Dental caries is a highly prevalent disease characterized by the demineralization of the enamel. Streptococcus mutans (S. mutans) has been implicated as the major etiological agent in the initiation and the development of dental caries. This disease cannot be easily treated with conventional antibiotics because S. mutans and other cariogenic bacteria form tenacious biofilms which are resistant to antibiotics. Currently, removal of S. mutans biofilms involves mouthwashes and toothpastes, all of which contain broad-spectrum antimicrobials, which kill both pathogenic and protective commensal species inhabiting the oral cavity. Thus, ideal therapeutics for this disease will aim to selectivey inhibit the biofilm process while preserving the natural flora of the mouth.
We aim to reach these goals by developing small molecules to target the bacterium's virulence. The virulence property of S. mutans is dependent upon its expression of extracellular glucosyltransferases (GTFs). S. mutans harbors three distinct Gtf genes expressing GTF activity. Two of these genes, GtfB and GtfC, are tandemly arranged on the chromosomes and express enzymes GTFB and GTFC, respectively, synthesizing primarily water-insoluble glucans with ?(1-3) glycosidic linkages. The third gene, GtfD encodes for the GTFD enzyme synthesizing water-soluble glucans with ?(1-6) linkages. These glucans act as long chain adhesives which contribute to the structural integrity of biofilms and provide firm adherence of growing bacteria to tooth surfaces. S. mutans strains defective in each of the gtf genes revealed that the deletion gtfB and gtfC genes markedly disrupted biofilm formation. Thus, GTFs, especially GTFB and GTFC, are a valid target for S. mutans biofilm inhibition. S. mutans GTF inhibition has been reported on extracts of parsley, green tea, garlic, and cranberries. One of the common functional groups present on the known GTF inhibitors is the presence of phenolic groups. Consequently, we have performed an in-silico screening on natural and synthetic polyphenols against the X- ray crystal structure of GTFC and have successfully identified low micromolar inhibitors of both the glucan formation and S. mutans biofilm formation.
The aim of this project is to improve the potency of the lead structure through structural modifications. Successful completion of the proposed studies will identify agents that can selectively target cariogenic biofilms while leaving commensal and/or beneficial microbes intact. This discovery would be of immense significance for public oral health and may help to produce formulations composed of natural substances.

Public Health Relevance

Buildup of dental biofilms leads to the formation of a very prevalent disease called dental caries, also known as tooth decay. The use of mouthwash to fight dental caries often kills both good and bad bacteria and causes side effects such as tooth discoloration and vomiting. Our research aims to develop drugs that are derived from naturally occurring agents that can stop the bacteria from producing biofilms without killing or disturbing the natural bacterial flora.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31DE025783-02
Application #
9234406
Study Section
NIDR Special Grants Review Committee (DSR)
Program Officer
Frieden, Leslie A
Project Start
2016-03-01
Project End
2017-04-28
Budget Start
2017-03-01
Budget End
2017-04-28
Support Year
2
Fiscal Year
2017
Total Cost
Indirect Cost
Name
University of Alabama Birmingham
Department
Chemistry
Type
Schools of Arts and Sciences
DUNS #
063690705
City
Birmingham
State
AL
Country
United States
Zip Code
35294
Nijampatnam, Bhavitavya; Zhang, Hua; Cai, Xia et al. (2018) Inhibition of Streptococcus mutans Biofilms by the Natural Stilbene Piceatannol Through the Inhibition of Glucosyltransferases. ACS Omega 3:8378-8385
Nijampatnam, Bhavitavya; Casals, Luke; Zheng, Ruowen et al. (2016) Hydroxychalcone inhibitors of Streptococcus mutans glucosyl transferases and biofilms as potential anticaries agents. Bioorg Med Chem Lett 26:3508-13