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<article article-type="research-article" dtd-version="1.0" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">JKAOH</journal-id>
<journal-title-group>
<journal-title>Journal of Korean Academy of Oral Health</journal-title>
<abbrev-journal-title>J Korean Acad Oral Health</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1225-388X</issn>
<issn pub-type="epub">2093-7784</issn>
<publisher>
<publisher-name>Journal of Korean Academy of Oral Health</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.11149/jkaoh.2018.42.1.9</article-id>
<article-id pub-id-type="publisher-id">jkaoh-42-9</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Inhibitory effect of 18&#x03B2;-glycyrrhetinic acid on the biofilm formation of <italic>Streptococcus mutans</italic></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name name-style="western" xml:lang="en"><surname>Yu</surname><given-names>Jungheon</given-names></name><xref ref-type="aff" rid="aff1-jkaoh-42-9"/></contrib>
<contrib contrib-type="author"><name name-style="western" xml:lang="en"><surname>Jeon</surname><given-names>Jeonghoon</given-names></name><xref ref-type="aff" rid="aff1-jkaoh-42-9"/></contrib>
<contrib contrib-type="author"><name name-style="western" xml:lang="en"><surname>Lee</surname><given-names>Sanghwa</given-names></name><xref ref-type="aff" rid="aff1-jkaoh-42-9"/>
<xref ref-type="corresp" rid="c1-jkaoh-42-9"/></contrib>
<aff id="aff1-jkaoh-42-9" xml:lang="en">LG Household &#x0026; Health Care Ltd., Daejeon, <country>Korea</country></aff>
</contrib-group>
<author-notes>
<corresp id="c1-jkaoh-42-9">Corresponding Author: Sanghwa Lee LG Household &#x0026; Health Care Ltd., 84, Jang-dong, Yuseong-gu, Daejeon 34114, Korea Tel: +82-42-860-8723 Fax: +82-42-862-2476 E-mail: <email>shleek@lgcare.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>03</month><year>2018</year></pub-date>
<pub-date pub-type="epub"><day>15</day><month>03</month><year>2018</year></pub-date>
<volume>42</volume><issue>1</issue>
<fpage>9</fpage><lpage>15</lpage>
<history>
<date date-type="received"><day>11</day><month>01</month><year>2018</year></date>
<date date-type="rev-recd"><day>22</day><month>02</month><year>2018</year></date>
<date date-type="accepted"><day>15</day><month>03</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018 by Journal of Korean Academy of Oral Health</copyright-statement>
<copyright-year>2018</copyright-year>
<license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/">http://creativecommons.org/licenses/by-nc/4.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license>
</permissions>
<abstract xml:lang="en">
<title>Abstract</title>
<sec>
<title>Objectives</title>
<p>The present study aimed at investigating the potential of using 18&#x03B2;-glycyrrhetinic acid against the cariogenic characteristics of <italic>Streptococcus mutans</italic> UA159.</p>
</sec>
<sec>
<title>Methods</title>
<p>The effects of 18&#x03B2;-glycyrrhetinic acid on biofilm formation and acid production were evaluated; the latter are indicators of cariogenicity of <italic>S. mutans</italic>. Biofilm architecture was also analyzed by scanning electron microscopy (SEM), and changes in gene expression related to biofilm formation were studied by quantitative RT-PCR.</p>
</sec>
<sec>
<title>Results</title>
<p>Treatment with 18&#x03B2;-glycyrrhetinic acid at a concentration of 20 &#x03BC;g/ml inhibited biofilm formation by 95% in the absence of sucrose and 60% in its presence, reduced acid production by 88.8%, and significantly suppressed the gene expression of <italic>comDE</italic>, <italic>gbpB</italic>, <italic>gtfC</italic> and <italic>vicR</italic>, which are thought to be involved in the virulence of <italic>S. mutans</italic>.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These results suggest that 18&#x03B2;-glycyrrhetinic acid could be used as a complementary or alternative agent for preventing dental caries by interfering with the virulence properties of <italic>S. mutans</italic> without affecting the viability of the bacterial population.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<kwd>18&#x03B2;-glycyrrhetinic acid</kwd>
<kwd>Biofilm inhibition</kwd>
<kwd><italic>S. mutans</italic></kwd>
<kwd>Dental caries</kwd>
</kwd-group>
</article-meta>
</front>
<back>
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<sec sec-type="display-objects">
<title>Figures and Tables</title>
<fig id="f1-jkaoh-42-9" position="float">
<label>Fig. 1.</label>
<caption xml:lang="en"><p>Effect of 18b-glycyrrhetinic acid on growth of <italic>S. mutans</italic>. <italic>S. mutans</italic> incubated with present and absent of 20 &#x03BC;g/ml 18&#x03B2;-glycyrrhetinic acid in a 96well plate at 37&#x00B0;C.</p></caption>
