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<title>Streptococcus mutans</title>
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<span id="openzim-page-title" class="mw-page-title-main"><i>Streptococcus mutans</i></span>
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<th colspan="2" style="color:inherit; text-align: center; background-color: rgb(220,235,245)"><i>Streptococcus mutans</i>
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<td colspan="2" style="text-align: center; font-size: 88%">Stain of <i>S. mutans</i> in <a href="Thioglycolate_broth" title="Thioglycolate broth">thioglycolate broth</a> culture.
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<th colspan="2" style="color:inherit; min-width:15em; text-align: center; background-color: rgb(220,235,245)"><a href="Taxonomy_(biology)" title="Taxonomy (biology)">Scientific classification</a> <span class=" taxobox-edit-taxonomy skin-invert" style="font-size:smaller; float:right; padding-right:0.4em; margin-left:-3em;"><span typeof="mw:File"></span></span>
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<td>Domain:
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<td><a href="Bacteria" title="Bacteria">Bacteria</a>
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<td>Kingdom:
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<td><a href="Bacillati" title="Bacillati">Bacillati</a>
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<td>Phylum:
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<td><a href="Bacillota" title="Bacillota">Bacillota</a>
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<td>Class:
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<td><a href="Bacilli" title="Bacilli">Bacilli</a>
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<td>Order:
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<td><a href="Lactic_acid_bacteria" title="Lactic acid bacteria">Lactobacillales</a>
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<td>Family:
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<td><a href="Streptococcaceae" title="Streptococcaceae">Streptococcaceae</a>
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<td>Genus:
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<td><a href="Streptococcus" title="Streptococcus"><i>Streptococcus</i></a>
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<td>Species:
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<td><div style="display:inline" class="species"><i><b>S.&nbsp;mutans</b></i></div>
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<th colspan="2" style="color:inherit; text-align: center; background-color: rgb(220,235,245)"><a href="Binomial_nomenclature" title="Binomial nomenclature">Binomial name</a>
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<td colspan="2" style="text-align: center"><b><span class="binomial"><i>Streptococcus mutans</i></span></b><br><div style="font-size: 85%;">Clarke 1924</div>
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<p><i><b>Streptococcus mutans</b></i> is a <a href="Facultative_anaerobic_organism" title="Facultative anaerobic organism">facultatively anaerobic</a>, <a href="Gram-positive" class="mw-redirect" title="Gram-positive">gram-positive</a> <a href="Coccus" class="mw-redirect" title="Coccus">coccus</a> (round <a href="Bacteria" title="Bacteria">bacterium</a>) commonly found in the <a href="Human" title="Human">human</a> <a href="Oral_cavity" class="mw-redirect" title="Oral cavity">oral cavity</a> and is a significant contributor to <a href="Dental_caries" class="mw-redirect" title="Dental caries">tooth decay</a>.<sup id="cite_ref-Sherris_1-0" class="reference"><a href="#cite_note-Sherris-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Baron_2-0" class="reference"><a href="#cite_note-Baron-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup>
The microbe was first described by James Kilian Clarke in 1924.<sup id="cite_ref-Clarke_1924_3-0" class="reference"><a href="#cite_note-Clarke_1924-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup>
</p><p>This bacterium, along with the closely related species <i><a href="Streptococcus_sobrinus" title="Streptococcus sobrinus">Streptococcus sobrinus</a></i>, can cohabit the mouth: Both contribute to oral disease, and the expense of differentiating them in laboratory testing is often not clinically necessary. Therefore, for clinical purposes they are often considered together as a group, called the <b>mutans streptococci</b>.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup> This grouping of similar bacteria with similar <a href="Tropism" title="Tropism">tropism</a> can also be seen in the <a href="Viridans_streptococci" title="Viridans streptococci">viridans streptococci</a> – of which <i>Streptococcus mutans</i> is itself also a member.<sup id="cite_ref-p608_5-0" class="reference"><a href="#cite_note-p608-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup>
</p>
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<div class="mw-heading mw-heading2"><h2 id="Ecology">Ecology</h2></div>
<p><i>S. mutans</i> is naturally present in the human oral microbiota, along with at least 25 other species of oral streptococci. The <a href="Taxonomy_(biology)" title="Taxonomy (biology)">taxonomy</a> of these bacteria remains tentative.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> Different areas of the oral cavity present different ecological niches, and each species has specific properties for colonizing different oral sites. <i>S. mutans</i> is most prevalent on the pits and <a href="Fissure_(dentistry)" class="mw-redirect" title="Fissure (dentistry)">fissures</a>, constituting 39% of the total streptococci in the oral cavity. Fewer <i>S. mutans</i> bacteria are found on the buccal surface (2–9%).<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup>
</p><p>Bacterial-fungal co-coaggregation can help to increase the cariogenic potential of <i>S. mutans</i>. A symbiotic relationship with <i>S. mutans</i> and <i><a href="Candida_albicans" title="Candida albicans">Candida albicans</a></i> leads to increased glucan production and increased biofilm formation. This therefore amplifies the cariogenic effect of <i>S. mutans</i>.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup>
</p><p>Oral streptococci comprise both harmless and harmful bacteria. However, under special conditions commensal streptococci can become opportunistic pathogens, initiating disease and damaging the host. Imbalances in the microbial biota can initiate oral diseases.
