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DLX6-AS1 regulates odonto/osteogenic differentiation in dental pulp cells under the control of BMP9 via the miR-128-3p/MAPK14 axis: A laboratory investigation DLX6-AS1通过miR-128-3p/MAPK14轴调控牙髓细胞在BMP9控制下的牙髓/骨生成分化:实验室研究
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-07 DOI: 10.1111/iej.14120
Liu Liu, Tongfeng Fang, Cheng Miao, Xiangfen Li, Yanglin Zeng, Tianyi Wang, Yubin Cao, Dingming Huang, Dongzhe Song

Aim

The regenerative capacity of dental pulp relies on the odonto/osteogenic differentiation of dental pulp cells (DPCs), but dynamic microenvironmental changes hinder the process. Bone morphogenetic protein 9 (BMP9) promotes differentiation of DPCs towards an odonto/osteogenic lineage, forming dentinal-like tissue. However, the molecular mechanism underlying its action remains unclear. This study investigates the role of DLX6 antisense RNA 1 (DLX6-AS1) in odonto/osteogenic differentiation induced by BMP9.

Methodology

Custom RT2 profiler PCR array, quantitative Real-Time PCR (qRT-PCR) and western blots were used to investigate the expression pattern of DLX6-AS1 and its potential signal axis. Osteogenic ability was evaluated using alkaline phosphatase and alizarin red S staining. Interactions between lncRNA and miRNA, as well as miRNA and mRNA, were predicted through bioinformatic assays, which were subsequently validated via RNA immunoprecipitation and dual luciferase reporter assays. Student's t-test or one-way ANOVA with post hoc Tukey HSD tests were employed for data analysis, with a p-value of less than .05 considered statistically significant.

Results

DLX6-AS1 was upregulated upon BMP9 overexpression in DPCs, thereby promoting odonto/osteogenic differentiation. Additionally, miR-128-3p participated in BMP9-induced odonto/osteogenic differentiation by interacting with the downstream signal MAPK14. Modifying the expression of miR-128-3p and transfecting pcMAPK14/siMAPK14 had a rescue impact on odonto/osteogenic differentiation downstream of DLX6-AS1. Lastly, miR-128-3p directly interacted with both MAPK14 and DLX6-AS1.

Conclusions

DLX6-AS1 could regulate the odonto/osteogenic differentiation of DPCs under the control of BMP9 through the miR-128-3p/MAPK14 axis.

目的:牙髓的再生能力依赖于牙髓细胞(DPCs)的牙髓/骨生成分化,但动态的微环境变化阻碍了这一过程。骨形态发生蛋白9(BMP9)可促进牙髓细胞向牙髓/骨生成系分化,形成牙本质样组织。然而,其作用的分子机制仍不清楚。本研究探讨了DLX6反义RNA 1(DLX6-AS1)在BMP9诱导的牙性/骨性分化中的作用:方法:使用定制的RT2 profiler PCR阵列、定量实时PCR(qRT-PCR)和Western印迹研究DLX6-AS1的表达模式及其潜在的信号轴。碱性磷酸酶和茜素红 S 染色法评估了成骨能力。通过生物信息分析预测了lncRNA与miRNA以及miRNA与mRNA之间的相互作用,随后通过RNA免疫沉淀和双荧光素酶报告实验进行了验证。数据分析采用学生 t 检验或单向方差分析,并进行事后 Tukey HSD 检验,P 值小于 0.05 为具有统计学意义:结果:当BMP9在DPCs中过表达时,DLX6-AS1被上调,从而促进畸形/骨化分化。此外,miR-128-3p 通过与下游信号 MAPK14 相互作用,参与了 BMP9 诱导的骨头/骨生成分化。改变 miR-128-3p 的表达和转染 pcMAPK14/siMAPK14 对 DLX6-AS1 下游的畸牙/骨生成分化有挽救作用。最后,miR-128-3p直接与MAPK14和DLX6-AS1相互作用:结论:DLX6-AS1可在BMP9的控制下通过miR-128-3p/MAPK14轴调控DPCs的骨性/骨生成分化。
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引用次数: 0
Gut microbiota dysbiosis links chronic apical periodontitis to liver fibrosis in nonalcoholic fatty liver disease: Insights from a mouse model 肠道微生物群失调将慢性根尖牙周炎与非酒精性脂肪肝的肝纤维化联系起来:小鼠模型的启示
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-03 DOI: 10.1111/iej.14119
Guowu Gan, Yufang Luo, Yu Zeng, Shihan Lin, Beibei Lu, Ren Zhang, Shuai Chen, Huaxiang Lei, Zhiyu Cai, Xiaojing Huang

Aim

In this study, we investigated the systemic implications of chronic apical periodontitis (CAP). CAP may contribute to the nonalcoholic fatty liver disease (NAFLD) progression through the gut microbiota and its metabolites, which are related to the degree of fibrosis.

