title: Coaggregation and biofilm growth of Granulicatella spp. with Fusobacterium nucleatum and Aggregatibacter actinomycetemcomitans.
abstract: BACKGROUND
  Members of fastidious Granulicatella and Aggregatibacter genera belong to normal oral flora bacteria that can cause serious infections, such as infective endocarditis. Aggregatibacter actinomycetemcomitans has long been implicated in aggressive periodontitis, whereas DNA-based methods only recently showed an association between Granulicatella spp. and dental diseases. As bacterial coaggregation is a key phenomenon in the development of oral and nonoral multispecies bacterial communities it would be of interest knowing coaggregation pattern of Granulicatella species with A. actinomycetemcomitans in comparison with the multipotent coaggregator Fusobacterium nucleatum. The aim was to investigate coaggregation and biofilm formation of Granulicatella elegans and Granulicatella adiacens with A. actinomycetemcomitans and F. nucleatum strains.
  
  
  RESULTS
  F. nucleatum exhibited significantly (p < 0.05) higher autoaggregation than all other test species, followed by A. actinomycetemcomitans SA269 and G. elegans. A. actinomycetemcomitans CU1060 and G. adiacens did not autoaggregate. G. elegans with F. nucleatum exhibited significantly (p < 0.05) higher coaggregation than most others, but failed to grow as biofilm together or separately. With F. nucleatum as partner, A. actinomycetemcomitans strains SA269, a rough-colony wild-type strain, and CU1060, a spontaneous smooth-colony laboratory variant, and G. adiacens were the next in coaggregation efficiency. These dual species combinations also were able to grow as biofilms. While both G. elegans and G. adiacens coaggregated with A. actinomycetemcomitans strain SA269, but not with CU1060, they grew as biofilms with both A. actinomycetemcomitans strains.
  
  
  CONCLUSIONS
  G. elegans failed to form biofilm with F. nucleatum despite the strongest coaggregation with it. The ability of Granulicatella spp. to coaggregate and/or form biofilms with F. nucleatum and A. actinomycetemcomitans strains suggests that Granulicatella spp. have the potential to integrate into dental plaque biofilms.
authors.affiliation: General Facility Oral Microbiology Laboratory, Department of Bioclinical Sciences, Faculty of Dentistry, Kuwait University, Kuwait, Kuwait. mkarched@hsc.edu.kw.
authors.forename: Maribasappa
authors.initials: M
authors.lastname: Karched
authors.affiliation: General Facility Oral Microbiology Laboratory, Department of Bioclinical Sciences, Faculty of Dentistry, Kuwait University, Kuwait, Kuwait. radhika@hsc.edu.kw.
authors.forename: Radhika G
authors.initials: RG
authors.lastname: Bhardwaj
authors.affiliation: General Facility Oral Microbiology Laboratory, Department of Bioclinical Sciences, Faculty of Dentistry, Kuwait University, Kuwait, Kuwait. sirkka.asikainen@hsc.edu.kw.
authors.forename: Sirkka E
authors.initials: SE
authors.lastname: Asikainen
mesh_terms: D016976:Aggregatibacter actinomycetemcomitans / Q000502:physiology*; D001422:Bacterial Adhesion; D018441:Biofilms / Q000254:growth & development*; D056568:Carnobacteriaceae / Q000502:physiology*; D003773:Dental Plaque / Q000382:microbiology; D016967:Fusobacterium nucleatum / Q000502:physiology*; D006801:Humans; D013045:Species Specificity