⻭周炎治療後も⼝腔内細菌叢に“炎症の履歴”が残存 ―メタトランスクリプトーム解析により、治癒部位と未治癒部位の細菌学的特徴を解明―

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2026-06-02 東京科学大学

東京科学大学の研究グループは、歯周炎患者28人を対象に、非外科的歯周治療の前後で歯肉縁下プラークを採取し、メタトランスクリプトーム解析によって細菌叢の構造と機能を包括的に解析した。その結果、臨床的に歯周炎が治癒した部位であっても、歯周炎関連の嫌気性菌を含む細菌ネットワークが残存しており、歯周炎既往のない健常部位とは異なる細菌学的状態にあることが判明した。これは、症状が改善しても口腔内細菌叢には「炎症の履歴」が残る可能性を示すものである。また、治癒群では Neisseria elongata や Rothia aeria が多く認められ、歯周炎関連菌と拮抗する可能性が示唆された。一方、未治癒群では Porphyromonas endodontalis などの病原性細菌が多く、グリシン分解や細菌接着に関連する機能遺伝子の発現増加も確認された。これらの知見は、歯周炎の再発リスク評価や予後予測マーカーの開発、新たな治療法の確立につながる可能性があり、歯周病管理の高度化に貢献する成果である。

⻭周炎治療後も⼝腔内細菌叢に“炎症の履歴”が残存 ―メタトランスクリプトーム解析により、治癒部位と未治癒部位の細菌学的特徴を解明―
図1. 歯周炎治療後の細菌ネットワークの概要

<関連情報>

非外科的歯周治療における治癒結果の根底にある微生物ネットワーク調節と病原体ダイナミクスに関するメタトランスクリプトーム解析 Metatranscriptomic Insights into Microbial Network Modulation and Pathogen Dynamics Underlying Healing Outcomes in Non-Surgical Periodontal Treatment

Ryota Kobayashi,Takahiko Shiba,Takahiko Nagai,Keiji Komatsu,Shunsuke Matsumura,Takayasu Watanabe,Takashi Nemoto,Koki Takada,Yasuo Takeuchi,Takanori Iwata
ISME Communications  Published:11 April 2026
DOI:https://doi.org/10.1093/ismeco/ycag092

ABSTRACT

Gingivitis and periodontitis are caused by oral microbiome dysbiosis. Post-treatment alterations in bacterial community structure are uncharacterized in situ, including how these alterations may differ between resolved and unresolved disease states. Understanding these treatment‑induced microbial shifts and identifying prognostic markers in situ associated with favorable or unfavorable outcomes are crucial for developing diagnostic kits and refining therapeutic strategies. Therefore, we performed metatranscriptomic analysis on subgingival plaque samples from the anterior teeth of individuals, including healthy, gingivitis, and periodontitis sites, before and after non‑surgical treatment in 28 patients. We revealed a new bacteriological characteristic of periodontitis, where periodontal pathogens emerge within the bacterial network alongside excessive and skewed associations among bacterial taxa, such as those in the Streptococcus and Actinomyces genera. Furthermore, these imbalances were found improvable through non-surgical treatment. However, even in clinically resolved gingivitis or periodontitis, the bacterial networks did not fully revert to the state observed in healthy sites. This was due to the persistence of periodontal pathogens, absent in the networks at healthy sites. By comparing groups in which periodontitis resolved and those in which it did not, specific bacterial taxa, such as Neisseria elongata and Rothia aeria, were suggested to play a role in the periodontitis healing process, while increases in genes related to glycine degradation and bacterial adhesion, including glycine dehydrogenase β-subunit and cleaved adhesin domain were implicated in inhibiting the healing process. These findings provide insights for the development of treatment strategies targeting specific bacteria and functional genes involved in the resolution of periodontitis.

医療・健康
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