Discovery, validation, and diagnostic ability of multiple protein-based biomarkers in saliva and gingival crevicular fluid to distinguish between health and periodontal diseases.

AIM: To discover and validate differential protein biomarker expression in saliva and gingival crevicular fluid (GCF) to discriminate objectively between periodontal health and plaque-induced periodontal disease states. MATERIALS AND METHODS: One-hundred and ninety participants were recruited from two centres (Birmingham and Newcastle upon Tyne, UK) comprising healthy, gingivitis, periodontitis, and edentulous donors. Samples from the Birmingham cohort were analysed by quantitative mass spectrometry proteomics for biomarker discovery. Shortlisted candidate proteins were then verified by enzyme-linked immunosorbent assay in both cohorts. Leave-one-out cross validation logistic regression analysis was used to identify the best performing biomarker panels. RESULTS: Ninety-five proteins were identified in both GCF and saliva samples, and 15 candidate proteins were selected based upon differences discovered between the donor groups. The best performing panels to distinguish between: health or gingivitis and periodontitis contained matrix metalloproteinase-9 (MMP9), S100A8, alpha-1-acid glycoprotein (A1AGP), pyruvate kinase, and age (area under the curve [AUC] 0.970); health and gingivitis contained MMP9, S100A8, A1AGP, and pyruvate kinase, but not age (AUC 0.768); and mild to moderate and advanced periodontitis contained MMP9, S100A8, A1AGP, pyruvate kinase, and age (AUC 0.789). CONCLUSIONS: Biomarker panels containing four proteins with and without age as a further parameter can distinguish between periodontal health and disease states.

Fluid-driven interfacial instabilities and turbulence in bacterial biofilms.

Biofilms are thin layers of bacteria embedded within a slime matrix that live on surfaces. They are ubiquitous in nature and responsible for many medical and dental infections, industrial fouling and are also evident in ancient fossils. A biofilm structure is shaped by growth, detachment and response to mechanical forces acting on them. The main contribution to biofilm versatility in response to physical forces is the matrix that provides a platform for the bacteria to grow. The interaction between biofilm structure and hydrodynamics remains a fundamental question concerning biofilm dynamics. Here, we document the appearance of ripples and wrinkles in biofilms grown from three species of bacteria when subjected to high-velocity fluid flows. Linear stability analysis suggested that the ripples were Kelvin-Helmholtz Instabilities. The analysis also predicted a strong dependence of the instability formation on biofilm viscosity explaining the different surface corrugations observed. Turbulence through Kelvin-Helmholtz instabilities occurring at the interface demonstrated that the biofilm flows like a viscous liquid under high flow velocities applied within milliseconds. Biofilm fluid-like behavior may have important implications for our understanding of how fluid flow influences biofilm biology since turbulence will likely disrupt metabolite and signal gradients as well as community stratification.

Hydration contributions to association in polyelectrolyte multilayers and complexes: visualizing hydrophobicity.

Thin films of polyelectrolyte complex were assembled using the multilayering method with direct, in situ observation of all multilayer components using attenuated total internal reflectance FTIR (ATR-FTIR). Buildup and ion doping of two representative combinations of positive and negative polyelectrolytes are controlled by salt type. The internal hydration of multilayers, measured precisely by ATR-FTIR, depends on the chemical identities of the polymers and the salt ions. The efficiency of doping inversely tracks the degree of hydration: less hydrated ("hydrophobic") ions are more efficient dopants, and less hydrated polyelectrolye complexes are harder to dope. Given that polyelectrolyte complexation is essentially entropy-driven, driving forces for doping, or association (the inverse of doping), are rationalized by counting all species in the condensed polyelectrolyte phase, including water molecules. For any combination of uni-univalent salt ions and polyelectrolyte, the strength of polyelectrolyte association is described by a single universal parameter. The magnitudes of the interactions per repeat unit are not high--a few kT--and are proportional to the number of water molecules released from the polymers when they form ion pairs. Hydration within multilayers due to residual salt is extensive but may be removed by an external osmotic stressing agent.