Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.

Antiseptic mouthwash use is widespread due to its oral health benefits. However, its impact on systemic physiological processes, particularly nitric oxide (NO) bioavailability and muscle contractility, is not fully understood. We sought to determine the effects of cetylpyridinium (antibacterial) ver...

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Main Authors: Edgar J Gallardo, William S Zoughaib, Ahaan Singhal, Richard L Hoffman, Andrew R Coggan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0312961
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author Edgar J Gallardo
William S Zoughaib
Ahaan Singhal
Richard L Hoffman
Andrew R Coggan
author_facet Edgar J Gallardo
William S Zoughaib
Ahaan Singhal
Richard L Hoffman
Andrew R Coggan
author_sort Edgar J Gallardo
collection DOAJ
description Antiseptic mouthwash use is widespread due to its oral health benefits. However, its impact on systemic physiological processes, particularly nitric oxide (NO) bioavailability and muscle contractility, is not fully understood. We sought to determine the effects of cetylpyridinium (antibacterial) versus sodium chloride (control) mouthwashes on salivary and breath NO markers and muscle contractile function in healthy young adults. Thirty participants (n = 15/group) completed a randomized, parallel-arm, blinded trial, comparing the two mouthwashes before and after 7 d of treatment. NO bioavailability was inferred via measurement of salivary nitrate (NO3-), nitrite (NO2-), and cyclic guanyl monophosphate (cGMP) concentrations and breath NO level. Contractile function of the knee extensor muscles was determined via isokinetic dynamometry. No changes in salivary NO3-, NO2-, or cGMP or in breath NO were observed in response to either treatment. However, cetylpyridinium mouthwash reduced the percentage of NO2- in saliva (17 ± 10% vs. 25 ± 13%; p = 0.0036). Peak torque at velocities of 0-6.28 rad/s was unaffected by mouthwash use. Calculated maximal knee extensor velocity (Vmax) and power (Pmax) were therefore also unchanged. Cetylpyridinium mouthwash reduces the relative abundance of NO2- in the oral cavity but does not significantly diminish overall NO bioavailability or impair muscle contractile function in healthy young adults.
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spelling doaj-art-05bcde67192e41dfa68f2bfd78a924792025-08-20T03:51:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031296110.1371/journal.pone.0312961Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.Edgar J GallardoWilliam S ZoughaibAhaan SinghalRichard L HoffmanAndrew R CogganAntiseptic mouthwash use is widespread due to its oral health benefits. However, its impact on systemic physiological processes, particularly nitric oxide (NO) bioavailability and muscle contractility, is not fully understood. We sought to determine the effects of cetylpyridinium (antibacterial) versus sodium chloride (control) mouthwashes on salivary and breath NO markers and muscle contractile function in healthy young adults. Thirty participants (n = 15/group) completed a randomized, parallel-arm, blinded trial, comparing the two mouthwashes before and after 7 d of treatment. NO bioavailability was inferred via measurement of salivary nitrate (NO3-), nitrite (NO2-), and cyclic guanyl monophosphate (cGMP) concentrations and breath NO level. Contractile function of the knee extensor muscles was determined via isokinetic dynamometry. No changes in salivary NO3-, NO2-, or cGMP or in breath NO were observed in response to either treatment. However, cetylpyridinium mouthwash reduced the percentage of NO2- in saliva (17 ± 10% vs. 25 ± 13%; p = 0.0036). Peak torque at velocities of 0-6.28 rad/s was unaffected by mouthwash use. Calculated maximal knee extensor velocity (Vmax) and power (Pmax) were therefore also unchanged. Cetylpyridinium mouthwash reduces the relative abundance of NO2- in the oral cavity but does not significantly diminish overall NO bioavailability or impair muscle contractile function in healthy young adults.https://doi.org/10.1371/journal.pone.0312961
spellingShingle Edgar J Gallardo
William S Zoughaib
Ahaan Singhal
Richard L Hoffman
Andrew R Coggan
Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.
PLoS ONE
title Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.
title_full Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.
title_fullStr Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.
title_full_unstemmed Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.
title_short Pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults.
title_sort pilot randomized trial of the effect of antibacterial mouthwash on muscle contractile function in healthy young adults
url https://doi.org/10.1371/journal.pone.0312961
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