Five Bacillus species, predominantly Bacillus megaterium and Bacillus pumilus, were isolated from two popular brands of commercially available chewing tobacco [(5.0 ؎ 1) ؋ 10 6 CFU/ml of supernatant; results for four experiments]. Moreover, the supernatant of the Bacillus culture evoked plasma exudation from postcapillary venules in the intact hamster cheek pouch, exudation that was mediated by the kallikrein/kinin metabolic pathway. Taken together, these data indicate that Bacillus species contaminate chewing tobacco commercially available in the United States and elaborate a potent exogenous virulence factor(s) that injures the oral mucosa.Habitual use of chewing tobacco is on the rise in the United States (4). This practice may be associated with oral mucosa inflammation and injury in susceptible individuals and may predispose chewing tobacco users to oral epithelial cell dysplasia and cancer (7,15,23). Previous studies from our laboratory showed that chewing tobacco elicits plasma exudation from the oral mucosa by activating oral keratinocytes and the kallikrein/ kinin metabolic pathway (2,5,6,18,25). However, the toxic constituent(s) of chewing tobacco that accounts for these responses has not been characterized (8,17).A physiological disorder of the tobacco plant, termed "frenching," has been known to the tobacco industry since colonial times (22). Although the etiology of this condition is uncertain, so-called organic toxins produced by Bacillus species and found in the soil where tobacco plants are grown have been implicated (22). It is conceivable that Bacillus spores could contaminate chewing tobacco processed for human use and germinate when placed onto the oral mucosa. These bacteria could then elaborate potent virulence factors, such as proteinases, that activate oral keratinocytes and the kallikrein/ kinin metabolic pathway in the oral mucosa, leading to plasma exudation and tissue injury (2,9,14,16,19,20).The purpose of this study was to begin to address this issue by determining whether Bacillus species contaminate commercially available chewing tobacco and, if so, whether they evoke plasma exudation from the intact oral mucosa.
MATERIALS AND METHODSCulture of chewing tobacco. One box each of two popular chewing tobacco brands (moist snuff; Skoal Cherry and Skoal Spearmint [U.S. Tobacco Co., Richmond, Va.]) were purchased at a local grocery store in Chicago, Ill. One-half gram of chewing tobacco from each box was mixed with 50 ml of sterile, doubledistilled water for 5 min. Then samples of the mixture were transferred onto blood, mannitol salt, and MacConkey agar plates by sterile cotton swabs and streaked for isolated colonies (13). The blood and mannitol salt agar plates were incubated under aerobic, anaerobic, and 10% CO 2 conditions. MacConkey agar plates were incubated aerobically at 37°C. After 48 h, the cultures were examined and a Gram stain of the isolated colonies was performed (11,12,16). After an additional 48 h of incubation 13 biochemical tests were conducted to identify the isolate...