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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2024.1511660</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Study the effect of <italic>Lactobacillus plantarum</italic> ATCC 14917 for caries prevention and anti-obesity</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes"><name><surname>Yang</surname> <given-names>Wei</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="author-notes" rid="fn0001"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author" equal-contrib="yes"><name><surname>Jiang</surname> <given-names>Mingxin</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="author-notes" rid="fn0001"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author"><name><surname>Chen</surname> <given-names>Bairu</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<contrib contrib-type="author"><name><surname>Jiang</surname> <given-names>Kongzhao</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<contrib contrib-type="author"><name><surname>Ma</surname> <given-names>Nan</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<contrib contrib-type="author"><name><surname>Li</surname> <given-names>Yimin</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<contrib contrib-type="author"><name><surname>Wang</surname> <given-names>Meng</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<contrib contrib-type="author"><name><surname>Bao</surname> <given-names>Meihua</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
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<contrib contrib-type="author" corresp="yes"><name><surname>Wang</surname> <given-names>Chengyue</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff4"><sup>4</sup></xref><xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<contrib contrib-type="author" corresp="yes"><name><surname>Yang</surname> <given-names>Xiaopeng</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Department of Pedodontics, Affiliated Stomatology Hospital of Jinzhou Medical University</institution>, <addr-line>Jinzhou</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Collaborative Innovation Center for Health Promotion of Children and Adolescents of Jinzhou Medical University</institution>, <addr-line>Jinzhou</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Micro-endodontics, Affiliated Stomatology Hospital of Jinzhou Medical University</institution>, <addr-line>Jinzhou</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Prosthetics, Affiliated Stomatology Hospital of Jinzhou Medical University</institution>, <addr-line>Jinzhou</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0002">
<p>Edited by: Marcella Reale, University of Studies G. d&#x2019;Annunzio Chieti and Pescara, Italy</p>
</fn>
<fn fn-type="edited-by" id="fn0003">
<p>Reviewed by: Alberto Finamore, Council for Agricultural Research and Agricultural Economy Analysis | CREA, Italy</p>
<p>Zipeng Jiang, Zhejiang University, China</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Xiaopeng Yang, <email>yangxp@jzmu.edu.cn</email>; Chengyue Wang, <email>wangcy@jzmu.edu.cn</email></corresp>
<fn fn-type="equal" id="fn0001"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>11</volume>
<elocation-id>1511660</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2024 Yang, Jiang, Chen, Jiang, Ma, Li, Wang, Bao, Wang and Yang.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Yang, Jiang, Chen, Jiang, Ma, Li, Wang, Bao, Wang and Yang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1">
<title>Introduction</title>
<p>A complicated scenario where &#x201C;multiple disease threats coexist and multiple health influencing factors are intertwined&#x201D; is demonstrated by the fact that dental caries, obesity myopia and scoliosis have emerged as global public health issues. The problem of diseases co-existing in living things can be resolved by using probiotics. <italic>Lactobacillus plantarum</italic>, has gained attention recently due to its probiotic properties, useful traits, and potential medical applications.</p>
</sec>
<sec id="sec2">
<title>Objective</title>
<p>Examining the anti-obesity and anti-caries effects of <italic>L. plantarum</italic> ATCC 14917 on dental caries and obese rat models caused by a high-fat and high-sugar diet is the aim of this study.</p>
</sec>
<sec id="sec3">
<title>Method</title>
<p><italic>In vitro</italic>, we assessed the <italic>L. plantarum</italic> strain&#x2019;s probiotic properties, such as its antibacterial activity and ability to build biofilms, to determine its ability to inhibit <italic>Streptococcus mutans</italic>. Prior to the <italic>in vivo</italic> experiment, the subsist test for <italic>L. plantarum</italic> ATCC 14917 was carried out by mimicking its capacity to lower blood sugar and blood lipid levels as well as its tolerance to gastrointestinal disorders. In order to assess the health promotion effect of <italic>L. plantarum in vivo</italic>. Three-week-old rats were fed a high-sugar, high-fat diet for 8&#x202F;weeks. They were split into three groups: the control group (Control), the caries and obesity group (CA _OB) and the caries and obesity treated with <italic>L. plantarum</italic> ATCC14917 group (LP). <italic>L. plantarum</italic> ATCC 14917 was applied during the experiment, and the associated indices were then thoroughly assessed. These included the use of Mirco-CT to calculate the enamel volume, the staining of liver and fat cell sections, serological analysis, and 16S rRNA sequencing of feces.</p>
</sec>
<sec id="sec4">
<title>Results</title>
<p>It was proved that the <italic>L. plantarum</italic> could inhibit the proliferation of <italic>S. mutans</italic> and remove dental plaque biofilm in time, which showed the remarkable effects of anti-caries <italic>in vitro</italic>. The demineralization rate of enamel decreased by 44.10% due to the inhibition of acid production by pathogenic bacteria. Moreover, In intestinal and stomach juice simulations, <italic>L. plantarum</italic> has a high survival rate. The characteristics of bacterial activity in a wide range of pH could degrade triglycerides and glucose <italic>in vitro</italic> smoothly. The LP group demonstrated it by reducing animal weight, serum biochemical indices, and HE-stained adipocytes as compared to the CA_OB group. 16S rRNA sequencing data showed that a high-fat and high-sugar diet induced the imbalance of intestinal flora, which showed an increase in microbial abundance, including <italic>unclassified_o__Clostridia_UCG-014</italic>, <italic>unclassified_f__Oscillospiraceae</italic>, <italic>Turicibacter</italic>, <italic>unclassified_f__Lachnospiraceae</italic>, <italic>Clostridium_sensu_stricto_1</italic>. After the intervention of <italic>L. plantarum</italic>, the number of <italic>Lactobacillus</italic>, <italic>Limosilactobacillus</italic>, <italic>unclassified_f__Muribaculaceae</italic>, <italic>Blautia</italic>, <italic>Faecalibaculum</italic> increased significantly.</p>
</sec>
<sec id="sec5">
<title>Conclusion</title>
<p>Therefore, <italic>L. plantarum</italic> ATCC 14917 performed the potential of reducing tooth decay and controlling weight gain by a single strain. Support the management of dental caries and obesity, and establish a foundation for future functional food research and development.</p>
</sec>
</abstract>
<abstract abstract-type="graphical">
<title>Graphical abstract</title>
<p>Overview of <italic>Lactobacillus plantarum</italic> ATCC 14917 for caries prevention and weight loss <italic>in vivo</italic> and <italic>in vitro</italic>.<graphic xlink:href="fnut-11-1511660-gr0001.tif" xmlns:xlink="http://www.w3.org/1999/xlink"/></p>
</abstract>
<kwd-group>
<kwd>
<italic>Lactobacillus plantarum</italic>
</kwd>
<kwd>
<italic>Streptococcus mutans</italic>
</kwd>
<kwd>dental caries</kwd>
<kwd>obesity</kwd>
<kwd>gut microbiota</kwd>
</kwd-group>
<contract-num rid="cn1">2023JH2/101700071</contract-num>
<contract-num rid="cn1">2022JH2/101300033</contract-num>
<contract-num rid="cn2">U21A2074</contract-num>
<contract-num rid="cn2">62375115</contract-num>
<contract-num rid="cn3">LJ222410160037</contract-num>
<contract-sponsor id="cn1">Applied Basic Research Program of Liaoning Province</contract-sponsor>
<contract-sponsor id="cn2">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content></contract-sponsor>
<contract-sponsor id="cn3">Education Department Science and Technology Innovation team of Liaoning province</contract-sponsor>
<counts>
<fig-count count="15"/>
<table-count count="2"/>
<equation-count count="7"/>
<ref-count count="78"/>
<page-count count="16"/>
<word-count count="10067"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Nutritional Immunology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="sec7">
<title>Highlights</title>
<p>
<list list-type="bullet">
<list-item>
<p><italic>L. plantarum</italic> ATCC 14917 could treat dental caries and obesity at the same time.</p>
</list-item>
<list-item>
<p><italic>L. plantarum</italic> ATCC 14917 degraded glucose and triglycerides well <italic>in vitro.</italic></p>
</list-item>
