Effective immunity to dental caries: protection of malnourished rats by local injection of Streptococcus mutans

When rats from dams fed a low-protein diet were injected with whole, killed Strepococcus mutans 6715 cells in the region of the submandibular gland, they developed serum and salivary agglutinins to this microorganism. Titers of agglutinins in malnourished rats were similar to those observed in rats from dams fed a nutritionally adequate diet that were locally injected with S. mutans. Furthermore, both groups of immunized rats subsequently infected with cariogenic S. mutans 6715 had lower mean caries scores than infected, nonimmunized rats. This reduced incidence of caries scores than infected, nonimmunized rats. This reduced incidence of caries was evident on all molar surfaces. The mean body weights of immunized and nonimmunized, protein-deficient rats were not significantly different; likewise, both immunized and nonimmunize normally nourished rats exhibited similar weight gains. Malnourished rats, not immunized but infected with S. mutans, had significantly more caries than normal, nonimmunized infected rats. Both dietary groups of noninfected rats had very few carious lesions. These results suggest that carious lesions observed in these rats resulted from S. mutans 6715 infection. Furthermore, protein-malnourished rats, injected in the region of the submandibular gland with whole, killed S. mutans elicit an immune response and are protected against S. mutans-induced caries.

Characterization of an anti-glucosyltransferase serum specific for insoluble glucan synthesis by Streptococcus mutans

An anti-glucosyltransferase serum, which synthesized 96% insoluble glucans, was prepared against a purified enzyme preparation from Streptococcus mutans strain HS6 (serotype a). This serum was examined for its effects on glucan synthesis by crude enzyme preparations from eight strains (four serotypes) of S. mutans and for the ability of these preparations to promote adherence of S. mutans to a smooth surface. Glucosyltransferase activity was assayed by measuring the incorporation of glucose from [14C]glucose-labeled sucrose into water-insoluble and water-soluble (ethanol-insoluble) glucans. Anti-glucosyltransferase serum inhibited insoluble glucan synthesis by crude enzyme preparations from cells of the four serotypes of S. mutans. Enzymes from strains of types a, b, and d were inhibited between 70 to 90%; enzymes from type c strains were inhibited from 45 to 60%. The adherence to a glass surface of heat-killed cells from these four serotypes was likewise inhibited. Soluble glucan synthesis was not inhibited by the serum, and in some cases its synthesis increased as insoluble glucan synthesis decreased.

Chemical composition of Streptococcus mutans type c antigen: comparison to type a, b, and d antigens

Studies of the serotype a, b, and d antigens of S mutans were extended to include the serotype c antigen. Type c antigen was extracted from cells of strain Ingbritt and purified by repeated column chromatography. Two type c antigens fractions were separated by chromatography on DEAE-Sephadex and were designated I and II. On agar gel diffusion, the major components of antigens I and II were serologically identical with the major component of the crude Ingbritt extract. Rhamnose and glucose were present in a 2.4:1 ratio and comprised 98 and 93% of the purified antigens, respectively. The compositions of the c antigens were directly related to the carbohydrate content of the serotype c cell wall. In contrast, purified a, b-II, and d antigens, which are also cell wall polysaccharides contain only trace amounts of rhamnose, a major wall carbohydrate. Studies which used comparative immunoelectrophoresis demonstrated that the purified a, b-I, and d antigens were serologically identical to the antigen preparations that have been used for the immunological classification of these serotypes.

Preparation of antiserums for use in the fluorescent antibody identification of certain plaque bacteria

The interaction of many factors involved in FA antiserum production determines the quality of each antiserum or conjugate prepared. Performance and physicochemical characteristics of 58 FA antiserums to S mutans currently in use suggested that many of these conjugates could have been improved by using the methods and evaluation procedures described in this symposium. Deficiencies in the conjugates included low titers, incomplete fractionation, inadequately labeled antibody, fluorochromed albumin, free fluorescein and cross-reactions. Titers ranged from 1:1 up to 1:4,000. Titers for S mutans serotype c conjugates were uniformly low. S mutans serotype c conjugates were prepared from antiserums produced using a modified immunization schedule. The schedule used both viable and killed whole cells and gave FA titers as high as 1:1,000 (adjusted to 10 mg protein/ml). Procedures presented in this paper and the report by Pittman and co-workers27 should permit direct FA serum titers of up to 1:1,000 for each of the recognized serotypes of S mutans. The availability of highly specific antiserums with adequate titers will advance the use of the FA technique to identify microorganisms directly in specimens, such as dental plaque.29,30 This technique could be used to study such phenomena as the transmission of microorganisms from person to person and the establishment of the oral flora. It could also be used in epidemiological studies and perhaps to monitor the effect of a therapeutic agent on microbial composition of dental plaque.

