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Bacteriology

Pseudomonas aeruginosa and Periodontal Pathogens in the Oral Cavity and Lungs of Cystic Fibrosis Patients: a Case-Control Study

Rocio Rivas Caldas, Florence Le Gall, Krista Revert, Gilles Rault, Michèle Virmaux, Stephanie Gouriou, Geneviève Héry-Arnaud, Georges Barbier, Sylvie Boisramé
B. A. Forbes, Editor
Rocio Rivas Caldas
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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  • ORCID record for Rocio Rivas Caldas
Florence Le Gall
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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Krista Revert
Cystic Fibrosis Reference Center (Centre de Ressources et Compétences de la Mucoviscidose [CRCM]), Presqu'île de Perharidy, Roscoff, France
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Gilles Rault
Cystic Fibrosis Reference Center (Centre de Ressources et Compétences de la Mucoviscidose [CRCM]), Presqu'île de Perharidy, Roscoff, France
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Michèle Virmaux
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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Stephanie Gouriou
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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Geneviève Héry-Arnaud
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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Georges Barbier
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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Sylvie Boisramé
Laboratoire Universitaire de Biodiversité et d'Ecologie Microbienne (LUBEM-EA 3882), Université de Bretagne Occidentale, Université Européenne de Bretagne (UBO-UEB), Brest, France
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B. A. Forbes
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DOI: 10.1128/JCM.00368-15
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    FIG 1

    PFGE of salivary and pulmonary P. aeruginosa isolates. Analysis of the genetic relationship with the XbaI restriction enzyme was performed with the 5 CC patients. Seven clonal groups were found. The genetic profile of the reference P. aeruginosa PAO1 strain is also shown.

Tables

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  • TABLE 1

    Demographic data of the CF CC and NC patients

    ParameterValue(s) for indicated patient group
    CCNC
    Total no. of patients55
    No. of females22
    No. of males33
    Avg age (yrs)23.816.6
    Age range (yrs)16–3412–27
  • TABLE 2

    Demographic and clinical data of the CF patientsa

    PatientAge (yrs)SexOral conditionsNo. of DMFTNo. of cells/fieldSputum qualityNo. of isolates of P. aeruginosaPFGE clonal group(s)
    SECsWBCsSalivaSputumSalivaSputum
    Wild typeMucoidWild typeMucoidWild typeMucoidWild typeMucoid
    NC 112MNg&Np0>25<10Poor0000
    NC 213MNg&Np010–25>25Acceptable0000
    NC 315FNg&Np1>25<10Poor0000
    NC 416MNg&Np4<10<25Appropriate0000
    NC 527FNg&Np12<10>25Appropriate0000
    CC 116FNg&Np110–25>25Acceptable20105 and 65
    CC 217MNg&Np110–25>25Acceptable101011
    CC 324MNg&Np4>2510–25Poor00117a7b
    CC 428MNg&Np910–25>25Acceptable2102444
    CC 534FNg&Np610–25>25Acceptable00222 and 32 and 3
    • ↵a NC, patients not colonized by P. aeruginosa; CC, patients chronically colonized by P. aeruginosa; M, male; F, female; Ng&Np, no gingivitis and no periodontitis; DFMT, decayed, missing, or filled teeth; SECs, squamous epithelial cells; WBCs, white blood cells.

  • TABLE 3

    qPCR of subgingival plaque, saliva, and sputum samples in the CF patientsa

    PatientResult of oprL qPCRResult of qPCR for gyrB and ecfXP. aeruginosa qPCR quantification (CFU/ml)
    Subgingival plaqueSalivaSputumSubgingival plaqueSalivaSputumSubgingival plaqueSalivaSputum
    NC 1−−+NMNM−000
    NC 2−−+NMNM−000
    NC 3−−−NMNMNM000
    NC 4−−+NMNM−000
    NC 5−−+NMNM−000
    CC 1−++−++04.2 · 1032.6 · 106
    CC 2++++++1.0 · 1034.8 · 1054.5 · 109
    CC 3+++±−+1.2 · 10101.1 · 107
    CC 4++++++1.12 · 1062.1 · 1071.7 · 108
    CC 5+++−−+001.2 · 109
    • ↵a NC, patients not colonized by P. aeruginosa; CC, patients chronically colonized by P. aeruginosa; −, negative detection result; +, positive detection result; ±, positive for gyrB and negative for ecfX; NM, determination not made.

