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Peer-reviewed veterinary case report

Cat oral disease shift from aggressive gum disease to chronic mouth

By Shaw, Claire A et al.·Published in Pathogens (Basel, Switzerland)·2025·Department of Population Health and Reproduction, United States·View original on PubMed

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Original publication title: Case Report: Shift from Aggressive Periodontitis to Feline Chronic Gingivostomatitis Is Linked to Increased Microbial Diversity.

Species:
cat

Plain-English summary

A 5-year-old cat with aggressive periodontitis (AP) developed severe oral inflammation and was later diagnosed with feline chronic gingivostomatitis (FCGS). Researchers studied the cat's oral microbiome over time and found that as the disease progressed, there was an increase in the variety of bacteria present in the mouth. This change in the microbial community suggests a link between AP and FCGS, indicating that the bacteria might play a role in the worsening of the cat's condition. Understanding these shifts could help in developing better treatments for these painful oral diseases.

People also search for: cat gingivitis treatment · feline chronic gingivostomatitis symptoms · cat oral health issues

Abstract

Aggressive Periodontitis (AP) and Feline Chronic Gingivostomatitis (FCGS) are two oral inflammatory diseases in cats with unknown etiology. Both conditions present with severe inflammation of the oral cavity and in FCGS it is found with additional deterioration of the non-keratinized mucosa. The oral microbiome is increasingly implicated in disease progression, but little is known about shifts in the microbial community during the AP and FCGS progression. To that end, we used deep metagenomic sequencing with total RNA on three longitudinal samples of the oral microbiome in a cat first diagnosed with AP that progressed to FCGS. This deep sequencing approach revealed that increased diversity at both the genus and species levels marked the shift from AP to FCGS, including increases inandspecies, and decreasedspecies. The metatranscriptomes were then probed for expression of antimicrobial resistance genes and virulence factors. Disease-related genes that include, andwere expressed in early AP and FCGS, while others likewere only expressed in one or the other disease state. Both genus and species-level shifts were observed along the longitudinal microbiome samples with a noted increase in species diversity in the FCGS-associated microbiome. Corroborating that functional shifts accompany taxonomic changes, the AMR and virulence factor expression similarly changed between the sampling points. Together, these taxonomic and functional shifts indicate that AP and FCGS are potentially linked and may be marked by changes in the oral microbiome, which supports the development of microbial-based clinical diagnostics and therapeutics.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/40137713/