The prevention and treatment of oral diseases have significantly enhanced since the 20th century, reducing the occurrence of tooth caries and oral inflammation. Dental caries is initiated by the formation of biofilm by cariogenic bacteria, such as S. mutans. The overuse of antibiotics for treating infections has resulted in the development of antibiotic-resistant pathogens [23]. Many of oral problems caused by imbalance between antioxidants and reactive oxygen species (ROS), which is related to occurrence of dental diseases [9]. Antioxidants are able to inactivate free radicals prior to attack the body's cells and make role in the treatment of oral disease like periodontitis and also prevent the growth and reproduction of oral cancer cells.
LAB have been used for a variety of applications in the pharmaceutical and food industries. Probiotics can release bioactive substances like exopolysaccharide with some health benefits. Using these substances is safer than application of live probiotics [24]. This study was aimed to investigate the antibacterial, antibiofilm and antioxidant effects of EPS produced by L. casei.
The results of our research indicate that L. casei produced EPS, caused 40% reduction in biofilm formation by S. mutans. There are several possible explanations for this result. The antibiofilm activities of LAB species are related to the some metabolites found in the cell-free supernatant like EPS, biosurfactants and bacteriocin components [25]. The mechanisms of EPS antibiofilm action are due to their ability to act like surfactants, their stimulatory effect as signaling molecules and their interactions with other adhesive molecules [26]. It is argued that EPS can easily penetrate the biofilm of S. mutans, as natural metabolite and exert their bioactivities easily. The Gtf genes from certain streptococcus species, such as S. mutans, have important role in development of dental caries. These genes play crucial role in the synthesis of water-insoluble glucans (WIGs), known to be a primary factor in the onset of dental caries. The Gtf genes from S. mutans are particularly significant, as they contribute to the formation of dental plaque and the establishment of S. mutans on tooth surfaces. The Gtf genes in S. mutans are essential for smooth-surface caries formation. S. mutans defective in either or both of the gtfB and gtfC genes needed for insoluble glucan synthesis lead to reduce the levels of smooth-surface carious attack compared to the original organism [27, 28]. Similarly, S. mutans defective in the gtfD gene, that is responsible for encoding the glucosyltransferase-S enzyme involved in the biosynthesis of water-soluble glucans, exhibit a reduction in the formation of smooth-surface carious attack [29]. Targeting Gtf genes has been recognized as a promising therapeutic approach to inhibit cariogenic biofilms. EPS have been identified as agents modulate the expression of gtf genes, affect Gtf enzyme activities, or reduce Gtf secretion, thereby impairing the virulence of S. mutans without affecting the resident oral flora. In addition to antimicrobial activity, EPS from LAB may also have direct antibiofilm activity. The results in this study indicate that EPS released by L. casei, are effective on S. mutans growth. A possible explanation for EPS antibacterial activity might be related to several mechanisms as the cell wall and cytoplasmic membrane disruption, cell division damage, and DNA decomposition [16]. It is suggested that the EPS negative charge related to its sulphate group could better interact with the Gram-positive bacteria [19, 21, 30]. In other words, the positive charge of Gram-positive bacteria cell wall is higher. One of the results that emerges from our investigation is C-EPS antioxidant activity even in concentrations lower than antibiofilm and antibacterial efficient concentration [21]. This bioactivity could be related to its monosaccharide composition and the extent of sulphate group [31].
The EPS compound produced by Lactobacillus reuteri BM53-1 has been reported to inhibit the biofilm formation of S. mutans through decreasing the amount of GtfD enzymes, which are necessary to make insoluble glucans sticky; without inhibiting this pathogen growth. In a similar case in, has been assessed antibiofilm effect of released (r-EPS) and cell-bound exopolysaccharides(b-EPS) extracted by Apilactobacillus kunkeei K1.10 and Latilactobacillus curvatus Kar.9b. Type of EPS is known to be associated with their effect on biofilm[32]. It has been reported that r-EPS showed high reduction in S. mutans biofilm formation by preventing the aggregation between cells or initial adhesion to surfaces. On the other hand b-EPS improved biofilm formation. No evidence of these EPSs antimicrobial activity was detected. According to available data, we can infer that postbiotic from L. casei can inhibit gram positive and negative bacteria growth like S. enterica and L. monocytogenes [33]. L. casei supernatant also has been identified as antioxidant agent according to its high phenolic content. Similar finding also reported about exopolysaccharide bioactivities by Nehal et al. (2019). They reported that exopolysaccharide produced by Lactobacillus pentosus 14FE, Lactobacillus plantarum 47FE have ability to interact with DPPH radicals by the way of producing H ions. Moreover, they showed antimicrobial effect against gram positive bacteria [34].In our study the antimicrobial assays revealed that the EPS from L. casei effectively inhibited the growth and biofilm formation of the cariogenic bacterium S. mutans, a key etiological agent of dental caries.