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Candidacidal Activity of Xylitol and Sorbitol

  • Kim, Jihoon (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Kim, Yoon-Young (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Chang, Ji-Youn (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University) ;
  • Kho, Hong-Seop (Department of Oral Medicine and Oral Diagnosis, School of Dentistry and Dental Research Institute, Seoul National University)
  • Received : 2016.10.28
  • Accepted : 2016.12.07
  • Published : 2016.12.30

Abstract

Purpose: It has been reported that xylitol and sorbitol affect antifungal activities by enhancing antimicrobial activities of other substances. The purpose of this study was to investigate the direct candidacidal activities of xylitol and sorbitol at a wide range of concentration. Methods: Xylitol and sorbitol solubilized with simulated salivary buffer at a range of $0.8{\mu}M$ to 1.05 M were used. Candida albicans strains, ATCC strains 10231, 11006, and 18804 were used for the candidacidal assay. The candidacidal activities of xylitol and sorbitol were determined by comparing the numbers of colony forming units between in the presence and absence of xylitol or sorbitol and calculating the percent loss of cell viability. Results: There were some differences in the candidacidal activities according to the types of sugar alcohols and C. albicans strains. The candidacidal activity of more than 10% was observed when a final concentration of 32.9 mM in xylitol or sorbitol was maintained and that of about 20% was observed when a final concentration of 131 mM was maintained. Even at a high concentration of 1.05 M, the candidacidal activity of xylitol or sorbitol was about 20%. Conclusions: Xylitol and sorbitol at the concentrations used in commercial oral health care products had some levels of candidacidal activities.

Keywords

References

  1. Soderling EM. Xylitol, mutans streptococci, and dental plaque. Adv Dent Res 2009;21:74-78. https://doi.org/10.1177/0895937409335642
  2. Gales MA, Nguyen TM. Sorbitol compared with xylitol in prevention of dental caries. Ann Pharmacother 2000;34:98-100. https://doi.org/10.1345/aph.19020
  3. Van Loveren C. Sugar alcohols: what is the evidence for cariespreventive and caries-therapeutic effects? Caries Res 2004;38:286-293. https://doi.org/10.1159/000077768
  4. Ur-Rehman S, Mushtaq Z, Zahoor T, Jamil A, Murtaza MA. Xylitol: a review on bioproduction, application, health benefits, and related safety issues. Crit Rev Food Sci Nutr 2015;55:1514-1528. https://doi.org/10.1080/10408398.2012.702288
  5. Paula VA, Modesto A, Santos KR, Gleiser R. Antimicrobial effects of the combination of chlorhexidine and xylitol. Br Dent J 2010;209:E19. https://doi.org/10.1038/sj.bdj.2010.887
  6. Sakallioglu O, Guvenc IA, Cingi C. Xylitol and its usage in ENT practice. J Laryngol Otol 2014;128:580-585. https://doi.org/10.1017/S0022215114001340
  7. Salminen S, Salminen E, Koivistoinen P, Bridges J, Marks V. Gut microflora interactions with xylitol in the mouse, rat and man. Food Chem Toxicol 1985;23:985-990. https://doi.org/10.1016/0278-6915(85)90248-0
  8. Samaranayake YH, MacFarlane TW, Aitchison TC, Samaranayake LP. The in vitro lysozyme susceptibility of Candida albicans cultured in carbohydrate-supplemented media. Oral Microbiol Immunol 1993;8:177-181. https://doi.org/10.1111/j.1399-302X.1993.tb00662.x
  9. Klewicka E. Antifungal activity of lactic acid bacteria of genus Lactobacillus sp. in the presence of polyols. Acta Alimentaria 2007;36:495-499. https://doi.org/10.1556/AAlim.2007.0004
  10. Lipinska L, Klewicki R, Klewicka E, Kolodziejczyk K, Sojka M, Nowak A. Antifungal activity of Lactobacillus sp. bacteria in the presence of xylitol and galactosyl-xylitol. Biomed Res Int 2016; 2016:5897486.
  11. Ichikawa T, Yano Y, Fujita Y, Kashiwabara T, Nagao K. The enhancement effect of three sugar alcohols on the fungicidal effect of benzethonium chloride toward Candida albicans. J Dent 2008;36:965-968. https://doi.org/10.1016/j.jdent.2008.07.013
  12. Vargas SL, Patrick CC, Ayers GD, Hughes WT. Modulating effect of dietary carbohydrate supplementation on Candida albicans colonization and invasion in a neutropenic mouse model. Infect Immun 1993;61:619-626.
  13. Pizzoferrato L. Functional ingredients and functional components. Ingredienti Alimentari 2003;2:26-30.
  14. Makinen KK, Tenovuo J, Scheinin A. Xylitol-induced increase of lactoperoxidase activity. J Dent Res 1976;55:652-660. https://doi.org/10.1177/00220345760550041901
  15. Kim BS, Chang JY, Kim YY, Kho HS. The effects of xylitol and sorbitol on lysozyme- and peroxidase-related enzymatic and candidacidal activities. Arch Oral Biol 2015;60:998-1006. https://doi.org/10.1016/j.archoralbio.2015.03.011
  16. Bennick A, Cannon M. Quantitative study of the interaction of salivary acidic proline-rich proteins with hydroxyapatite. Caries Res 1978;12:159-169. https://doi.org/10.1159/000260326
  17. Tobgi RS, Samaranayake LP, MacFarlane TW. In vitro susceptibility of Candida species to lysozyme. Oral Microbiol Immunol 1988;3:35-39. https://doi.org/10.1111/j.1399-302X.1988.tb00603.x
  18. Petit JF, Jolles P. Purification and analysis of human saliva lysozyme. Nature 1963;200:168-169. https://doi.org/10.1038/200168a0
  19. Marquis G, Montplaisir S, Garzon S, Strykowski H, Auger P. Fungitoxicity of muramidase. Ultrastructural damage to Candida albicans. Lab Invest 1982;46:627-636.
  20. Marquis G, Garzon S, Strykowski H, Auger P. Cell walls of normal and lysozyme-damaged blastoconidia of Candida albicans: localization of surface factor 4 antigen and vicinal-glycol staining. Infect Immun 1991;59:1312-1318.
  21. Wu T, Samaranayake LP, Leung WK, Sullivan PA. Inhibition of growth and secreted aspartyl proteinase production in Candida albicans by lysozyme. J Med Microbiol 1999;48:721-730. https://doi.org/10.1099/00222615-48-8-721
  22. Tenovuo J. Clinical applications of antimicrobial host proteins lactoperoxidase, lysozyme and lactoferrin in xerostomia: efficacy and safety. Oral Dis 2002;8:23-29. https://doi.org/10.1034/j.1601-0825.2002.1o781.x