  • TABLE 4

    Anaerobic species detection and quantification by qPCR in subgingival plaque and sputum samplesa

    SpeciesSampleqPCR quantification (CFU/ml) in sample from indicated patient
    NC 1NC 2NC 3NC 4NC 5CC 1CC 2CC 3CC 4CC 5
    Treponema denticolaSubgingival plaque00003.83 · 10400000
    Sputum0000000000
    Tannerella forsythiaSubgingival plaque005.78 · 1030000000
    Sputum0000000000
    Porphyromonas gingivalisSubgingival plaque000000006.75 · 1030
    Sputum0000000000
    Campylobacter rectusSubgingival plaque5.73 · 10508.70 · 10309.38 · 10500000
    Sputum4.07 · 1040003.95 · 10300000
    Fusobacterium nucleatumSubgingival plaque3.70 · 1064.24 · 1042.38 · 1052.08 · 1045.82 · 1061.25 · 1073.79 · 1057.58 · 1042.77 · 1060
    Sputum3.75 · 1054.37 · 10402.66 · 10404.12 · 104001.53 · 1040
    Parvimonas micraSubgingival plaque1.41 · 10409.68 · 10305.34 · 1050004.90 · 1050
    Sputum3.16 · 103002.14 · 1021.20 · 1020006.45 · 1020
    Prevotella intermediaSubgingival plaque1.54 · 10501.92 · 10400009.90 · 1041.64 · 1060
    Sputum2.61 · 106000000000
    Eikenella corrodensSubgingival plaque4.59 · 1065.35 · 1041.42 · 1049.22 · 1034.37 · 1051.77 · 1065.77 · 104000
    Sputum2.07 · 1052.06 · 1045.10 · 1043.81 · 10504.62 · 1041.31 · 105000
    Aggregatibacter actinomycetemcomitansSubgingival plaque0000000000
    Sputum0000000000
    Total floraSubgingival plaque7.13 · 1092.17 · 1087.80 · 1085.48 · 1088.18 · 1092.70 · 1092.80 · 1084.07 · 1094.18 · 1091.71 · 108
    Sputum5.20 · 1081.31 · 1084.26 · 1084.90 · 1085.35 · 1081.57 · 1088.45 · 1087.20 · 1079.60 · 1073.93 · 109
    • ↵a NC, patients not colonized by P. aeruginosa; CC, patients chronically colonized by P. aeruginosa.

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Pseudomonas aeruginosa and Periodontal Pathogens in the Oral Cavity and Lungs of Cystic Fibrosis Patients: a Case-Control Study
Rocio Rivas Caldas, Florence Le Gall, Krista Revert, Gilles Rault, Michèle Virmaux, Stephanie Gouriou, Geneviève Héry-Arnaud, Georges Barbier, Sylvie Boisramé
Journal of Clinical Microbiology May 2015, 53 (6) 1898-1907; DOI: 10.1128/JCM.00368-15

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Pseudomonas aeruginosa and Periodontal Pathogens in the Oral Cavity and Lungs of Cystic Fibrosis Patients: a Case-Control Study
Rocio Rivas Caldas, Florence Le Gall, Krista Revert, Gilles Rault, Michèle Virmaux, Stephanie Gouriou, Geneviève Héry-Arnaud, Georges Barbier, Sylvie Boisramé
Journal of Clinical Microbiology May 2015, 53 (6) 1898-1907; DOI: 10.1128/JCM.00368-15
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