Phellodendron bark extract and berberine chloride suppress microbiome dysbiosis in a saliva-derived in vitro microcosm biofilm model.

OBJECTIVE: Preventing oral microbiome dysbiosis is crucial for averting the onset and progression of periodontal diseases. Phellodendron bark extract (PBE) and its active component berberine exhibit antibacterial properties against periodontal pathogenic bacteria. Although they inhibit Porphyromonas gingivalis (P. gingivalis)-induced dysbiosis in vitro in multiple species of saliva-derived planktonic cultures, their effects on microcosm biofilm models remain unclear. In this study, we aimed to elucidate the dysbiosis-suppressive effects of PBE and berberine chloride (BC) on biofilm formation. DESIGN: PBE or BC was added during the formation of in vitro microcosm biofilms containing saliva and P. gingivalis, which were anaerobically cultured for one week. Next-generation sequencing was performed to assess microbiota composition, while quantitative real-time PCR was used to measure bacterial concentrations. Additionally, the butyrate concentration in the culture supernatant was assessed as biofilm pathogenicity. RESULTS: PBE and BC treatments reduced the relative abundance of periodontal pathogenic bacteria, including P. gingivalis, and significantly increased the relative abundance of the genus Streptococcus and nitrate-reducing bacteria, including the genera of Neisseria and Haemophilus. Moreover, the treatment groups exhibited significantly decreased butyrate concentrations. CONCLUSIONS: Our findings suggest that PBE and BC could suppress dysbiosis triggered by P. gingivalis in microcosm biofilms in vitro by decreasing the relative abundance and amount of periodontal pathogenic bacteria and enhancing those of nitrate-reducing bacteria that have a high relative abundance in orally healthy individuals. In summary, PBE and BC may contribute to the prevention of periodontal disease through their dysbiosis-suppressive and anti-inflammatory effects.