10 Aug UPenn Dental Research: Antiviral and Antibacterial Chewing Gum Targets HPV and Oral Pathogens Linked to Head and Neck Cancer
MedicalResearch.com Interview with:
Henry Daniell, PhD
Vice-Chair and W.D. Miller Professor
Department of Basic & Translational Sciences
School of Dental Medicine, University of Pennsylvania, Philadelphia PA
Dr. Henry Daniell, Ph.D.[/caption]
MedicalResearch.com: What is the background for this study? What bacteria or viruses are associated with head and neck squamous cell carcinomas?
Dr. Daniell: Human Papilloma Virus (HPV), anaerobic bacteria Porphyromonas gingivalis (Pg) and Fusobacterium nucleatum (Fn) correlate with worse survival of head and neck squamous cell carcinoma (HNSCC). In tumorigenic cells HPV genome integrates into the host cell genome causing genome instability and genic alteration which facilitate mutation and hyperproliferation. One third of males in the globe is HPV positive and one fifth are infected with high risk HPV16 strain. Pg is invasive and replicates within tumor cells and influences oncogenic signaling of HNSCC. Fn triggers cancer progression by upregulating several oncogenes responsible for inflammation, cell proliferation, invasion, metastasis. Therefore, it is important to control HPV, Pg, and Fn in the oral cavity to reduce initiation or advancement of oral cancer.
Dane Kim[/caption]
Dane Kim, Dental Student
University of Pennsylvania School of Dental Medicine
MedicalResearch.com: What is the background for this study?
Response: This large study was inspired, in part, by a previous publication, Gustatory Function After Third Molar Extraction (Shafer et al. 1999), which examined the effect of third molar extractions on human taste function. Their work was based upon more severe extractions and followed patients only up to six months after their surgery. Studies examining taste function over a longer period, i.e., beyond six months from the surgery, were non-existent.
The Smell and Taste Center of Penn Medicine, which is the only center of its type in the United States, has a large unique database of patients who have been thoroughly tested for both smell and taste function. This provided us with the opportunity to compare data from hundreds of persons who had previously received third-molar extractions to those who had not received such extractions. Importantly, the extracts had occurred years before thee taste testing. 
Dr. Hwang[/caption]
Geelsu Hwang, Ph.D.
Assistant Professor
Department of Preventive and Restorative Sciences
Center for Innovation and Precision Dentistry (CiPD)
School of Dental Medicine
University of Pennsylvania
MedicalResearch.com: What is the background for this study? What is the significance of this oral biofilm?
Response: Dental caries is one of the most common and costly biofilm-dependent diseases that afflict children and adults worldwide. Particularly, Early Childhood Caries (ECC) is a hyper-virulent type of chronic tooth decay that most frequently afflicts underprivileged preschool children. The onset and progression of carious lesions in ECC are rapid and aggressive, causing rampant destruction of the smooth surfaces of teeth.
ECC is painful and often requires surgical procedure under general anesthesia, while current treatment modalities are inefficient and recurrence of ECC is common. Notably, interactions between a fungus, Candida albicans, and a bacterium, Streptococcus mutans, have been known to play important roles in the pathogenesis of dental caries.
Thus, we attempted to strategically develop a targeted measure to effectively prevent cross-kingdom interactions and subsequent biofilm development.