Oral microecosystem in asthma
- Authors: Latysh N.A.1, Razumova S.N.1, Sturov N.V.1, Brago A.S.1
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Affiliations:
- Peoples’ Friendship University of Russia
- Issue: Vol 29, No 1 (2025)
- Pages: 73-78
- Section: Reviews
- Submitted: 24.10.2024
- Accepted: 29.11.2024
- Published: 01.03.2025
- URL: https://rjdentistry.com/1728-2802/article/view/636828
- DOI: https://doi.org/10.17816/dent636828
- ID: 636828
Cite item
Abstract
Asthma-induced changes in the oral cavity may lead to microbial contamination, increasing the risk of dental caries, periodontal disease, and candidiasis.
This literature review examines the most relevant microorganism-associated oral diseases in asthma patients, as well as the mechanisms of their development.
The literature search and analysis were performed using international databases Google Scholar, Scopus, PubMed, Web of Science, disserCat, and eLIBRARY.RU for the period between 2004 and 2024. The following search terms were used: oral cavity, bronchial asthma, and microbes.
A total of 267 publications were identified, of which 22 were deemed relevant. Dental diseases associated with changes in the oral microecosystem (such as dental caries, gingivitis, periodontal disease, and candidiasis) and the mechanisms of their development were described based on the literature data for asthma patients. The study found that these disorders can be caused by autoimmune processes and other factors that alter oral homeostasis and activate pathogens in the oral cavity.
It was shown that changes in oral microbiota caused by microecosystem alterations contribute to the development of dental diseases, affecting both oral and general health.
Keywords
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About the authors
Natalia A. Latysh
Peoples’ Friendship University of Russia
Author for correspondence.
Email: dr.latysh1978@mail.ru
ORCID iD: 0009-0001-0631-9819
Russian Federation, Moscow
Svetlana N. Razumova
Peoples’ Friendship University of Russia
Email: razumova_sv@mail.ru
ORCID iD: 0000-0002-9533-9204
SPIN-code: 6771-8507
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowNikolay V. Sturov
Peoples’ Friendship University of Russia
Email: sturov-nv@rudn.ru
ORCID iD: 0000-0002-3138-8410
SPIN-code: 2805-9823
Cand. Sci. (Medicine), Associate Professor
Russian Federation, MoscowAnzhela S. Brago
Peoples’ Friendship University of Russia
Email: anzhela_bogdan@mail.ru
ORCID iD: 0000-0001-8947-4357
SPIN-code: 2437-8867
MD, Cand. Sci. (Medicine), Associate Professor
Russian Federation, MoscowReferences
- The Global Asthma Report 2022. Int J Tuberc Lung Dis. 2022;26(Supp. 1):S1–S102. doi: 10.5588/ijtld.22.1010 EDN: RUZKKI
- Wang ZM. Relationship between oral microecological imbalance and general health. Zhonghua Kou Qiang Yi Xue Za Zhi. 2019;54(3):145–150. doi: 10.3760/cma.j.issn.1002-0098.2019.03.001
- Kilian M. The oral microbiome — friend or foe? Eur J Oral Sci. 2018;126 Suppl. 1:5–12. doi: 10.1111/eos.12527
- Verma D, Garg PK, Dubey AK. Insights into the human oral microbiome. Arch Microbiol. 2018;200(4):525–540. doi: 10.1007/s00203-018-1505-3 EDN: BTVNDZ
- Seed PC. The human mycobiome. Cold Spring Harb Perspect Med. 2014;5(5):a019810. doi: 10.1101/cshperspect.a019810
- Jhajharia K, Parolia A, Shetty KV, Mehta LK. Biofilm in endodontics: A review. J Int Soc Prev Community Dent. 2015;5(1):1–12. doi: 10.4103/2231-0762.151956
- Kinane DF, Galicia JC, Gorr SU, et al. P. gingivalis interactions with epithelial cells. Front Biosci. 2008;13:966–984. doi: 10.2741/2736
- Hasan NA, Young BA, Minard-Smith AT, et al. Microbial community profiling of human saliva using shotgun metagenomic sequencing. PLoS One. 2014;9(5):e97699. Erratum in: PLoS One. 2014;9(8):e106124.
