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3 12s Biochemical Society Transactions ( 1 996) 24 Some effects of Fluoride on the IgA Protease of the Oral Bacterium Streptocaccns sanguis. ROBERT DUGUID' and BERNARD SENIOR Departments of Conservative Dentistry' and Medical Microbiology, University of Dundee, DDl4HR. Scotland, U.K. The importance of Immunoglobulin A (IgA) in conferring specific immunity on mucosal surfaces lining the human alimentary, respiratory and urogenital tracts is now widely accepted 111. There is convincing evidence that several pathogenic bacteria that colonise mucosal surfaces produce IgA proteases and that IgA proteases contribute to the virulence of these bacteria [2,3]. Recent evidence suggests that the majority of pioneer oral streptococci that colonise the mouth before tooth eruption produce IgA protease [4] and it has long been known that Streptucuccus sunguis, a pioneer organism of the tooth surface, is a producer of IgA protease [51. IgA proteases vary in their catalytic mechanisms and include serine-, metalb and cysteine-type proteases [6].IgA proteases produced by oral streptococci are metallopmteinases [6] which cleave specifically the achain within a sequence of 13 amino acids present in the hinge region of human IgA molecules of the IgAl subclass [7l. Any agent which reduces the IgA protease activity of oral bacteria is likely to reduce the virulence of these bacteria and to affect their ability to colonise oral mucosae and tooth surfaces. There is evidence that levels of specific IgA antibodies influence the number of oral streptococci colonising the tooth surface [8]. In these experiments the effect of fluoride on the IgA protease activity of Srreprucoccus sanguis has been studied. Streptucuccus sanguis (NCTC 7863) was inoculated by a swab onto the surface of sterile semipermeable membranes placed aseptically on the surface of blood agar plates and incubated at 37°C for 48 h. This allows bacterial growth on the membrane surface together with the retention of secreted enzyme. Two principal types of experiment were performed. In order to determine the effect of fluoride on IgA protease activity, the membranes were removed and the bacterialenzyme mixture harvested into a minimal volume of 50 mM Tris-azide buffer (pH 8.0). The bacterial suspension was centrifuged and the supernate, containing IgA protease collected for assay. IgA protease activity was determined by incubating 25 pl culture supemate containing enzyme, 15 pl IgA in Tris-azide buffer and a range of fluoride concentrations ranging from 1 to 500 mM fluoride in Tris-azide buffer, for 72 h at 37°C. Following SDS polyacrylamide gel electrophoresis and overnight Western blotting on cellulose nitrate, the membrane was stained with 0.2% Ponceau S to detect molecular weight markers and then incubated with goat anti-human IgA (achain specific) alkaline phosphatase conjugate for 2 h and was developed using nitroblue tetrazolium and bromochloroindolyl phosphate. The results showed no evidence of any inhibition of Streptucuccus sanguis IgA protease activity at any concentration of fluoride tested. Even at 500 mM fluoride no inhibitory effect of fluoride on IgA protease activity was observed. To determine whether fluoride had any effect on the production of IgA protease by the bacteria as opposed to an effect on the activity of enzyme already produced - Streptucuccus sunguis was inoculated into Todd-Hewitt Broth and grown overnight at 37°C. The bacterial culture was then centrifuged, the cells then washed in saline to remove any IgA protease. and equal amounts of a dense suspension of the washed cells inoculated into Todd-Hewitt Broth containing a range of fluoride Concentrations from 1 to 500 mM and incubated for 48 h at - 37°C. After incubation the cultures were centrifuged and the supernate incubated with IgA prior to SDS PAGE, Western blotting and development as described above. IgA protease activity was seen following incubation of the bacteria in 0, 1 , 5 and 10 mM fluoride but not when the bacteria were incubated in 50, 100 and 500 mM fluoride. These results suggest that IgA protease production is inhibited at high concentrations of fluoride. There are three ways in which fluoride may affect the production and activity of bacterial IgA protease. The first is by a direct effect on enzyme activity. The results of these experiments suggest that fluoride has no direct effect on Streptucuccus sunguis IgA protease and that the enzyme has a high degree of tolerance to fluoride. The second possible effect of fluoride on IgA protease may be on the synthesis and/or export of the enzyme from the bacteria. The results here suggest that fluoride completely inhibits IgA protease synthesis and/or export at concentrations above 10 mM. A third possible effect of fluoride is a direct effect on bacterial growth. Any reduction in bacterial numbers produced by fluoride will also reduce the amount of IgA protease produced by bacteria at that site. Streptucuccus sanguis is quantitatively one of the most important bacteria of the tooth surface environment. The 1gA protease activity of this organism is believed to reduce susceptibility to the host mucosal defence mechanisms and may also benefit other bacteria colonising the same local microenvironment. This could include some of the non-IgA protease producing bacteria such as the dental caries-producing organisms Streptococcus mutam and Streptococcus sobrim. Thus if IgA-protease activity or production at the tooth surface was affected by fluoride then not only IgA protease-producing bacteria but also a number of other bacteria colonising this site may loose their protection against host mucosal defence mechanisms. These results exclude a direct effect of fluoride on IgA protease activity but do raise the possibility that, either by an effect on synthesis or export of the enzyme, fluoride may reduce the virulence and colonisation ability of all the flora at the tooth surface. 1. Kilian. M.& Holmgren, K. (1981) Infect. Immun. 31, 868873 2. Kilian, M., Thomsen, B., Petersen, T.E. & Bleeg, H.S. (1983) Ann. NY Acad. Sci. 409,612-624 3. Senior, B.W., Loomes, L.M. & Kerr, M.A. (1991) Reviews in Medical Microbiology 2, 200-207 4. Cole, M.F., Evans, M.,Fitzsimmons, S., Johnson, J., Pearce, C., Sheridan. M.J. Wientzen, R. & Bowden,G. (1994) Infect. Immun. 62, 2165-2168 5. Plaut, A.G., Genko, R.J. & Tomasi Jr, T.B. (1974) J. Immunol. 113, 289-291 6. Plaut, A.G. & Bachovchin. W.W. (1994) Methods in Enzymol. 244, 137-151 7. Reinholdt, J., Tomana, M. Mortensen, S.B. & Kilian, M. (1990) Infect. Immun. 58, 1186-1194 8. Taubman, M.A. (1992) in Contemporary Oral Microbiology d Immunology (Slots, J. & Taubman, M.A., eds.) pp 535-541,Mosby Year Book, St Louis, 11. USA