Visible-wavelength Raman spectroscopy was used to investigate the uptake and metabolism of the five-
carbon sugar alcohol xylitol by Gram-positive viridans group streptococcus and the two extensively used strains of Gram-negative Escherichia coli, E. coli C and E. coli K-12. E. coli C, but not E. coli K-12, contains a complete
xylitol operon, and the viridans group streptococcus contains an incomplete
xylitol operon used to metabolize the
xylitol. Raman spectra from
xylitol-exposed viridans group streptococcus exhibited significant changes that persisted even in progeny grown from the
xylitol-exposed mother cells in a
xylitol-free medium for 24 h. This behavior was not observed in the E. coli K-12. In both viridans group streptococcus and the E. coli C derivative HF4714, the metabolic intermediates are stably formed to create an anomaly in bacterial normal survival. The uptake of
xylitol by Gram-positive and Gram-negative pathogens occurs even in the presence of other high-calorie
sugars, and its stable integration within the bacterial cell wall may discontinue bacterial multiplication. This could be a contributing factor for the known efficacy of
xylitol when taken as a prophylactic measure to prevent or reduce occurrences of
persistent infection. Specifically, these bacteria are causative agents for several important diseases of children such as
pneumonia,
otitis media,
meningitis, and
dental caries. If properly explored, such an inexpensive and harmless
sugar-alcohol, alone or used in conjunction with
fluoride, would pave the way to an alternative preventive
therapy for these childhood diseases when the causative pathogens have become resistant to modern medicines such as
antibiotics and
vaccine immunotherapy.