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Review Articles

Guardian genes ensuring subsistence of oral Streptococcus mutans

, , , , , , & show all
Pages 475-491 | Received 01 Jul 2020, Accepted 09 Jul 2020, Published online: 28 Jul 2020
 

Abstract

Despite the substantial research advancements on oral diseases, dental caries remains a major healthcare burden. A disease of microbial dysbiosis, dental caries is characterised by the formation of biofilms that assist demineralisation and destruction of the dental hard tissues. While it is well understood that this is a multi-kingdom biofilm-mediated disease, it has been elucidated that acid producing and acid tolerant bacteria play pioneering roles in the process. Specifically, Streptococcus mutans houses major virulence pathways that enable it to thrive in the oral cavity and cause caries. This pathogen adheres to the tooth substrate, forms biofilms, resists external stress, produces acids, kills closely related species, and survives the acid as well as the host clearance mechanisms. For an organism to be able to confer such virulence, it requires a large and complex gene network which synergise to establish disease. In this review, we have charted how these multi-faceted genes control several caries-related functions of Streptococcus mutans. In a futuristic thinking approach, we also briefly discuss the potential roles of omics and machine learning, to ease the study of non-functional genes that may play a major role and enable the integration of experimental data.

Acknowledgement

We would like to thank S. mutans for being a versatile microorganism which let us dig deep into its way of living.

Disclosure statement

No potential conflict of interest was reported by the author(s).

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