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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.2020.44.1.13</article-id>
<article-id pub-id-type="publisher-id">jkaoh-44-13</article-id>
<article-categories>
<subj-group>
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Antibacterial effect of different concentrations of <italic>Galla Chinensis</italic> extract on cariogenic bacteria in a biofilm model</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name name-style="western" xml:lang="en"><surname>Kim</surname><given-names>Eun-Jeong</given-names></name><xref ref-type="aff" rid="aff1-jkaoh-44-13"><sup>1</sup></xref></contrib>
<contrib contrib-type="author"><name name-style="western" xml:lang="en"><surname>Jin</surname><given-names>Bo-Hyoung</given-names></name><xref ref-type="aff" rid="aff2-jkaoh-44-13"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c1-jkaoh-44-13"/></contrib>
<aff id="aff1-jkaoh-44-13" xml:lang="en"><label>1</label>Dental Research Institution, <country>Korea</country></aff>
<aff id="aff2-jkaoh-44-13" xml:lang="en"><label>2</label>Department of Preventive &#x0026; Social Dentistry, School of Dentistry, Seoul National University, Seoul, <country>Korea</country></aff>
</contrib-group>
<author-notes>
<corresp id="c1-jkaoh-44-13"><bold>Corresponding Author:</bold> Bo-Hyoung Jin Department of Preventive &#x0026; Social Dentistry, School of Dentistry, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Korea Tel: +82-2-740-8783 Fax: +82-2-766-8781 E-mail: <email>jjbh@snu.ac.kr</email> <ext-link ext-link-type="uri" xlink:href="https://orcid.org/0000-0003-3526-6805">https://orcid.org/0000-0003-3526-6805</ext-link></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>03</month><year>2020</year></pub-date>
<pub-date pub-type="epub"><day>15</day><month>03</month><year>2020</year></pub-date>
<volume>44</volume><issue>1</issue>
<fpage>13</fpage><lpage>19</lpage>
<history>
<date date-type="received"><day>19</day><month>02</month><year>2020</year></date>
<date date-type="rev-recd"><day>07</day><month>03</month><year>2020</year></date>
<date date-type="accepted"><day>07</day><month>03</month><year>2020</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2020 by Journal of Korean Academy of Oral Health</copyright-statement>
<copyright-year>2020</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><italic>Galla chinensis</italic> inhibited the adherence of planktonic oral bacteria and acid production by cariogenic bacteria. However, little is known about the relevant conditions of <italic>Galla Chinensis</italic> extract (GCE) exposure time and concentration and the effect of GCE on the structural and functional activity of cariogenic bacteria. The antibacterial effects of natural <italic>G. Chinensis</italic> extract on <italic>S. mutans</italic>, <italic>S. sanguinis</italic>, and <italic>S. oralis</italic> biofilms were evaluated in vitro.</p>
</sec>
<sec>
<title>Methods</title>
<p>Biofilms formed on glass surfaces were treated with different concentrations of GCE at different exposure times. The effects were assessed by examining the bactericidal activity, acido-genesis, minimum inhibitory concentration, and morphology.</p>
</sec>
<sec>
<title>Results</title>
<p>There was a statistically significant difference in the bacterial growth inhibition depending on the concentration of the GCE, with bacterial growth being inhibited as the concentration of GCE increased. A concentration of 1.0 mg/ml GCE had similar bactericidal effects against <italic>S. mutans</italic> and <italic>S. oralis</italic> biofilms to those produced by 2.0 mg/ml CHX. In the 1.0 mg/ml GCE group, incomplete septa were also observed in the outline of the cell wall, together with disruption of the cell membrane. In addition, there was also a slight exudation of the intracellular content from the bacteria in the 1.0 mg/ml GCE and 2 mg/ml CHX groups.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These results indicate that GCE inhibits the growth of <italic>S. mutans</italic>, <italic>S. sanguinis</italic>, and <italic>S. oralis</italic> with increasing concentrations. It alters the microstructure of <italic>S. mutans</italic> biofilms. These results suggest that GCE might be a useful anti-bacterial agent for preventing dental caries.</p>
