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1.
Nature ; 544(7650): 357-361, 2017 04 20.
Article in English | MEDLINE | ID: mdl-28273061

ABSTRACT

Recent genomic data have revealed multiple interactions between Neanderthals and modern humans, but there is currently little genetic evidence regarding Neanderthal behaviour, diet, or disease. Here we describe the shotgun-sequencing of ancient DNA from five specimens of Neanderthal calcified dental plaque (calculus) and the characterization of regional differences in Neanderthal ecology. At Spy cave, Belgium, Neanderthal diet was heavily meat based and included woolly rhinoceros and wild sheep (mouflon), characteristic of a steppe environment. In contrast, no meat was detected in the diet of Neanderthals from El Sidrón cave, Spain, and dietary components of mushrooms, pine nuts, and moss reflected forest gathering. Differences in diet were also linked to an overall shift in the oral bacterial community (microbiota) and suggested that meat consumption contributed to substantial variation within Neanderthal microbiota. Evidence for self-medication was detected in an El Sidrón Neanderthal with a dental abscess and a chronic gastrointestinal pathogen (Enterocytozoon bieneusi). Metagenomic data from this individual also contained a nearly complete genome of the archaeal commensal Methanobrevibacter oralis (10.2× depth of coverage)-the oldest draft microbial genome generated to date, at around 48,000 years old. DNA preserved within dental calculus represents a notable source of information about the behaviour and health of ancient hominin specimens, as well as a unique system that is useful for the study of long-term microbial evolution.


Subject(s)
DNA, Ancient/analysis , Dental Calculus/chemistry , Diet/history , Food Preferences , Health/history , Neanderthals/microbiology , Neanderthals/psychology , Animals , Belgium , Carnivory , Caves , Enterocytozoon/genetics , Enterocytozoon/isolation & purification , Genome, Bacterial/genetics , History, Ancient , Humans , Intestines/microbiology , Meat/history , Methanobrevibacter/genetics , Methanobrevibacter/isolation & purification , Mouth/microbiology , Pan troglodytes/microbiology , Penicillium/chemistry , Perissodactyla , Sheep , Spain , Stomach/microbiology , Symbiosis , Time Factors , Vegetarians/history
2.
Anaerobe ; 61: 102128, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31759176

ABSTRACT

Methanogen cultures require hydrogen produced by fermentative bacteria such as Bacteroides thetaiotaomicron (biological method). We developed an alternative method for hydrogen production using iron filings and acetic acid with the aim of cultivating methanogens more efficiently and more quickly (chemical method). We developed this new method with a reference strain of Methanobrevibacter oralis, compared the method to the biological reference method with a reference strain of Methanobrevibacter smithii and finally applied the method to 50 saliva samples. Methanogen colonies counted using ImageJ software were identified using epifluorescence optical microscopy, real-time PCR and PCR sequencing. For cultures containing pure strains of M. oralis and M. smithii, colonies appeared three days postinoculation with the chemical method versus nine days with the biological method. The average number of M. smithii colonies was significantly higher with the chemical method than with the biological method. There was no difference in the delay of observation of the first colonies in the saliva samples between the two methods. However, the average number of colonies was significantly higher with the biological method than with the chemical method at six days and nine days postinoculation (Student's test, p = 0.005 and p = 0.04, respectively). The chemical method made it possible to isolate four strains of M. oralis and three strains of M. smithii from the 50 saliva samples. Establishing the chemical method will ease the routine isolation and culture of methanogens.


Subject(s)
Hydrogen/metabolism , Methanobrevibacter/metabolism , Saliva/microbiology , Acetates/metabolism , Fermentation , Hydrogen-Ion Concentration , Iron/metabolism , Methanobrevibacter/genetics , Methanobrevibacter/isolation & purification , Oxidation-Reduction
3.
Eur J Clin Microbiol Infect Dis ; 34(6): 1097-101, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25633825

ABSTRACT

Methanobrevibacter oralis is the major methanogenic archaea found in the oral cavity. It has been implicated in periodontitis, including the severe form. It is unknown whether certain M. oralis genetic variants are associated with severe periodontitis. Here, we developed multispacer sequence typing (MST) as a sequencing-based genotyping method for the assessment of M. oralis. The sequencing of four intergenic spacers from a collection of 17 dental plaque M. oralis isolates obtained from seven individuals revealed 482 genetic polymorphisms, including 401 single nucleotide polymorphisms (83.2 %), 55 deletions (11.4 %) and 26 insertions (5.4 %). Concatenation of the four spacers yielded nine genotypes, which were clustered into six groups with an index of discrimination of 0.919. One periodontitis patient may have harboured up to three genetic variants of M. oralis, revealing the previously unknown diversity of this archaea. MST will allow for the study of the dynamics of M. oralis populations, including inter-individual transmission and any correlations with the severity of periodontitis.