Methodology

Sixteen 7-week-old male apolipoprotein E knockout (apoE−/−) mice were randomly divided into two groups: the CAP and Con groups. A CAP model was established by sealing the first- and second-maxillary molars with bacterium-containing cotton balls. Apical lesions were evaluated by micro-CT. Histological evaluations of NAFLD were performed using second harmonic generation/two-photon excitation fluorescence (SHG/TPEF) assays. Additionally, we comprehensively analyzed the gut microbiota using 16S rRNA gene sequencing and explored metabolic profiles by liquid chromatography–mass spectrometry (LC–MS). Immunofluorescence analysis was used to examine the impact of CAP on tight junction proteins and mucin expression. Transcriptome assays have elucidated gene expression alterations in liver tissues.

Results

Micro-CT scans revealed an evident periapical bone loss in the CAP group, and the total collagen percentage was increased (Con, 0.0361 ± 0.00510%, CAP, 0.0589 ± 0.00731%, p < .05). 16S rRNA sequencing revealed reduced diversity and distinct taxonomic enrichment in the CAP group. Metabolomic assessments revealed that differentially enriched metabolites, including D-galactosamine, were enriched and that 16-hydroxyhexadecanoic acid and 3-methylindole were depleted in the CAP group. Immunofluorescence analyses revealed disruptions in tight junction proteins and mucin production, indicating intestinal barrier integrity disruption. Liver transcriptome analysis revealed upregulation of Lpin-1 expression in the CAP group.

Conclusion

This study provides comprehensive evidence of the systemic effects of CAP on liver fibrosis in NAFLD patients by elucidating alterations in the gut microbiota composition and metabolism.