<list-item>
<p><italic>L. plantarum</italic> ATCC 14917 recovered the intestinal flora imbalance.</p>
</list-item>
</list>
</p>
</sec>
<sec sec-type="intro" id="sec8">
<label>1</label>
<title>Introduction</title>
<p>Dental caries and obesity are considered to be chronic, highly prevalent and multifactorial diseases, which are harmful to the life and health of children and adolescents (<xref ref-type="bibr" rid="ref1 ref2 ref3">1&#x2013;3</xref>). <italic>Streptococcus mutans</italic> is the main pathogenic bacteria of dental caries. Because of its excellent ability to make full use of sucrose to synthesize extracellular glucan and intracellular polysaccharide, which can promote adhesion to form dental plaque biofilm and provide sufficient energy for itself (<xref ref-type="bibr" rid="ref4">4</xref>). Moreover, acidification of the microenvironment in biofilm leads to demineralization of enamel and decay (<xref ref-type="bibr" rid="ref5">5</xref>). Obesity is caused by a combination of biology and environment variables, which are characterized by excessive adipose tissue, dysfunction and changes of intestinal microbiota (<xref ref-type="bibr" rid="ref6">6</xref>, <xref ref-type="bibr" rid="ref7">7</xref>).</p>
<p>Recent years have seen a lot of emphasis focused on the connection between dental caries and obesity, and various studies have examined this relationship (<xref ref-type="bibr" rid="ref8">8</xref>, <xref ref-type="bibr" rid="ref9">9</xref>). Older children and adolescents who are obese have a higher risk of developing dental caries, and there is a significant positive correlation between dental caries and weight gain (<xref ref-type="bibr" rid="ref10 ref11 ref12">10&#x2013;12</xref>). Reasonable mechanisms have been put out for the increasing prevalence and or severity of caries in overweight or obesity individuals. One explanation is that poor eating habits and excessive carbohydrate intake are the primary causes (<xref ref-type="bibr" rid="ref13 ref14 ref15">13&#x2013;15</xref>). Additionally, because obesity is a chronic inflammatory illness, decreased salivary flow can exacerbate oral discomfort (<xref ref-type="bibr" rid="ref16">16</xref>). As a result, obese children may be more susceptible to dental caries (<xref ref-type="bibr" rid="ref17">17</xref>, <xref ref-type="bibr" rid="ref18">18</xref>). Obesity and dental cavities are associated with parents&#x2019; poor income and educational attainment (<xref ref-type="bibr" rid="ref19">19</xref>). Children who are overweight or obese have a higher risk of dental cavities (<xref ref-type="bibr" rid="ref20">20</xref>, <xref ref-type="bibr" rid="ref21">21</xref>). As a result, the association between dental caries and obesity is assessed across a range of social and environmental contexts, as well as across cultural, dietary, and obesity-causing behaviors.</p>
<p>Excessive carbohydrate intake will not only promote the occurrence of dental caries, but also accumulate fat (<xref ref-type="bibr" rid="ref22">22</xref>). Recent studies have unveiled the existence of the oral-intestinal axis, highlighting significant relevance among specific genes, their metabolites, and the development of dental caries and obesity, which may be the potential target of intervention (<xref ref-type="bibr" rid="ref23 ref24 ref25">23&#x2013;25</xref>). The chronic usage of antibiotics has been shown to disrupt the delicate equilibrium of both oral and intestinal ecosystems, potentially leading to an increase in bacterial resistance (<xref ref-type="bibr" rid="ref26">26</xref>). Consequently, there is a pressing need for the development and implementation of safer and more effective preventive strategies for caries and obesity.</p>
<p>Probiotic therapy emerges as a promising solution, as it can help restore the balance of oral microbiota, thereby preventing and treating a range of oral health issues, including caries and periodontology (<xref ref-type="bibr" rid="ref27">27</xref>). Among these probiotics, <italic>Lactobacillus plantarum</italic> stands out as a facultative heterotrophic fermentation organism with unique regulatory properties (<xref ref-type="bibr" rid="ref28">28</xref>). It has been found to address disturbances in glucose and lipid metabolism that may arise from diets high in fats and sugars (<xref ref-type="bibr" rid="ref29">29</xref>). Its beneficial effects may involve different mechanisms, including improving blood glucose and blood lipid metabolism, regulating intestinal microbiota (<xref ref-type="bibr" rid="ref30">30</xref>).</p>
<p>By using the agar diffusion method and crystal violet staining method, <italic>L. plantarum</italic> of antibacterial activity and antibacterial membrane capacity against <italic>S. mutans</italic> were detected and its aggregation activity was investigated. We evaluated the strain&#x2019;s probiotic characteristics, including <italic>L. plantarum</italic> for tolerance in the gastrointestinal tract and its ability to consume fat and sugar. In obese rats with dental caries caused by a high-sugar and high-fat diet, the gut microbial composition and demineralized enamel volume were observed using 16S rRNA and Micro-CT. This research of purpose was to assess the inhibitory effect of <italic>L. plantarum</italic> on dental caries and obesity. It provide a fresh perspective on the use of probiotics to manage illnesses, and support as a foundation for the development of functional foods.</p>
</sec>
<sec sec-type="materials|methods" id="sec9">
<label>2</label>
<title>Materials and methods</title>
<sec id="sec10">
<label>2.1</label>
<title>Bacterium and supernatant preparation</title>
<p><italic>Lactobacillus plantarum</italic> (<italic>L. plantarum</italic> ATCC 14917, CICC, China) and <italic>S. mutans</italic> (<italic>S. mutans</italic> ATCC 25175, CGMCC, China) were grown in DeMan-Rogosa-Sharpe (MRS) medium (Hopebio., Ltd., Qingdao, China) and Brain-Heart-Infusion (BHI) medium (Hopebio., Ltd., Qingdao, China) respectively. All strains were fostered at 37&#x00B0;C for 16&#x2013;24&#x202F;h, and were adjusted to OD<sub>600</sub> =&#x202F;1, respectively. The bacterial culture was centrifuged and filtered to extract the supernatant of <italic>L. plantarum</italic>.</p>
</sec>
<sec id="sec11">
<label>2.2</label>
<title>Antimicrobial property of <italic>Lactobacillus in vitro</italic></title>
<sec id="sec12">
<label>2.2.1</label>
<title><italic>Lactobacillus</italic> bacteriostatic test</title>
<p><italic>Lactobacillus plantarum</italic> culture solution was added to an Oxford cup and the growth inhibition diameter was measured after 24&#x202F;h of culture with MRS liquid culture medium as control. Absorption method was partially modified to test antibacterial activity of <italic>L. plantarum</italic>. <italic>L. plantarum</italic> supernate an MRS medium were mixed into 100&#x202F;&#x03BC;L of <italic>S. mutans</italic> culture solution, respectively. When the inhibition ratio is less than two after 18 to 24&#x202F;h of culture, the sample demonstrated good antibacterial activity. The bacteriostatic value was obtained by <xref ref-type="disp-formula" rid="EQ1">Equation 1</xref>:</p>
<disp-formula id="EQ1">
<label>(1)</label>
<mml:math id="M1">
<mml:mi>A</mml:mi>
<mml:mo>=</mml:mo>
<mml:mo>lg</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mo>lg</mml:mo>
<mml:msub>
<mml:mi>T</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
</mml:math>
</disp-formula>
<p>where A represented the bacteriostatic value, C<sub>1</sub> the control group&#x2019;s average colony forming units (CFU), and T<sub>1</sub> the experimental group&#x2019;s average CFU.</p>
</sec>
<sec id="sec13">
<label>2.2.2</label>
<title><italic>Streptococcus mutans</italic> in supernatant of <italic>Lactobacillus plantarum</italic></title>
<p>Supernatant of <italic>Lactobacillus</italic> was to handle <italic>S. mutans</italic>. A final concentration of 12.5 to 100% (v/v) was employed, with MRS liquid medium serving as the control. Every 4&#x202F;hours, 100 microliters of various concentrations of culture fluid were collected and put in a 96-well plate to monitor the growth conditions. The ELISA Reader was used to measure the OD value at 600&#x202F;nm. An ELISA reader was used to measure optical density at 600&#x202F;nm.</p>
</sec>
<sec id="sec14">
<label>2.2.3</label>
<title>Formation and removal of biofilm</title>
<p>To evaluate the biofilm formation and removal, crystal violet staining was employed, utilizing various concentrations of the supernatant ranging from 0 to 100% (v/v), with MRS liquid medium serving as the control. Following a 24&#x202F;h culture period, it was washed with PBS for 3 times and a 15&#x202F;min methanol fixation. 0.1% crystal violet was utilized for staining, followed by the dissolution of 33% glacial acetic acid. The optical densities were again measured at 600&#x202F;nm to assess the effectiveness of the different concentrations on biofilm dynamics.</p>