</p><p><i>C. albicans</i> is an opportunistic pathogenic yeast that can be found within the oral cavity.<sup id="cite_ref-:0_9-0" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> Its presence in the biofilm promotes higher levels of <i>S. mutans</i> when looking at <a href="Early_childhood_caries" title="Early childhood caries">early childhood caries</a>.<sup id="cite_ref-:0_9-1" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> It stimulates the formation of <i>S. mutans</i> microcolonies.<sup id="cite_ref-:0_9-2" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> This is achieved through low concentrations of cross-kingdom metabolites, such as <a href="Farnesol" title="Farnesol">farnesol</a>, derived from the <a href="Biofilm" title="Biofilm">biofilm</a>.<sup id="cite_ref-:0_9-3" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> It has been suggested that when both microbes are present, more biofilm matrix is produced, with a greater density.<sup id="cite_ref-:0_9-4" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> When <a href="Farnesol" title="Farnesol">farnesol</a> is in high concentration, it inhibits the growth of both <i>S. mutans</i> and <i>C. albicans</i>.<sup id="cite_ref-:0_9-5" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> This decreases the biofilm pathogenesis, and therefore its <a href="Caries" class="mw-redirect" title="Caries">caries</a> promoting potential.<sup id="cite_ref-:0_9-6" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup> This offers the potential for an anti-fungal to be used in the prevention of <a href="Tooth_decay" title="Tooth decay">dental caries</a>.<sup id="cite_ref-:0_9-7" class="reference"><a href="#cite_note-:0-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="Role_in_disease">Role in disease</h2></div>
<div class="mw-heading mw-heading3"><h3 id="Tooth_decay">Tooth decay</h3></div>
<p>Early colonizers of the tooth surface are mainly <i><a href="Neisseria" title="Neisseria">Neisseria</a></i> spp. and <a href="Streptococci" class="mw-redirect" title="Streptococci">streptococci</a>, including <i>S. mutans</i>. They must withstand the oral cleansing forces (e.g. saliva and the tongue movements) and adhere sufficiently to the dental hard tissues. The growth and metabolism of these pioneer species changes local environmental conditions (e.g., Eh, pH, coaggregation, and substrate availability), thereby enabling more fastidious organisms to further colonize after them, forming <a href="Dental_plaque" title="Dental plaque">dental plaque</a>.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup> Along with <i><a href="Streptococcus_sobrinus" title="Streptococcus sobrinus">S. sobrinus</a></i>, <i>S. mutans</i> plays a major role in tooth decay, <a href="Metabolize" class="mw-redirect" title="Metabolize">metabolizing</a> <a href="Sucrose" title="Sucrose">sucrose</a> to <a href="Lactic_acid" title="Lactic acid">lactic acid</a>.<sup id="cite_ref-Baron_2-1" class="reference"><a href="#cite_note-Baron-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">[</span>11<span class="cite-bracket">]</span></a></sup> The <a href="Acidic" class="mw-redirect" title="Acidic">acidic</a> environment created in the mouth by this process is what causes the highly <a href="Mineralization_(biology)" class="mw-redirect" title="Mineralization (biology)">mineralized</a> <a href="Tooth_enamel" title="Tooth enamel">tooth enamel</a> to be vulnerable to decay. <i>S. mutans</i> is one of a few specialized organisms equipped with receptors that improve adhesion to the surface of teeth. <i>S. mutans</i> uses the <a href="Glucosyltransferase" title="Glucosyltransferase">glucosyltransferase</a> enzymes to convert the glucosyl moiety of sucrose into a sticky, extracellular, <a href="Dextran" title="Dextran">dextran</a>-like <a href="Polysaccharide" title="Polysaccharide">polysaccharide</a> that allows them to <a href="https://en.wiktionary.org/wiki/cohere" class="extiw external" title="wikt:cohere">cohere</a>, forming plaque:
</p>
<dl><dd><i>n</i> sucrose → (glucose)<sub><i>n</i></sub> + <i>n</i> fructose</dd></dl>
<p><a href="Sucrose" title="Sucrose">Sucrose</a> is the only sugar that bacteria can use to form this sticky polysaccharide.<sup id="cite_ref-Sherris_1-1" class="reference"><a href="#cite_note-Sherris-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup>
</p><p>However, other sugars—<a href="Glucose" title="Glucose">glucose</a>, <a href="Fructose" title="Fructose">fructose</a>, <a href="Lactose" title="Lactose">lactose</a>—can also be digested by <i>S. mutans</i>, but they produce <a href="Lactic_acid" title="Lactic acid">lactic acid</a> as an end product. The combination of plaque and acid leads to dental decay.<sup id="cite_ref-Brock_12-0" class="reference"><a href="#cite_note-Brock-12"><span class="cite-bracket">[</span>12<span class="cite-bracket">]</span></a></sup> Due to the role <i>S. mutans</i> plays in tooth decay, many attempts have been made to create a <a href="Caries_vaccine" title="Caries vaccine">vaccine</a> for the organism. So far, such vaccines have not been successful in humans.<sup id="cite_ref-Klein_13-0" class="reference"><a href="#cite_note-Klein-13"><span class="cite-bracket">[</span>13<span class="cite-bracket">]</span></a></sup> Recently, proteins involved in the colonization of teeth by <i>S. mutans</i> have been shown to produce antibodies that inhibit the <a href="Cariogenic" class="mw-redirect" title="Cariogenic">cariogenic</a> process.<sup id="cite_ref-hajishengallis_14-0" class="reference"><a href="#cite_note-hajishengallis-14"><span class="cite-bracket">[</span>14<span class="cite-bracket">]</span></a></sup>
A molecule recently synthesized at Yale University and the University of Chile, called Keep 32, is supposed to be able to kill <i>S. mutans</i>. Another candidate is a peptide called C16G2, synthesised at UCLA.
</p><p>It is believed that <i>Streptococcus mutans</i> acquired the gene that enables it to produce biofilms through horizontal gene transfer with other lactic acid bacterial species, such as <i><a href="Lactobacillus" title="Lactobacillus">Lactobacillus</a></i>.<sup id="cite_ref-ReferenceB_15-0" class="reference"><a href="#cite_note-ReferenceB-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading3"><h3 id="Life_in_the_oral_cavity">Life in the oral cavity</h3></div>
<p>Surviving in the oral cavity, <i>S. mutans</i> is the primary causal agent and the pathogenic species responsible for dental caries (tooth decay or cavities) specifically in the initiation and development stages.<sup id="cite_ref-simon_16-0" class="reference"><a href="#cite_note-simon-16"><span class="cite-bracket">[</span>16<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-alaluusua_17-0" class="reference"><a href="#cite_note-alaluusua-17"><span class="cite-bracket">[</span>17<span class="cite-bracket">]</span></a></sup>
</p><p><a href="Dental_plaque" title="Dental plaque">Dental plaque</a>, typically the precursor to tooth decay, contains more than 600 different microorganisms, contributing to the oral cavity's overall dynamic environment that frequently undergoes rapid changes in pH, nutrient availability, and oxygen tension. Dental plaque adheres to the teeth and consists of bacterial cells, while plaque is the <a href="Biofilm" title="Biofilm">biofilm</a> on the surfaces of the teeth. Dental plaque and <i>S. mutans</i> is frequently exposed to "toxic compounds" from oral healthcare products, food additives, and tobacco.
</p><p>While <i>S. mutans</i> grows in the biofilm, cells maintain a balance of metabolism that involves production and detoxification. <a href="Biofilm" title="Biofilm">Biofilm</a> is an aggregate of microorganisms in which cells adhere to each other or a surface. Bacteria in the biofilm community can actually generate various toxic compounds that interfere with the growth of other competing bacteria.
