The microbiome of oral cavity patients with periodontitis, adhesive and biofilm forming properties.

The work characterizes the intestinal microbiota of patients with ischemic stroke, including the spectrum, frequency and number of microorganisms, as well as the spectrum and amount of gas signaling molecules secreted by lactobacilli. It was found that in patients with ischemic stroke, the frequency of the main representatives of normal microflora, Bifidobacterium spp., Lactobacillus spp., Escherichia coli, decreased in 2-3 times, and the same time the prevalence of Clostridia spp., Bacillus spp., Peptostreptococcus spp., Klebsiella spp. increased in 2-3 times; yeast like fungi C. albicans was isolated in 25% of cases. Lactobacilli isolated from the intestinal microbiota of patients with ischemic stroke were represented by a wide variety of species: L. rhamnosus, L. fermentum, L. plantarum, L. brevis, L. pentosus, L. curvatus, L. salivarius. In most cases, they did not produce NO, they released CO 2 times less compared to healthy people. The most active NO producers - L. plantarum, CO - L. rhamnosus.

The microbiome of oral cavity patients with periodontitis, adhesive and biofilm forming properties.

The microbiome of oral cavity in healthy people and patients with periodontitis was analyzed to determine their adhesive properties and the ability to form biofilms. The study involved 2 groups: healthy, 18 people, and an experimental group, 20 patients with chronic generalized periodontitis moderate severity of the disease. The average age of the studied people was 35-45 years. Material - dental plaque, scraping from the mucous membrane of the back of the tongue, the contents of the periodontal groove and periodontal pocket, as well as oral fluid. The main method of diagnostic was bacteriological. The average adhesion index (AAI) was used to determine adhesion level of microorganisms to epithelial cells of oral cavity's mucous membrane. The microbiota's ability to form biofilm was tested on glass and plastic surface. The microbiota of oral cavity of patients with periodontitis was characterized by decrease in the frequency of bacteria of the genera: Streptococcus, Peptostreptococcus, Peptococcus, and an increase in Staphylococcus aureus, Veillonella spp., Bacillus spp. The microbiota of the oral cavity of patients with generalized periodontitis has a greater ability to adhere to the cells of the mucous membrane than in healthy people, while their ability to form biofilms and exhibit pathogenic properties is enhanced. The biofilm formation of microorganisms in healthy and sick people differs both on glass and on plastic surfaces.

Peculiarities of the mouth and colum in the youth of annous age with arterial hypertension and metabolic disorders.

The purpose of the work is to determine the species, quantitative composition and frequency of occurrence of microorganisms in the oral fluid and large intestine in healthy young men and having arterial hypertension, and metabolic disorders. A survey was conducted of 51 young students studying at Tver State Medical University. It was found that more than 70% of students with AH (arterial hypertension) and MBN (metabolic disorders) showed pronounced dysbiotic disorders of the intestinal microbiota of II and III degree with a decrease in the number of Lactobacillus spp., Bifidobacterium spp., Peptococcus spp. and an increase in the number and frequency of occurrence of Bacillus subtilis, Clostridium spp., S. aureus, Klebsiella pneumoniae. The intestinal microbiocenosis of students with AH and MS is characterized by a decrease in the number and frequency of occurrence of Lactobacillus spp. However, with MS, the prevalence (frequency) and quantity increase Staphylococcus spp., Streptococcus spp., Peptostreptococcus spp., Proteus vulgaris, Bacillus subtilis, and in hypertension - Bacillus subtilis, Neisseria, Actinomyces, Peptostreptococcus spp.

[The state and role of esophagus, stomach, intestinal microbiota in patients with ulcer disease, chronic gastritis, esophagitis.]