<p>By adding 50% (v/v) <italic>L. plantarum</italic> supernatant with the same quantity at various time intervals (0&#x202F;h, 6&#x202F;h, 12&#x202F;h, and 24&#x202F;h), which was used to observe the production and removal of biofilm. MRS medium was used as the control (12&#x202F;h and 24&#x202F;h). Staining and determination steps are the same as above, and the biofilm reduction rate is obtained by <xref ref-type="disp-formula" rid="EQ2">Equation 2</xref>:</p>
<disp-formula id="EQ2">
<label>(2)</label>
<mml:math id="M2">
<mml:mi mathvariant="normal">Biofilm reduction rate</mml:mi>
<mml:mspace width="thickmathspace"/>
<mml:mfenced open="(" close=")">
<mml:mo>%</mml:mo>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mrow>
<mml:mi mathvariant="normal">O</mml:mi>
<mml:mi mathvariant="normal">D</mml:mi>
</mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mtable columnalign="left">
<mml:mtr>
<mml:mtd>
<mml:mi mathvariant="italic">control</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">group</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mi mathvariant="italic">treatment</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">group</mml:mi>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mfenced>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mrow>
<mml:mi mathvariant="normal">O</mml:mi>
<mml:mi mathvariant="normal">D</mml:mi>
</mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mrow>
<mml:mi mathvariant="italic">control</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">group</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
<p>Once a biofilm had formed after 24&#x202F;h of culture, a dyeing working solution was made by diluting PI and N<sub>0</sub> fluorescent dye with NaCl solution (Shanghai Beibo Biotechnology Co., Ltd.). After gently rinsing the side wall three times with NaCl and draining, add 200&#x202F;&#x03BC;L of the dyeing working solution and let it sit in the dark for fifteen minutes. After washing the bacteria once with NaCl solution, resuspend them by adding the proper amount of NaCl solution. The red signal is received through the red channel, and the green signal is received through the green channel. Look through a fluorescent microscope and snap pictures.</p>
</sec>
<sec id="sec15">
<label>2.2.4</label>
<title>Auto-aggregation and co-aggregation</title>
<p>Specific modifications to the previously established methods were applied. Adjust the concentration of <italic>L. plantarum</italic> solution to OD<sub>600</sub>&#x202F;=&#x202F;0.6&#x202F;&#x00B1;&#x202F;0.05, and the concentration of <italic>S. mutans</italic> solution to OD<sub>600</sub>&#x202F;=&#x202F;0.5&#x202F;&#x00B1;&#x202F;0.05, and the bacteria separately and in a mixed manner. The absorbance of the upper liquid were measured at various time intervals. The self-polymerization and co-polymerization ability of strains at different times were judged, respectively. The Auto-aggregation ability was obtained by <xref ref-type="disp-formula" rid="EQ3">Equation 3</xref>:</p>
<disp-formula id="EQ3">
<label>(3)</label>
<mml:math id="M3">
<mml:mi mathvariant="normal">Auto</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mi mathvariant="normal">aggregation</mml:mi>
<mml:mspace width="thickmathspace"/>
<mml:mfenced open="(" close=")">
<mml:mo>%</mml:mo>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfenced open="[" close="]">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2013;</mml:mo>
<mml:mfrac>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>t</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mfrac>
</mml:mrow>
</mml:mfenced>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
<p>A<sub>0</sub> refers to the absorbance measured at 0&#x202F;h, while A<sub>t</sub> represents absorbance values taken at 2, 4, 6, and 24&#x202F;h.</p>
<p>The Co-aggregation ability was obtained by <xref ref-type="disp-formula" rid="EQ4">Equation 4</xref>:</p>
<disp-formula id="EQ4">
<label>(4)</label>
<mml:math id="M4">
<mml:mi mathvariant="normal">C</mml:mi>
<mml:mi mathvariant="normal">o</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mi mathvariant="normal">aggregation</mml:mi>
<mml:mspace width="thickmathspace"/>
<mml:mfenced open="(" close=")">
<mml:mo>%</mml:mo>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mrow>
<mml:mspace width="thickmathspace"/>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>x</mml:mi>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfenced>
<mml:mspace width="thickmathspace"/>
<mml:mo>&#x2013;</mml:mo>
<mml:mn>2</mml:mn>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi mathvariant="italic">mix</mml:mi>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>x</mml:mi>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi>A</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
<p>Where A<sub>x</sub> is the absorbance of 0&#x202F;h <italic>L. plantarum</italic>, A<sub>y</sub> is the absorbance of 0&#x202F;h <italic>S. mutans</italic>, A<sub>mix</sub> is the absorbance of the mixture at the 2, 4, 6, and 24&#x202F;h time points.</p>
</sec>
</sec>
<sec id="sec16">
<label>2.3</label>
<title>Evaluation of digestive environment tolerance</title>
<sec id="sec17">
<label>2.3.1</label>
<title>Tolerance to acid and bile salt</title>
<p><italic>Lactobacillus plantarum</italic> was inoculated into MRS medium with pH of 3.0 and 0.3% (w/v) bile salt (Beijing Solarbio Science &#x0026; Technology Co., Ltd.), respectively. The MRS culture medium served as the control. Following incubation for 3 and 24&#x202F;h, the results were analyzed by evaluating the optical density at a wavelength of 600&#x202F;nm. The survival rate was obtained by <xref ref-type="disp-formula" rid="EQ5">Equation 5</xref>:</p>
<disp-formula id="EQ5">
<label>(5)</label>
<mml:math id="M5">
<mml:mi mathvariant="normal">Survival rate</mml:mi>
<mml:mfenced open="(" close=")">
<mml:mo>%</mml:mo>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mrow>
<mml:mi mathvariant="normal">O</mml:mi>
<mml:mi mathvariant="normal">D</mml:mi>
</mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mi mathvariant="normal">treatment group</mml:mi>
</mml:mfenced>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mrow>
<mml:mi mathvariant="normal">O</mml:mi>
<mml:mi mathvariant="normal">D</mml:mi>
</mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mi mathvariant="normal">control group</mml:mi>
</mml:mfenced>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
</sec>
<sec id="sec18">
<label>2.3.2</label>
<title>Tolerance of gastric juice and intestinal juice</title>
<p><italic>Lactobacillus plantarum</italic> suspension was inoculated into artificial gastric juice (Shanghai yuanye Bio-Technology Co., Ltd.) and artificial intestine juice, respectively. The survival rate was obtained by <xref ref-type="disp-formula" rid="EQ5">Equation 5</xref>.</p>
</sec>
</sec>
<sec id="sec19">
<label>2.4</label>
<title>Oral and intestinal correlation</title>
<sec id="sec20">
<label>2.4.1</label>
<title>The capability of <italic>Lactobacillus</italic> to scavenge glucose</title>
<p><italic>Lactobacillus plantarum</italic> and <italic>S. mutans</italic> were inoculated in MRS and BHI broth containing 10% glucose. After being diluted to the same concentration (OD<sub>600</sub>&#x202F;=&#x202F;1). The glucose content after 24&#x202F;h was measured by the glucose kit method (Nanjing Jiancheng Bioengineering Company, China), and the solution without bacterium was used as control. The content rate of glucose was obtained from <xref ref-type="disp-formula" rid="EQ6">Equation 6</xref>:</p>
<disp-formula id="EQ6">
<label>(6)</label>
<mml:math id="M6">
<mml:mi mathvariant="normal">Content ratio</mml:mi>
<mml:mspace width="thickmathspace"/>
<mml:mfenced open="(" close=")">
<mml:mo>%</mml:mo>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mrow>
<mml:mi mathvariant="normal">O</mml:mi>
<mml:mi mathvariant="normal">D</mml:mi>
</mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mrow>
<mml:mi mathvariant="italic">treatment</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">group</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>&#x0394;</mml:mi>
<mml:msub>
<mml:mrow>
<mml:mi mathvariant="normal">O</mml:mi>
<mml:mi mathvariant="normal">D</mml:mi>
</mml:mrow>
<mml:mfenced open="(" close=")">
<mml:mrow>
<mml:mi mathvariant="italic">control</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">group</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
</sec>
<sec id="sec21">
<label>2.4.2</label>
<title>The ability of <italic>Lactobacillus plantarum</italic> to scavenge triglycerides</title>
<p>A 0.5% (v/v) inoculum of both <italic>L. plantarum</italic> and <italic>S. mutans</italic> cultures were introduced into Triglyceride-MRS and Triglyceride-BHI media, incubated at 37&#x00B0;C for 24&#x202F;h. The triglyceride content was measured utilizing the triglyceride kit method, both with and without bacteria for comparative analysisthe triglyceride content ratio is calculated according to <xref ref-type="disp-formula" rid="EQ6">Equation 6</xref>.</p>
</sec>
</sec>
<sec id="sec22">
<label>2.5</label>
<title><italic>In vivo</italic> effects of <italic>Lactobacillus plantarum</italic></title>
<sec id="sec23">
<label>2.5.1</label>
