ABSTRACTPorphyromonas gingivalis
has been associated with progression of periodontitis, characterized by inflammation and destruction of periodontal tissues. Here, we report that matcha, a product of
Camellia sinensis
, hampers the adherence and survival of
P. gingivalis
through multiple tactics. Matcha extract (ME) inhibited the growth not only of
P. gingivalis
but also of
Prevotella nigrescen
s and
Fusobacterium nucleatum
, while it did not inhibit growth of nine species of oral streptococci and
Aggregatibacter actinomycetemcomitans
. ME-mediated
P. gingivalis
growth inhibition was characterized by both morphological and physiological changes at the bacterial envelope, which were accompanied by nano-particle formation and decreased membrane fluidity/permeability without loss of membrane integrity. ME also triggered autoaggregation of
P. gingivalis
in a major fimbriae (FimA)-dependent manner. In addition, adherence of
P. gingivalis
was dramatically inhibited by ME, irrespective of fimbriae. Furthermore, a structure-activity relationship study tested a series of catechins isolated from ME and identified the pyrogallol-type B-ring of catechins as essential for
P. gingivalis
growth inhibition. In a clinical study to assess the microbiological and therapeutic effects of matcha mouthwash in patients with periodontitis, the
P. gingivalis
number in saliva was significantly reduced by matcha mouthwash compared to the pre-intervention level. A tendency toward improvement in probing pocket depth was observed in the matcha group, although the difference was not statistically significant. Taken together, we present a proof of concept, based on the multimodal inhibitory effect of matcha against
P. gingivalis
, and that matcha may have clinical applicability for prevention and treatment of periodontitis.
IMPORTANCE
Periodontitis, a multifactorial inflammatory disease of the oral cavity, results in alveolar bone destruction, and is a major cause of tooth loss of humans. In addition, emerging evidence has demonstrated associations between periodontitis and a wide range of other chronic inflammation-driven disorders, including diabetes mellitus, preterm birth, cardiovascular disease, aspiration pneumonia, rheumatoid arthritis, cognitive disorder, and cancer. In the present study, we report that matcha, a product of
Camellia sinensis
, hampers
Porphyromonas gingivalis
, a major periodontal pathobiont, in not only a series of
in vitro
experiments but also a pilot intervention clinical trial of patients with periodontitis, in which matcha mouthwash statistically significantly reduced the
P. gingivalis
number in saliva, as compared to the pre-intervention level. Taken together, we suggest that matcha may have clinical applicability for prevention and treatment of periodontitis.