Application of fluorescent antibody methods in the analysis of plaque samples

Direct FA staining for S mutans serotypes may be performed on smears made from plaque or strain isolates and on colonies attached to agar plates of black membrane filters. Staining with single conjugates directed to S mutans serotypes (a to e) as well as with polyvalent a-, b-, d-, f-fluorescein label and c-, e-rhodamine label conjugates indicate that serotype c is the most common. This is in agreement with many reports by other investigators. Cross-reactions with many S mutans conjugates occurred with organisms resembling Lancefield groups C and G streptococci.

Optimum immunization of rabbits for Streptococcus mutans antiserum and conjugate production and studies of batch immunoabsorption methods

By far, the most significant rises in titers were seen with the immunization protocol used in series 6. Conjugates prepared from bleedings on the 33rd day produced exceptionally high titers for type b S mutans, and reasonably high titers for type a were obtained in a short time. A concentrated antigen with Formalin (13.4 ml) was given during a ten-day period followed by a two-week rest period, after which booster doses of either antigen with Formalin or live antigen were given (Fig 1). Based on evaluation of the immunization protocol just described, series 6 resulted in the highest titered reagents, but the data are insufficient to permit recommending that particular schedule without limitations. Our experience in the use of live antigens of S mutans for immunization is limited in that only types b, c, and e have been used in this way. The rabbits survived these injections, but the pathogenicity of other strains and other serotypes has not been determined. In addition, protocols including combined injections of killed and living organisms should be tested further for possible improvement in antibody production. In view of these considerations, our recommendations for production of high titered antiserums for S mutans in rabbits are as follows: -Take a preimmunization bleeding from each rabbit and screen by indirect FA tests with the antigens to be used. -Inject heavy concentrations (40 IU/ml) of Formalin-killed cells, intravenously. -Inject for eight to ten consecutive days, giving increasing doses of antigen ranging from 0.2 to 5.0 ml for a total of 12 to 15 ml. -Rest the rabbits for one week. If you are monitoring the progress of immunization, bleed the rabbits before giving booster injections. -Give booster injections on four consecutive days, giving 0.25, 0.5, 1.0, and 1.5 ml of live antigen that has been washed one time to remove traces of media and adjusted to a concentration of 40 IU/ml. If live antigen is not used, continue to give booster injections with killed antigen, injecting 2.0 ml on each of three consecutive days. -Rest the rabbits for one week and take sufficient blood to produce the trial reagents needed, or exsaguinate the rabbits. Absorption of type a conjugates resulted in the total loss of titer for type a cells. The cross-reactions with type b conjugate were easily eliminated by dilution, with the exception of the cross-reaction with S sanguis JC-43. Bratthall's absorption method eliminated all cross-reactions of the type b conjugate. Absorption of type c conjugate successfully removed the cross-reaction with type e cells; however, the loss of homologous type c titer was so great that this absorption is of limited value. High-titered conjugates for types d and e have been obtained by using batch absorption procedures.

Improvement in specificity of immunofluorescent reagents for identifying Streptococcus mutans by DEAE-cellulose-bacterial cell column immunosorption methods

We have described a new method for preparing bacterial cell columns, in which DEAE-cellulose is used as the cell support material. The columns can be used to isolate pure antibody or to remove cross-reacting antibodies from immune IgG. The columns are remarkable stable, can be scaled up to any desired dimensions, and should be suitable for large-scale production of highly specific serological reagents. The method is practical for obtaining serotype-specific and polyvalent IF reagents for identifying S. mutans organisms. However, the method could also be used as a tool for sophisticated studies of antigenic relationships that exist among these and other taxonomic groups of microorganisms.

Minor salivary glands as a major source of secretory immunoglobin A in the human oral cavity

Secretory immunoglobulin A is the predominant immunoglobulin in labial minor salivary gland secretions. Its mean concentration is four times higher in these secretions than in parotid gland secretion. The minor salivary glands can produce 30 to 35 percent of the immunoglobulin A that enters the oral cavity. This, together with the potential accessibility of these glands to antigenic stimulation, suggest that they may be an important source of the immune factors that are involved in the regulation of the microorganisms in the oral environment.

Antigens of Streptococcus mutans: characterization of a polysaccharide antigen from walls of strain GS-5

A cell wall-associated polysaccharide antigen was isolated from Streptococcus mutans GS-5 and appeared to determine serotype c specificity. Ouchterlony double-diffusion analysis of crude formamide extracts derived from purified cell walls of two serotype c strains (GS-5 and JC-2) showed complete identify when reacted with anti-GS-5 sera. Immunoelectrophoresis of this extract demonstrated the typical mobility for this serotype as described by others. Column chromatography on BioGel P-100 of the crude formamide extracts derived from GS-5 walls resulted in a single antigenic peak being resolved. This material, when loaded onto a diethylaminoethylcellulose column and eluted with a linear gradient of ammonium carbonate (0.0 to 0.2 M), was resolved further into two serologically reactive peaks (I and II). Only two consituents, rhamnose and glucose, were detected in the purified column fractions. Peak 1 had a rhamnoseto-glucose molar ratio of 0.9:1.0, and peak II, the major resolvable fraction, had a molar ratio of 1.7:1.0, The peak II ratio was very similar to that found in the formamide extract residue pellet (1.6:1.0)9 Ouchterlony analysis of the crude formamide extract and the purified fractions revealed only partial identify between peaks I and II but complete identify between peak II and the crude extract. Likewise, immunoelectrophoresis showed no differences in mobility of peak II and the crude extract, whereas peak I moved towards the cathode. Possible structural relationships between the two antigenic fractions are discussed below. Hapten inhibition studies suggested that an alpha-glucosyl group is at the immunodeterminant site of the antigen.