<title>Animal model establishment</title>
<p>All procedures were conducted at the Animal Experimental Center of Jinzhou Medical University, with the animal studies receiving prior examination and approval from the Animal Ethics Committee of the same institution. The approval agreement number of animal program is 240,139. Male Sprague Dawley rats of 3-week-old were purchased and housed under controlled temperature (20&#x00B0;C&#x202F;&#x00B1;&#x202F;5&#x00B0;C) and Temperature (50%&#x202F;&#x00B1;&#x202F;10%) conditions. Rats were randomly allocated into three groups, each containing three rats. The control group (Control) was given conventional feed and sterile water, while the caries and obesity group (CA_OB) and caries and obesity treated with <italic>L. plantarum</italic> ATCC14917 group (LP) were given a high-fat and high-sugar feed and 5% sucrose water. The 56-day experiment included a 0&#x2013;3&#x202F;day antibiotic interference period during which ampicillin (0.5&#x202F;&#x03BC;g/mL) inhibited the oral flora of the rats. The colonization time of <italic>S. mutans</italic> is 4&#x2013;8&#x202F;days. Before each use, a bacterial solution (10<sup>8</sup> CFU/mL) was made using BHI culture medium. Each rat was anesthetized by inhalation. Using sterile cotton swabs, dip the <italic>S. mutans</italic> suspension until it is saturated. Then, in turn, daub in the respective group&#x2019;s teeth, tongue, and oral mucosa, remaining at each location for 15&#x202F;s. Using a blunt syringe, rinse the rat&#x2019;s mouth, making sure the solution reaches every area of the mouth and plays its full part. The experimental solution was 1&#x202F;mL/tube. Rats handled once daily in the morning and evening. The LP group was given 2&#x202F;&#x00D7;&#x202F;10<sup>8</sup>&#x202F;CFU/mL&#x202F;<italic>L. plantarum</italic> bacterial solution orally from day 14 to day 56. Until the completion of the trial, <italic>L. plantarum</italic> was administered four times per week. To ensure microbial colonization, refrain from eating or drinking for 30&#x202F;min prior to and following the inoculation. The same experimenter always performed the procedure. Every week, the rats&#x2019; weight was recorded. The animals were put down at the conclusion of the experiment, and samples were gathered.</p>
</sec>
<sec id="sec24">
<label>2.5.2</label>
<title>Micro-CT observation</title>
<p>Mandibular specimens were scanned by Micro-CT [PINGSENG Healthcare (Kunshan) Inc.]. The enamel was separated from the mandible with a fixed threshold and the volume of enamel was calculated to evaluate the dental caries. The demineralization rate of enamel was obtained from <xref ref-type="disp-formula" rid="EQ7">Equation 7</xref>:</p>
<disp-formula id="EQ7">
<label>(7)</label>
<mml:math id="M7">
<mml:mi mathvariant="italic">Demineralization</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">rate</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">of</mml:mi>
<mml:mspace width="0.25em"/>
<mml:mi mathvariant="italic">enamel</mml:mi>
<mml:mfenced open="(" close=")">
<mml:mo>%</mml:mo>
</mml:mfenced>
<mml:mo>=</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mi>t</mml:mi>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mi>m</mml:mi>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>V</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#x00D7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:math>
</disp-formula>
<p>Where V<sub>0</sub> was the volume of enamel in control group, V<sub>t</sub> was the volume of enamel in LP group, and V<sub>m</sub> was the volume of enamel in CA_OB group.</p>
</sec>
<sec id="sec25">
<label>2.5.3</label>
<title>Analysis of serum biochemistry</title>
<p>Serum was extracted by centrifuging blood samples at 5000&#x202F;&#x00D7;&#x202F;g for 10&#x202F;min after the animals were put under anesthesia. The serum was stored at-80&#x00B0;C until further analysis.</p>
<p>Utilizing the assay kits, levels of Total triglyceride (TG), Total cholesterol (T-CHO), High-density lipoprotein-cholesterol (HDL), Low-density lipoprotein-cholesterol (LDL), and Blood glucose were evaluated (Nanjing Jiancheng Bioengineering Company, China).</p>
</sec>
<sec id="sec26">
<label>2.5.4</label>
<title>Analysis of histology and staining</title>
<p>Hematoxylin and eosin (H&#x0026;E) staining was performed on the rat liver and epididymis adipose tissues. Rat liver and epididymis fatty tissue was cleaned with regular saline, fixed for 24&#x202F;h in a 10% paraformaldehyde solution, and the excess fixative was rinsed off with tap water. Following ethanol gradient dehydration, the tissue was embedded in paraffin and cut using a microtome into slices that were 4&#x2013;5 microns thick. Following hematoxylin&#x2013;eosin staining, followed by photography to document the findings.</p>
</sec>
<sec id="sec27">
<label>2.5.5</label>
<title>16S rRNA gene sequencing of intestinal flora</title>
<p>Fresh feces from each rat were collected on the 57th day under aseptic conditions on the ultra-clean workstation, put in a 5/mL freezing tube, kept in the refrigerated at-80&#x00B0;C, and then delivered to the firm for testing. The FastPure Stool DNA Isolation Kit (MJYH, shanghai, China) was used to extract the total DNA. The hypervariable region V3&#x2013;V4 of the bacterial 16S rRNA gene were amplified with primer pairs 338F (5&#x2019;-ACTCCTACGGGAGGCAGCAG-3&#x2032;) and 806R (5&#x2019;-GGACTACHVGGGTWTCTAAT-3&#x2032;). Identification, purification and quantification of PCR products were carried out. The sequencing was based on the platform of Shanghai Maggie Biomedical Technology Co., Ltd.</p>
</sec>
<sec id="sec28">
<label>2.5.6</label>
<title>Statistical analysis</title>
<p>The statistical program GraphPad Prism 8.0.2 was utilized for the mapping and analysis. To analyze the differences among the groups, a one-way analysis of variance was utilized, with a significance level set at <italic>p</italic> &#x003C;&#x202F;0.05 to indicate noteworthy differences. Data were expressed as mean&#x202F;&#x00B1;&#x202F;standard deviation, and each experimental condition was replicated three times to ensure reliability and consistency in the results obtained.</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="sec29">
<label>3</label>
<title>Results</title>
<sec id="sec30">
<label>3.1</label>
<title>Function of <italic>Lactobacillus plantarum in vitro</italic></title>
<sec id="sec31">
<label>3.1.1</label>
<title>Antibacterial ability</title>
<p><italic>Lactobacillus plantarum</italic> had a substantial inhibitory effect on <italic>S. mutans</italic> growth, and it measured 18.85&#x202F;&#x00B1;&#x202F;1.05&#x202F;mm in diameter (<xref ref-type="fig" rid="fig1">Figure 1A</xref>). <italic>Lactobacillus</italic> exhibited a 2.24 antibiosis activity to <italic>S. mutans</italic>. The aforementioned findings demonstrated that <italic>Lactobacillus</italic> had a potent antibacterial impact (<xref ref-type="fig" rid="fig1">Figures 1B</xref>,<xref ref-type="fig" rid="fig1">C</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Inhibition of <italic>L. plantarum</italic> on <italic>S. mutans.</italic> <bold>(A)</bold> Inhibitory zone of <italic>L. plantarum</italic> on <italic>S. mutans</italic>, <bold>(B)</bold> CFU of <italic>S. mutans</italic> by MRS, <bold>(C)</bold> CFU of <italic>S. mutans</italic> by <italic>L. plantarum</italic> supernate. Data are represented as means &#x00B1; standard deviation (SD). There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g001.tif"/>
</fig>
</sec>
<sec id="sec32">
<label>3.1.2</label>
<title>Determination of bacteriostatic curve</title>
<p>The bacteriostatic effects of the five groups of <italic>L. plantarum</italic> supernate started to take effect at 4&#x202F;h, with the corresponding bacteriostatic rates being 60.90, 72.30, 79.18, 79.83, and 80.62%. The bacteriostatic efficacy of <italic>L. plantarum</italic> supernatant at concentrations of 12.5 and 25% declined with time, from 8 to 24&#x202F;h (<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05). Nonetheless, <italic>L. plantarum</italic> supernate still plays a good bacteriostatic role at concentrations of 50 to 100% (v/v), and the bacteriostatic rate was higher than 79% (<italic>p</italic>&#x202F;&#x003E;&#x202F;0.05) (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Inhibitory effect of <italic>L. plantarum</italic> supernate with concentration ranging from 12.5 to 100% (v/v) on the growth curve of <italic>S. mutans</italic>. Values are means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g002.tif"/>
</fig>
</sec>
<sec id="sec33">
<label>3.1.3</label>
<title>Proportional distribution of crystal violet biofilm and live/dead fluorescent staining</title>
