Abstract
Inflammatory bowel disease (IBD) is a group of chronic intestinal inflammatory disorders with a prolonged duration characterized by recurrent relapse and remission. The exact etiology of IBD remains poorly understood despite the identification of relevant risk factors, including individual genetic susceptibility, environmental triggers, and disruption of immune homeostasis. Dysbiosis of the gut microbiota is believed to exacerbate the progression of IBD. Recently, increasing evidence has also linked oral microbiota dysbiosis with the development of IBD. On the one hand, IBD patients show significantly unbalanced composition and function of the oral microbiota known as dysbiosis. On the other, overabundances of oral commensal bacteria with opportunistic pathogenicity have been found in the gut microbiota of IBD patients. Herein, we review the current information on the causative factors of IBD, especially recent evidence of IBD-associated oral microbiota dysbiosis, which has seldom been covered in the previous literature review, highlighting the pathogenic mechanisms of specific oral bacteria in the development of IBD. Ectopic colonization of several oral bacteria, including a subset of Porphyromonas gingivalis, Streptococcus mutans, Fusobacterium nucleatum, Campylobacter concisus, and Klebsiella pneumoniae, may lead to destruction of the intestinal epithelial barrier, excessive secretion of inflammatory cytokines, disruption of the host immune system, and dysbiosis of gut microbiota, consequently aggravating chronic intestinal inflammation. Studying oral microbiota dysbiosis may open future horizons for understanding IBD pathogenesis and provide novel biomarkers for IBD. This review also presents the current treatment and new perspectives for IBD treatment.
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Abbreviations
- APC:
-
Antigen-presenting cell
- CBP:
-
Collagen-binding protein
- Cc:
-
Campylobacter concisus
- CCK:
-
Cholecystokinin
- CD:
-
Crohn’s disease
- CDI:
-
Clostridioides difficile infection
- CPS:
-
Capsular polysaccharide
- Cr:
-
Campylobacter rectus
- Cu:
-
Campylobacter ureolyticus
- EEN:
-
Exclusive enteral nutrition
- EIMs:
-
Extra-intestinal manifestations
- EPS:
-
Extracellular polymeric substances
- FMT:
-
Fecal microbiota transplant
- Fn:
-
Fusobacterium nucleatum
- GI:
-
Gastrointestinal
- HCs:
-
Healthy controls
- IBD:
-
Inflammatory bowel disease
- IC:
-
Indeterminate colitis
- IECs:
-
Intestinal epithelial cells
- IL:
-
Interleukin
- Kp:
-
Klebsiella pneumoniae
- LPS:
-
Lipopolysaccharides
- MACs:
-
Microbiota-accessible carbohydrates
- MAMP:
-
Microbe-associated molecular pattern
- Pg:
-
Porphyromonas gingivalis
- PN:
-
Parenteral nutrition
- PRR:
-
Pattern recognition receptor
- SCD:
-
Specific carbohydrate diet
- SCFAs:
-
Short-chain fatty acids
- S-ECC:
-
Severe early childhood caries
- Sm:
-
Streptococcus mutans
- TLR:
-
Toll-like receptors
- TNF-α:
-
Tumor necrosis factor alpha
- UC:
-
Ulcerative colitis
- WSD:
-
Westernized diet
- Zot:
-
Zonula occludens toxin
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Acknowledgments
We acknowledge Prof. Yonghe Luo at Jinling Hospital and Xuwen Liu at Middlebury Institute of International Studies at Monterey for their linguistic assistance.
Funding
This review was funded by the National Natural Science Foundation of China, grant nos. 81873559 and 81570506.
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Conceptualization, FYW and YQ; writing: original draft preparation and figure design, YQ; writing: review and editing, HMW, ZY, and YFZ; revision, LJ and MFY; final revision: FYW. All authors have read and agreed to the published version of the manuscript.
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Qi, Y., Wu, Hm., Yang, Z. et al. New Insights into the Role of Oral Microbiota Dysbiosis in the Pathogenesis of Inflammatory Bowel Disease. Dig Dis Sci 67, 42–55 (2022). https://doi.org/10.1007/s10620-021-06837-2
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DOI: https://doi.org/10.1007/s10620-021-06837-2