Differential modulation of adherence of oral streptococci by human neutrophil myeloperoxidase

The correlation between the numbers of some bacteria in human oral cavity and blood neutrophil count

The correlation between the number of blood polymorphonuclear granulocytes (PMNs) and the counts of oral bacteria in 92 children (33 girls and 59 boys), aged 4-15 was investigated. The groups of children comprised 44 healthy individuals and 48 children suffering from acute lymphoblastic leukaemia who were given intensive antileukaemic chemotherapy. It was found that while the number of PMNs in blood decreased, the counts of Streptococcus spp., Staphylococcus spp., mutans streptococci, Lactobacillus spp., and Actinomyces spp. in the saliva tended to increase. The similar reciprocal correlation between the number of blood PMNs and the counts of these bacteria in the saliva was found in the group of healthy children. We concluded that the blood PMNs, by influencing the number of oral PMNs which control bacteria in this habitat, influence also the number of some groups of bacteria there.

The neutrophil: mechanisms of controlling periodontal bacteria

The control of potentially periodontopathic microorganisms by host neutrophils is crucial to periodontal health. Neutrophils may use oxidative or nonoxidative mechanisms and either kill bacteria, influence bacterial growth, or modify bacterial colonization in the periodontium. Delivery of antimicrobial substances by neutrophils involves respiratory burst activity, phagocytosis, secretion, or cytolysis/apoptosis. Neutrophils contain a number of antimicrobial components including calprotectin complex, lysozyme, defensins, cofactor-binding proteins, neutral serine proteases, bactericidal/permeability increasing protein, myeloperoxidase, and a NADPH oxidase system. Many of these components are multifunctional and exhibit several mechanisms of antimicrobial activity. When comparisons are made among periodontal bacteria, differences in sensitivity to different components are observed. A hypothesis of specific defense is presented: That specific periodontal diseases can result from the failure of specific aspects of the host immune system (the neutrophil, in particular) in its interaction with specific periodontal pathogens. Failure may be due to phenotypic variation (pleomorphism) within the host or bacterial evasive strategies.

Preferential adsorption of human neutrophil myeloperoxidase isoform III by oral bacteria

Neutrophil myeloperoxidase (MPO) adsorbs to bacteria as a pre-requisite for killing by the MPO/hydrogen-peroxide/chloride system. Three chromatographically distinct isoforms of MPO (MPO I, MPO II, and MPO III) have been isolated from human neutrophils. The purpose of this study was to determine whether oral bacteria--including Actinobacillus actinomycetemcomitans, Capnocytophaga sputigena, Haemophilus aphrophilus, and Eikenella corrodens--differentially adsorb the three major isoforms of MPO from a mixture of MPO I, II, and III, and to assess the effect of pH and normal human serum (NHS) on MPO adsorption. MPO III adsorbed preferentially (i) at high bacterial concentrations, (ii) in the pH range of 6.0-8.0, and (iii) in the presence and absence of NHS. These results support the role of MPO III in the killing of oral bacteria.