1. Introduction
Dental caries is one of the most prevalent biofilm-associated infectious diseases worldwide. Among oral pathogens,
Streptococcus mutans (
S. mutans) is widely recognized as a major etiological agent due to its capacity to adhere to tooth surfaces, produce acid from dietary carbohydrates, and synthesize extracellular polysaccharides (EPS) that constitute the structural matrix of dental biofilms [
1]. EPS, primarily generated by glucosyltransferases (Gtfs), facilitates bacterial accumulation, stabilizes biofilm architecture, and limits the penetration of antimicrobial agents [
2]. Consequently, interference with EPS synthesis has emerged as a promising strategy for caries control.
Erythritol, a four-carbon sugar alcohol extensively used as a non-caloric sweetener, has gained attention for its potential anti-cariogenic properties. Unlike fermentable sugars, erythritol is not metabolized by
S. mutans to produce organic acids [
3]. In addition, several in vitro and clinical studies have reported that erythritol reduces biofilm accumulation and decreases insoluble polysaccharide formation [
4,
5]. However, most studies have focused on phenotypic outcomes or changes in glucosyltransferase gene expression, and the upstream regulatory pathways involved in erythritol-mediated biofilm modulation remain poorly characterized.
In
S. mutans, carbohydrate uptake and sensing are largely mediated by the phosphoenolpyruvate-dependent phosphotransferase system (PTS) [
6]. Beyond sugar transport, the PTS participates in carbon catabolite repression and coordinates metabolic status with virulence-associated gene expression [
6,
7,
8]. The cellobiose-specific PTS, encoded by the
cel operon, includes the
celB gene, which encodes the IIB component of the transport complex [
9]. Although the
cel operon has been primarily studied in the context of carbohydrate transport and is known to be subject to transcriptional regulation [
10]; its potential contribution to EPS production and biofilm organization has not been clearly defined.
Given the increasing use of non-fermentable sugar substitutes in caries prevention, it is important to determine whether erythritol exerts solely passive effects or actively modulates bacterial virulence pathways. In particular, EPS synthesis plays a central role in plaque stability, bacterial adhesion, and resistance to antimicrobial agents, making it a clinically relevant target. Therefore, elucidating the molecular mechanisms by which erythritol influences EPS production in S. mutans is of both biological and clinical significance.
2. Materials & Methods
2.1. Bacterial Strains and Culture Conditions
Streptococcus mutans UA159 (ATCC 700610) was used as the wild-type (WT) strain throughout this study. Bacteria were routinely cultured in brain heart infusion (BHI; Hopebio, Qingdao, China) broth at 37 °C under 5% CO2. Overnight cultures were diluted 1:100 into fresh BHI and grown to an optical density at 600 nm (OD600) of approximately 0.5. This suspension was then further diluted 1:100 into fresh medium for all subsequent experiments to ensure standardized initial inoculum and comparable physiological status across assays. When indicated, erythritol (Sigma-Aldrich, St. Louis, MO, USA) was supplemented to the medium at a final concentration of 10% (w/v), based on preliminary experiments.
2.2. Construction of the ΔcelB Mutant
The
celB gene (locus tag SMU_RS07235) deletion mutant was generated using a two-step homologous recombination method as previously described [
11]. Briefly, approximately 1 kb upstream and downstream flanking regions of
celB were amplified by PCR from the
S. mutans UA159 genome. These fragments were fused with an erythromycin resistance cassette (
erm) by overlapping PCR. The resulting linear construct was transformed into competent
S. mutans UA159 cells as described previously. Transformants were selected on BHI agar plates containing 10 μg/mL erythromycin. The deletion of
celB was confirmed by colony PCR and further verified by quantitative real-time PCR (qPCR) to ensure the absence of
celB transcript. All primers used in this study are listed in
Supplementary Table S1.
2.3. Growth Curve Analysis
Overnight cultures of Streptococcus mutans UA159 were diluted 1:100 into fresh BHI with or without 10% erythritol in sterile 96-well microplates. Similarly, the growth of wild type (WT) and ΔcelB strains was compared in BHI without erythritol. The plates were incubated at 37 °C in a microplate reader (BioTek Instruments, Winooski, VT, USA). The OD600 was measured every hour for 12 h, with brief shaking before each reading.
