Reconstructing early life environmental exposures using tooth biomarkers and their influence on the trajectory of the oral microbiome and oral health in childhood

使用牙齿生物标志物重建早期生活环境暴露及其对儿童口腔微生物组和口腔健康轨迹的影响

• 批准号: 10249275
• 负责人: Christina Jane Adler
• 金额: $ 57.93万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10249275
• 关键词: 1 year old; 8 year old; Affect; Age; Biological; Biological Assay; Biological Markers; Birth; Chemical Exposure; Chemicals; Childhood; Clinical; Clinical Data; Conceptions; Data; Dental; Dental caries; Development; Developmental Biology; Dimensions; Disease; Elements; Endocrine; Environment; Environmental Exposure; Environmental Risk Factor; Evolution; Exposure to; Fetal Development; Foundations; Future; Genes; Genetic Risk; Goals; Health; Histologic; Hour; Human; Human Microbiome; Immune; Intervention; Joints; Life; Link; Measurement; Measures; Mediating; Metabolic; Metagenomics; Methods; Mission; Mixed Dentition; Mouth Diseases; National Institute of Dental and Craniofacial Research; Non-linear Models; Nutrient; Nutritional; Odontogenesis; Oral health; Outcome; Participant; Pathway interactions; Periodontal Diseases; Placenta; Poison; Predisposition; Prevalence; Prospective cohort; Recording of previous events; Research; Research Design; Research Support; Resources; Risk; Sampling; Second Pregnancy Trimester; Statistical Data Interpretation; Statistical Methods; Sum; System; Techniques; Technology; Testing; Third Pregnancy Trimester; Time; Tooth Diseases; Tooth structure; Toxicant exposure; Translating; Twin Multiple Birth; Twin Studies; cohort; cost effective; deciduous tooth; dysbiosis; early childhood; early life exposure; environmental chemical; experience; fetal; gut microbiome; health data; high dimensionality; improved; innovation; metabolome; metabolomics; microbial; microbiome; multidimensional data; novel; novel marker; oral microbiome; permanent tooth; population based; postnatal; prenatal; prevent; repository; response; synergism; temporal measurement; toxic metal

PROJECT SUMMARY Dysbiosis between the oral microbiome and host underpins the development of dental caries. Assembly of the oral microbiome occurs hours after birth and evolves over time in response to environmental exposures. Early life is therefore a critical window when the microbiome is particularly susceptible to environmental exposures, including nutritional and toxic chemicals. Large scale studies of the impact of early life environment exposures on microbiome trajectories and subsequent risk of pediatric caries, have been prevented due to a lack of technology to directly measure the fetal environmental exposures and lack of statistical measures to account for the high dimensional data generated by –omic assays. We propose to overcome these limitations by combining metagenomic oral microbiome data with direct measures of fetal and postnatal exposure to essential elements and toxic metals as well as metabolomics data measured from the prenatal and early childhood periods using specialized tooth-matrix biomarkers that we have developed. The long term goal is to better understand the interaction of environment and the oral microbiome, and their separate and combined effects on caries development. The overall objective of this proposal is to identify environmental exposures and critical windows during development that impact the microbiome trajectory and modify caries risk. We leverage an existing population-based prospective cohort of 500 twins in which biosamples, clinical data and supporting data have already been collected from a substantial portion of participants. Our overarching hypothesis is that environmental exposures during early life alter the acquisition and maturation of the oral microbiome, and in the background of genetic risk, mediate oral health outcomes in childhood. Guided by strong preliminary data, this hypothesis will be tested by 1) determining the association between prenatal and early postnatal exposures with the assembly and evolution of the oral microbiome and 2) determining how early life exposures and oral microbiome trajectories contribute, separately and jointly, to caries risk. The approach is innovative in its technique of measuring biomarkers of environmental exposures in temporally assigned zones of deciduous teeth to reconstruct prenatal and early postnatal histories of exposure, measurement of the oral microbiome at 5 time points to construct trajectories, application of high dimensional statistical methods and leveraging of a twin cohort to assess gene x environment x microbiome interactions. The proposed research is significant because it will identify actionable environmental risk factors for pediatric dental caries and lay the foundation for future studies that can leverage these resources to better understand the interaction between environmental exposure mixtures and microbiome trajectories and impacts on oral health.

项目概要 口腔微生物组和宿主之间的生态失调是龋齿发生的基础。 口腔微生物群在出生后数小时内出现，并随着时间的推移而演变，以响应早期的环境暴露。 因此，当微生物组特别容易受到环境暴露的影响时，生命是一个关键的窗口期， 包括对生命早期环境暴露影响的大规模研究。 关于微生物组轨迹和随后的儿童龋齿风险的研究，由于缺乏 直接测量胎儿环境暴露的技术，但缺乏统计措施来解释 对于组学分析生成的高维数据，我们建议通过以下方式克服这些限制。 将宏基因组口腔微生物组数据与胎儿和产后接触必需物质的直接测量相结合 元素和有毒金属以及产前和幼儿期测量的代谢组学数据 使用我们开发的专门的牙基质生物标记物进行治疗的长期目标是更好。 了解环境和口腔微生物群的相互作用，以及它们对口腔微生物的单独和综合影响 该提案的总体目标是确定环境暴露和关键情况。 我们利用开发过程中影响微生物组轨迹并改变龋齿风险的窗口。 现有基于人群的 500 名双胞胎前瞻性队列，其中生物样本、临床数据和支持 我们已经从大部分参与者那里收集了数据。 生命早期的环境暴露改变了口腔微生物组的获得和成熟，并且在 在强有力的初步数据的指导下，遗传风险的背景可以调节儿童的口腔健康结果。 假设将通过以下方式进行检验： 1) 确定产前和产后早期暴露之间的关联 随着口腔微生物组的组装和进化，2) 确定生命早期的暴露和口腔微生物如何 微生物组轨迹单独或共同影响龋齿风险，该方法具有创新性。 测量落叶树暂时指定区域环境暴露生物标志物的技术 牙齿重建产前和产后早期暴露史，测量口腔微生物组 构建轨迹的 5 个时间点、高维统计方法的应用以及利用 双胞胎队列评估基因 x 环境 x 微生物组相互作用。拟议的研究具有重要意义。 因为它将确定儿童龋齿的可操作环境风险因素，并为以下方面奠定基础： 未来的研究可以利用这些资源更好地了解环境之间的相互作用 暴露混合物和微生物组轨迹以及对口腔健康的影响。