</p><p><i>S. mutans</i> has over time developed strategies to successfully colonize and maintain a dominant presence in the oral cavity. The oral biofilm is continuously challenged by changes in the environmental conditions. In response to such changes, the bacterial community evolved with individual members and their specific functions to survive in the oral cavity. <i>S. mutans</i> has been able to evolve from nutrition-limiting conditions to protect itself in extreme conditions.<sup id="cite_ref-BS_&amp;_BI_1460-1469_18-0" class="reference"><a href="#cite_note-BS_&amp;_BI_1460-1469-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> Streptococci represent 20% of the oral bacteria and actually determine the development of the biofilms. Although <i>S. mutans</i> can be antagonized by pioneer colonizers, once they become dominant in oral biofilms, dental caries can develop and thrive.<sup id="cite_ref-BS_&amp;_BI_1460-1469_18-1" class="reference"><a href="#cite_note-BS_&amp;_BI_1460-1469-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading3"><h3 id="Cariogenic_potential">Cariogenic potential</h3></div>
<p>The causative agent of dental caries is associated with its ability to metabolize various sugars, form a robust biofilm, produce an abundant amount of lactic acid, and thrive in the acid environment it generates.<sup id="cite_ref-AS_49_984-992_19-0" class="reference"><a href="#cite_note-AS_49_984-992-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> A study into pH of plaque said that the critical pH for increased demineralisation of dental hard tissues (enamel and dentine) is 5.5. The Stephan curve illustrates how quickly the plaque pH can fall below 5.5 after a snack or meal.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">[</span>20<span class="cite-bracket">]</span></a></sup>
</p><p><a href="Dental_caries" class="mw-redirect" title="Dental caries">Dental caries</a> is a dental biofilm-related oral disease associated with increased consumption of dietary sugar and fermentable carbohydrates. When dental biofilms remain on tooth surfaces, along with frequent exposure to sugars, acidogenic bacteria (members of dental biofilms) will metabolize the sugars to organic acids. Untreated dental caries is the most common disease affecting humans worldwide <sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">[</span>21<span class="cite-bracket">]</span></a></sup><sup>.</sup> Persistence of this acidic condition encourages the proliferation of acidogenic and aciduric bacteria as a result of their ability to survive at a low-pH environment. The low-pH environment in the biofilm matrix erodes the surface of the teeth and begins the "initiation" of the dental caries.<sup id="cite_ref-AS_49_984-992_19-1" class="reference"><a href="#cite_note-AS_49_984-992-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup> <i>Streptococcus mutans</i> is a bacterium which is prevalent within the oral environment <sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">[</span>22<span class="cite-bracket">]</span></a></sup> and is thought to be a vital microorganism that contributes to this initiation.<sup id="cite_ref-pmid30829371_23-0" class="reference"><a href="#cite_note-pmid30829371-23"><span class="cite-bracket">[</span>23<span class="cite-bracket">]</span></a></sup> <i>S. mutans</i> thrives in acidic conditions, becoming the main bacterium in cultures with permanently reduced pH <sup id="cite_ref-24" class="reference"><a href="#cite_note-24"><span class="cite-bracket">[</span>24<span class="cite-bracket">]</span></a></sup><sup>.</sup> If the adherence of <i>S. mutans</i> to the surface of teeth or the physiological ability (acidogenity and aciduricity) of <i>S. mutans</i> in dental biofilms can be reduced or eliminated, the acidification potential of dental biofilms and later cavity formations can be decreased.<sup id="cite_ref-AS_49_984-992_19-2" class="reference"><a href="#cite_note-AS_49_984-992-19"><span class="cite-bracket">[</span>19<span class="cite-bracket">]</span></a></sup>
</p><p>Ideally, the early various lesion is prevented via treatment from developing beyond the white spot stage. Once beyond here, the enamel surface is irreversibly damaged and cannot be biologically repaired.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">[</span>25<span class="cite-bracket">]</span></a></sup> In young children, the pain from a carious lesion can be quite distressing and restorative treatment can cause an early dental anxiety to develop.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">[</span>26<span class="cite-bracket">]</span></a></sup> Dental anxiety has knock-on effects for both dental professionals and patients. Treatment planning and therefore treatment success can be compromised. The dental staff can become stressed and frustrated when working with anxious children. This can compromise their relationship with the child and their parents.<sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">[</span>27<span class="cite-bracket">]</span></a></sup> Studies have shown a cycle to exist, whereby dentally anxious patients avoid caring for the health of their oral tissues. They can sometimes avoid oral hygiene and will try to avoid seeking dental care until the pain is unbearable.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">[</span>28<span class="cite-bracket">]</span></a></sup>
</p><p>Susceptibility to disease varies between individuals and immunological mechanisms have been proposed to confer protection or susceptibility to the disease. These mechanisms have yet to be fully elucidated but it seems that while antigen presenting cells are activated by <i>S. mutans</i> <i>in vitro</i>, they fail to respond <i>in vivo</i>. Immunological tolerance to <i>S. mutans</i> at the mucosal surface may make individuals more prone to colonisation with <i>S. mutans</i> and therefore increase susceptibility to dental caries.<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">[</span>29<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading3"><h3 id="In_children">In children</h3></div>
<p><i>S. mutans</i> is often acquired in the oral cavity subsequent to tooth eruption, but has also been detected in the oral cavity of predentate children. It is generally, but not exclusively, transmitted via <a href="Vertical_transmission" title="Vertical transmission">vertical transmission</a> from caregiver (generally the mother) to child. This can also commonly happen when the parent puts their lips to the child's bottle to taste it, or to clean the child's pacifier, then puts it into the child's mouth.<sup id="cite_ref-30" class="reference"><a href="#cite_note-30"><span class="cite-bracket">[</span>30<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">[</span>31<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading3"><h3 id="Cardiovascular_disease">Cardiovascular disease</h3></div>
<p><i>S. mutans</i> is implicated in the pathogenesis of certain cardiovascular diseases, and is the most prevalent bacterial species detected in extirpated heart valve tissues, as well as in <a href="Atheromatous" class="mw-redirect" title="Atheromatous">atheromatous</a> plaques, with an incidence of 68.6% and 74.1%, respectively.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">[</span>32<span class="cite-bracket">]</span></a></sup> <i>Streptococcus sanguinis</i>, closely related to <i>S. mutans</i> and also found in the oral cavity, has been shown to cause Infective Endocarditis.<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">[</span>33<span class="cite-bracket">]</span></a></sup>
</p><p><i>Streptococcus mutans</i> has been associated with bacteraemia and infective endocarditis (IE). IE is divided into acute and subacute forms, and the bacterium is isolated in subacute cases. The common symptoms are: fever, chills, sweats, anorexia, weight loss, and malaise.<sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">[</span>34<span class="cite-bracket">]</span></a></sup>
</p><p><i>S. mutans</i> has been classified into four serotypes; c, e, f, and k. The classification of the serotypes is devised from the chemical composition of the serotype-specific rhamnose-glucose polymers. For example, serotype k initially found in blood isolates has a large reduction of glucose side chains attached to the rhamnose backbone. <i>S. mutans</i> has the following surface protein antigens: glucosyltransferases, protein antigen and glucan-binding proteins. If these surface protein antigens are not present, then the bacteria is a protein antigen-defective mutant with the least susceptibility to phagocytosis therefore causing the least harm to cells.
</p><p>Furthermore, rat experiments showed that infection with such defective <i>streptococcus</i> mutants (<i>S. mutans</i> strains without glucosyltransferases isolated from a destroyed heart valve of an infective endocarditis patient) resulted in a longer duration of bacteraemia. The results demonstrate that the virulence of infective endocarditis caused by <i>S. mutans</i> is linked to the specific cell surface components present.
</p><p>In addition, <i>S. mutans</i> DNA has been found in cardiovascular specimens at a higher ratio than other periodontal bacteria. This highlights its possible involvement in a variety of types of cardiovascular diseases, not just confined to bacteraemia and infective endocarditis.<sup id="cite_ref-35" class="reference"><a href="#cite_note-35"><span class="cite-bracket">[</span>35<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="Prevention_and_treatment">Prevention and treatment</h2></div>
<p>Practice of good <a href="Oral_hygiene" title="Oral hygiene">oral hygiene</a> including daily brushing, flossing and the use of appropriate mouthwash can significantly reduce the number of oral bacteria, including <i>S. mutans</i> and inhibit their proliferation. <i>S. mutans</i> often live in <a href="Dental_plaque" title="Dental plaque">dental plaque</a>, hence mechanical removal of plaque is an effective way of getting rid of them.<sup id="cite_ref-36" class="reference"><a href="#cite_note-36"><span class="cite-bracket">[</span>36<span class="cite-bracket">]</span></a></sup> The best toothbrushing technique to reduce plaque build up, decreasing caries risk, is the <a href="Tooth_brushing#Techniques" title="Tooth brushing">modified Bass technique</a>. Brushing twice daily can help decrease the caries risk.<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">[</span>37<span class="cite-bracket">]</span></a></sup> However, there are some remedies used in the treatment of oral bacterial infection, in conjunction with mechanical cleaning. These include <a href="Fluoride" title="Fluoride">fluoride</a>, which has a direct inhibitory effect on the <a href="Enolase" title="Enolase">enolase</a> enzyme, as well as <a href="Chlorhexidine" title="Chlorhexidine">chlorhexidine</a>, which works presumably by interfering with bacterial adherence.
