CrossRef Delecrode TR, Siqueira WL, Zaidan FC, Bellini MR, Moffa EB, Mussi MC, Xiao Y, Buzalaf MA (2015) Identification of acid-resistant proteins in acquired enamel pellicle. J Dent 43:1470–1475CrossRef
28.
go back to reference Xiao Y, Karttunen M, Jalkanen J, Mussi MC, Liao Y, Grohe B, Lagugné-Labarthet F, Siqueira WL (2015) Hydroxyapatite growth inhibition effect of pellicle statherin peptides. J Dent Res 94:1106–1112CrossRef Xiao Y, Karttunen M, Jalkanen J, Mussi MC, Liao Y, Grohe B, Lagugné-Labarthet F, Siqueira WL (2015) Hydroxyapatite growth inhibition effect of pellicle statherin peptides. J Dent Res 94:1106–1112CrossRef
29.
go back to reference Pianotti R, Lachette S, Dills S (1986) Desulfuration of cysteine and methionine by Fusobacterium nucleatum. J Dent Res 65:913–917CrossRef Pianotti R, Lachette S, Dills S (1986) Desulfuration of cysteine and methionine by Fusobacterium nucleatum. J Dent Res 65:913–917CrossRef
30.
go back to reference Rubinstein MR, Wang X, Liu W, Hao Y, Cai G, Han YW (2013) Fusobacterium nucleatum promotes colorectal carcinogenesis by modulating E-cadherin/ß-catenin signaling via its FadA Adhesin. Cell Host Microbe 14:195–206CrossRef Rubinstein MR, Wang X, Liu W, Hao Y, Cai G, Han YW (2013) Fusobacterium nucleatum promotes colorectal carcinogenesis by modulating E-cadherin/ß-catenin signaling via its FadA Adhesin. Cell Host Microbe 14:195–206CrossRef
31.
go back to reference Kostic AD, Chun E, Robertson L, Glickman JN, Gallini CA, Michaud M, Clancy TE, Chung DC, Lochhead P, Hold GL, el-Omar EM, Brenner D, Fuchs CS, Meyerson M, Garrett WS (2013) Fusobacterium nucleatum potentiates intestinal tumorigenesis and modulates the tumor-immune microenvironment. Cell Host Microbe 14:207–215CrossRef Kostic AD, Chun E, Robertson L, Glickman JN, Gallini CA, Michaud M, Clancy TE, Chung DC, Lochhead P, Hold GL, el-Omar EM, Brenner D, Fuchs CS, Meyerson M, Garrett WS (2013) Fusobacterium nucleatum potentiates intestinal tumorigenesis and modulates the tumor-immune microenvironment. Cell Host Microbe 14:207–215CrossRef
32.
go back to reference Gur C, Ibrahim Y, Isaacson B, Yamin R, Abed J, Gamliel M, Enk J, Bar-On Y, Stanietsky-Kaynan N, Coppenhagen-Glazer S, Shussman N, Almogy G, Cuapio A, Hofer E, Mevorach D, Tabib A, Ortenberg R, Markel G, Miklić K, Jonjic S, Brennan CA, Garrett WS, Bachrach G, Mandelboim O (2015) Binding of the Fap2 protein of Fusobacterium nucleatum to human inhibitory receptor TIGIT protects tumors from immune cell attack. Immunity 42:344–355CrossRef Gur C, Ibrahim Y, Isaacson B, Yamin R, Abed J, Gamliel M, Enk J, Bar-On Y, Stanietsky-Kaynan N, Coppenhagen-Glazer S, Shussman N, Almogy G, Cuapio A, Hofer E, Mevorach D, Tabib A, Ortenberg R, Markel G, Miklić K, Jonjic S, Brennan CA, Garrett WS, Bachrach G, Mandelboim O (2015) Binding of the Fap2 protein of Fusobacterium nucleatum to human inhibitory receptor TIGIT protects tumors from immune cell attack. Immunity 42:344–355CrossRef
33.
go back to reference Yumoto H, Hirota K, Hirao K, Miyazaki T, Yamamoto N, Miyamoto K, Murakami K, Fujiwara N, Matsuo T, Miyake Y (2015) Anti-inflammatory and protective effects of 2-methacryloyloxyethyl phosphorylcholine polymer on oral epithelial cells. J Biomed Mater Res A 103A:555–563CrossRef Yumoto H, Hirota K, Hirao K, Miyazaki T, Yamamoto N, Miyamoto K, Murakami K, Fujiwara N, Matsuo T, Miyake Y (2015) Anti-inflammatory and protective effects of 2-methacryloyloxyethyl phosphorylcholine polymer on oral epithelial cells. J Biomed Mater Res A 103A:555–563CrossRef
Metadata
Title
2-Methacryloyloxyethyl phosphorylcholine (MPC)-polymer suppresses an increase of oral bacteria: a single-blind, crossover clinical trial
Authors
Natsumi Fujiwara
Hiromichi Yumoto
Koji Miyamoto
Katsuhiko Hirota
Hiromi Nakae
Saya Tanaka
Keiji Murakami
Yasusei Kudo
Kazumi Ozaki
Yoichiro Miyake
Publication date
01-02-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 2/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2490-2

Other articles of this Issue 2/2019

Clinical Oral Investigations 2/2019 Go to the issue