2.4. Biofilm Formation and EPS Quantification
Biofilm formation was assessed using the crystal violet staining method as previously described [
12]. Briefly, overnight cultures of
S. mutans were adjusted to 1 × 10
7 CFU/mL in fresh BHI with or without 10% erythritol. Two-milliliter aliquots of the bacterial suspension were inoculated into 24-well plates (Biofil, Guangzhou, China) and incubated statically at 37 °C for 12 h. After incubation, the culture medium was gently aspirated, and the wells were washed twice with phosphate-buffered saline (PBS) to remove loosely adherent cells.
For biomass formation assessment, biofilms were fixed with 1 mL of methanol for 15 min, air-dried, and stained with 1 mL of 0.1% (w/v) crystal violet for 20 min. Excess stain was removed by washing with running water. The bound crystal violet was solubilized with 1 mL of 33% (v/v) acetic acid, and the absorbance was measured at 575 nm (OD575) using a microplate reader (BioTek Instruments, Winooski, VT, USA). Blank wells containing medium only were included as negative controls in the crystal violet assay.
For EPS quantification, water-insoluble EPS was measured using the anthrone-sulfuric acid method with modifications [
13]. After biofilm formation in 24-well plates as described above, the biofilms were gently washed with PBS, scraped, and collected in 1 mL of deionized water. Samples were centrifuged at 10,000×
g for 10 min at 4 °C, and the supernatant was discarded. The pellet was washed twice with PBS and then resuspended in 1 mL of 1 M NaOH. After incubation at 37 °C for 2 h to extract water-insoluble glucans, 200 μL of the alkali-soluble carbohydrate solution was mixed with anthrone-sulfuric acid reagent and heated at 95 °C for 5 min. The absorbance was measured at 625 nm using a microplate reader (BioTek Instruments, Winooski, VT, USA).
2.5. Biofilm Architecture Analysis by SEM and CLSM
For both SEM and CLSM,
S. mutans biofilms were cultured on sterile glass coverslips in 24-well plates as described in
Section 2.4. After 12 h incubation, coverslips were gently washed with PBS and processed accordingly.
For SEM, biofilms were fixed with 2.5% glutaraldehyde overnight at 4 °C, post-fixed with 1% osmium tetroxide for 1 h, dehydrated through a graded ethanol series, critical-point dried, sputter-coated with gold-palladium, and observed under a scanning electron microscope (SU8000, Hitachi, Tokyo, Japan) at 10.0 kV.
For CLSM, dual fluorescent labeling was performed to visualize bacteria and EPS. Biofilms were incubated with rabbit anti-FtsZ antibody (1:200) at 37 °C for 60 min, washed, then incubated with Cy3-conjugated secondary antibody (1:500) at 37 °C for 60 min in the dark. After washing, samples were stained with FITC-ConA (1:200) at 37 °C for 60 min in the dark to label EPS. Coverslips were washed and placed on glass slides for immediate observation. Images were acquired using a Nikon confocal microscope. Cy3 fluorescence (FtsZ) was visualized at 570–620 nm, and FITC fluorescence (EPS) at 500–550 nm. At least three random fields were scanned per sample. Three-dimensional reconstructions and quantitative analysis were performed using COMSTAT software. Biofilm structural parameters, including biomass (as calculated by COMSTAT, μm3/μm2), were quantified.
2.6. RNA Extraction, Sequencing and Bioinformatics Analysis
S. mutans UA159 was cultured in BHI with or without 10% erythritol for 12 h. Total RNA was extracted by Novogene Corporation (Beijing, China) following their standard protocols. RNA quality was assessed using an Agilent 2100 Bioanalyzer (Agilent Technologies, Inc., Santa Clara, CA, USA). Strand-specific cDNA libraries were constructed using the dUTP method. Library quality was evaluated using a Qubit 2.0 Fluorometer and an Agilent 2100 Bioanalyzer, and the effective concentration was quantified by qPCR. Qualified libraries were sequenced on an Illumina platform with paired-end reads.
Raw reads were processed using fastp to obtain clean reads by removing adapter-contaminated, poly-N-containing, and low-quality reads. Clean reads were aligned to the S. mutans UA159 reference genome (NC_004350) using HISAT2.
