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      Impact of waterpipe smoking on the salivary microbiome

      brief-report

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          Abstract

          Background

          While oral mirobial dysbiosis due to tobacco smoking has been studied thoroughly, there is limited data on the effect of waterpipe smoking on the oral microbiome. This study aims to compare the salivary microbiome between waterpipe smokers and non-smokers.

          Materials and methods

          Unstimulated saliva samples were collected from 60 participants, 30 smokers and 30 non-smokers in Kuala Lumpur and Klang Valley, Malaysia. DNA extraction was performed using the Qiagen DNA mini kit, and the 16S rRNA bacterial gene was amplified and sequenced using the Illumina MiSeq platform. Sequencing reads were processed using DADA2, and the alpha and beta diversity of the bacterial community was assessed. Significantly differentiated taxa were identified using LEfSe analysis, while differentially expressed pathways were identified using MaAsLin2.

          Results

          A significant compositional change (beta diversity) was detected between the two groups (PERMANOVA P < 0.05). Specifically, the levels of phylum Firmicutes and genus Streptococcus were elevated in smokers, whereas phylum Proteobacteria and genus Haemophilus were depleted compared to non-smokers. At the species level, Streptococcus oralis, Streptococcus salivarius, and Streptococcus gingivalis were enriched in smokers. We observed significant differences in the abundance of thirty-seven microbial metabolic pathways between waterpipe smokers and non-smokers. The microbial pathways enriched in smokers were those implicated in polymer degradation and amino acid metabolism.

          Conclusion

          The taxonomic and metabolic profile of the salivary microbiome in waterpipe smokers compared to healthy controls exhibited a paradigm shift, thus, implying an alteration in the homeostatic balance of the oral cavity posing unique challenges for oral health.

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          Most cited references47

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          DADA2: High resolution sample inference from Illumina amplicon data

          We present DADA2, a software package that models and corrects Illumina-sequenced amplicon errors. DADA2 infers sample sequences exactly, without coarse-graining into OTUs, and resolves differences of as little as one nucleotide. In several mock communities DADA2 identified more real variants and output fewer spurious sequences than other methods. We applied DADA2 to vaginal samples from a cohort of pregnant women, revealing a diversity of previously undetected Lactobacillus crispatus variants.
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            PICRUSt2 for prediction of metagenome functions

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              Current understanding of the human microbiome

              Our understanding of the link between the human microbiome and disease, including obesity, inflammatory bowel disease, arthritis and autism, is rapidly expanding. Improvements in the throughput and accuracy of DNA sequencing of the genomes of microbial communities associated with human samples, complemented by analysis of transcriptomes, proteomes, metabolomes and immunomes, and mechanistic experiments in model systems, have vastly improved our ability to understand the structure and function of the microbiome in both diseased and healthy states. However, many challenges remain. In this Review, we focus on studies in humans to describe these challenges, and propose strategies that leverage existing knowledge to move rapidly from correlation to causation, and ultimately to translation.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2164026/overviewRole: Role: Role: Role:
                Role: Role: Role: URI : https://loop.frontiersin.org/people/1013808/overview
                Role: Role: Role: Role:
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                URI : https://loop.frontiersin.org/people/2374801/overviewRole: Role: Role: Role: Role: Role: Role: Role: Role:
                Journal
                Front Oral Health
                Front Oral Health
                Front. Oral. Health
                Frontiers in Oral Health
                Frontiers Media S.A.
                2673-4842
                09 November 2023
                2023
                : 4
                : 1275717
                Affiliations
                [ 1 ]School of Medicine, International Medical University , Kuala Lumpur, Malaysia
                [ 2 ]School of Pharmacy, Monash University , Kuala Lumpur, Malaysia
                [ 3 ]Monash University Malaysia Genomics Facility, School of Science, Monash University Malaysia , Selangor Darul Ehsan, Malaysia
                [ 4 ]College of Dentistry, Ajman University , Ajman, United Arab Emirates
                [ 5 ]Centre of Medical and Bio-Allied Health Sciences Research, Ajman University , Ajman, United Arab Emirates
                Author notes

                Edited by: Giovanna Orsini, Marche Polytechnic University, Italy

                Reviewed by: Divyashri Baraniya, Temple University, United States Armelia Sari Widyarman, Trisakti University, Indonesia

                [* ] Correspondence: Divya Gopinath d.gopinath@ 123456ajman.ac.ae
                Article
                10.3389/froh.2023.1275717
                10665852
                f09991f9-f553-40e9-a714-8210a5379559
                © 2023 Senaratne, Chong, Yong, Yoke and Gopinath.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 10 August 2023
                : 23 October 2023
                Page count
                Figures: 4, Tables: 0, Equations: 0, References: 52, Pages: 0, Words: 0
                Funding
                Funded by: International Medical University Joint Research Committee
                Award ID: BMScI-2021(01)
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was funded to the PI by the International Medical University Joint Research Committee under project number BMScI-2021(01). The APC is funded by Ajman University.
                Categories
                Oral Health
                Brief Research Report
                Custom metadata
                Oral Infections and Microbes

                tobacco,waterpipe smoking,salivary microbiome,oral microbiota,16s rrna gene

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