Subject(s)
Dental Plaque/microbiology , Genetic Variation , Genotype , Methanobrevibacter/classification , Methanobrevibacter/genetics , Adult , Aged , Cluster Analysis , DNA, Archaeal/chemistry , DNA, Archaeal/genetics , DNA, Intergenic , Female , Genotyping Techniques , Humans , Male , Methanobrevibacter/isolation & purification , Middle Aged , Molecular Sequence Data , Sequence Analysis, DNA , Sequence Homology
4.
J Clin Microbiol ; 51(3): 993-4, 2013 Mar.
Article in English | MEDLINE | ID: mdl-23254133

ABSTRACT

A real-time PCR assay developed to quantify Methanobrevibacter oralis indicated that its inoculum significantly correlated with periodontitis severity (P = 0.003), despite a nonsignificant difference in prevalence between controls (3/10) and patients (12/22) (P = 0.2, Fisher test). The M. oralis load can be used as a biomarker for periodontitis.


Subject(s)
Bacterial Load/methods , Methanobrevibacter/isolation & purification , Periodontitis/microbiology , Real-Time Polymerase Chain Reaction/methods , Adult , Aged , Aged, 80 and over , Biomarkers , Female , Humans , Male , Middle Aged , Periodontitis/pathology , Severity of Illness Index , Statistics as Topic
5.
J Oral Maxillofac Surg ; 70(7): 1507-14.e1-6, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22326171

ABSTRACT

PURPOSE: Small subunit rRNA sequencing and phylogenetic analysis were used to identify cultivable and uncultivable microorganisms present in the dental plaque of symptomatic and asymptomatic partially erupted third molars to determine the prevalence of putative periodontal pathogens in pericoronal sites. MATERIALS AND METHODS: Template DNA prepared from subgingival plaque collected from partially erupted symptomatic and asymptomatic mandibular third molars and healthy incisors was used in polymerase chain reaction with broad-range oligonucleotide primers to amplify 16S rRNA bacterial and archaeal genes. Amplicons were cloned, sequenced, and compared with known nucleotide sequences in online databases to identify the microorganisms present. RESULTS: Two thousand three hundred two clones from the plaque of 12 patients carried bacterial sequences from 63 genera belonging to 11 phyla, including members of the uncultivable TM7, SR1, and Chloroflexi, and difficult-to-cultivate Synergistetes and Spirochaetes. Dialister invisus, Filifactor alocis, Fusobacterium nucleatum, Porphyromonas endodontalis, Prevotella denticola, Tannerella forsythia, and Treponema denticola, which have been associated with periodontal disease, were found in significantly greater abundance in pericoronal compared with incisor sites. Dialister invisus and F nucleatum were found in greater abundance in sites exhibiting clinical symptoms. The archaeal species, Methanobrevibacter oralis, which has been associated with severe periodontitis, was found in 3 symptomatic patients. CONCLUSIONS: These findings have provided new insights into the complex microbiota of pericoronitis. Several bacterial and archaeal species implicated in periodontal disease were recovered in greater incidence and abundance from the plaque of partially erupted third molars compared with incisors, supporting the hypothesis that the pericoronal region may provide a favored niche for periodontal pathogens in otherwise healthy mouths.