The microflora of 64 biopsies taken during fibrogastroduodenoscopy of the mucous membrane of the esophagus, stomach and duodenum in healthy volunteers and 1120 samples obtained from the same parts of the digestive tract in patients with esophagitis, chronic gastritis and peptic ulcer disease were studied. The patients ranged in age from 18 to 62 years. Traditional bacteriological method was used to isolate and identify microorganisms. Staphylococcus spp., Streptococcus spp., Lactobacillus spp., Bacteroides spp., Stomatococcus spp., Enterobacteriaceae, Corynebacterium spp., Micrococcus spp., Neisseria spp., Veilonella spp. were isolated from biopsies of healthy respondents in an average amount from 3.2 to 4.68 lg CFU/g. H.pylori was found in 60% (5.66 lg CFU/g) in the esophagus, in 33.3% of cases (5.12 lg CFU/g) from the fundal part of the stomach, in 44.4% (5.25 lg CFU/g) from the antral part of the stomach, in 5.5% (4.2 lg CFU/g) in the duodenal mucosa. In samples obtained from the inflamed and eroded mucous membrane of the esophagus, stomach and duodenum, opportunistic bacteria of the genera Klebsiella, Enterobacter, Proteus, Pseudomonas, Peptococcus, Actinomyces, yeast fungi of the genus Candida etc. were detected in an amount exceeding 4 lg CFU/g. H. pylori isolated in 6.3-16.7% of patients (4.25-4.6 lg CFU/g) and did not dominate in relation to other microorganisms, and in most cases had a low frequency of its occurrence. In patients with the recurrence of peptic ulcer disease, exacerbation of chronic gastritis and esophagitis, dysbiosis was developed, characterized by an increase in the species and quantitative composition of opportunistic microflora, an increase in its enzymatic and cytotoxic activity, which can contribute to the maintenance of inflammatory and necrotic processes and inhibit the elimination of the pathological process.

[Dynamics of variability of microbiotes of the cavity of the mouth and the great intestinent of young men when changing the conditions of life.]

The purpose of the work is to determine the spectrum, quantity and frequency of occurrence of microorganisms in the oral fluid and large intestine in healthy young men under changes of living conditions. A survey was conducted of 14 nonresident young men, students of the 1st and 2nd courses, studying at Tver State Medical University, which included questions about the place of birth, living conditions, the presence of chronic diseases and the frequency of their exacerbations over the past year, water and food regimes, physical exertion, the presence of bad habits and emotional stress, etc. The oral fluid and feces were examined to determine the spectrum and amount of microbiota of the upper and lower parts of the gastrointestinal tract. As the result of the survey, it was found that the living conditions of all young men significantly worsened among second-year students than freshmen. It was revealed that colon microbiota in sophomores characterized by less diverse than those of first-year, despite of a marked increase in the number of opportunistic pathogens (Stаphylocоccus spp., Strерtocoсcus spp., Clоstridium spp., Васillus spp., Кlebsiеlla spp.) over resident microbes. It was found the decrease in the number and frequency of occurrence of all microbial representatives in the oral microbiota of 2nd year students in comparison with first-year. It was proved that the deterioration of living conditions of nonresident students led to the increase in the number of second-year students with dysbiotic changes in the intestinal microbiota from 86% to 100%, mainly due to the increase in the number of persons with dysbiosis of II and III degree.

[Gastrointestinal microbiota of the newborns of the first month of life of the Tver region.]

The purpose of our work was to identify the features of the newborn´s microbiota formation during first month of their life on the model of the Tver region. The samples of oral fluid, meconium and feces of the first month newborns were examined in 38 full-term and 21 premature children of both sexes to determine the spectrum and quantity of oral fluid and intestine microorganisms. As the result, it was found that in full-term and vaginally delivered infants the microbiota of the oral cavity and intestine was characterized by greater diversity than in children delivered by C-section, in which Lactobacilli, Bifidobacteria, E. coli, Fusobacteria, Clostridia, and Veilonella were lacked. In premature infants, especially delivered by C-section, there was a sharp decrease in the incidence and number of representatives of normal oral and intestinal microbiota and an increase in opportunistic pathogens, for example yeast fungi of the genus Candida. The efficacy of L. rhamnosus and L.paracasei, isolated from the intestines of newborns, was shown in relation to conditionally pathogenic and pathogenic cultures of microorganisms that most often cause an infectious process in the gastrointestinal tract of children.

[Optimization of wound healing by correction of the oral microbiota at the stage of surgical treatment of tongue cancer]. / Optimizatsiia zazhivleniia rany putem korrektsii mikrobioty polosti rta pri lechenii novoobrazovanii iazyka.