</p><p>Furthermore, fluoride ions can be detrimental to bacterial cell metabolism. Fluoride directly inhibits glycolytic enzymes and H+ATPases. Fluoride ions also lower the pH of the cytoplasm. This means there will be less acid produced during the bacterial glycolysis.<sup id="cite_ref-pmid21701194_38-0" class="reference"><a href="#cite_note-pmid21701194-38"><span class="cite-bracket">[</span>38<span class="cite-bracket">]</span></a></sup> Therefore, fluoride mouthwashes, toothpastes, gels and varnishes can help to reduce the prevalence of caries.<sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">[</span>39<span class="cite-bracket">]</span></a></sup> However, findings from investigations into the effect of fluoride-containing varnish, on the level of <i>Streptococcus mutans</i> in the oral environment in children suggest that the reduction of caries cannot be explained by a reduction in the level of <i>Streptococcus mutans</i> in saliva or dental plaque.<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">[</span>40<span class="cite-bracket">]</span></a></sup> <a href="Fluoride_varnish" title="Fluoride varnish">Fluoride varnish</a> treatment with or without prior dental hygiene has no significant effect on the plaque and salivary levels of <i>S. mutans</i>.<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">[</span>41<span class="cite-bracket">]</span></a></sup>
</p><p><i>S. mutans</i> secretes Glucosyltransferase on its cell wall, which allows the bacteria to produce polysaccharides from sucrose. These sticky polysaccharides are responsible for the bacteria's ability to aggregate with one another and adhere to tooth enamel, i.e. to form <a href="Biofilm" title="Biofilm">biofilms</a>. Use of Anti Cell-Associated Glucosyltransferase (Anti-CA-gtf) Immunoglobulin Y disrupts <i>S. mutans</i>' ability to adhere to the teeth enamel, thus preventing it from reproducing. Studies have shown that Anti-CA-gtf IgY is able to effectively and specifically suppress <i>S. mutans</i> in the oral cavity.<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">[</span>42<span class="cite-bracket">]</span></a></sup>
</p><p>Other common preventative measures center on reducing sugar intake. One way this is done is with sugar replacements such as <a href="Xylitol" title="Xylitol">xylitol</a> or erythritol which cannot be metabolized into sugars which normally enhance <i>S. mutans</i> growth. The molecule xylitol, a 5 carbon sugar, disrupts the energy production of <i>S.mutans</i> by forming a toxic intermediate during glycolysis.<sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">[</span>43<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-Heinsohn,_T:_Xylitol_and_Streptococcus_mutans_44-0" class="reference"><a href="#cite_note-Heinsohn,_T:_Xylitol_and_Streptococcus_mutans-44"><span class="cite-bracket">[</span>44<span class="cite-bracket">]</span></a></sup> Various other natural remedies have been suggested or studied to a degree, including <a href="Deglycyrrhizinated_licorice" title="Deglycyrrhizinated licorice">deglycyrrhizinated licorice</a> root extract,<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">[</span>45<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">[</span>46<span class="cite-bracket">]</span></a></sup> <a href="Tea_tree_oil" title="Tea tree oil">tea tree oil</a>,<sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">[</span>47<span class="cite-bracket">]</span></a></sup> <a href="Macelignan" title="Macelignan">macelignan</a> (found in <a href="Nutmeg" title="Nutmeg">nutmeg</a>),<sup id="cite_ref-48" class="reference"><a href="#cite_note-48"><span class="cite-bracket">[</span>48<span class="cite-bracket">]</span></a></sup> <a href="Curcuminoids" class="mw-redirect" title="Curcuminoids">curcuminoids</a> (the main components of <a href="Turmeric" title="Turmeric">turmeric</a>),<sup id="cite_ref-49" class="reference"><a href="#cite_note-49"><span class="cite-bracket">[</span>49<span class="cite-bracket">]</span></a></sup> and <a href="Eugenol" title="Eugenol">eugenol</a> (found in bay leaves, cinnamon leaves and cloves). Additionally various teas have been tested for activity against <i>S. mutans</i> and other dental benefits.<sup id="cite_ref-50" class="reference"><a href="#cite_note-50"><span class="cite-bracket">[</span>50<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-51" class="reference"><a href="#cite_note-51"><span class="cite-bracket">[</span>51<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-52" class="reference"><a href="#cite_note-52"><span class="cite-bracket">[</span>52<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-53" class="reference"><a href="#cite_note-53"><span class="cite-bracket">[</span>53<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-54" class="reference"><a href="#cite_note-54"><span class="cite-bracket">[</span>54<span class="cite-bracket">]</span></a></sup> Recently, small molecule inhibitors selectively inhibit or disperse <i>S. mutans</i> biofilms have been identified and developed.<sup id="cite_ref-55" class="reference"><a href="#cite_note-55"><span class="cite-bracket">[</span>55<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-56" class="reference"><a href="#cite_note-56"><span class="cite-bracket">[</span>56<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-57" class="reference"><a href="#cite_note-57"><span class="cite-bracket">[</span>57<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-58" class="reference"><a href="#cite_note-58"><span class="cite-bracket">[</span>58<span class="cite-bracket">]</span></a></sup> Additionally, structure-based drug designs have identified selective inhibitors targeting <i>S. mutans</i> glucosyltransferases.<sup id="cite_ref-59" class="reference"><a href="#cite_note-59"><span class="cite-bracket">[</span>59<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-60" class="reference"><a href="#cite_note-60"><span class="cite-bracket">[</span>60<span class="cite-bracket">]</span></a></sup> These lead compounds are efficacious in preclinical animal models.<sup id="cite_ref-61" class="reference"><a href="#cite_note-61"><span class="cite-bracket">[</span>61<span class="cite-bracket">]</span></a></sup> However, none of these remedies have been subject to clinical trials or are recommended by mainstream dental health groups to treat <i>S. mutans</i>.