Subject(s)
Archaea/classification , Dental Plaque/microbiology , Gram-Negative Bacteria/classification , Molar, Third/microbiology , Pericoronitis/microbiology , RNA, Archaeal/analysis , RNA, Bacterial/analysis , RNA, Ribosomal, 16S/analysis , Archaea/genetics , Bacteroides/genetics , Bacteroides/isolation & purification , Fusobacterium/genetics , Fusobacterium/isolation & purification , Fusobacterium nucleatum/genetics , Fusobacterium nucleatum/isolation & purification , Gram-Negative Anaerobic Straight, Curved, and Helical Rods/classification , Gram-Negative Anaerobic Straight, Curved, and Helical Rods/genetics , Gram-Negative Anaerobic Straight, Curved, and Helical Rods/isolation & purification , Gram-Negative Bacteria/genetics , Humans , Incisor/microbiology , Methanobrevibacter/genetics , Methanobrevibacter/isolation & purification , Phylogeny , Porphyromonas endodontalis/genetics , Porphyromonas endodontalis/isolation & purification , Prevotella/genetics , Prevotella/isolation & purification , Streptococcus/genetics , Streptococcus/isolation & purification , Tooth Eruption , Treponema denticola/genetics , Treponema denticola/isolation & purification
6.
J Clin Periodontol ; 38(7): 621-7, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21539593

ABSTRACT

AIM: To investigate the diversity, levels and proportions of Archaea in the subgingival biofilm of generalized aggressive periodontitis (GAgP; n=30) and periodontally healthy (PH; n=30) subjects. MATERIALS AND METHODS: Diversity was determined by sequencing archaeal 16S rRNA gene libraries from 20 samples (10/group). The levels and proportions of Archaea were analysed by quantitative PCR (qPCR) in four and two samples/subject in GAgP and PH groups, respectively. RESULTS: Archaea were detected in 27/28 subjects and 68% of the sites of the GAgP group, and in 26/30 subjects and 58.3% sites of the PH group. Methanobrevibacter oralis was found in all 20 samples studied, Methanobacterium curvum/congolense in three GAgP and six PH samples, and Methanosarcina mazeii in four samples from each group. The levels and proportions of Archaea were higher in GAgP than in PH, whereas no differences were observed between the two probing depth category sites from the GAgP group. CONCLUSION: Archaea were frequently found in subjects with periodontal health and GAgP, especially M. oralis. However, the higher levels and proportions (Archaea/total prokaryotes) of this domain observed in GAgP in comparison with PH subjects indicate a possible role of some of these microorganisms as an environmental modifier in GAgP.


Subject(s)
Aggressive Periodontitis/microbiology , Archaea/classification , Periodontium/microbiology , Adult , Archaea/isolation & purification , Biofilms , Colony Count, Microbial , DNA, Archaeal/analysis , Dental Plaque/microbiology , Female , Gingival Hemorrhage/microbiology , Humans , Male , Methanobacterium/classification , Methanobacterium/isolation & purification , Methanobrevibacter/classification , Methanobrevibacter/isolation & purification , Methanosarcina/classification , Methanosarcina/isolation & purification , Methanosarcinales/classification , Methanosarcinales/isolation & purification , Periodontal Attachment Loss/microbiology , Periodontal Pocket/microbiology , Porphyromonas gingivalis/isolation & purification , RNA, Archaeal/analysis , RNA, Ribosomal, 16S/analysis , Young Adult
7.
Oral Microbiol Immunol ; 24(4): 343-6, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19572899

ABSTRACT

INTRODUCTION: The aim of this study was to investigate the prevalence and molecular diversity of Archaea in the subgingival crevices of patients with chronic periodontitis. METHODS: Subgingival plaque was collected from 41 patients with chronic periodontitis and 15 healthy subjects. The prevalence of Archaea in those plaque samples was tested by polymerase chain reaction with two broad-range archaeal primer sets. Amplicons from eight Archaea-positive plaque samples were cloned and sequenced for molecular diversity analysis using one of these two primer sets and a novel third primer set. RESULTS: Archaea were detected in the subgingival plaque of patients with chronic periodontitis at a prevalence of 70.7-73.2%, but were not detected in healthy subjects. Using one primer set, all sequences of the archaeal amplicons were identified as Methanobrevibacter oralis-like species. With another primer set, the amplicons were also found to be identical to the uncultured M. oralis-like species except one phylotype was found to belong to the class Thermoplasmata. CONCLUSION: Archaea might be correlated with periodontal diseases. The diversity of Archaea associated with periodontitis was limited. Almost all sequenced amplicons fell into the genus Methanobrevibacter of the Euryarcheota phylum. M. oralis-like species was the predominant but non-exclusive archaeon in the subgingival dental plaque of patients with periodontitis.