Post-resection wound healing, oral microbiota composition and saliva lysozyme activity were assessed in 36 patients with tongue carcinoma before and after surgery with the local application of 2% solution of acid-diluted chitosan in the postoperative period. The microbiocenosis of the oral cavity before treatment in cancer patients was represented by conditionally pathogenic and pathogenic bacteria, whose number is more than 4 lg CFU/cm2, indicating dysbiosis; the lysozyme level was reduced, accounting for 25.4±8.5 µg/ml. After the radical hemi-glossectomy the reduction in the frequency and quantity of conditionally pathogenic and pathogenic microorganisms was statistically determined, as well as an increase in the level of lysozyme of saliva on the 10 day of treatment. Patients receiving local treatment with chitosan showed an increasing number of normal microbiota in 1,5-2 times, and the level of lysozyme in 8 times (amounted to 202.87±56.85 µg/ml).

[THE ROLE OF HELICOBACTER PYLORI IN NORMOMICROBIOCENOSIS AND DYSBACTERIOSIS OF MUCOSAL MICROFLORA OF OESOPHAGOGASTRODUODENAL ZONE IN THE CASES OF PEPTIC ULCER, CHRONIC GASTRITIS AND OESOPHAGITIS].

AIM: Determine the qualitative and quantitative composition of the mucosal microflora of oesophagogastroduodenal zone to determine the location of Helicobocter pylori and its place in normomicrobiocenosis and dysbacteriosis in cases of peptic ulcer, chronic gastritis and oesophagitis. MATERIALS AND METHODS: Clinical and microbiological studies were conducted in 30 healthy individuals-volunteers, 130 patients with peptic ulcer, 36--chronic gastritis and 24--chronic esophagitis. RESULTS OF THE STUDY: Helicobacter pylori in 33% of cases included in normomicrobiocenosis of mucosal microflora oesophagogastroduodenal zone, which consists of 12 genera of microorganisms and carries out all protection functions. The recurrence of peptic ulcer disease, exacerbation of chronic active gastritis and oesophagitis are accompanied by a dysbacteriosis of mucosal microflora with overgrowth of typical and atypical microorganisms for normal biotope with reduced occurrenceof Helicobocter pylori. CONCLUSION: Helicobacter pylori in the biocenosis of mucosal microflora of oesophagogastroduodenal zone is not an infection, has no independent significance in the development of peptic ulcer, chronic gastritis and esophagitis, does not require eradication.

[The effect of glucose level in blood on microbiocenosis of intestine and quality of life of people with predisposition to diabetes mellitus type II.]

The article presents analysis of results of examination of spectrum, rate of occurrence and number of microorganisms of large intestine in individuals with normal level of glucose in blood and with predisposition to diabetes mellitus type II. The psychodiagnostic study was carried out including estimate of particular psycho-physiologic and social psychological characteristics of personality reflecting characteristics of psychic and social development. It is established that in individuals with predisposition to diabetes mellitus type II microbiota of intestine altered sideway to dysbiosis degree I-II at the expense of increasing of number of opportunistic microflora up to several degrees. In control group normobiocenosis and intestine dysbiosis degree I are established. It is demonstrated that satisfaction with life-quality is approximately the same in both groups of study participants. However, adaptation possibilities are significantly higher in individuals with predisposition to diabetes mellitus type II.

[THE MICRO-ECOLOGY OF DIGESTIVE TRACT AS AN INDICATOR OF HUMAN HEALTH CONDITIONS].

The study was carried out to analyze qualitative and quantitative parameters of oral fluid and feces in 74 healthy individuals of different age groups. In most of the cases, alterations of micro-ecology are established characterizing by decreasing of amount of indigenous micro-flora and increasing of number of opportunistic pathogenic microorganisms of genera of Staphylococcus, Bacillus, Candida. The degree of evidence of these alterations reliably increases with age. It is established that microbiota, initial and terminal biotopes of digestive tract are closely interrelated and have number of common characteristics depending on age, hormonal and immune status and reflect conditions of micro-biocenosis of digestive tract in general. The character and degree of evidence of alterations of micro-biocenosis can be an effective diagnostic criterion for complex evaluation of human health conditions with following formation of risk groups in need of particular volume of correction activities.