- Seedorf H, Griffin NW, Ridaura VK, et al. Bacteria from diverse habitats colonize and compete in the mouse gut. Cell. 2014;159(2):253–266. doi: 10.1016/j.cell.2014.09.008
- Ersin NK, Gülen F, Eronat N, et al. Oral and dental manifestations of young asthmatics related to medication, severity and duration of condition. Pediatr Int. 2006;48(6):549–554. doi: 10.1111/j.1442-200X.2006.02281.x
- Samec T, Jan J. Developmental defects of enamel among Slovenian asthmatic children. Eur J Paediatr Dent. 2022;23(2):121–124. doi: 10.23804/ejpd.2022.23.02.14
- Shashikiran ND, Reddy VV, Raju PK. Effect of antiasthmatic medication on dental disease: dental caries and periodontal disease. J Indian Soc Pedod Prev Dent. 2007;25(2):65–68. doi: 10.4103/0970-4388.33450
- Gani F, Caminati M, Bellavia F, et al. Oral health in asthmatic patients: a review: Asthma and its therapy may impact on oral health. Clin Mol Allergy. 2020;18(1):22. doi: 10.1186/s12948-020-00137-2 EDN: XPYVPN
- Valm AM. The structure of dental plaque microbial communities in the transition from health to dental caries and periodontal disease. J Mol Biol. 2019;431(16):2957–2969. doi: 10.1016/j.jmb.2019.05.016
- Socransky SS, Haffajee AD. Dental biofilms: difficult therapeutic targets. Periodontol 2000. 2002;28:12–55. doi: 10.1034/j.1600-0757.2002.280102.x
- Akcalı A, Lang NP. Dental calculus: the calcified biofilm and its role in disease development. Periodontol 2000. 2018;76(1):109–115. doi: 10.1111/prd.12151
- Koo H, Allan RN, Howlin RP, et al. Targeting microbial biofilms: current and prospective therapeutic strategies. Nat Rev Microbiol. 2017;15(12):740–755. doi: 10.1038/nrmicro.2017.99
- Karygianni L, Ren Z, Koo H, Thurnheer T. Biofilm matrixome: extracellular components in structured microbial communities. Trends Microbiol. 2020;28(8):668–681. doi: 10.1016/j.tim.2020.03.016 EDN: ILFPKC
- Wood SR, Kirkham J, Marsh PD, et al. Architecture of intact natural human plaque biofilms studied by confocal laser scanning microscopy. J Dent Res. 2000;79(1):21–27. doi: 10.1177/00220345000790010201
- Thomas JG, Nakaishi LA. Managing the complexity of a dynamic biofilm. J Am Dent Assoc. 2006;137 (Suppl.):10S–15S. Corrected and republished from: J Am Dent Assoc. 2008;139(3):252. doi: 10.14219/jada.archive.2006.0409
- Kapila YL. Oral health’s inextricable connection to systemic health: Special populations bring to bear multimodal relationships and factors connecting periodontal disease to systemic diseases and conditions. Periodontol 2000. 2021;87(1):11–16. doi: 10.1111/prd.12398 EDN: QBBAKJ
- Han ER, Choi IS, Kim HK, et al. Inhaled corticosteroid-related tooth problems in asthmatics. J Asthma. 2009;46(2):160–164. doi: 10.1080/02770900802553102
- Irwin RS, Richardson ND. Side effects with inhaled corticosteroids: the physician’s perception. Chest. 2006;130(1 Suppl.):41S–53S. doi: 10.1378/chest.130.1_suppl.41S
- Contaldo M, Di Stasio D, Romano A, et al. Oral candidiasis and novel therapeutic strategies: antifungals, phytotherapy, probiotics, and photodynamic therapy. Curr Drug Deliv. 2023;20(5):441–456. doi: 10.2174/1567201819666220418104042 EDN: MBHJQZ
- Chandan JS, Randhawa RS, Thomas T. Oral health: Asthma and oral candidiasis. Br Dent J. 2017;223(9):621. doi: 10.1038/sj.bdj.2017.939
- Fukushima C, Matsuse H, Saeki S, et al. Salivary IgA and oral candidiasis in asthmatic patients treated with inhaled corticosteroid. J Asthma. 2005;42(7):601–604. doi: 10.1080/02770900500216259
- Arevalo JC, Buban ERD. Prevalence of oral candidiasis in asthma and copd patients using inhaled corticosteroids in the Philippine general hospital department of out-patient services. Acta Med Philipp. 2023;57(12):32–38. doi: 10.47895/amp.vi0.6466
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