Subject(s)
Chronic Periodontitis/microbiology , Dental Plaque/microbiology , Methanobrevibacter/isolation & purification , Thermoplasma/isolation & purification , Adult , Case-Control Studies , DNA, Archaeal/analysis , DNA, Ribosomal/analysis , Female , Genetic Variation , Humans , Male , Middle Aged , Molecular Sequence Data
8.
Oral Microbiol Immunol ; 24(5): 417-22, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19702957

ABSTRACT

INTRODUCTION: Increasing evidence suggests a role for methanogenic archaea (methanogens) in human health and disease via syntrophic interactions with bacteria. Here we assessed the prevalence and distribution of methanogens and possible associations with bacteria in oral biofilms. METHODS: Forty-four periodontal and 32 endodontic samples from necrotic teeth with radiographic evidence of apical periodontitis were analysed. Terminal restriction fragment length polymorphism analysis based on the mcrA gene, specific to methanogens, was applied. The prevalence and amounts of methanogens in endodontic samples were compared with those of Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Treponema spp. and Synergistes spp. based on real-time quantitative polymerase chain reactions. RESULTS: Besides dominance of the mcrA gene corresponding to Methanobrevibacter oralis, one mcrA gene type, for which no cultivated member has been reported previously, was identified in five periodontal samples and one endodontic sample. Rates of non-synonymous vs. synonymous nucleotide substitutions suggest that this mcrA gene type codes for a functionally active methyl-coenzyme M reductase. Methanobrevibacter smithii, the prominent methanogen in the human gut system, was not detected. Mean proportions of methanogens were comparable to Synergistes spp. ranging from 0.5 to 1.0% of the total microbial community. Treponema spp. dominated with a mean proportion of 10%, while the mean proportions of the other endodontic pathogens were below 0.1%. A positive association between methanogens and Synergistes spp. was found. CONCLUSION: Our data provide evidence of a novel, as yet uncultured methanogenic phylotype in association with oral infections, and indicate possible interactions between methanogens and Synergistes spp., the nature of which deserves further investigation.


Subject(s)
Dental Pulp Necrosis/microbiology , Methanobrevibacter/classification , Oxidoreductases/genetics , Polymorphism, Restriction Fragment Length/genetics , Bacteroides/isolation & purification , Colony Count, Microbial , Dental Plaque/microbiology , Dental Pulp Cavity/microbiology , Deoxyribonuclease HpaII/genetics , Deoxyribonucleases, Type II Site-Specific/genetics , Gram-Negative Anaerobic Bacteria/isolation & purification , Humans , Methanobrevibacter/genetics , Methanobrevibacter/isolation & purification , Oxidoreductases/analysis , Periapical Periodontitis/microbiology , Periodontal Pocket/microbiology , Phylogeny , Porphyromonas gingivalis/isolation & purification , Prevotella intermedia/isolation & purification , RNA, Ribosomal, 16S/genetics , Reverse Transcriptase Polymerase Chain Reaction , Treponema/isolation & purification
9.
Sci Rep ; 9(1): 18653, 2019 12 09.
Article in English | MEDLINE | ID: mdl-31819085

ABSTRACT

Archaeal sequences have been detected in human colostrum and milk, but no studies have determined whether living archaea are present in either of these fluids. Methanogenic archaea are neglected since they are not detected by usual molecular and culture methods. By using improved DNA detection protocols and microbial culture techniques associated with antioxidants previously developed in our center, we investigated the presence of methanogenic archaea using culture and specific Methanobrevibacter smithii and Methanobrevibacter oralis real-time PCR in human colostrum and milk. M. smithii was isolated from 3 colostrum and 5 milk (day 10) samples. M. oralis was isolated from 1 milk sample. For 2 strains, the genome was sequenced, and the rhizome was similar to that of strains previously isolated from the human mouth and gut. M. smithii was detected in the colostrum or milk of 5/13 (38%) and 37/127 (29%) mothers by culture and qPCR, respectively. The different distribution of maternal body mass index according to the detection of M. smithii suggested an association with maternal metabolic phenotype. M. oralis was not detected by molecular methods. Our results suggest that breastfeeding may contribute to the vertical transmission of these microorganisms and may be essential to seed the infant's microbiota with these neglected critical commensals from the first hour of life.