[Microbiological monitoring of oral fluid of clinically healthy children].

The article presents qualitative and quantitative parameters of microbiocenosis of oral fluid and feces of clinically healthy children in different age groups. In most of the cases compensated disbiotic changes were found, which were characterized by reduction in the number of indigenous microflora (lactobacilli and bifidobacteria) and increase of representatives of opportunistic pathogens (Staphylococcus, Bacillus and Candida). Microecological changes in different gastrointestinal biotopes are closely interrelated. Saliva may be considered as a specimen of integral fluid of human environment and can be used for complex assessment of the state of gastrointestinal tract microflora.

[Role of viruses with oncogenic potential and their associations in oncogenesis in maxillofacial area].

The potential role of viruses with oncogenic potential such as human papilloma virus, cytomegalovirus, Epstein-Barr virus, herpes simplex virus type 1 and 2, herpes virus type 6, in the development of benign and pre-cancerous tumors of maxillofacial region was assessed in the study. We examined 26 patients with tumors in maxillofacial region (skin and mucosa) using molecular-genetic and histological studies of surgically removed neoplasms removed. In 53.8% of the examined samples DNA of Epstein-Barr virus, herpes virus type 6, herpes simplex virus type 1, or cytomegalovirus and in 35.7% of them the association of the above mentioned viruses were detected. It may confirm their relation with the development of benign, precancerous and malignant neoplasms in maxillofacial region.

[Microbiocenosis of major biotopes of the oral cavity in patients with tongue carcinoma during complex treatment].

The composition of the microflora in three biotopes of the oral cavity was examined in 36 patients with tongue carcinoma before chemotherapy, one - two weeks after two courses of chemotherapy and before gemiglosseklomiya. The oral dysbiosis was revealed in patients before antitumor therapy. The opportunistic and pathogenic bacteria in concentration more than 4 lg CFU/cm² were dominant in microbiocenosis of oral cavity. Most of the isolated microorganisms were capable of maintaining the inflammatory process by secreting oral enzymes and toxins. The microflora formed normobiocenosis in oral cavity after two courses of chemotherapy. The pathogenic potential of selected microflora in patients after preoperative radiotherapy before surgery was more pronounced than the microflora of healthy people, and also in patients prior to treatment. Dysbiosis of III degree was detected in oral cavity of patients with tongue carcinoma before gemiglosseklomiya. requiring correction for the prevention the postoperative complications.

[Microbiological aspects of zirconia orthopedic structures].

The article gives a detailed analysis of oral cavity microbiological aspects of 23 patients before and after prosthetic treatment with zirconia structures. Microbiocenoses of oral cavity in patients with defects of the dentition can be described as disbiotic. It was found that the incidence of lactobacilli and bifidobacteria was increased and frequency of occurrence of pathogens, including Staphylococcus aureus, was decreased under the influence of temporary plastic prosthesis as an intermediate step prosthetics. After applying prosthetic zirconia an increase of the normal biotopes number was seen, as well as reduce in the number of Staphylococcus aureus and the yeast fungus Candida to less than 4 lg CFU/ml. Such amounts do not cause inflammation in the oral cavity.

[Gastroesophageal reflux disease associated with duodenogastroesophageal reflux in patients with biliary pathology: the specific features of the course and esophagogastroduodenal microbial biocenosis].