</p><p>The addition of bioactive glass beads to <a href="Dental_composite" title="Dental composite">dental composites</a> reduces penetration of <i>S. mutans</i> into the marginal gaps between tooth and composite.<sup id="cite_ref-:1_62-0" class="reference"><a href="#cite_note-:1-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup> They have antimicrobial properties, reducing bacterial penetration.<sup id="cite_ref-:1_62-1" class="reference"><a href="#cite_note-:1-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup> This decreases the risk of secondary caries developing, a common reason for failure of <a href="Dental_restoration" title="Dental restoration">dental restorations</a>.<sup id="cite_ref-:1_62-2" class="reference"><a href="#cite_note-:1-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup> This means that the longevity and efficacy of composite restorations may be improved.<sup id="cite_ref-:1_62-3" class="reference"><a href="#cite_note-:1-62"><span class="cite-bracket">[</span>62<span class="cite-bracket">]</span></a></sup>
</p><p><a href="Bacteriophage" title="Bacteriophage">Bacteriophages</a> (viruses that infect bacteria) that target <i>S. mutans</i> have been researched. Phages have shown promise in reducing <i>S. mutans</i> in lab settings, potentially offering a targeted approach to caries prevention without harming the mouth's natural microbiome.<sup id="cite_ref-pmid38452780_63-0" class="reference"><a href="#cite_note-pmid38452780-63"><span class="cite-bracket">[</span>63<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid34727414_64-0" class="reference"><a href="#cite_note-pmid34727414-64"><span class="cite-bracket">[</span>64<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid34063251_65-0" class="reference"><a href="#cite_note-pmid34063251-65"><span class="cite-bracket">[</span>65<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid34439064_66-0" class="reference"><a href="#cite_note-pmid34439064-66"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup> Several different phages have been found that infect <i>S. mutans</i>, including <a href="SMHBZ8" title="SMHBZ8">SMHBZ8</a>.<sup id="cite_ref-pmid34063251_65-1" class="reference"><a href="#cite_note-pmid34063251-65"><span class="cite-bracket">[</span>65<span class="cite-bracket">]</span></a></sup><sup id="cite_ref-pmid34439064_66-1" class="reference"><a href="#cite_note-pmid34439064-66"><span class="cite-bracket">[</span>66<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="Survival_under_stressful_conditions">Survival under stressful conditions</h2></div>
<p>Conditions in the <a href="Mouth" title="Mouth">oral cavity</a> are diverse and complex, frequently changing from one extreme to another. Thus, to survive in the oral cavity, <i>S. mutans</i> must tolerate rapidly harsh environmental fluctuations and exposure to various antimicrobial agents to survive.<sup id="cite_ref-BS_&amp;_BI_1460-1469_18-2" class="reference"><a href="#cite_note-BS_&amp;_BI_1460-1469-18"><span class="cite-bracket">[</span>18<span class="cite-bracket">]</span></a></sup> <a href="Transformation_(genetics)" class="mw-redirect" title="Transformation (genetics)">Transformation</a> is a bacterial adaptation involving the transfer of DNA from one bacterium to another through the surrounding medium. Transformation is a primitive form of <a href="Sexual_reproduction" title="Sexual reproduction">sexual reproduction</a>. For a bacterium to bind, take up, and recombine exogenous DNA into its chromosome, it must enter a special physiological state termed <a href="Natural_competence" title="Natural competence">"competence"</a>. In <i>S. mutans</i>, a peptide pheromone <a href="Quorum_sensing" title="Quorum sensing">quorum-sensing</a> signaling system controls genetic competence.<sup id="cite_ref-Li_67-0" class="reference"><a href="#cite_note-Li-67"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup> This system functions optimally when the S. mutans cells are in crowded biofilms.<sup id="cite_ref-68" class="reference"><a href="#cite_note-68"><span class="cite-bracket">[</span>68<span class="cite-bracket">]</span></a></sup> <i>S. mutans</i> cells growing in a biofilm are transformed at a rate 10- to 600-fold higher than single cells growing under uncrowded conditions (planktonic cells).<sup id="cite_ref-Li_67-1" class="reference"><a href="#cite_note-Li-67"><span class="cite-bracket">[</span>67<span class="cite-bracket">]</span></a></sup> Induction of competence appears to be an adaptation for repairing DNA damage caused by crowded, stressful conditions.<sup id="cite_ref-69" class="reference"><a href="#cite_note-69"><span class="cite-bracket">[</span>69<span class="cite-bracket">]</span></a></sup>
</p><p>Knowing about quorum-sensing gives rise to the potential development of drugs and therapies. Quorum-sensing peptides can be manipulated to cause target suicide. Furthermore, quenching quorum-sensing can lead to prevention of antibiotic resistance.<sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">[</span>70<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="Evolution">Evolution</h2></div>
<p>Three key traits have evolved in <i>S. mutans</i> and increased its virulence by enhancing its adaptability to the oral cavity: increased organic acid production, the capacity to form biofilms on the hard surfaces of teeth, and the ability to survive and thrive in a low pH environment.<sup id="cite_ref-71" class="reference"><a href="#cite_note-71"><span class="cite-bracket">[</span>71<span class="cite-bracket">]</span></a></sup>
</p><p>During its evolution, <i>S. mutans</i> acquired the ability to increase the amount of carbohydrates it could metabolize, and consequently more organic acid was produced as a byproduct.<sup id="cite_ref-ReferenceA_72-0" class="reference"><a href="#cite_note-ReferenceA-72"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup> This is significant in the formation of <a href="Dental_caries" class="mw-redirect" title="Dental caries">dental caries</a> because increased acidity in the oral cavity amplifies the rate of demineralization of the tooth, which leads to carious lesions.<sup id="cite_ref-ReferenceC_73-0" class="reference"><a href="#cite_note-ReferenceC-73"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup> It is thought that the trait evolved in <i>S. mutans</i> via <a href="Horizontal_gene_transfer" title="Horizontal gene transfer">lateral gene transfer</a> with another bacterial species present in the oral cavity. There are several genes, SMU.438 and SMU.1561, involved in carbohydrate metabolism that are up-regulated in <i>S. mutans</i>. These genes possibly originated from <i>Lactococcus lactis</i> and <i>S. gallolyticus</i>, respectively.<sup id="cite_ref-ReferenceA_72-1" class="reference"><a href="#cite_note-ReferenceA-72"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup>
</p><p>Another instance of lateral gene transfer is responsible for <i>S. mutans'</i> acquisition of the glucosyltransferase (GTF) gene. The GTF genes found in <i>S. mutans</i> are most likely derived from other anaerobic bacteria found in the oral cavity, such as <i>Lactobacillus</i> or <i>Leuconostoc</i>. Additionally, the GTF genes in <i>S. mutans</i> display <a href="Homology_(biology)" title="Homology (biology)">homology</a> with similar genes found in <i>Lactobacillus</i> and <i>Leuconostoc</i>. The common ancestral gene is believed to have been used for hydrolysis and linkage of carbohydrates.<sup id="cite_ref-ReferenceB_15-1" class="reference"><a href="#cite_note-ReferenceB-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup>
</p><p>The third trait that evolved in <i>S. mutans</i> is its ability to not only survive, but also thrive in acidic conditions. This trait gives <i>S. mutans</i> a selective advantage over other members of the oral microbiota. As a result, <i>S. mutans</i> could outcompete other species, and occupy additional regions of the mouth, such as advanced <a href="Dental_plaque" title="Dental plaque">dental plaques</a>, which can be as acidic as pH 4.0.<sup id="cite_ref-ReferenceC_73-1" class="reference"><a href="#cite_note-ReferenceC-73"><span class="cite-bracket">[</span>73<span class="cite-bracket">]</span></a></sup> <a href="Natural_selection" title="Natural selection">Natural selection</a> is most likely the primary evolutionary mechanisms responsible for this trait.