Subject(s)
Breast Feeding/adverse effects , Colostrum/microbiology , Methanobrevibacter/isolation & purification , Milk, Human/microbiology , Animals , Body Mass Index , Chemoautotrophic Growth/genetics , DNA, Archaeal/genetics , DNA, Archaeal/isolation & purification , Euryarchaeota/genetics , Euryarchaeota/pathogenicity , Feces/microbiology , Female , Humans , Infant , Methanobrevibacter/genetics , Methanobrevibacter/pathogenicity , Microbiota/genetics , Mothers , Pregnancy
10.
FEMS Microbiol Lett ; 287(1): 69-75, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18707623

ABSTRACT

There is controversy regarding the existence of archaeal pathogens. Periodontitis is one of the human diseases in which Archaea have been suggested to have roles as pathogens. This study was performed to investigate the distribution of Archaea in Japanese patients with periodontitis and to examine the serum IgG responses to archaeal components. Subgingival plaque samples were collected from 111 periodontal pockets of 49 patients (17 with aggressive periodontitis and 32 with chronic periodontitis), and 30 subgingival plaque samples were collected from 17 healthy subjects. By PCR targeting the 16S rRNA gene, Archaea were detected in 15 plaque samples (13.5% of total samples) from 11 patients (29.4% of patients with aggressive periodontitis and 18.8% of patients with chronic periodontitis). Archaea were detected mostly (14/15) in severe diseased sites (pocket depth > or =6 mm), while no amplicons were observed in any samples from healthy controls. Sequence analysis of the PCR products revealed that the majority of Archaea in periodontal pockets were a Methanobrevibacter oralis-like phylotype. Western immunoblotting detected IgG antibodies against M. oralis in eight of the 11 sera from patients. These results suggest the potential of Archaea (M. oralis) as an antigenic pathogen of periodontitis.


Subject(s)
Antibodies, Archaeal/blood , Archaea/immunology , Archaea/isolation & purification , Immunoglobulin G/blood , Periodontitis/immunology , Periodontitis/microbiology , Antibody Formation , Archaea/classification , Archaea/genetics , DNA, Archaeal/genetics , Dental Plaque/microbiology , Humans , Japan , Methanobrevibacter/genetics , Methanobrevibacter/isolation & purification , RNA, Ribosomal, 16S/genetics
11.
Sci Rep ; 8(1): 9447, 2018 06 21.
Article in English | MEDLINE | ID: mdl-29930395

ABSTRACT

Methanogens have already been described in periodontitis but not in peri-implantitis. Thirty peri-implantitis samples and 28 control samples were collected in 28 consenting peri-implantitis patients. PCR-sequencing of the 16S rRNA gene was used as a broad-spectrum screening method and results were further confirmed by real-time quantitative PCR targeting the mcrA genes. Results showed a methanogen community dominated by Methanobrevibacter oralis in 31/58 (51%) samples including 16/28 (57%) control samples and 15/30 (50%) peri-implantitis samples. Methanobrevibacter massiliense was detected in 5/58 (8.6%) samples including 3/28 (1%) control samples and 2/30 (6.7%) peri-implantitis samples. The prevalence of M. oralis or M. massiliense did not significantly differ in peri-implantitis and control samples (exact Fisher test, P = 0.61 and P = 0.67, respectively). Further ponderation of the methanogen load by the real-time quantitative PCR for actin human gene again indicated non-significant difference (Wilcoxon-Mann-Whitney test, P = 0.48 and P = 0.40, respectively). These data show that the prevalence of methanogens does not differ in peri-implantitis lesions and healthy sites, when individuals are their own control. These data do not allow assigning a specific pathogenic role to methanogens in peri-implantitis; methanogens rather are part of the commensal and normal flora of the oral cavity.