Differential expression analysis between control and erythritol-treated groups was performed using DESeq2 (version 1.42.0). Genes with an adjusted
p-value ≤ 0.05 were considered significantly differentially expressed. GO and KEGG enrichment analyses were performed using clusterProfiler (version 4.8.1). The gene expression matrix is available as
Supplementary Table S2.
2.7. Quantitative Real-Time PCR
Total RNA was extracted from
S. mutans cells using TRIzol reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer’s instructions. RNA quality and concentration were assessed by agarose gel electrophoresis and spectrophotometry (NanoDrop, Thermo Fisher Scientific, Waltham, MA, USA). First-strand cDNA was synthesized from 1 μg of total RNA using the 1-Step RT kit (Abclonal, Wuhan, China) following the manufacturer’s protocol. Quantitative PCR was performed in a QuantStudio 6 Real-Time PCR System (Applied Biosystems, Foster City, CA, USA) using SYBR Green Master Mix (Applied Biosystems). The 16S rRNA gene was used as an endogenous control for normalization. Relative expression levels of target genes were calculated using the 2
−ΔΔct method. All reactions were performed in triplicate with three independent biological replicates. Primer sequences are listed in
Supplementary Table S1.
2.8. Statistical Analysis
All assays were performed in three independent experiments, each containing technical triplicates. Data are presented as the mean ± standard deviation (SD). Due to the small sample size per group (n = 3), reliable assessment of normality and homogeneity of variances was not feasible. Considering the robustness of Student’s t-test under small sample conditions and common practices in the field, comparisons between two groups were analyzed using an unpaired two-tailed Student’s t-test in this study. Statistical analyses were performed using GraphPad Prism version 9.0 (GraphPad Software, San Diego, CA, USA). A p-value of less than 0.05 was considered statistically significant.
4. Discussion
In this study, we demonstrate that erythritol significantly suppresses EPS production and alters biofilm architecture in S. mutans. Transcriptomic analysis revealed that celB, encoding the IIB component of the cellobiose-specific phosphotransferase system (PTS), was markedly downregulated following erythritol exposure. Functional validation showed that deletion of celB reduced EPS synthesis and partially reproduced the erythritol-induced phenotype. These findings suggest that celB contributes to matrix-associated virulence traits and may participate in the response of S. mutans to erythritol.
Erythritol has been widely investigated as a non-fermentable sugar alcohol with anti-cariogenic properties [
5,
14]. Because it is not metabolized to organic acids by
S. mutans, erythritol does not directly contribute to enamel demineralization [
15,
16]. In vitro studies have consistently reported reduced biofilm formation and decreased insoluble glucan accumulation under erythritol treatment [
17]. For example, previous work has demonstrated that erythritol inhibits
S. mutans biofilm formation and reduces extracellular polysaccharide synthesis in a dose-dependent manner [
18]. Clinical studies have associated erythritol consumption with lower plaque scores and reduced caries development [
5]. More recently, ecological investigations have suggested that erythritol may also influence the overall structure of oral microbial communities, promoting metabolic balance within biofilms [
19]. Previous
in vitro studies investigating the effects of erythritol on
S. mutans growth and biofilm formation have reported dose-dependent inhibitory effects at a range of concentrations [
15]. In this study, we utilized a 10% erythritol concentration, which is similar to the effective doses applied in earlier investigation [
3,
15,
17]. This concentration has been shown to effectively reduce bacterial growth and biofilm formation, allowing us to observe a robust phenotype. However, the molecular pathways linking erythritol exposure to suppression of EPS synthesis remain insufficiently defined. Importantly, the present findings have clinical implications. EPS is a key determinant of biofilm structural integrity and contributes to bacterial adhesion, acid retention, and reduced susceptibility to antimicrobial agents. Therefore, suppression of EPS synthesis represents a clinically relevant strategy for disrupting cariogenic biofilms. While erythritol is generally regarded as a non-fermentable sugar substitute, our data suggest that it may actively modulate virulence-associated pathways by influencing carbohydrate transport systems. This expands the conventional view of erythritol as a passive agent and indicates that it can contribute to caries prevention through regulatory effects on bacterial physiology. Although the concentration used in this study is higher than that typically achieved through dietary intake, localized delivery methods such as chewing gums, lozenges, or oral care formulations may transiently reach higher concentrations in the oral cavity. Moreover, even moderate modulation of carbohydrate transport systems influences the ecological balance of oral biofilms over time, potentially reducing cariogenicity. Collectively, our findings extend existing knowledge by identifying a specific carbohydrate transport component potentially involved in mediating erythritol-associated inhibition of matrix production in
