2014 Volume 40 Issue 6 Pages 273-278
Streptococcus mutans and S. sobrinus have been well recognized as principal etiological agents in human dental caries. We found that proteolytic enzyme nattokinase, which is found in a traditional fermented food "Natto" and belongs to the alkaline serine protease family, inhibited the sucrose-dependent biofilm formation of cariogenic streptococci. The presence of nattokinase resulted in the reduction of water-insoluble glucan, which promotes adhesion to the tooth surface and the aggregation of bacterial cells within a biofilm. This finding suggests that the inhibition of biofilm by nattokinase is based on its interference with key enzymes in water-insoluble glucan production. We also evaluated the effects of other serine and cysteine proteases on biofilm formation.