AIM: To study the specific features of the clinical course of gastroesophageal reflux disease (GERD) associated with duodenogastroesophageal reflux (DGER) in patients with chronic acalculous cholecystitis (CAC) and cholelithiasis (CL), as well as qualitative and quantitative characteristics. SUBJECTS AND METHODS: The clinical, morphological, motor tonic characteristics of the esophagogastroduodenal area, mucosal microbial biocenosis in the esophagus, stomach, and duodenum were studied in detail in 83 patients with GERD that was associated with DGER and ran concurrently with CAC or CL. RESULTS: Impaired duodenal propulsive activity as a concomitance of the signs of gastrostasis and duodenal dyskinesia with dyscoordination of both anthroduodenal and duodenojejunal propulsion and with the development of duodenogastric reflux and DGER, which in turn determine esophageal and gastric pH values is shown to be of importance in CAC and CL, which match GERD. Abnormal microbiocenosis in the upper digestive tract is characterized by the higher quantitative and qualitative content of the mucous microflora. Opportunistic microorganisms exhibit cytotoxic, hemolytic, lecithinase, caseinolytic, urease, and RNAase activities. CONCLUSION: The found specific features of the course of GERD associated with DGER in patients with biliary tract abnormalities lead us to search for novel therapeutic approaches based on the correction of digestive motor tonic disorders and abnormal microbiocenoses of the mucous flora in the esophagus, stomach, and duodenum.

[The microbiocenosis of upper parts of digestive tract of children with gastroesophageal reflux disease and chronic gastroduodenitis].

The article considers the microbe specter of mucous coat of esophagus and stomach in children with gastro esophageal reflux disease and chronic gastroduodenitis. In patients with diseases of upper parts of digestive tract, the opportunistic pathogenic bacteria are isolated more often and their strains have aggression factors and cytotoxicity. In children with reflux disease the microbe landscape of esophagus is larger both in numerical and specific respect as compared to healthy adolescents and children with isolated gastroduodenitis.

[The microbiocenosis of intestine and immune status of children of primary school age].

The article deals with the study of species and quantitative structure of microbiocenosis of intestine and characteristics of immune status in children aged 8-10 years. In children with chronic tonsillitis pharyngitis and bronchitis and with diseases of gastro-intestinal tract (biliary dysfunction, chronic gastroduodenitis and gastritis) the microbe imbalance of various degree of manifestation was established which was prevailing in cases of children with pathology of gastrointestinal tract. The increase of quantity of opportunistic microflora induces the production of both immunoglobulins and cytotoxic lymphocytes and cells-natural killers.

[The disbiotic changes of intestines microflora in healthy people].

The article presents the results of study of species and quantitative composition of intestinal flora in volunteer students aged 18-21 years. The disbiotic abnormality of different degrees was diagnosed in 75% of students. The associations of microorganisms, in case of normobiosis and disbacteriosis degree I included predominantly representatives of normoflora, in case of disbiotic abnormality II and III degrees included both representatives of normoflora and opportunistic pathogenic microorganisms.

[Biofilm formation by antagonistic strains of oral Lactobacillus].

Highantagonistic strains of lactobacillus isolated from the oral cavity of healthy people, genetically identified as L. fermentum 39, L. rhamnosus 50, L. rhamnosus 24, showed high degree of autoaggregation, surface hydrophobicity, coaggregation, adhesion, and the ability to form biofilms. These strains can be used to create new probiotic drugs for the prevention and correction the dysbiosis of the oral cavity.

[Clinical effect of chitosan in bacterial vaginosis therapy].

AIM: Determination of antibacterial activity of acid-soluble chitosan in bacterial vaginosis therapy in women of reproductive age and comparison of therapy results of traditional scheme and local administration of acid-soluble chitosan. MATERIALS AND METHODS: Vaginal microflora of 76 gynecologic and obstetrical female patients (18-43 years of age) with bacterial vaginosis diagnosis was examined by using bacteriological method. Control group consisted of 30 practically healthy women. Sensitivity of 145 bacteria strains from 14 genera to 2% acid-soluble chitosan solution (200-250 kDa molecularweight) was determined by using agar diffusion method. RESULTS: During bacterial vaginosis members of the Gardnerella, Mobiluncus and Bacteroides genera dominated with a background reduction of lactobacilli quantity. An increase of population level of Staphylococcus, Enterococcus, Prevotella, Porphyromonas, Peptostreptococcus genera members, and Candida species was also observed. All the microorganisms were sensitive to 2% chitosan solution. Mycoplasma and Ureaplasma spp. were sensitive to chitosan in 82% of cases. Administration of chitosan in local therapy of vaginosis resulted in suppression of opportunistic microflora and clinical effect with a lack of adverse effects. CONCLUSION: Local administration of chitosan is perspective against bacterial vaginosis.