S. mutans.
In Gram-positive bacteria, the phosphoenolpyruvate-dependent PTS functions not only in carbohydrate uptake but also in coordinating metabolic signaling and global gene regulation [
20]. In
S. mutans, several sugar-specific PTS components have been implicated in biofilm formation, stress tolerance, and virulence-associated gene expression, reflecting the integration of carbohydrate sensing with pathogenic traits [
21,
22]. The cellobiose-specific PTS, including
celB, has been characterized primarily in the context of carbohydrate utilization. However, its contribution to EPS biosynthesis has not been clearly established. Our data suggest that
celB activity influences matrix production, thereby linking a carbohydrate transport component to biofilm structural regulation.
In addition to
S. mutans, cellobiose-associated PTS systems have been implicated in biofilm-related or niche-adaptive phenotypes in other bacteria. In
Enterococcus faecalis, genes involved in β-1,6-oligosaccharide utilization contribute to carbohydrate fitness and environmental persistence [
10]. In
Streptococcus species, carbohydrate transport systems have been shown to influence competitive fitness and biofilm-associated behaviors through integration with global regulatory networks. More directly, in
Klebsiella pneumoniae, deletion of the
celB gene similarly leads to significantly reduced biofilm formation and attenuated bacterial virulence [
23], while in
Lactococcus lactis, the PTS system containing
celB is also involved in lactose transport [
24]. These observations suggest that sugar-specific PTS components may function beyond substrate uptake, potentially influencing community structure and matrix-associated phenotypes. Although direct evidence linking
celB to biofilm regulation in other organisms remains limited, the broader literature supports a conceptual framework in which carbohydrate transport systems are linked to virulence-related traits.
The precise mechanism by which erythritol modulates celB expression remains to be determined. One possibility is that erythritol perturbs carbohydrate-associated signaling within the PTS network, thereby influencing transcriptional responses that affect EPS-related genes. Because carbohydrate transport systems interface with global metabolic regulation in S. mutans, altered PTS activity may indirectly influence glucosyltransferase expression or glucan assembly processes. Alternatively, erythritol may induce broader metabolic adjustments that secondarily affect matrix synthesis. Further investigation will be required to clarify whether celB exerts direct regulatory effects on EPS-associated genes or functions as part of a larger metabolic signaling cascade.
Importantly, our results support a model in which erythritol may influence S. mutans virulence not solely through metabolic inertness but also through modulation of carbohydrate transport-associated pathways. This perspective expands the conceptual framework of anti-cariogenic polyols, suggesting that certain sugar substitutes may actively interfere with biofilm regulatory networks rather than merely serving as non-fermentable alternatives.
Notably, we further validated our findings under anaerobic conditions to better approximate the microenvironment of cariogenic biofilms. The inhibitory effects of erythritol on biofilm formation and EPS production, as well as the phenotypic changes observed in the ΔcelB mutant, were consistent with those obtained under aerobic conditions. These results suggest that the regulatory role of celB and the anti-biofilm effects of erythritol are not dependent on oxygen availability.
Given that cariogenic biofilms are often characterized by low-oxygen or anaerobic niches, these findings strengthen the potential physiological relevance of our study and support the notion that erythritol-mediated modulation of carbohydrate transport systems may occur under conditions more reflective of the in vivo oral environment.
Several limitations should be acknowledged. The present study was conducted using a single-species static in vitro biofilm model, which does not fully recapitulate the complexity and dynamic conditions of oral multispecies biofilms. Second, although celB deletion reduced EPS production, the downstream regulatory mechanisms linking celB to glucosyltransferase expression or glucan assembly were not directly examined. It remains unclear whether celB represents a direct molecular target of erythritol or whether its downregulation reflects broader metabolic remodeling.