Production and properties of an extracellular bacteriocin from Streptococcus mutans bacteriocidal for group A and other streptococci

An extracellular bacteriocidal substance is produced by a serotype c strain of Streptococcus mutans in liquid meduim during the stationary phase of growth. The lethal effect of the substance was demonstrated by the decrease in viable counts of a standardized suspension of group A streptococci in broth. No lysis of affected cells was observed and no changes in appearance of these cells was seen in electron micrographs. The material was effective against certain strains of immmunological groups A, C, D, G, H, L, and O streptococci. It was inactive against strains of S. mutans belonging to the a, b, c, and d serotypes, Bacillus subtilis, Staphylococcus aureus, Pseudomonas aeruginosa, and Escherichia coli. The factor was purified 273-fold from the culture fluid by column chromatography. It was sensitive to trysin and Pronase and resistant to catalase. It possessed a molecular weight of more than 20,000 and was not dialyzable. The properties of this substance indicate that it is a bacteriocin. Group A streptococci, which had been treated with antiserum specific for the cell wall group and type antigens, were susceptible to the bacteriocin. Streptococcal strains resistant to the lethal action of the bacteriocin adsorbed the bacteriocin from the solutions, as did the sensitive cells. The bacteriocin was not adsorbed at 0 C.

Serological purification of polysaccharide antigens from Streptococcus mutans serotypes a and d: characterization of multiple antigenic determinants

The polysaccharide antigen preparations from serotype a and serotype d strains of Streptococcus mutans contained both a serotype-specific antigenic determinant and a common a-d antigenic determinant, as demonstrated by agar gel diffusion studies and a quantitative cross-precipitin assay. The chromatographically purified antigens were isolated by a method which depended on their serological specificity to determine if these two antigenic determinants were located on the same molecule. The a and d polysaccharides were recovered from specific antigen-antibody complexes and characterized with respect to their immunological specificity and chemical composition. Agar gel diffusion tests demonstrated that, in both the a and d preparations, the serotype-specific antigenic determinant and the common a-d antigenic determinant were present in one molecule.

Cross-reactions of Streptococcus mutans due to cell wall teichoic acid

Antisera to the whole cells of Streptococcus mutans cross-reacted with antigen extracts from four other gram-positive species, as well as with those of three other oral streptococci. Similarly, antisera to these bacteria cross-reacted with extracts from S. mutans and with those from each other. Using a purified phenol extract of the walls of S. mutans, which was identified by chemical, immunochemical, and enzymatic analyses as glycerol teichoic acid, the cross-reactions were shown to be specific for a determinant of the teichoic acid backbone. Results were confirmed in immunodiffusion tests where clear bands of identify were shown. These observations point out the need for caution in sereological research empolying extracts of gram-positive bacteria and may be of interest in investigations of periodontal disease.

Relationship between cell-bound dextransucrase and the agglutination of Streptococcus mutans

Dextran-induced agglutination of Streptococcus mutans cells is independent of cell-bound dextransucrase activity. Toluene extraction or the presence of Hg2+ or Cu2+ markedly decreased or completely abolished cell-bound dextransucrase activity without adversely affecting dextran-induced cell agglutination. Cells treated by heating at 100 C until cell-bound dextransucrase was completely inactivated continued to agglutinate when induced by dextran-induced cell agglutination resulted from cell treatment with trypsin and several other enzymes, as well as from ethylenediaminetetraacetic acid treatment, without a corresponding loss of cell-bound dextransucrase activity. Cells possessed a greater avidity for branched dextrans of low molecular weight than for linear dextrans of the same weight, indicating that size alone does not determine the efficiency of dextran as an inducer of agglutination. Divalent metal ions were required for both sucrose- and dextran-induced agglutination of S. mutans K1-R cells. Although normal cells of strain 6715-49 did not appear to require divalent cations for agglutination, heat- and ethlyenediaminetetraacetic acid-treated cells specifically required Ca2+. The role of Ca2+ in cell agglutination may be either to activate the cell-surface dextran receptor or to form specific intercellular Ca2+ bridges.

Failure of rabbit anti-Streptococcus mutans serum to penetrate in vitro plaque

An indirect fluorescent antibody technique indicated that specific antiserums did not penetrate in vitro plaque formed by Streptococcus mutans. Specific reactions did occur between the antiserums and antigens in the surface layers of plaque globules. Measurements of plaque diameters indicated that the serums exerted a nonspecific effect of enhancing plaque growth.