</p><p>In discussing the evolution of <i>S. mutans</i>, it is imperative to include the role humans have played and the co-evolution that has occurred between the two species. As humans evolved anthropologically, the bacteria evolved biologically. It is widely accepted that the advent of agriculture in early human populations provided the conditions <i>S. mutans</i> needed to evolve into the virulent bacterium it is today. Agriculture introduced fermented foods, as well as more carbohydrate-rich foods, into the diets of historic human populations. These new foods introduced new bacteria to the oral cavity and created new environmental conditions. For example, <i>Lactobacillus</i> or <i>Leuconostoc</i> are typically found in foods such as yogurt and wine. Also, consuming more carbohydrates increased the amount of sugars available to <i>S. mutans</i> for metabolism and lowered the pH of the oral cavity. This new acidic habitat would select for those bacteria that could survive and reproduce at a lower pH.<sup id="cite_ref-ReferenceA_72-2" class="reference"><a href="#cite_note-ReferenceA-72"><span class="cite-bracket">[</span>72<span class="cite-bracket">]</span></a></sup>
</p><p>Another significant change to the oral environment occurred during the <a href="Industrial_Revolution" title="Industrial Revolution">Industrial Revolution</a>. More efficient refinement and manufacturing of foodstuffs increased the availability and amount of <a href="Sucrose" title="Sucrose">sucrose</a> consumed by humans. This provided <i>S. mutans</i> with more energy resources, and thus exacerbated an already rising rate of dental caries.<sup id="cite_ref-ReferenceB_15-2" class="reference"><a href="#cite_note-ReferenceB-15"><span class="cite-bracket">[</span>15<span class="cite-bracket">]</span></a></sup> Refined sugar is pure sucrose, the only sugar that can be converted to sticky glucans, allowing bacteria to form a thick, strongly adhering plaque.<sup id="cite_ref-74" class="reference"><a href="#cite_note-74"><span class="cite-bracket">[</span>74<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2></div>
<ul><li><a href="Mutacin_1140" title="Mutacin 1140">Mutacin 1140</a></li>
<li><a href="Oral_microbiology" title="Oral microbiology">Oral microbiology</a></li>
<li><i><a href="Streptococcus_viridans" class="mw-redirect" title="Streptococcus viridans">Streptococcus viridans</a></i></li>
<li><a href="Xylitol" title="Xylitol">Xylitol</a></li>
<li><a href="Caries_vaccine" title="Caries vaccine">Caries vaccine</a></li></ul>
<div class="mw-heading mw-heading2"><h2 id="References">References</h2></div>
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<li id="cite_note-Sherris-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-Sherris_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Sherris_1-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">
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<li id="cite_note-Li-67"><span class="mw-cite-backlink">^ <a href="#cite_ref-Li_67-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Li_67-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><cite id="CITEREFLiLauLeeEllen2001" class="citation journal cs1">Li YH, Lau PC, Lee JH, Ellen RP, Cvitkovitch DG (February 2001). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC94956">"Natural genetic transformation of Streptococcus mutans growing in biofilms"</a>. <i>Journal of Bacteriology</i>. <b>183</b> (3): <span class="nowrap">897–</span>908. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1128%2FJB.183.3.897-908.2001">10.1128/JB.183.3.897-908.2001</a>. <a href="PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&nbsp;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC94956">94956</a></span>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/11208787">11208787</a>.</cite></span>
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<li id="cite_note-68"><span class="mw-cite-backlink"><b><a href="#cite_ref-68">^</a></b></span> <span class="reference-text"><cite id="CITEREFAspirasEllenCvitkovitch2004" class="citation journal cs1">Aspiras MB, Ellen RP, Cvitkovitch DG (September 2004). "ComX activity of Streptococcus mutans growing in biofilms". <i>FEMS Microbiology Letters</i>. <b>238</b> (1): <span class="nowrap">167–</span>74. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.femsle.2004.07.032">10.1016/j.femsle.2004.07.032</a>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/15336418">15336418</a>.</cite></span>
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<li id="cite_note-69"><span class="mw-cite-backlink"><b><a href="#cite_ref-69">^</a></b></span> <span class="reference-text"><cite id="CITEREFMichodBernsteinNedelcu2008" class="citation journal cs1">Michod RE, Bernstein H, Nedelcu AM (May 2008). "Adaptive value of sex in microbial pathogens". <i>Infection, Genetics and Evolution</i>. <b>8</b> (3): <span class="nowrap">267–</span>85. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.meegid.2008.01.002">10.1016/j.meegid.2008.01.002</a>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/18295550">18295550</a>.</cite> as <a rel="nofollow" class="external text" href="http://www.hummingbirds.arizona.edu/Faculty/Michod/Downloads/IGE%20review%20sex.pdf">PDF</a></span>
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<li id="cite_note-70"><span class="mw-cite-backlink"><b><a href="#cite_ref-70">^</a></b></span> <span class="reference-text"><cite id="CITEREFLeungDufourLévesque2015" class="citation journal cs1">Leung V, Dufour D, Lévesque CM (2015-10-23). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615949">"Death and survival in Streptococcus mutans: differing outcomes of a quorum-sensing signaling peptide"</a>. <i>Frontiers in Microbiology</i>. <b>6</b>: 1176. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.3389%2Ffmicb.2015.01176">10.3389/fmicb.2015.01176</a></span>. <a href="PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&nbsp;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4615949">4615949</a></span>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/26557114">26557114</a>.</cite></span>
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<li id="cite_note-71"><span class="mw-cite-backlink"><b><a href="#cite_ref-71">^</a></b></span> <span class="reference-text"><cite id="CITEREFBanasMillerFuschinoHazlett2007" class="citation journal cs1">Banas JA, Miller JD, Fuschino ME, Hazlett KR, Toyofuku W, Porter KA, et&nbsp;al. (January 2007). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797100">"Evidence that accumulation of mutants in a biofilm reflects natural selection rather than stress-induced adaptive mutation"</a>. <i>Applied and Environmental Microbiology</i>. <b>73</b> (1): <span class="nowrap">357–</span>61. <a href="Bibcode_(identifier)" class="mw-redirect" title="Bibcode (identifier)">Bibcode</a>:<a rel="nofollow" class="external text" href="https://ui.adsabs.harvard.edu/abs/2007ApEnM..73..357B">2007ApEnM..73..357B</a>. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1128%2Faem.02014-06">10.1128/aem.02014-06</a>. <a href="PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&nbsp;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797100">1797100</a></span>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/17085702">17085702</a>.</cite></span>
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<li id="cite_note-ReferenceA-72"><span class="mw-cite-backlink">^ <a href="#cite_ref-ReferenceA_72-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-ReferenceA_72-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-ReferenceA_72-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><cite id="CITEREFCornejoLefébureBitarLang2013" class="citation journal cs1">Cornejo OE, Lefébure T, Bitar PD, Lang P, Richards VP, Eilertson K, et&nbsp;al. (April 2013). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3603310">"Evolutionary and population genomics of the cavity causing bacteria Streptococcus mutans"</a>. <i>Molecular Biology and Evolution</i>. <b>30</b> (4): <span class="nowrap">881–</span>93. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1093%2Fmolbev%2Fmss278">10.1093/molbev/mss278</a>. <a href="PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&nbsp;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3603310">3603310</a></span>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/23228887">23228887</a>.</cite></span>