<p>Studies have proved the influence of <italic>Lactobacillus</italic> on the biofilm of <italic>S. mutans</italic> within 24&#x202F;h. <italic>L. plantarum</italic> supernate (0, 12.5, 25, 50, 75, 100%) exhibited varying degrees of inhibitory effects on <italic>S. mutans</italic> biofilm. The corresponding inhibitory rates were 15.91, 66, 80.79, and 83.99% (<italic>p</italic>&#x202F;&#x003E;&#x202F;0.05). The biofilm formation process is characterized by four crucial time points: the initial bacterial adhesion occurring at 0&#x202F;h, initial bacterial colonization at 6&#x202F;h, early biofilm development at 12&#x202F;h, and the maturation of the biofilm at 24&#x202F;h (<xref ref-type="fig" rid="fig3">Figure 3</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Effect of supernatant of <italic>L. plantarum</italic> on biofilm of <italic>S. mutans</italic>. <bold>(A)</bold> The anti-S<italic>. mutans</italic> biofilm effect of the <italic>L. plantarum</italic> supernate with the concentration ranging from 12.5 to 100% (v/v), <bold>(B)</bold> the reduction rate of biofilm of <italic>S. mutans</italic>, <bold>(C)</bold> the effect of adding <italic>L. plantarum</italic> supernate at different time points on the biomass of <italic>S. mutans</italic>, <bold>(D)</bold> Reduction rate of biofilm of <italic>S. mutans</italic> at various moments in time. Values are means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001.</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g003.tif"/>
</fig>
<p>In addition, with the intervention of <italic>L. plantarum</italic>, fluorescent staining was also used to measure the biofilm activity of <italic>S. mutans</italic>. After 24&#x202F;h of culture, it was found that the colonies in the control group covered the whole field of vision, and there was no gap in the middle. The membrane was a dense network structure, mainly with green fluorescence and scattered with red fluorescence (<xref ref-type="fig" rid="fig4">Figure 4A</xref>). Live bacteria decreased gradually, the block structure decreased, the biofilm became sparse gradually, the red part increased, and the activity of the biofilm was obviously inhibited (<xref ref-type="fig" rid="fig4">Figure 4B</xref>).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>After 24&#x202F;h of culture, observe the proportion of live and dead bacteria in biofilm by fluorescence staining for 30&#x202F;min. <bold>(A)</bold> The control group, <bold>(B)</bold> the treatment group. Note: green was the live bacteria, red was the dead bacteria, and the superimposed color of the dead bacteria and the live bacteria was yellow or orange. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g004.tif"/>
</fig>
</sec>
<sec id="sec34">
<label>3.1.4</label>
<title>Auto-aggregation and co-aggregation</title>
<p>With time, <italic>L. plantarum</italic> ATCC 14917&#x2019;s capacity for self-aggregation grew. The auto-aggregation rates of the strain were observed over various time intervals: 2&#x202F;h, 4&#x202F;h, 6&#x202F;h, and 24&#x202F;h, yielding rates of 22.62, 31.56, 39.32, and 70.91%, respectively. At 2&#x202F;hours, the co-aggregation ability was minimal; by 4&#x202F;hours, it had clearly increased. The strain under test started to agglutinate with <italic>S. mutans</italic>, according to the data, and after 24&#x202F;h, the rate of cross-agglutination had reached 48.32% (<xref ref-type="fig" rid="fig5">Figure 5</xref>).</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>The auto-aggregation and co-aggregation ability of <italic>L. plantarum</italic> at 2&#x202F;h, 4&#x202F;h, 6&#x202F;h, and 24&#x202F;h. Data are represented as means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g005.tif"/>
</fig>
</sec>
<sec id="sec35">
<label>3.1.5</label>
<title>Tolerance of the digestive environment</title>
<p>The properties of probiotics were evaluated using the average intestinal bile salt content, which was 0.3% (w/v). Under conditions of low pH, the survival rate of <italic>L. plantarum</italic> decreased significantly, falling from 73.20 to 15.18%. For the duration ranging from three to twenty-four hours in a medium containing 0.3% bile salts, the survival rate remained consistently near 80% (<xref ref-type="table" rid="tab1">Table 1</xref>).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Survival rate of <italic>L. plantarum</italic> in low pH and bile salt environment.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Time (h)</th>
<th align="center" valign="top">Acid resistance (%)</th>
<th align="center" valign="top">Bile salt resistance (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">3</td>
<td align="center" valign="top">73.20&#x202F;&#x00B1;&#x202F;6.45</td>
<td align="center" valign="top">87.63&#x202F;&#x00B1;&#x202F;3.05</td>
</tr>
<tr>
<td align="left" valign="top">24</td>
<td align="center" valign="top">15.18&#x202F;&#x00B1;&#x202F;0.22</td>
<td align="center" valign="top">82.11&#x202F;&#x00B1;&#x202F;5.77</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The number of viable bacteria decreased by 0.68 and 0.3 after 3&#x202F;hours, respectively. Lactic acid bacteria have a strong ability to adapt to the tough environment of the gastrointestinal tract, as evidenced by the fact that even while their development was limited, a constant survival rate could still be ensured (<xref ref-type="table" rid="tab2">Table 2</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Tolerance of <italic>L. plantarum</italic> to simulated artificial fluid and gastrointestinal fluid.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="top">Initial Log (CFU/mL)</th>
<th align="center" valign="top">Termination Log (CFU/mL)</th>
<th align="center" valign="top">Survival (%)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Gastric juice</td>
<td align="center" valign="top">7.33&#x202F;&#x00B1;&#x202F;0.02</td>
<td align="center" valign="top">6.66&#x202F;&#x00B1;&#x202F;0.04</td>
<td align="center" valign="top">90.77&#x202F;&#x00B1;&#x202F;0.51</td>
</tr>
<tr>
<td align="left" valign="top">Intestinal juice</td>
<td align="center" valign="top">7.37&#x202F;&#x00B1;&#x202F;0.02</td>
<td align="center" valign="top">7.06&#x202F;&#x00B1;&#x202F;0.05</td>
<td align="center" valign="top">95.92&#x202F;&#x00B1;&#x202F;0.73</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec36">
<label>3.1.6</label>
<title>Determination of triglyceride and glucose</title>
<p>Bacteria require glucose as their primary growth substrate, and different strains exhibit diverse abilities to metabolize it. The amount of glucose content was found to be 32.54 and 236.13% in the culture medium, and the rate of lowering blood sugar and the increasing blood sugar are 67.46 and 136.13%, respectively (<xref ref-type="fig" rid="fig6">Figure 6A</xref>). On the other hand, the triglyceride content in the Triglyceride-MRS and Triglyceride-BHI media was 63.84 and 254.50%, respectively, and the lipid-lowering and fat-increasing rates were 36.16 and 154.50% (<xref ref-type="fig" rid="fig6">Figure 6B</xref>). The data above demonstrated the strain&#x2019;s strong probiotic qualities.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p><bold>(A)</bold> Effects of <italic>L. plantarum</italic> and <italic>S. mutans</italic> on glucose, <bold>(B)</bold> effects of <italic>L. plantarm</italic> and <italic>S. mutans</italic> on triglyceride. Values are means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001.</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g006.tif"/>
</fig>
</sec>
<sec id="sec37">
<label>3.1.7</label>
<title>Micro-CT observation</title>
<p>Rat molar enamel volumes were computed for every experimental group. The model demonstrating the establishment of caries is further validated by the considerable amount of demineralized enamel found in the CA_OB group when compared to the Control group. The volume of demineralized enamel in LP group is similar to that in Control group. In addition, the demineralization rate of enamel of the LP group is similar to that of the Control group. The above results indicate that <italic>L. plantarum</italic> has an obvious inhibitory effect on dental caries in animal models (<xref ref-type="fig" rid="fig7">Figure 7</xref>).</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>To observe the development of dental caries in rats. <bold>(A&#x2013;C)</bold> The left maxillary tooth&#x2019;s 3D microcomputer tomography pictures show demineralized enamel (cyan), two-dimensional axial and demineralized enamel (green), <bold>(D)</bold> demineralized enamel. Data are represented as means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001.</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g007.tif"/>
</fig>
</sec>
<sec id="sec38">
<label>3.1.8</label>
<title>Assessment of body weight and serum indices in rats</title>
<p>After an eight-week feeding period, a clear change in weight was noted among the rats in the LP group, with the CA_OB group displaying a much greater weight than their Control counterparts. Rats within the LP group showed significantly lower weights compared to those in the CA_OB group (<xref ref-type="fig" rid="fig8">Figure 8A</xref>). Compared with the Control group, the serum TG, T-CHO, LDL-C and Blood glucose levels in the CA_OB group were significantly increased, while the serum HDL-C level was significantly decreased, indicating that the blood lipid metabolism in CA_OB group was abnormal. However, the LP group significantly inhibited the lipid parameters in rat serum (<xref ref-type="fig" rid="fig8">Figures 8B</xref>&#x2013;<xref ref-type="fig" rid="fig8">F</xref>).</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>Rat weights and serum indices in relation to <italic>L. plantarum</italic>. <bold>(A)</bold> Change of rat weights within 8&#x202F;weeks, <bold>(B)</bold> HDL, <bold>(C)</bold> LDL, <bold>(D)</bold> T-CHO, <bold>(E)</bold> TG, and <bold>(F)</bold> Blood glucose. Values are means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001.</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g008.tif"/>
