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EFFECTS OF SUBINHIBITORY CONCENTRATIONS OF ANTIMICROBIAL AGENTS ON CELL SURFACE PROPERTIES AND VIRULENCE FACTORS OF MUTANS STREPTOCOCCI

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±è¿µÀç ( Kim Young-Jae ) - ¼­¿ï´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
Àå±âÅà( Jang Ki-Taeg ) - ¼­¿ï´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
ÀÌ»óÈÆ ( Lee Sang-Hoon ) - ¼­¿ï´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
ÇѼ¼Çö ( Hahn Se-Hyun ) - ¼­¿ï´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç
±èÁ¾Ã¶ ( Kim Chong-Chul ) - ¼­¿ï´ëÇб³ Ä¡°ú´ëÇÐ ¼Ò¾ÆÄ¡°úÇб³½Ç

Abstract

¾ÆÀúÇسóµµ(ä¬îÁúªÒØÓø)¶õ ¼¼Æ÷ÀÇ ¼ºÀåÀ» ÀúÇØÇÏ´Â ÃÖ¼Ò ÀúÇØ ³óµµ(minimum inhibitory concentration; MIC)ÀÌÇÏÀÇ ³óµµ¸¦ ¸»Çϴµ¥, Àû¿ëµÈ È­Çй°ÁúÀÇ µ¿·ÂÇп¡ µû¶ó Ç×±Õ¹°ÁúÀº ¹Ýµå½Ã ÀÌ·¯ÇÑ ³óµµ·Î Á¸ÀçÇÏ´Â ½Ã±â¸¦ °ÅÄ¡°Ô µÇ¸ç, ¾ÆÀúÇسóµµÀÇ Ç×±Õ¹°ÁúÀº ¼¼Æ÷ÀÇ ¼ºÀåÀ» ÀúÇØÇÏÁö´Â ¾ÊÁö¸¸ ¼¼±ÕÀÇ ´ë»ç¿Í ¼ºÀå¿¡ ½ºÆ®·¹½º·Î ÀÛ¿ëÇÏ°Ô µÇ¾î ¼¼Æ÷ÀÇ ¼ºÁú°ú µ¶·ÂÀÎÀÚ ¹ßÇö¿¡ ¿µÇâÀ» ÁÙ ¼ö ÀÖÀ» °ÍÀÌ´Ù.

º» ¿¬±¸´Â ¿©·¯ Ç×±Õ¹°ÁúÀÇ ÃÖ¼ÒÀúÇس󵵸¦ °áÁ¤ÇÏ°í ¾ÆÀúÇسóµµÀÇ Ç×±Õ¹°ÁúÀÌ Á¸Àç ½Ã ¼¼Æ÷ ¼ºÁú°ú µ¶·Â ÀÎÀÚ¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» ¾Ë¾Æº¸°í, Ä¡¾Æ¿ì½ÄÁõÀÇ ¿¹¹æ¿¡ ´ëÇÑ È­ÇÐÀû Á¢±Ù¹ýÀÇ È¿¿ë¼ºÀ» Á¶»çÇϱâ À§ÇØ °èȹµÇ¾ú´Ù.

¿¬±¸´ë»ó ¼¼±ÕÀ¸·Î´Â mutans±×·ì streptococci Áß µÎ °¡Áö ´ëÇ¥ÀûÀÎ ¼¼±ÕÁ¾ÀÎ S. mutans (S. mutans Ingbritt)¿Í S. sobrinus (S. sobrinus 6715-7) ¸¦ »ç¿ëÇÏ¿´°í È­Çй°Áú 8Á¾ (Sanguinaria extract; SG, Chlorhexidine digluconate; CHX, Fluoride; F, Propolis; PP, Hydrogen peroxide; HP, Triclosan; TC, Sodium dodecyl sulfate; SDS, Cetylpyridinium chloride; CC) À» ´Ü°è Èñ¼®ÇÏ¿© ¹èÁö¿¡ ÷°¡ÇÏ¿© ÃÖ¼ÒÀúÇس󵵸¦ ±¸ÇÏ¿´À¸¸ç ¾ÆÀúÇسóµµÀÇ Ç×±Õ¹°ÁúÀ» ¹èÁö¿¡ ÷°¡ÇÏ¿© 5% CO©üÁ¸Àç ÇÏ¿¡ 37¡É¿¡¼­ ¹è¾çÇÏ¿© ÀÌ·¯ÇÑ Ç×±Õ¹°ÁúÀ» ÷°¡ÇÏÁö ¾ÊÀº ¹èÁö¿¡¼­ ¹è¾çÇÑ ¼¼±Õ°ú ¼ºÀå¼Óµµ, »ê»ý¼º´É, üǥ¼Ò¼ö¼º, ¼ö»êÈ­ÀÎȸ¼®¿¡ÀÇ ºÎÂø´É, glucan»ý¼º´É, ¼¼±ÕÀÀÁý´É µîÀ» ºñ±³ °üÂûÇÏ¿´´Ù.