</sec>
</abstract>
<kwd-group xml:lang="en">
<kwd>Antibacterial effects</kwd>
<kwd>Biofilms</kwd>
<kwd><italic>Galla Chinensis</italic></kwd>
<kwd><italic>Streptococcus mutans</italic></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-44-13" position="float">
<label>Fig. 1.</label>
<caption xml:lang="en"><p>The bacterial growth curve of <italic>S. mutans</italic>, <italic>S. sanguinis</italic> and <italic>S. oralis</italic> biofilms by GCE concentration. After the biofilms had been exposed to the test solutions for 3, 6, 9, 12, and 24 hours, the number of colonies was counted to determine the CFU. There was a significant difference over time at all concentrations.</p></caption>
<graphic xlink:href="jkaoh-44-13f1.tif"/>
</fig>
<fig id="f2-jkaoh-44-13" position="float">
<label>Fig. 2.</label>
<caption xml:lang="en"><p>TEM images of the <italic>S. mutans</italic> biofilm after 1 hour of treatment. The black arrows indicate the wall of <italic>S. mutans</italic>, and the white arrows indicate the intracellular contents. The scale bar is 100 nm. (A) 1% DMSO, (B) 2 mg/ml CHX, and (C) 1.0 mg/ml GCE. After the <italic>S. mutans</italic> biofilms had been exposed to 1% DMSO for 1 h as the negative control, the TEM showed a clear outline of the <italic>S. mutans</italic> cell wall and a peptidoglycan layer. However, most of the peptidoglycan layers of <italic>S. mutans</italic> in the CHX group had disappeared. In the 1.0 mg/ml GCE group, incomplete septa were also observed in the outline of the cell wall. In addition, there was a slight exudation of the intracellular contents in the 1.0 mg/ml GCE and 2 mg/ml CHX groups.</p></caption>
<graphic xlink:href="jkaoh-44-13f2.tif"/>
</fig>
<table-wrap id="t1-jkaoh-44-13" position="float">
<label>Table 1.</label>
<caption><p>MIC induced by GCE at different concentrations</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center" colspan="2">Treatment group</th>
<th valign="middle" align="center"><italic>S. mutans</italic>*</th>
<th valign="middle" align="center"><italic>S. sanguis</italic>*</th>
<th valign="middle" align="center"><italic>S. oralis</italic>*</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">GCE 0.1 mg/ml</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">2.43&#x00B1;0.04<sup><xref ref-type="table-fn" rid="table1-fn2-jkaoh-44-13">a</xref></sup></td>
<td valign="middle" align="center">2.58&#x00B1;0.03<sup><xref ref-type="table-fn" rid="table1-fn2-jkaoh-44-13">a</xref></sup></td>
<td valign="middle" align="center">2.60&#x00B1;0.02<sup><xref ref-type="table-fn" rid="table1-fn2-jkaoh-44-13">a</xref></sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">84.04</td>
<td valign="middle" align="center">80.51</td>
<td valign="middle" align="center">87.18</td></tr>
<tr>
<td valign="middle" align="left">GCE 0.2 mg/ml</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">2.32&#x00B1;0.04<sup><xref ref-type="table-fn" rid="table1-fn2-jkaoh-44-13">a</xref></sup></td>
<td valign="middle" align="center">2.14&#x00B1;0.12<sup>a,b</sup></td>
<td valign="middle" align="center">2.16&#x00B1;0.04<sup>b</sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">75.75</td>
<td valign="middle" align="center">52.05</td>
<td valign="middle" align="center">56.5</td></tr>
<tr>
<td valign="middle" align="left">GCE 0.4 mg/ml</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">1.95&#x00B1;0.14<sup>b</sup></td>
<td valign="middle" align="center">2.10&#x00B1;0.07<sup>a,b</sup></td>
<td valign="middle" align="center">2.41&#x00B1;0.06<sup>b</sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">47.83</td>
<td valign="middle" align="center">50.21</td>
<td valign="middle" align="center">48.68</td></tr>
<tr>
<td valign="middle" align="left">GCE 0.8 mg/ml</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">1.69&#x00B1;0.08<sup>b</sup></td>