</fig>
</sec>
<sec id="sec39">
<label>3.1.9</label>
<title>H&#x0026;E staining sections of rat liver and fat</title>
<p>The results indicated no significant pathological changes in the liver tissue of rats from the Control group. In the CA_OB group, liver cells were obviously swollen, filled with fat vacuoles of different sizes, and inflammatory cells were obviously infiltrated. Rats from the LP group had far fewer fat vacuoles in their liver tissue, although there were still some localized inflammatory reactions (<xref ref-type="fig" rid="fig9">Figure 9A</xref>). The CA_OB group&#x2019;s fat cells were noticeably larger and there were less cells in the same field of vision when compared to the group on a regular diet. Rat epididymal adipocyte hypertrophy may be inhibited following treatment with <italic>L. plantarum</italic>, suggesting that probiotic supplementation has a beneficial impact on lipogenesis (<xref ref-type="fig" rid="fig9">Figure 9B</xref>).</p>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p>When rats are given <italic>L. plantarum</italic>, it can prevent their blood lipid levels from rising. <bold>(A)</bold> The morphological change of liver tissue in rats by H&#x0026;E staining, <bold>(B)</bold> the change of epididymal adipose tissue in rats by H&#x0026;E staining. Data are represented as means &#x00B1; SD. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g009.tif"/>
</fig>
</sec>
<sec id="sec40">
<label>3.1.10</label>
<title>16S rRNA gene sequencing of intestinal flora</title>
<p>To assess the diversity of bacterial communities, the dilution curve was primarily constructed using the Alpha diversity index from samples taken at various sequencing depths. The Shannon index is an important metric that tends to smooth out the dilution curve, serving as a reflection of the diversity present within microbial communities. This index indicates that the data volume gathered from each group is sufficient to meet the sequencing requirements (<xref ref-type="fig" rid="fig10">Figure 10A</xref>). Results from the Principal Coordinate Analysis highlighted that the contributions of Principal Component 1 and Principal Component 2 exceeded 60%, allowing for a comprehensive representation of the community composition. The LP group was similar to the Control group at the OTU level, and the CA_OB group and the LP group could be distinguished more clearly (<xref ref-type="fig" rid="fig10">Figure 10B</xref>). The PCoA data revealed that the LP group and the Control group nearly completely overlapped at the genus level, further supporting the idea that lactic acid bacteria might govern the gut flora (<xref ref-type="fig" rid="fig10">Figure 10C</xref>). To evaluate whether the differences between groups were statistically significant, we employed supervised partial least squares analysis. The findings from this analysis clearly illustrated a notable separation between the groups at both the OTU level and the genus level (<xref ref-type="fig" rid="fig10">Figures 10D</xref>,<xref ref-type="fig" rid="fig10">E</xref>). The ANOSIM analysis further showed the significant differences between groups (<xref ref-type="fig" rid="fig10">Figure 10F</xref>).</p>
<fig position="float" id="fig10">
<label>Figure 10</label>
<caption>
<p>Effect of adding <italic>L. plantarum</italic> on the diversity of intestinal flora. <bold>(A)</bold> Shannon curves, <bold>(B)</bold> PCoA plot of the intestinal flora on OTU level, <bold>(C)</bold> PCoA on Genus level, <bold>(D)</bold> PLS-DA on OTU level, <bold>(E)</bold> PLS-DA on Genus level, <bold>(F)</bold> Beta diversity analysis of ANOSIM analyze on OTU level. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). Principal coordinate analysis (PCoA); Partial least-squares discriminant analysis (PLS-DA); Analysis of similarities (ANOSIM); Operational taxonomic unit (OTU).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g010.tif"/>
</fig>
<p>Intestinal microbiota may shield the host against pathogens that cause intestinal disorders in addition to enhancing nutrition absorption and preserving immunity. On the genus of level, the LP group increased relative abundance of <italic>Lactobacillus</italic>, <italic>Limosilactobacillus</italic>, <italic>unclassified_f__Muribaculaceae</italic>, <italic>Blautia</italic>, <italic>Faecalibaculum</italic>. The LP group led to the decrease of the abundance of pathogenic bacteria, including <italic>unclassified_o__Clostridia_UCG-014</italic>, <italic>unclassified_f__Oscillospiraceae</italic>, <italic>Turicibacter</italic>, <italic>unclassified_f__Lachnospiraceae</italic>, <italic>Clostridium_sensu_stricto_1</italic> (<xref ref-type="fig" rid="fig11">Figure 11A</xref>).</p>
<fig position="float" id="fig11">
<label>Figure 11</label>
<caption>
<p>At different classification levels, the species composition and relative abundance of various species were counted. <bold>(A)</bold> Comparative genus-level abundance of the gut flora, <bold>(B)</bold> family-level gut flora&#x2019;s relative abundance. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g011.tif"/>
</fig>
<p>On the family of level, the three groups of bacteria were mainly the following: <italic>Lactobacillaceae</italic>, <italic>Lachnospiraceae</italic>, <italic>Muribaculaceae</italic>, <italic>Oscillospiraceae</italic>, <italic>unclassified_o__Clostridia_UCG-014</italic>, <italic>Peptostreptococcaceae</italic>, <italic>Erysipelotrichaceae</italic> (<xref ref-type="fig" rid="fig11">Figure 11B</xref>).</p>
<p>This analysis illuminated the communities or species that exhibited significant variation across all taxonomic levels, including phylum, class, order, family, and genus. It was evident that the relative importance of microbial biomarkers escalated in tandem with increasing Linear Discriminant Analysis (LDA) scores. Compared with the Control group, in the CA_OB group, <italic>g__unclassified_f__[Eubacterium]_coprostanoligenes_group</italic>, <italic>f__Selenomonadaceae</italic>, <italic>g__unclassified_f__Oscillospiraceae, g__Quinella, g__unclassified_f__Desulfovibrionaceae</italic>. Contrasting to the CA_OB group, The profusion of <italic>g__Phascolarctobacterium, f__Acidaminococcaceae, g__Elusimicrobium and c__Elusimicrobia</italic> within the LP group was markedly elevated (<xref ref-type="fig" rid="fig12">Figures 12A</xref>,<xref ref-type="fig" rid="fig12">B</xref>). The degree of microbial ecological imbalance was measured using the microbial dysbiosis index. The degree of microbial imbalance increases with increasing value. In comparison to the Control group, the CA_OB group had a considerably higher microbial dysbiosis index. The microbial dysbiosis index clearly decreased following <italic>L. plantarum</italic> intervention, suggesting that <italic>L. plantarum</italic> may control the intestinal flora of CA_OB rats (<xref ref-type="fig" rid="fig12">Figure 12C</xref>).</p>
<fig position="float" id="fig12">
<label>Figure 12</label>
<caption>
<p>Analysis on interspecific differences of intestinal flora. <bold>(A,B)</bold> The LEfse multi-level species differences was conducted, <bold>(C)</bold> the microbial dysbiosis index in different groups. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). Linear discriminant analysis effect size (LEfse).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g012.tif"/>
</fig>
<p>Phylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt2), Kyoto Encyclopedia of Genes and Genomes (KEGG), Evolutionary Genealogy of Genes: Non-supervised Orthologous Groups (EggNOG).</p>
<p>Bacterial colony function is largely associated with the metabolism pathway, according to the 16S rRNA sequencing data and KEGG functional predictions (<xref ref-type="fig" rid="fig13">Figure 13A</xref>). We could further demonstrate that bacteria are related to global and overview maps, carbohydrate metabolism, and amino acid metabolism by combining 16S rRNA sequencing data with KEGG data information of Pathway Level 2 (<xref ref-type="fig" rid="fig13">Figure 13B</xref>). Based on the 16S rRNA data and the PICRUSt2 channel display of EggNOG and KEGG databases, we predicted the biological functions of bacteria. 16S rRNA sequencing data combined with KEGG data information of Pathway Level 3, we could further confirm that bacteria are related to purine metabolism, peptidoglycan biosynthesis, oxidative phosphorylation, amino acid metabolism, streptomycin biosynthesis, nitrogen metabolism, taurine and hypotaurine metabolism (<xref ref-type="fig" rid="fig13">Figure 13C</xref>). In an effort to delve deeper into the functional roles of bacteria, we utilized the EggNOG database. Predictions indicated that the primary functions of the bacteria were closely associated with metabolic processes. These processes predominantly involved translation, the structure and biogenesis of ribosomes, as well as the transport and metabolism of amino acids and carbohydrates (<xref ref-type="fig" rid="fig13">Figure 13D</xref>).</p>