¾ÆÀúÇسóµµÀÇ Ç×±Õ¹°ÁúÀº ¼¼Æ÷ÀÇ ¼ºÀå°ú üǥ¼Ò¼ö¼º, Ÿ¾× ó¸®ÇÑ ¼ö»êÈ­ÀÎȸ¼®¿¡ ´ëÇÑ ¼¼±ÕÀÇ ºÎÂø°ú glucanÇÕ¼º¿¡ ¿µÇâÀ» ÁÖ´Â °ÍÀÌ °üÂûµÇ¾ú´Ù. ¶ÇÇÑ 12½Ã°£ ¹è¾ç ÈÄ S. mutans¿Í S. sobrinus ¸ðµÎ¿¡¼­ ´ëÁ¶±º¿¡ ºñÇØ Åë°èÀûÀ¸·Î À¯ÀÇÇÏ°Ô ÃÖÁ¾ pH°¡ ³ô°Ô ³ªÅ¸³ª »ê»ý¼º´ÉÀÌ ¾ïÁ¦µÇ´Â °ÍÀÌ °üÂûµÇ¾ú´Ù (p£¼0.05). ¼¼±ÕÀ» proteinase K·Î Àüó¸®ÇÑ °æ¿ì ó¸®ÇÏÁö ¾Ê¾ÒÀ» ¶§ º¸´Ù ¼¼±ÕÀÀÁý¿ª°¡°¡ Áõ°¡Çϰųª ÀÀÁýÀÌ °üÂûµÇÁö ¾Ê¾Ò´Ù.

º» ¿¬±¸ÀÇ °á°ú¿¡ µû¸£¸é °¢°¢ÀÇ Ç×±Õ¹°ÁúÀº ¾ÆÀúÇس󵵿¡¼­µµ ¾Ë·ÁÁø ÀÛ¿ë±âÀü°ú À¯»çÇÏ°Ô ¼¼±ÕÀÇ ¼ºÁú¿¡ ¿µÇâÀ» ÁÖ¾ú°í ÀÌ·¯ÇÑ ³óµµ¿¡¼­µµ Áö¼ÓÀûÀ¸·Î ¼¼±ÕÀ» ¾ïÁ¦ÇÒ ¼ö ÀÖ¾ú´Ù. µû¶ó¼­ ÀÌ·¯ÇÑ Ç×±Õ¹°ÁúÀÇ »ç¿ëÀº Ä¡¾Æ¿ì½ÄÁõÀÇ È¿°úÀû ¿¹¹æ¹ýÀÇ Çϳª°¡ µÉ ¼ö ÀÖ´Ù.

Subinhibitory concentrations (sub-MICs) refer to concentrations below minimum inhibitory concentrations (MICs). The antimicrobial agents may be present at relatively high concentration, at least higher than bacterial MIC and thereafter be desorbed off a surface and function at sub-MICs, perhaps by interfering with bacterial metabolism. Consequently, the aim of this study was to determine the effects of growth, in the presence of sub-MICs of antimicrobial agents, on the cell surface properties and virulence factors of mutans streptococci and to investigate the efficacy of a chemical approach in vitro.

Streptococcus mutans Ingbritt and Streptococcus sobrinus 6715-7 were used. Eight antimicrobial agents (Sanguinaria extract;SG, Chlorhexidine digluconate;CHX, Fluoride; F, Propolis;PP, Hydrogen peroxide;HP, Triclosan;TC, Sodium dodecyl sulfate;SDS, Cetylpyridinium chloride; CC) were diluted serially in broth to determine MICs and to compare the growth rate, acid production, hydrophobicity, adhesion activity to saliva coated hydroxyapatite, glucan synthesis and cellular aggregation of experiment groups (in the presence of sub-MICs) with those of control (in the absence of antimicrobial agents).

Sub-MICs of antimicrobial agents affected the growth of cells, hydrophobicity, and adhesion of bacteria to saliva coated hydroxyapatite and glucan synthesis. They also resulted in a significant reduction in pH after 12 hours (p£¼0.05). By cells pretreated with proteinase K. either the aggregation induced by antimicrobial agents was completely inhibited or the aggregation titers were markedly increased.

According to the results of the present study, each antimicrobial agent at sub-MICs could affect similar as its known action mechanism and could continually inhibit cariogenic bacteria a t such concentrations. Thus, the use of these antimicrobial agents would be one of the effective methods to prevent dental caries.

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¾ÆÀúÇسóµµ;Mutans streptococci;¼¼Æ÷Ç¥¸é¼ºÁú;µ¶·ÂÀÎÀÚ
Subinhibitory concentration;Mutans streptococci;Cell surface properties;Virulence factors

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