Is Obesity An Oral Bacterial Disease?

This work will be published in the Journal of Dental Research."There has been a world-wide explosion of obesity, with many contributing factors," said Dr. J. Max Goodson, senior author of the study. "However, the inflammatory nature of the disease is also recognized. This led me to question potential unknown contributing causes of obesity. Could it be an epidemic involving an infectious agent?" "It is exciting to image the possibilities if oral bacteria are contributing to some types of obesity," added Goodson.

Summary of Study

In order to measure the salivary bacterial populations of overweight women, samples were collected from 313 women with a body mass index between 27 and 32 (classifying them as overweight). Using DNA analysis, the researchers measured the bacterial populations of this group and compared it with historical data from 232 individuals that were not overweight. Significant differences in seven of the 40 species studied occurred in the salivary bacteria of subjects in the overweight group.

In addition, more than 98 percent of the overweight women could be identified by the presence of a single bacterial species, called Selenomanas noxia, at levels greater than 1.05 percent of the total salivary bacteria. These data suggest that the composition of salivary bacteria changes in overweight women. It seems likely that these bacterial species could serve as indicators of a developing overweight condition and possibly be related to the underlying causation.

Dr. Goodson noted that the reasons for a relationship between obesity and oral bacteria are likely complex. The observed relationship may be circumstantial as being related to diet or opportunistic due to metabolic changes. In the next phase of this research, Dr. Goodson plans to further examine this relationship by initially conducting a controlled cohort study to see if this initial observation can be reproduced. In addition, he hopes to conduct longitudinal studies in children to see if oral infection relates to weight gain. Ultimately, the development of strategies to eliminate specific oral bacteria would be required to provide definitive evidence that certain oral bacteria may be responsible for weight gain.

J. Max Goodson, DDS, PhD, is a Senior Member of the Staff at The Forsyth Institute and heads up The Forsyth Clinical Research Collaborative (CRC). . Principal research personnel associated with the CRC include scientists that conduct clinical and health care delivery research.

This work was supported in part by Interleukin Genetics of Waltham, MA and by a grant from the National Institute of Dental and Craniofacial Research.

The Forsyth Institute is the world's leading independent organization dedicated to scientific research and education in oral health and related biomedical sciences.