<fig position="float" id="fig13">
<label>Figure 13</label>
<caption>
<p>Prediction and analysis of intestinal flora function. <bold>(A&#x2013;C)</bold> The function of PICRUSt2 in conjunction with the KEGG database to anticipate intestinal microorganisms showing result of the KEGG pathway at Level l <bold>(A)</bold>, Level 2 <bold>(B)</bold> and Level 3 <bold>(C)</bold>, <bold>(D)</bold> PICRUSt2 is combined with the EggNOG database to forecast the function of intestinal microorganisms. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3).</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g013.tif"/>
</fig>
<p>At the genus level, <italic>Limosilactobacillus</italic> was negatively connected with associated with obesity variables (TC, TG, LDL, Blood Glucose), while <italic>Clostridium_sensu_stricto_1</italic>, <italic>Turicibacter</italic>, <italic>unclassified_f__Oscillos</italic>p<italic>iraceae</italic>, <italic>Colidextribacter</italic>, <italic>Quinella</italic>, <italic>Desulfovibrio</italic> were positively linked to some relating to obesity factors (<xref ref-type="fig" rid="fig14">Figure 14A</xref>). At the family level, <italic>Lactobacillaceae</italic>, <italic>unclassified_p__Firmicutes</italic> had a negative correlation with linked to obesity indexes, while <italic>Streptococcaceae</italic>, <italic>Desulfovibrionaceae</italic>, <italic>Clostridiaceae</italic>, <italic>Oscillospiraceae</italic>, <italic>Selenomonadaceae</italic>, <italic>UCG-010</italic> were found to have a positive correlation with obesity measures (<xref ref-type="fig" rid="fig14">Figure 14B</xref>).</p>
<fig position="float" id="fig14">
<label>Figure 14</label>
<caption>
<p>Pearson correlation between lipid metabolism index and microbiota. <bold>(A)</bold> Pearson correlation between the genus and lipid metabolism index. <bold>(B)</bold> Pearson correlation between the family and lipid metabolism index. Correlations were represented with a red color indicating positive relationships and blue indicating negative ones. There were three biological duplicates (<italic>n</italic>&#x202F;=&#x202F;3). &#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01, &#x002A;&#x002A;&#x002A; <italic>p</italic>&#x202F;&#x003C;&#x202F;0.001.</p>
</caption>
<graphic xlink:href="fnut-11-1511660-g014.tif"/>
</fig>
</sec>
</sec>
</sec>
<sec sec-type="discussion" id="sec41">
<label>4</label>
<title>Discussion</title>
<p>There is an urgent need for novel approaches to the prevention and management of dental caries and obesity, two disorders that have a negative impact on one&#x2019;s physical and well-being due to their rising prevalence. One promising candidate is <italic>L. plantarum</italic>, a genus of <italic>Lactobacillus</italic> that has recently been reclassified and is noted for its extensive metabolic diversity (<xref ref-type="bibr" rid="ref31">31</xref>, <xref ref-type="bibr" rid="ref32">32</xref>). Prior studies showed that <italic>L. plantarum</italic> ATCC14917 inhibited the growth of <italic>S. mutans</italic>, which causes dental caries, and broke down the structure of harmful biofilm (<xref ref-type="bibr" rid="ref33">33</xref>). Research findings suggest that incorporating <italic>L. plantarum</italic> into health regimens may help mitigate the onset of conditions such as atherosclerosis and non-alcoholic fatty liver disease (<xref ref-type="bibr" rid="ref34">34</xref>, <xref ref-type="bibr" rid="ref35">35</xref>). However, it was little known whether <italic>Lactobacillus</italic> will affect the treatment of clinical diseases with dental caries and obesity.</p>
<p>Biofilm was formed by microbial communities to withstand different environments and shield bacterial cells with tenacious adherence (<xref ref-type="bibr" rid="ref36">36</xref>). The results showed that the yield was the lowest at 0&#x202F;h, and the regulation effect on biofilm formation of <italic>S. mutans</italic> was better at 12&#x202F;h, and early intervention had a better influence on biofilm formation. It was speculated that the antibacterial products in the supernatant of <italic>L. plantarum</italic> played a role and affected the initial adhesion and colonization of pathogenic bacteria. In the later stage of biofilm formation, <italic>L. plantarum</italic> supernate was still effective on the original mature <italic>S. mutans</italic> biofilm, which was similar to the previously reported results (<xref ref-type="bibr" rid="ref37">37</xref>). A number of <italic>in vitro</italic> parameters, such as continuous human digestion, gastric juice and bile production, and pathogen resistance, can be used to assess the health advantages of <italic>Lactobacillus</italic> (<xref ref-type="bibr" rid="ref38">38</xref>). <italic>L. plantarum</italic> has a high viable count in intestinal and simulated artificial gastric juice, which is in line with other study findings and suggests that the strain may withstand the hostile conditions of the gastrointestinal tract and thrive (<xref ref-type="bibr" rid="ref39">39</xref>).</p>
<p>Probiotics&#x2019; ability to self-aggregate is typically what allows them to adhere to mucous membranes and epithelial cells&#x2019; surfaces (<xref ref-type="bibr" rid="ref40">40</xref>). According to the current study, <italic>L. plantarum</italic> ATCC 14917&#x2019;s capacity for self-aggregation grew over time. Through the processes of saliva ingestion, <italic>L. plantarum</italic> forms co-aggregates with pathogenic bacteria. This process effectively reduces the pathogenic bacteria that float within the oral cavity, thereby minimizing the potential for these harmful microorganisms to colonize the oral environment (<xref ref-type="bibr" rid="ref41">41</xref>). The experimental results show that the strains to be tested have a higher copolymerization ability in the early stage (4&#x202F;h) and a lower copolymerization ability in the late stage (24&#x202F;h), which may be because the strains and determination times differ.</p>
<p>Dental caries was a typical biofilm-induced disease (<xref ref-type="bibr" rid="ref42">42</xref>). Microorganisms present in the oral cavity are a crucial factor in the development of dental caries; however, they alone are insufficient, as the creation of cariogenic biofilm relies on the host&#x2019;s dietary habits (<xref ref-type="bibr" rid="ref43">43</xref>). It was noted that unlike <italic>S. mutans</italic>, none of the tested strains of Lactobacillus demonstrated a meaningful increase in biofilm formation and did not produce water-insoluble sticky extracellular polysaccharides under similar growth conditions when cultured in sucrose-enriched medium compared to when they were grown in a medium lacking sucrose (<xref ref-type="bibr" rid="ref44">44</xref>, <xref ref-type="bibr" rid="ref45">45</xref>). Thus, we hypothesize that it might be because <italic>S. mutans</italic> continuously produces sugar using sucrose as a substrate. Conversely, <italic>L. plantarum</italic>, categorized as a heterotrophic bacterium, is limited to consuming carbohydrates and not able to make sugar, aligning with the <italic>in vitro</italic> experimental findings that showcased its anti-caries properties.</p>
<p>The oral cavity is an important passage into the human body (<xref ref-type="bibr" rid="ref46">46</xref>). The first stage of digestion involves the mechanical breakdown of food by the teeth, which, in conjunction with saliva, forms a cohesive mass that subsequently progresses into the gastrointestinal tract (<xref ref-type="bibr" rid="ref47">47</xref>). Thus, it seemed sense that probiotics would affect the microbial flora of the mouth cavity in the same way as they affect the intestinal system (<xref ref-type="bibr" rid="ref48">48</xref>). It has been revealed that among the overweight population, the number of Firmicutes increased while the number of Bacteroides declined (<xref ref-type="bibr" rid="ref49">49</xref>). <italic>S. mutans</italic> belongs to Firmicutes (<xref ref-type="bibr" rid="ref50">50</xref>). The formation of fats is directly linked to the fermentation and absorption of polysaccharides produced by gut microorganisms through a balanced diet (<xref ref-type="bibr" rid="ref51">51</xref>). Consequently, we conjectured that <italic>S. mutans</italic> would promote fat accumulation while <italic>L. plantarum</italic> might inhibit it. These findings suggest that the <italic>Lactobacillus</italic> may prevent obesity and tooth cavities from developing.</p>
