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Table 1 Included studies examining the association between smoking and the oral microbiome

From: The role of the oral microbiome in smoking-related cardiovascular risk: a review of the literature exploring mechanisms and pathways

Author, year

Oral sample site

Aim

Population studied

Sequencing

Region if 16S

Citation

Cigarette smokers

 Al-Zyoud et al., 2019

Saliva

Investigate the shift in the salivary microbiota between smokers and non-smokers in Jordan

Nonsmoking subjects (n = 51), subjects who smoke (n = 49), total sample (n = 100)

16S

V3–V4

[37]

 Beghini et al., 2019

Oral rinse

To evaluate the effect of tobacco exposure on the oral microbiome from oral rinse samples in the 2013–14 New York City Health and Nutrition Examination Study

Total sample (n = 259)

16S

V4

[43]

 Coretti et al., 2017

Subgingival

Assess the subgingival microbiota in smoker patients with chronic periodontitis, non‑smoker patients with chronic periodontitis and healthy controls

Subjects with chronic periodontitis who smoke (n = 6), non‑smoker patients with chronic periodontitis (n = 6), nonsmoking subjects without periodontitis (n = 8), total sample (n = 20)

16S

V3–V4

[42]

 Duan et al., 2017

Saliva

Studied the impact of smoking on the salivary microbiome and its further influence on marginal bone loss around an implant during a 3-month bone-healing period

Smokers (n = 10) and non-smokers (n = 10) presenting for single-tooth replacement, total sample (n = 20)

16S

V4

[39]

 Gaetti-Jardim, 2018

Supra- and sub-gingival plaque

Aimed to evaluate the effects of conventional radiotherapy on the prevalence and populations of oral microorganisms in head and neck cancer patients who did not receive adequate preventive dental care

Subjects with head and neck cancer (n = 28)

Culture dependent

N/A

[56]

 Ganesan et al., 2017

Subgingival plaque

Analyzed 16S sequences from non-smoking normoglycemic individuals (controls), smokers, diabetics and diabetic smokers with periodontitis, as well as periodontally healthy controls, smokers and diabetics to assess subgingival bacterial biodiversity and co-occurrence patterns

Normoglycemic non-smokers with periodontitis (n = 14), hyperglycemic non-smokers with periodontitis (n = 9), normoglycemic smokers with periodontitis (n = 16), and hyperglycemic smokers with periodontitis (n = 8), normoglycemic non-smokers without periodontitis (n = 14), hyperglycemic non-smokers without periodontitis (n = 12), normoglycemic smokers without periodontitis (n = 12), total sample (n = 175)

16S

V1–V3; V7–V9

[58]

 Gopinath et al., 2022

Buccal swab

Investigate the compositional and functional attributes of the oral bacteriome of smokeless tobacco users and smokers relative to controls by 16S rRNA metagenomic sequencing in an Indian population

Smokers (n = 17), smokeless tobacco users (n = 14), age-matched non-smokers (n = 13), total sample (n = 44)

16S

V3–V4

[35]

 Hsiao et al., 2018

Saliva

Investigated the association between oral bacterial profile and oral squamous cell carcinoma risk in a case–control study

Subjects with oral squamous cell carcinoma (n = 138), controls (n = 151), total sample (n = 289)

16S

V3–V5

[54]

 Jia et al., 2021

Saliva

Improve our understanding of the impact of cigarette smoking on the oral microbiota in the Chinese population

Subjects from Guangdong Providence (n = 150), subjects from Yangquan city (n = 81), subjects from Mishan city (n = 85), total sample (n = 316)

16S

V4

[36]

 Karabudak et al., 2019

Buccal swab

Investigate the effect of smoking on the buccal microbiome and to analyze the descriptive ability of each of the seven hypervariable regions in their 16S rRNA genes

Smokers (n = 20), non-smokers (n = 20), total sample (n = 40)

16S

V2, V3, V4, V6–7, V8, V9

[44]

 Karasneh et al., 2017

Subgingival plaque

Investigate the impact of smoking on the subgingival bacterial profile in both healthy adults and chronic periodontitis patients

Subjects with chronic periodontitis (n = 37 non-smokers and n = 18 smokers), subjects without periodontitis (37 non-smokers and 18 smokers), total sample (n = 94)

16S

V1–V9

[59]

 Lin et al., 2019

Saliva

Leveraged next generation sequencing for microbiome and functional neuroimaging to enable the delineation of microbiome-brain network links as well as their relationship to cigarette smoking

Smokers (n = 30), non-smokers (n = 30), total sample (n = 60)

16S

V4

[52]

 Mukherjee et al., 2018

Oral rinse

Assessed the relationship of microbial dysbiosis with smoking and markers of human immunodeficiency virus disease

HIV-infected smokers (n = 48), HIV-infected non-smokers (n = 24), HIV-uninfected smokers (n = 24), total sample (n = 96)

16S

V4

[50]

 Murugesan et al., 2020

Saliva

Characterize the salivary microbiome composition in the Qatari population, and to explore specific microbial signatures that can be associated with various lifestyles and different oral conditions

Total sample (n = 997)

16S

V1–V3

[40]