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<li id="cite_note-ReferenceC-73"><span class="mw-cite-backlink">^ <a href="#cite_ref-ReferenceC_73-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-ReferenceC_73-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><cite id="CITEREFTakahashiNyvad2011" class="citation journal cs1">Takahashi N, Nyvad B (March 2011). "The role of bacteria in the caries process: ecological perspectives". <i>Journal of Dental Research</i>. <b>90</b> (3): <span class="nowrap">294–</span>303. <a href="Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1177%2F0022034510379602">10.1177/0022034510379602</a>. <a href="PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&nbsp;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/20924061">20924061</a>. <a href="S2CID_(identifier)" class="mw-redirect" title="S2CID (identifier)">S2CID</a>&nbsp;<a rel="nofollow" class="external text" href="https://api.semanticscholar.org/CorpusID:25740861">25740861</a>.</cite></span>
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</ol></div></div>
<div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2></div>
<ul><li><a rel="nofollow" class="external text" href="http://www.mchoralhealth.org/OpenWide/mod1_2.htm">MCHoralhealth.org</a></li>
<li><a rel="nofollow" class="external text" href="http://bacdive.dsmz.de/index.php?search=14736&amp;submit=Search">Type strain of <i>Streptococcus mutans</i> at Bac<i>Dive</i> - the Bacterial Diversity Metadatabase</a></li></ul>
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</style><div id="*_Bacillota_(low-G+C)_Infectious_diseases_*_Bacterial_diseases:_G+200" style="font-size:114%;margin:0 4em">
<ul><li><a href="Bacillota" title="Bacillota">Bacillota</a> (low-<a href="GC-content" title="GC-content">G+C</a>) <a href="Infection" title="Infection">Infectious diseases</a></li>
<li><a href="Pathogenic_bacteria" title="Pathogenic bacteria">Bacterial diseases</a>: <a href="Gram-positive_bacterial_infection" class="mw-redirect" title="Gram-positive bacterial infection">G+</a></li></ul>
</div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Bacilli" title="Bacilli">Bacilli</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Lactobacillales" class="mw-redirect" title="Lactobacillales">Lactobacillales</a><br>(<a href="Catalase" title="Catalase">Cat-</a>)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Streptococcus" title="Streptococcus">Streptococcus</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Alpha-hemolytic_streptococci" class="mw-redirect" title="Alpha-hemolytic streptococci">α</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Optochin" title="Optochin">optochin</a> susceptible</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Streptococcus_pneumoniae" title="Streptococcus pneumoniae">S. pneumoniae</a></i>
<ul><li><a href="Pneumococcal_infection" title="Pneumococcal infection">Pneumococcal infection</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">optochin resistant</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Viridans_streptococci" title="Viridans streptococci">Viridans streptococci</a>: <i><a href="Streptococcus_mitis" title="Streptococcus mitis">S. mitis</a></i></li>
<li><i></i></li>
<li><i><a href="Streptococcus_oralis" title="Streptococcus oralis">S. oralis</a></i></li>
<li><i><a href="Streptococcus_sanguinis" title="Streptococcus sanguinis">S. sanguinis</a></i></li>
<li><i><a href="Streptococcus_sobrinus" title="Streptococcus sobrinus">S. sobrinus</a></i></li>
<li><a href="Streptococcus_anginosus_group" title="Streptococcus anginosus group"><i>S. anginosus</i> group</a></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Beta-hemolytic_streptococci" class="mw-redirect" title="Beta-hemolytic streptococci">β</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Group_A_streptococcal_infection" title="Group A streptococcal infection">A</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Bacitracin" title="Bacitracin">bacitracin</a> susceptible: <i><a href="Streptococcus_pyogenes" title="Streptococcus pyogenes">S. pyogenes</a></i>
<ul><li><a href="Group_A_streptococcal_infection" title="Group A streptococcal infection">Group A streptococcal infection</a></li>
<li><a href="Streptococcal_pharyngitis" title="Streptococcal pharyngitis">Streptococcal pharyngitis</a></li>
<li><a href="Scarlet_fever" title="Scarlet fever">Scarlet fever</a></li>
<li><a href="Erysipelas" title="Erysipelas">Erysipelas</a></li>
<li><a href="Rheumatic_fever" title="Rheumatic fever">Rheumatic fever</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Group_B_streptococcal_infection" title="Group B streptococcal infection">B</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li>bacitracin resistant, <a href="CAMP_test" title="CAMP test">CAMP test</a>+: <i><a href="Streptococcus_agalactiae" title="Streptococcus agalactiae">S. agalactiae</a></i>
<ul><li><a href="Group_B_streptococcal_infection" title="Group B streptococcal infection">Group B streptococcal infection</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">ungrouped</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Streptococcus_iniae" title="Streptococcus iniae">Streptococcus iniae</a></i>
<ul><li><a href="Cutaneous_Streptococcus_iniae_infection" title="Cutaneous Streptococcus iniae infection">Cutaneous Streptococcus iniae infection</a></li></ul></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Hemolysis_(microbiology)#Gamma" title="Hemolysis (microbiology)">γ</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Streptococcus#Group_D_(enterococci)_*variable_in_hemolysis" title="Streptococcus">D</a></li>
<li><a href="Bile_esculin_agar" title="Bile esculin agar">BEA</a>+: <i><a href="Streptococcus_bovis" title="Streptococcus bovis">Streptococcus bovis</a></i></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Enterococcus" title="Enterococcus">Enterococcus</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><a href="Bile_esculin_agar" title="Bile esculin agar">BEA</a>+: <i><a href="Enterococcus_faecalis" title="Enterococcus faecalis">Enterococcus faecalis</a></i>
<ul><li><a href="Urinary_tract_infection" title="Urinary tract infection">Urinary tract infection</a></li></ul></li>
<li><i><a href="Enterococcus_faecium" title="Enterococcus faecium">Enterococcus faecium</a></i></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Bacillales" title="Bacillales">Bacillales</a><br>(<a href="Catalase" title="Catalase">Cat+</a>)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Staphylococcal_infection" title="Staphylococcal infection">Staphylococcus</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Coagulase" title="Coagulase">Cg+</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Staphylococcus_aureus" title="Staphylococcus aureus">S. aureus</a></i>
<ul><li><a href="Staphylococcal_scalded_skin_syndrome" title="Staphylococcal scalded skin syndrome">Staphylococcal scalded skin syndrome</a></li>
<li><a href="Toxic_shock_syndrome" title="Toxic shock syndrome">Toxic shock syndrome</a></li>
<li><a href="Methicillin-resistant_Staphylococcus_aureus" title="Methicillin-resistant Staphylococcus aureus">MRSA</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Coagulase" title="Coagulase">Cg-</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Novobiocin" title="Novobiocin">novobiocin</a> susceptible</i>
<ul><li><i><a href="Staphylococcus_epidermidis" title="Staphylococcus epidermidis">S. epidermidis</a></i></li></ul></li>
<li><i>novobiocin resistant</i>