<p>By creating an animal model, the function of <italic>L. plantarum</italic> ATCC 14917 <italic>in vivo</italic> was further confirmed. With particular emphasis on the density of hard tissue, Micro-CT was suggested as a trustworthy technique for determining the volume of tooth hard tissue (<xref ref-type="bibr" rid="ref52">52</xref>). Consequently, the mandibular enamel volume was computed in this study. The results show that <italic>L. plantarum</italic> played a significant anti-caries role.</p>
<p>Furthermore, prolonged consumption of high-fat and high-sugar diets can significantly alter the diversity and composition of microbial communities within the gut, as well as modify the intestinal environment (<xref ref-type="bibr" rid="ref53">53</xref>). Probiotics have the potential to directly alleviate diseases by modulating the ratio of good to harmful microorganisms within the microbial flora (<xref ref-type="bibr" rid="ref54">54</xref>). <italic>Unclassified_f__Muribaculaceae</italic> belongs to Bacteroides S24-7, which usually exists in the intestinal microbiota of healthy mice (<xref ref-type="bibr" rid="ref55">55</xref>). The findings of this study indicate that gymnosperms classified within the CA_OB group exhibited a lower abundance compared to those in the LP group. Moreover, the <italic>unclassified_f__Muribaculaceae</italic> was shown to play a significant role in regulating body weight, as well as in the degradation of food items and polysaccharides (<xref ref-type="bibr" rid="ref56">56</xref>). This family is also responsible for the production of short-chain fatty acids (SCFAs), which include important metabolites such as succinic acid and propionic acid (<xref ref-type="bibr" rid="ref57">57</xref>). In the context of clinical research, <italic>Lactobacillus</italic> and <italic>Bifidobacterium</italic> are among the most frequently employed probiotic strains. <italic>Lactobacillus</italic> can alter the synthesis pathway of lipids and carbohydrates, convert sugar to lactic acid (<xref ref-type="bibr" rid="ref58">58</xref>).</p>
<p>Both <italic>unclassified_f__Ruminococcaceae</italic> and <italic>Ligilactobacillus</italic> have beneficial effects on the composition of intestinal microbiota, preserving the steady state of the intestinal milieu and emerging as important elements of the microbiota of healthy individuals (<xref ref-type="bibr" rid="ref59">59</xref>, <xref ref-type="bibr" rid="ref60">60</xref>). <italic>Unclassified_f__Ruminococcaceae</italic> is one of the most effective bacterial genera for decomposing carbohydrates (<xref ref-type="bibr" rid="ref61">61</xref>). It is a member of the <italic>Ruminococcaceae</italic> family of bacteria, multiple of which are known to make butyrate (<xref ref-type="bibr" rid="ref62">62</xref>). SCFAs was found to be produced by the <italic>unclassified_f__[Eubacterium]_coprostanoligenes_group</italic> (<xref ref-type="bibr" rid="ref63">63</xref>). It is positively correlated with fecal butyrate content. On a high-fat diet, it has been found that <italic>unclassified_f__[Eubacterium]_coprostanoligenes_group</italic> have a lipid-lowering impact (<xref ref-type="bibr" rid="ref64">64</xref>). <italic>Limosilactobacillus</italic> can help with weight management, liver disease relief, increasing intestinal integrity, immunological regulation, and improving glucose homeostasis (<xref ref-type="bibr" rid="ref65">65</xref>). Another lactic acid-producing bacterium, <italic>Escherichia coli</italic>, was found in the fecal samples, showing no significant difference across other groups. Its presence has been associated with anti-inflammatory properties and the enhancement of the intestinal barrier (<xref ref-type="bibr" rid="ref66">66</xref>). The phylum Firmicutes includes the genus <italic>Blautia</italic>, which is recognized for its potential in mitigating intestinal inflammation (<xref ref-type="bibr" rid="ref67">67</xref>). This inflammatory response has been linked to the regulation of G-protein coupled receptors, specifically GPR41 and GPR43 (<xref ref-type="bibr" rid="ref68">68</xref>).</p>
<p>In the CA_OB group, the abundance of <italic>unclassified_o__Clostridia_UCG-014</italic> and <italic>unclassified_f__Oscillospiraceae</italic> increased, and this was positively connected with serum indices. A conditional pathogen linked to numerous illnesses is <italic>unclassified_o__Clostridia_UCG-014</italic> (<xref ref-type="bibr" rid="ref69">69</xref>). Furthermore, it is believed that <italic>unclassified_f__Oscillospiraceae</italic> is connected to liver disorders (<xref ref-type="bibr" rid="ref70">70</xref>) and damage (<xref ref-type="bibr" rid="ref71">71</xref>). The CA_OB group exhibited a significantly higher abundance of <italic>Clostridium_sensu_stricto_1</italic> and <italic>Turicibacte</italic> in comparison to the LP group. These genera contain significant pathogenic bacteria that, through causing toxins that lead to intestinal infections and encouraging chronic inflammation, contribute to the obesity process (<xref ref-type="bibr" rid="ref72">72</xref>, <xref ref-type="bibr" rid="ref73">73</xref>). A type of bacteria found in the digestive tract called <italic>unclassified_f__Lachnospiraceae</italic> is linked to an increase in lipid levels and fat mass (<xref ref-type="bibr" rid="ref74">74</xref>). Glucose and lipid metabolism are positively correlated with <italic>unclassified_f__Lachnospiraceae</italic> (<xref ref-type="bibr" rid="ref75">75</xref>). <italic>Desulfovibrionaceae</italic> is a type of sulfate-reducing bacteria that produces more H<sub>2</sub>S (<xref ref-type="bibr" rid="ref76">76</xref>). Inflammation results from H<sub>2</sub>S&#x2019;s reduction of disulfide bonds in the mucus network, which breaks the mucus barrier and exposes epithelial cells to toxins and germs (<xref ref-type="bibr" rid="ref77">77</xref>). According to some research, a probiotic-rich diet can reduce the quantity of <italic>Desulfovibrionaceae</italic> in obese people (<xref ref-type="bibr" rid="ref78">78</xref>). The above results showed that <italic>L. plantarum</italic> could adjust the richness of other flora and the composition of intestinal flora, and play different functions.</p>
</sec>
<sec sec-type="conclusions" id="sec42">
<label>5</label>
<title>Conclusion</title>
<p>This investigation also delved into the impacts of <italic>L. plantarum</italic> on both intestinal and oral health. The results demonstrated impressive antibacterial and anti-obesity effects of <italic>L. plantarum</italic> against the oral pathogen <italic>S. mutans in vitro</italic>. Through the use of Micro-CT imaging, the study confirmed a significant disparity in the incidence of dental caries between the LP and CA_OB groups. Furthermore, its strain improved fat accumulation in rat liver and markedly regulated the abnormality of lipid metabolism. Consequently, it was anticipated that <italic>L. plantarum</italic> ATCC 14917 would find applications in the medical and healthcare fields to help maintain the integrity of the intestinal barrier and the equilibrium of intestinal flora.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec44">
<title>Data availability statement</title>
<p>The datasets presented in this article are not readily available because due to laboratory policies and confidentiality agreements, raw data cannot be provided. Requests to access the datasets should be directed to Xiaopeng Yang, <email>82910923@qq.com</email>.</p>
</sec>
<sec sec-type="ethics-statement" id="sec45">
<title>Ethics statement</title>
<p>The animal studies were approved by Experimental Animal Center of Jinzhou Medical University. The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent was obtained from the owners for the participation of their animals in this study.</p>
</sec>
<sec sec-type="author-contributions" id="sec46">
<title>Author contributions</title>
<p>WY: Writing &#x2013; original draft, Formal analysis, Investigation. MJ: Conceptualization, Formal analysis, Writing &#x2013; review &#x0026; editing. BC: Software, Writing &#x2013; review &#x0026; editing. KJ: Data curation, Writing &#x2013; review &#x0026; editing. NM: Methodology, Writing &#x2013; review &#x0026; editing. YL: Validation, Writing &#x2013; review &#x0026; editing. MW: Visualization, Writing &#x2013; review &#x0026; editing. MB: Validation, Writing &#x2013; review &#x0026; editing. CW: Funding acquisition, Project administration, Supervision, Writing &#x2013; review &#x0026; editing. XY: Supervision, Conceptualization, Resources, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec47">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was financially supported by the Applied Basic Research Program of Liaoning Province (2023JH2/101700071, 2022JH2/101300033), National Natural Science Foundation of China (U21A2074, 62375115), and Education Department Science and Technology Innovation team of Liaoning province (LJ222410160037).</p>
</sec>
<sec sec-type="COI-statement" id="sec48">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec43">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec49">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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