 Pushalkar et al., 2020*

Saliva

Evaluate the effects of e-cigarette aerosol and its influence on human salivary microbiome and immune health. Additionally, the authors evaluate the influence of e-cigarette aerosols on infection efficiency of oral pathogens in pre-cancerous and cancer cell lines using a novel e-cigarette aerosol-generating machine and pro-inflammatory immune mediators

Smokers (n = 40), never smokers (n = 39), e-cigarette users (n = 40), total sample (n = 119)

16S

V3–V4

[46]

 Renson et al., 2019

Oral rinse

Describe sociodemographic variation of oral microbiomes in a subsample of the 2013–14 population-based New York City Health and Nutrition Examination Study

Total sample (n = 282)

16S

V4

[47]

 Rodríguez- Rabassa et al., 2018

Saliva

Investigated the effects of cigarette smoking on bacterial diversity and host responses compared to non-smokers

Non-smokers (n = 16), current smokers (n = 18), total sample (n = 34)

16S

V3–V4

[51]

 Sato et al., 2020a

Tongue dorsum

Investigated the bacterial species composition in the tongue microbiome, as well as single-nucleotide variant profiles and gene content of these species, in never and current smokers by utilizing metagenomic sequences

Never smokers (n = 234), current smokers (n = 52), total sample (n = 286)

Shotgun metagenomic sequencing

N/A

[55]

 Sato et al., 2020b

Tongue dorsum

Used 16S rRNA amplicon sequencing of tongue-coating samples obtained from East Asian subjects who were current, former, or never smokers to identify differences in their tongue microbiomes and related metagenomic functions

Never smokers (n = 384), former smokers (n = 129), current smokers (n = 144), total sample (n = 657)

16S

V3–V4

[41]

 Shay et al., 2020

Oral rinse

Characterize the bacteriome, mycobiome and mycobiome-bacteriome interactions of oral wash samples in head and neck squamous cell carcinoma patients and to determine if they are distinct from those of the oral wash of matched non-head and neck squamous cell carcinoma patients

Subjects with head and neck squamous cell carcinoma (n = 46), subjects without cancer (n = 46), total sample (n = 92)

16S

V1–V2

[49]

 Suzuki et al., 2022

Saliva and tongue dorsum

Investigated the differences in the microbial composition of the tongue directly exposed to cigarette smoke in smokers with that of nonsmokers

Saliva (n = 47) and tongue dorsum (n = 50) samples of healthy volunteers, total sample (n = 50)

16S

V3–V4

[45]

 Thomas et al., 2014

Oral biofilm/whole mouth swab

Investigate the effects of the chronic use of alcohol and tobacco over the oral microbiome, in terms of diversity and composition, using 16S rRNA gene sequencing

Subjects with no alcohol or tobacco consumption (n = 9); subjects with heavy alcohol and tobacco consumption (n = 7), subjects who smoke but do not consume alcohol (n = 6), total sample (n = 22)

16S

V1

[38]

 Vallès et al., 2018

Oral rinse

Compared the effects of cigarette, dokha and shisha use on community composition of the oral microbiome by high-throughput sequencing of the bacterial 16S rRNA gene in 330 participants from the “UAE Healthy Future” pilot study

Subjects who smoke (n = 105), subjects who do not smoke (n = 225), total sample (n = 330)

16S

V4

[34]

 Wolff et al., 2019

Supragingival plaque

Study patterns in pathogenic biofilm composition to characterize the oral microbiome present in tooth surfaces with and without caries. Smoking and socio-economic status were studied as exploratory variables

Total sample (n = 56)

16S

V4

[57]

 Yeo et al., 2019

Saliva

Address the gap in knowledge by reporting on the anthropometrics and cardiometabolic health of a resettled Temiar community and investigated their saliva microbiome in association with their health

Total sample (n = 72)

16S

V3–V4

[53]

 Yeoh et al., 2019

Oral rinse

Collected oral rinse samples from patients showing symptoms of acute tonsillitis and compared their oral cavity microbial community composition to healthy individuals without oral disease

Healthy (n = 165), tonsillitis (n = 43), total sample (n = 208)

16S

V3–V4

[48]

E-cigarette smokers

 Ganesan et al., 2020

Subgingival plaque

Investigate the effects of e-cigarettes on the subgingival microbiome using complementary approaches to achieve comprehensive insights into community assembly, dynamics, and function, as well as the impact of this community on the host’s immunoinflammatory response

Smokers (n = 25), non-smokers (n = 25), e-cigarette users (n = 20), former smokers currently using e-cigarettes (n = 25), concomitant cigarette and e-cigarette users (n = 28), total sample (n = 123)

Shotgun metagenomic sequencing

N/A

[15]

 Pushalkar, 2020*

Saliva

Study the in vivo effects of e-cigarette aerosol and its influence Additionally, the authors evaluated the influence of e-cigarette aerosols on infection efficiency of oral pathogens in pre-cancerous and cancer cell lines using a novel e-cigarette aerosol-generating machine and pro-inflammatory immune mediators

Smokers (n = 40), never smokers (n = 39), e-cigarette users (n = 40), total sample (n = 119)

16S

V3–V4

[46]

  1. 16S 16S ribosomal ribonucleic acid sequencing, HIV human immunodeficiency virus, V variable region of the 16S ribosomal ribonucleic acid gene
  2. *Denotes study included comparisons with both cigarette and e-cigarette smokers