<td valign="middle" align="center">2.08&#x00B1;0.08<sup>a,b</sup></td>
<td valign="middle" align="center">1.95&#x00B1;0.05<sup>c</sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">36.96</td>
<td valign="middle" align="center">41.51</td>
<td valign="middle" align="center">46.18</td></tr>
<tr>
<td valign="middle" align="left">GCE 1.0 mg/ml</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">1.48&#x00B1;0.10<sup>c</sup></td>
<td valign="middle" align="center">1.54&#x00B1;0.12<sup>c</sup></td>
<td valign="middle" align="center">1.35&#x00B1;0.08<sup>d</sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">30.13</td>
<td valign="middle" align="center">28.92</td>
<td valign="middle" align="center">25.68</td></tr>
<tr>
<td valign="middle" align="left">CHX 2.0 mg/ml</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">1.40&#x00B1;0.30<sup>c</sup></td>
<td valign="middle" align="center">1.35&#x00B1;0.06<sup>c</sup></td>
<td valign="middle" align="center">1.25&#x00B1;0.05<sup>d</sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">28.81</td>
<td valign="middle" align="center">24.1</td>
<td valign="middle" align="center">23.23</td></tr>
<tr>
<td valign="middle" align="left">1% DMSO</td>
<td valign="middle" align="left">M&#x00B1;SD</td>
<td valign="middle" align="center">2.69&#x00B1;0.05<sup><xref ref-type="table-fn" rid="table1-fn2-jkaoh-44-13">a</xref></sup></td>
<td valign="middle" align="center">2.69&#x00B1;0.03<sup>a,b</sup></td>
<td valign="middle" align="center">2.74&#x00B1;0.01<sup><xref ref-type="table-fn" rid="table1-fn2-jkaoh-44-13">a</xref></sup></td></tr>
<tr>
<td/>
<td valign="middle" align="left">Proportion (%)</td>
<td valign="middle" align="center">102.35</td>
<td valign="middle" align="center">89.72</td>
<td valign="middle" align="center">107.59</td></tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table1-fn1-jkaoh-44-13"><p>Data are presented as log<sub>10</sub> colony-forming units (CFU)/disc and percentages. M, Ln (Log<sub>10</sub> CFU); SD, standard deviation; Proportion, If the OD value is less than 90-95% of the control 100%, the bacteria is affected and has not grown.</p></fn>
<fn id="table1-fn2-jkaoh-44-13"><label>a,b,c,d</label><p>The different superscripts in the same column indicate a statistically significant difference from each group (<italic>P</italic>&#x003C;0.05). Post hoc Tukey&#x2019;s HSD, *<italic>P</italic>&#x003C;0.05.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="t2-jkaoh-44-13" position="float">
<label>Table 2.</label>
<caption><p>General linear model including time and treatment groups</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="middle" align="center">Source</th>
<th valign="middle" align="center">df</th>
<th valign="middle" align="center">Mean square</th>
<th valign="middle" align="center">F</th>
<th valign="middle" align="center">Sig.</th>
<th valign="middle" align="center">Partial eta square</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="left">Treatment groups</td>
<td valign="middle" align="center">6</td>
<td valign="middle" align="center">15.12</td>
<td valign="middle" align="center">5694.59</td>
<td valign="middle" align="center">&#x003C;.001</td>
<td valign="middle" align="center">0.995</td></tr>
<tr>
<td valign="middle" align="left">Time</td>
<td valign="middle" align="center">4</td>
<td valign="middle" align="center">10.11</td>
<td valign="middle" align="center">3806.47</td>
<td valign="middle" align="center">&#x003C;.001</td>
<td valign="middle" align="center">0.989</td></tr>
<tr>
<td valign="middle" align="left">Treatment groups&#x00D7;Time</td>
<td valign="middle" align="center">24</td>
<td valign="middle" align="center">0.89</td>
<td valign="middle" align="center">337.88</td>
<td valign="middle" align="center">&#x003C;.001</td>
<td valign="middle" align="center">0.979</td></tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table2-fn1-jkaoh-44-13"><p>R Squared=.997 (Adjusted R Squared=.996).</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</back>
</article>