<ul><li><i><a href="Staphylococcus_saprophyticus" title="Staphylococcus saprophyticus">S. saprophyticus</a></i></li></ul></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Bacillus" title="Bacillus">Bacillus</a></i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Bacillus_anthracis" title="Bacillus anthracis">Bacillus anthracis</a></i>
<ul><li><a href="Anthrax" title="Anthrax">Anthrax</a></li></ul></li>
<li><i><a href="Bacillus_cereus" title="Bacillus cereus">Bacillus cereus</a></i>
<ul><li><a href="Foodborne_illness" title="Foodborne illness">Food poisoning</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Listeria" title="Listeria">Listeria</a></i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Listeria_monocytogenes" title="Listeria monocytogenes">Listeria monocytogenes</a></i>
<ul><li><a href="Listeriosis" title="Listeriosis">Listeriosis</a></li></ul></li></ul>
</div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Clostridia" title="Clostridia">Clostridia</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Clostridium" title="Clostridium">Clostridium</a></i> (<a href="Endospore" title="Endospore">spore</a>-forming)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><i>motile:</i></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Clostridium_botulinum" title="Clostridium botulinum">Clostridium botulinum</a></i>
<ul><li><a href="Botulism" title="Botulism">Botulism</a></li></ul></li>
<li><i><a href="Clostridium_tetani" title="Clostridium tetani">Clostridium tetani</a></i>
<ul><li><a href="Tetanus" title="Tetanus">Tetanus</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i>nonmotile:</i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Clostridium_perfringens" title="Clostridium perfringens">Clostridium perfringens</a></i>
<ul><li><a href="Gas_gangrene" title="Gas gangrene">Gas gangrene</a></li>
<li><a href="Clostridial_necrotizing_enteritis" title="Clostridial necrotizing enteritis">Clostridial necrotizing enteritis</a></li></ul></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Clostridioides" title="Clostridioides">Clostridioides</a></i> (<a href="Endospore" title="Endospore">spore</a>-forming)</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Clostridioides_difficile" title="Clostridioides difficile">Clostridioides difficile</a></i> [<i>Clostridium difficile</i>]
<ul><li><a href="Pseudomembranous_colitis" class="mw-redirect" title="Pseudomembranous colitis">Pseudomembranous colitis</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><i><a href="Finegoldia" title="Finegoldia">Finegoldia</a></i> (non-spore forming)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Finegoldia" title="Finegoldia">Finegoldia magna</a></i></li></ul>
</div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Mollicutes" title="Mollicutes">Mollicutes</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Mycoplasmataceae" title="Mycoplasmataceae">Mycoplasmataceae</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Ureaplasma_urealyticum" title="Ureaplasma urealyticum">Ureaplasma urealyticum</a></i>
<ul><li><a href="Ureaplasma_infection" class="mw-redirect" title="Ureaplasma infection">Ureaplasma infection</a></li></ul></li>
<li><i><a href="Mycoplasma_genitalium" title="Mycoplasma genitalium">Mycoplasma genitalium</a></i></li>
<li><i><a href="Mycoplasma_pneumoniae" title="Mycoplasma pneumoniae">Mycoplasma pneumoniae</a></i>
<ul><li><a href="Mycoplasma_pneumonia" title="Mycoplasma pneumonia">Mycoplasma pneumonia</a></li></ul></li></ul>
</div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="Anaeroplasmatales" class="mw-redirect" title="Anaeroplasmatales">Anaeroplasmatales</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><i><a href="Erysipelothrix_rhusiopathiae" title="Erysipelothrix rhusiopathiae">Erysipelothrix rhusiopathiae</a></i>
<ul><li><a href="Erysipeloid" title="Erysipeloid">Erysipeloid</a></li></ul></li></ul>
</div></td></tr></tbody></table><div></div></td></tr></tbody></table></div>
<div class="navbox-styles"></div><div role="navigation" class="navbox" aria-labelledby="Taxon_identifiers2394" style="padding:3px"><table class="nowraplinks hlist navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><div id="Taxon_identifiers2394" style="font-size:114%;margin:0 4em">Taxon identifiers</div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%;text-align: left;"><i>Streptococcus mutans</i></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em">
<ul><li><span style="white-space:nowrap;"><a href="Wikidata" title="Wikidata">Wikidata</a>: <span class="uid"><span class="external"><a href="https://www.wikidata.org/wiki/Q131452" class="extiw external" title="wikidata:Q131452">Q131452</a></span></span></span></li>
<li><span style="white-space:nowrap;"><a href="Wikispecies" title="Wikispecies">Wikispecies</a>: <span class="uid"><span class="external"><a href="https://species.wikimedia.org/wiki/Streptococcus_mutans" class="extiw external" title="wikispecies:Streptococcus mutans">Streptococcus mutans</a></span></span></span></li>
<li><span style="white-space:nowrap;"><a href="BacDive" title="BacDive">BacDive</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://bacdive.dsmz.de/strain/14736">14736</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="Catalogue_of_Life" title="Catalogue of Life">CoL</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://www.catalogueoflife.org/data/taxon/52Y44">52Y44</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="Encyclopedia_of_Life" title="Encyclopedia of Life">EoL</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://eol.org/pages/975361">975361</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="Global_Biodiversity_Information_Facility" title="Global Biodiversity Information Facility">GBIF</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://www.gbif.org/species/3227119">3227119</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="INaturalist" title="INaturalist">iNaturalist</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://inaturalist.org/taxa/540949">540949</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="Interim_Register_of_Marine_and_Nonmarine_Genera" title="Interim Register of Marine and Nonmarine Genera">IRMNG</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://www.irmng.org/aphia.php?p=taxdetails&amp;id=10031963">10031963</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="Integrated_Taxonomic_Information_System" title="Integrated Taxonomic Information System">ITIS</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://www.itis.gov/servlet/SingleRpt/SingleRpt?search_topic=TSN&amp;search_value=966483">966483</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="List_of_Prokaryotic_names_with_Standing_in_Nomenclature" title="List of Prokaryotic names with Standing in Nomenclature">LPSN</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://lpsn.dsmz.de/species/streptococcus-mutans">streptococcus-mutans</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="National_Center_for_Biotechnology_Information" title="National Center for Biotechnology Information">NCBI</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/Taxonomy/Browser/wwwtax.cgi?mode=Info&amp;id=1309">1309</a></span></span></li>
<li><span style="white-space:nowrap;">NZOR: <span class="uid"><a rel="nofollow" class="external text" href="https://www.nzor.org.nz/names/9c4126a8-6312-4118-b38d-a3b52faa738e">9c4126a8-6312-4118-b38d-a3b52faa738e</a></span></span></li>
<li><span style="white-space:nowrap;"><a href="Open_Tree_of_Life" title="Open Tree of Life">Open Tree of Life</a>: <span class="uid"><a rel="nofollow" class="external text" href="https://tree.opentreeoflife.org/taxonomy/browse?id=175959">175959</a></span></span></li>
<li><span style="white-space:nowrap;">SeqCode Registry: <span class="uid"><a rel="nofollow" class="external text" href="https://seqco.de/i:20019">20019</a></span></span></li></ul>
</div></td></tr></tbody></table></div>
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