Subject(s)
Methanobrevibacter/pathogenicity , Microbiota , Peri-Implantitis/microbiology , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Methanobrevibacter/genetics , Methanobrevibacter/isolation & purification , Middle Aged
12.
BMC Res Notes ; 10(1): 657, 2017 Dec 01.
Article in English | MEDLINE | ID: mdl-29191236

ABSTRACT

BACKGROUND: A few methanogens have been previously recovered from periodontitis lesions, yet their repertoire may not be completed. We recovered a previously unreported methanogen species in this situation. CASE PRESENTATION: A 64-year-old Caucasian woman was diagnosed with chronic, severe generalized periodontitis. In the presence of negative controls, an 18-month culture of periodontal pockets in anaerobe Hungate tube yielded "Methanobrevibacter massiliense" and Pyramidobacter piscolens. CONCLUSIONS: This case report provides evidence of the symbiotic strategy deployed by the methanogens and the anaerobes, and reports the first culture of a new methanogen, "M. massiliense".


Subject(s)
Methanobrevibacter/isolation & purification , Periodontitis/microbiology , Female , Humans , Middle Aged
13.
PLoS One ; 10(4): e0121565, 2015.
Article in English | MEDLINE | ID: mdl-25830311

ABSTRACT

In previous studies, the abundance and diversity of methanogenic archaea in the dental microbiota have been analysed by the detection of specific DNA sequences by PCR-based investigations and metagenomic studies. Few data issued regarding methanogens actually living in dental plaque. We collected dental plaque specimens in 15 control individuals and 65 periodontitis patients. Dental plaque specimens were cultured in an anoxic liquid medium for methanogens in the presence of negative control tubes. Dental plaque methanogens were cultured from 1/15 (6.67%) control and 36/65 (55.38%) periodontitis patient samples (p<0.001). The cultures yielded Methanobrevibacter oralis in one control and thirty-one patients, Methanobrevibacter smithii in two patients and a potential new species named Methanobrevibacter sp. strain N13 in three patients with severe periodontitis. Our observations of living methanogens, strengthen previous observations made on DNA-based studies regarding the role of methanogens, in periodontitis.


Subject(s)
Methanobrevibacter/genetics , Periodontitis/microbiology , Adult , Aged , Case-Control Studies , DNA, Archaeal/genetics , Dental Plaque/microbiology , Female , Humans , Male , Methanobrevibacter/isolation & purification , Middle Aged , Molecular Sequence Data , Molecular Typing , Phylogeny , RNA, Ribosomal, 16S/genetics , Young Adult
14.
J Endod ; 35(7): 950-7, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19567313

ABSTRACT

INTRODUCTION: The microbial etiology of periradicular lesions is recognized; however, the bacterial profile of these lesions is not well elucidated. The purpose of this study was to determine the frequency of bacterial colonization in these lesions and to characterize the bacterial community present in root ends and periradicular lesions. METHODS: Thirty-four adult patients who presented for apicoectomy of persistent periradicular lesions after endodontic therapy were selected for the study and samples of periradicular tissue and resected root ends collected. Total bacterial levels were estimated for 34 paired periradicular lesions and root ends using real-time polymerase chain reaction with universal bacterial primers. Sixteen pairs of these samples were analyzed using ribosomal 16S cloning and sequencing for bacterial identification. RESULTS: Bacteria were detected more consistently and at higher levels in root ends. Periradicular lesions exhibited a diverse microbial profile with many uncultivated phylotypes. Enterococcus faecalis and Burkholderia cepacia predominated in both samples. Campylobacter gracilis and Streptococcus gordonii were associated with root ends, whereas Atopobium rimae, Peptostreptococcus micros, Streptococcus genomospecies C8, Dialister sp E2_20 E1, and Eubacterium strain A35MT were associated with periradicular lesions. CONCLUSIONS: Persistent periradicular lesions are polymicrobial infections with many as-yet-uncultivated and unknown bacterial species. The bacterial load and microbial profile of root ends is significantly different from the soft-tissue lesion, indicating the presence of diverse bacterial populations in these tissues.


Subject(s)
Periapical Periodontitis/microbiology , Tooth Apex/microbiology , Adult , Bacterial Typing Techniques , Biofilms , Burkholderia/isolation & purification , Colony Count, Microbial , DNA, Bacterial/analysis , Enterococcus/isolation & purification , Female , Humans , Male , Methanobrevibacter/isolation & purification , Polymerase Chain Reaction/methods , RNA, Ribosomal, 16S/analysis , Sequence Analysis, DNA , Streptococcus/isolation & purification
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