Methanobrevibacter oralis: a comprehensive review

J Oral Microbiol. 2024 Nov 1;16(1):2415734. doi: 10.1080/20002297.2024.2415734. eCollection 2024.

Abstract

Methanobrevibacter oralis (M. oralis) has predominated human oral microbiota methanogenic archaea as far back as the Palaeolithic era in Neanderthal populations and gained dominance from the 18th century onwards. M. oralis was initially isolated from dental plaque samples collected from two apparently healthy individuals allowing its first characterization. The culture of M. oralis is fastidious and has been the subject of several studies to improve its laboratory growth. Various PCR methods are used to identify M. oralis, targeting either the 16S rRNA gene or the mcrA gene. However, only one RTQ-PCR system, based on a chaperonin gene, offers specificity, and allows for microbial load quantification. Next-generation sequencing contributed five draft genomes, each approximately 2.08 Mb (±0.052 Mb) with a 27.82 (±0.104) average GC%, and two ancient metagenomic assembled genomes. M. oralis was then detected in various oral cavity sites in healthy individuals and those diagnosed with oral pathologies, notably periodontal diseases, and endodontic infections. Transmission pathways, possibly involving maternal milk and breastfeeding, remain to be clarified. M. oralis was further detected in brain abscesses and respiratory tract samples, bringing its clinical significance into question. This review summarizes the current knowledge about M. oralis, emphasizing its prevalence, associations with dysbiosis and pathologies in oral and extra-oral situations, and symbiotic relationships, with the aim of paving the way for further investigations.

Keywords: Methanogen; abscess; ancient dental calculus; dysbiosis; endodontic infection; oral microbiota; periodontitis.

Plain language summary

Methanobrevibacter oralis, the most predominant methanogen in human oral microbiota, traces back to the Palaeolithic era and emerges as the dominant methanogen from the 18th century onwards.Our understanding of Methanobrevibacter oralis microbiology remains limited, particularly regarding its phenotypic, genomic, and metabolic characteristics. Furthermore, specific identification and quantification methods are still limited.Although Methanobrevibacter oralis has been found in dysbiotic conditions, such as periodontitis, and in other oral and extra-oral pathologies, its pathogenicity remains largely understudied and should be the focus of future research.

Publication types

  • Review

Grants and funding

The work was supported by the Aix-Marseille Université MEPHI and IHU Méditerranée Infection.