<graphic xlink:href="jkaoh-42-9f1.tif"/>
</fig>
<fig id="f2-jkaoh-42-9" position="float">
<label>Fig. 2.</label>
<caption xml:lang="en"><p>Inhibitory effect of 18&#x03B2;-glycyrrhetinic acid on the biofilm formation by <italic>S. mutans</italic> in the absence (sucrose-independent) and presence of 1% sucrose (sucrose-dependent). *Significant inhibition compared with untreated control (<italic>P</italic>&#x003C;0.05).</p></caption>
<graphic xlink:href="jkaoh-42-9f2.tif"/>
</fig>
<fig id="f3-jkaoh-42-9" position="float">
<label>Fig. 3.</label>
<caption xml:lang="en"><p>SEM images of <italic>S. mutans</italic> biofilm formed in the presence and absence of the 18&#x03B2;-glycyrrhetinic acid after at 37&#x00B0;C overnight incubation. (A) control, (B) 18&#x03B2;-glycyrrhetinic acid.</p></caption>
<graphic xlink:href="jkaoh-42-9f3.tif"/>
</fig>
<fig id="f4-jkaoh-42-9" position="float">
<label>Fig. 4.</label>
<caption xml:lang="en"><p>Effect of 18&#x03B2;-glycyrrhetinic acid on the biofilm related genes expression of <italic>S. mutans</italic>. *Significant inhibition compared with untreated control (<italic>P</italic>&#x003C;0.05).</p></caption>
<graphic xlink:href="jkaoh-42-9f4.tif"/>
</fig>
<table-wrap id="t1-jkaoh-42-9" position="float">
<label>Table 1.</label>
<caption><p>Nucleotide sequences of primers used in this study</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" rowspan="2">Gene<sup><xref ref-type="table-fn" rid="table1-fn1-jkaoh-42-9">&#x2020;</xref></sup></th>
<th valign="middle" align="center" rowspan="2">Description</th>
<th valign="middle" align="center" colspan="2">Primer sequence (5&#x2019;&#x2192;3&#x2019;)<sup>15)</sup><hr/></th>
</tr>
<tr>
<th valign="middle" align="left">Forward</th>
<th valign="middle" align="center">Reverse</th></tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left"><italic>comDE</italic></td>
<td valign="middle" align="left">Competence-stimulating peptide</td>
<td valign="middle" align="left">ACAATTCCTTGAGTTCCATCCAAG</td>
<td valign="middle" align="left">TGGTCTGCTGCCTGTTGC</td></tr>
<tr>
<td valign="middle" align="left"><italic>gbpB</italic></td>
<td valign="middle" align="left">Glucan-binding proteins (GBPs)</td>
<td valign="middle" align="left">ATGGCGGTTATGGACACGTT</td>
<td valign="middle" align="left">TTTGGCCACCTTGAACACCT</td></tr>
<tr>
<td valign="middle" align="left"><italic>gtfC</italic></td>
<td valign="middle" align="left">Glucan production</td>
<td valign="middle" align="left">CTCAACCAACCGCCACTGTT</td>
<td valign="middle" align="left">GGTTTAACGTCAAAATTAGCTGTATTAGC</td></tr>
<tr>
<td valign="middle" align="left"><italic>vicR</italic></td>
<td valign="middle" align="left">Two-component regulatory system</td>
<td valign="middle" align="left">CGTCTAGTTCTGGTAACATTAAGTCCAATA</td>
<td valign="middle" align="left">TGACACGATTACAGCCTTTGATG</td></tr>
<tr>
<td valign="middle" align="left"><italic>16S rRNA</italic></td>
<td valign="middle" align="left">Normalizing internal standard</td>
<td valign="middle" align="left">CTTACCAGGTCTTGACATCCCG</td>
<td valign="middle" align="left">ACCCAACATCTCACGACACGAG</td></tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table1-fn1-jkaoh-42-9"><label>&#x2020;</label><p>Based on the National Center for Biotechnology Information (NCBI) <italic>S. mutans</italic> genome database.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="t2-jkaoh-42-9" position="float">
<label>Table 2.</label>
<caption><p>Effect of 18b-glycyrrhetinic acid on the acid production of <italic>S mutans</italic></p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center">Concentration of Glycyrrhetinic acid (mg/ml)</th>
<th valign="middle" align="center" colspan="2">pH (mean&#x00B1;SD)<hr/></th>
</tr>
<tr>
<td/>
<th valign="middle" align="center">0 hr</th>
<th valign="middle" align="center">After overnight</th></tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">0</td>
<td valign="middle" align="center">7.1&#x00B1;0.15</td>
<td valign="middle" align="center">5.3&#x00B1;0.07</td></tr>
<tr>
<td valign="middle" align="left">5</td>
<td valign="middle" align="center">7.1&#x00B1;0.00</td>
<td valign="middle" align="center">5.4&#x00B1;0.07</td></tr>
<tr>
<td valign="middle" align="left">10</td>
<td valign="middle" align="center">7.1&#x00B1;0.07</td>
<td valign="middle" align="center">5.6&#x00B1;0.00</td></tr>
<tr>
<td valign="middle" align="left">20</td>
<td valign="middle" align="center">7.1&#x00B1;0.07</td>
<td valign="middle" align="center">6.2&#x00B1;0.07*</td></tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table2-fn1-jkaoh-42-9"><p>*Significant different compared with untreated control (<italic>P</italic>&#x003C;0.05).</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</back>
</article>