目的:在这项研究中,我们探讨了慢性根尖牙周炎(CAP)的系统性影响。CAP可能通过肠道微生物群及其代谢产物导致非酒精性脂肪肝(NAFLD)的进展,而肠道微生物群及其代谢产物与纤维化程度有关:16只7周大的雄性载脂蛋白E基因敲除(apoE-/-)小鼠被随机分为两组:CAP组和Con组。通过用含菌棉球封闭第一和第二颌磨牙,建立 CAP 模型。通过显微 CT 对根尖病变进行评估。使用二次谐波发生/双光子激发荧光(SHG/TPEF)检测法对非酒精性脂肪肝进行组织学评估。此外,我们还利用 16S rRNA 基因测序对肠道微生物群进行了全面分析,并利用液相色谱-质谱法(LC-MS)对代谢谱进行了研究。免疫荧光分析用于研究 CAP 对紧密连接蛋白和粘蛋白表达的影响。转录组测定阐明了肝组织中基因表达的改变:结果:显微 CT 扫描显示,CAP 组根尖周骨质明显流失,总胶原蛋白百分比增加(Con,0.0361 ± 0.00510%;CAP,0.0589 ± 0.00731%,p 结论:该研究全面证实了 CAP 对全身骨质疏松症的影响:本研究通过阐明肠道微生物群组成和代谢的改变,为 CAP 对非酒精性脂肪肝患者肝纤维化的全身影响提供了全面的证据。
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引用次数: 0
The tooth survival of non-surgical root-filled posterior teeth and the associated prognostic tooth-related factors: A systematic review and meta-analysis 非手术根充后牙的牙齿存活率及相关预后因素:系统回顾和荟萃分析。
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-01 DOI: 10.1111/iej.14116
S. R. Patel, F. Jarad, E. Moawad, A. Boland, J. Greenhalgh, Maria Liu, Michelle Maden
<div> <section> <h3> Background</h3> <p>Analysis of the survival of root-filled posterior teeth and the associated prognostic tooth-related factors will enable clinicians to predict the outcome of root canal treatment.</p> </section> <section> <h3> Objectives</h3> <p>To investigate (i) the survival of root-filled posterior teeth and (ii) the tooth-related factors that may affect their survival.</p> </section> <section> <h3> Methods</h3> <p>Randomized controlled trials, comparative studies and observational studies assessing survival rates of root-filled posterior teeth with a minimum 4-year follow-up period were identified through an electronic search of the following databases up to January 2023: The Cochrane Central Register of Controlled Trials, Medline via PubMed, the Cochrane Database of Systematic Reviews, Embase, Web of Science and NIHR centre for reviews and dissemination. Two reviewers (SP and ML) independently selected the final studies based on pre-defined inclusion criteria. The Newcastle Ottawa Scale and the Cochrane Risk of Bias Tool for Randomized Trials were used to assess the risk of bias. Pooled weighted survival rates were analysed using a random effects meta-analysis model using DerSimonean and Laird methods. Descriptive analysis of studies describing any prognostic tooth-related factors was conducted.</p> </section> <section> <h3> Results</h3> <p>Of the 72 studies identified, data from 20 studies were included in the survival meta-analysis, and data from 13 of these studies were included in the descriptive analysis of tooth-related factors; 12 studies were retrospective, 7 were prospective, and one was a randomized control trial. The pooled survival rates at 4–7 years and 8–20 years of root-filled posterior teeth regardless of tooth type was 91% (95% CI, 0.85; 0.95) and 87% (95% CI, 0.77; 0.93), respectively. The prognostic tooth-related factors mentioned in the included studies were (i) remaining coronal tooth structure, (ii) ferrule, (iii) crown-to-root ratio (iv) tooth type and location (v) periodontal disease (vi) proximal contacts and (vii) cracks.</p> </section> <section> <h3> Conclusions</h3> <p>The meta-analysis suggests that root canal treatment has a high medium to long term survival outcome. The narrative summary identified 7 factors that affect tooth survival. However, there is a paucity of evidence, and more research is needed in this area.</p> </section> <section>
背景:分析根充后牙的存活率以及与预后相关的牙齿因素将有助于临床医生预测根管治疗的结果:调查(i)根充盈后牙的存活率和(ii)可能影响其存活率的牙齿相关因素:截至 2023 年 1 月,通过对以下数据库的电子检索,确定了评估根充盈后牙存活率的随机对照试验、比较研究和观察性研究,随访期至少为 4 年:Cochrane 对照试验中央注册中心、通过 PubMed 进行的 Medline、Cochrane 系统性综述数据库、Embase、Web of Science 和 NIHR 综述和传播中心。两名审稿人(SP 和 ML)根据预先确定的纳入标准独立筛选出最终研究。采用纽卡斯尔-渥太华量表(Newcastle Ottawa Scale)和科克伦随机试验偏倚风险工具(Cochrane Risk of Bias Tool for Randomized Trials)评估偏倚风险。采用随机效应荟萃分析模型,使用 DerSimonean 和 Laird 方法对汇总加权生存率进行分析。对描述任何与牙齿预后相关因素的研究进行了描述性分析:在确定的 72 项研究中,有 20 项研究的数据被纳入生存荟萃分析,其中 13 项研究的数据被纳入牙齿相关因素的描述性分析;12 项研究为回顾性研究,7 项为前瞻性研究,1 项为随机对照试验。不考虑牙齿类型,根充后牙 4-7 年和 8-20 年的总生存率分别为 91% (95% CI, 0.85; 0.95) 和 87% (95% CI, 0.77; 0.93)。纳入研究中提到的与牙齿预后相关的因素有:(i) 剩余冠状牙齿结构;(ii) 卡环;(iii) 冠根比;(iv) 牙齿类型和位置;(v) 牙周病;(vi) 近端接触;(vii) 裂缝:荟萃分析表明,根管治疗的中长期生存率较高。叙述性总结确定了影响牙齿存活率的 7 个因素。然而,目前证据不足,需要在这一领域开展更多研究:注册:PROSPERO 注册:CRD42021227213。
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引用次数: 0
Top 100 most-cited scientific articles in regenerative endodontics 2019–2023: A bibliometric analysis 2019-2023 年牙髓再生学领域被引用次数最多的 100 篇科学文章:文献计量学分析。
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-07-01 DOI: 10.1111/iej.14117
Alexandre Henrique dos Reis-Prado, Caroline Andrade Maia, Gabriel Pereira Nunes, Lara Cancella de Arantes, Lucas Guimarães Abreu, Henry F. Duncan, Marco C. Bottino, Francine Benetti
<div> <section> <h3> Background</h3> <p>Bibliometric analysis is a critical indicator of the influence and relevance of scientific papers, whilst also highlighting key contributors and gaps in knowledge in a scientific field.</p> </section> <section> <h3> Objectives</h3> <p>To update and analyse the 100 most-cited papers in regenerative endodontics from 2019 to 2023.</p> </section> <section> <h3> Methods</h3> <p>A search of the most-cited recent papers focusing on regenerative endodontics using journals included in the category, ‘Dentistry, Oral Surgery & Medicine’, in the Clarivate Web of Science database from 2019 to 2023 was performed. Three researchers conducted the study selection and data extraction. Data extraction included publication title and year, authors, number and mean number of citations, institution, country and continent, study design, journal title, keywords and research topic. Citation counts were also collected in Google Scholar and Scopus databases. Graphical bibliometric networks were created using VOSviewer software.</p> </section> <section> <h3> Results</h3> <p>The number of citations of the 100 most-cited articles ranged from 6 to 85. Most were published in 2020 (<i>n</i> = 48), principally in the <i>Journal of Endodontics</i> (47%), followed by <i>International Endodontic Journal</i> (13%), <i>Journal of Dental Research</i> (6%) and <i>Dental Materials</i> (6%). Laboratory study was the most common study design amongst the included papers (<i>n</i> = 47), followed by narrative reviews (<i>n</i> = 17) and observational studies (<i>n</i> = 16). The most frequent first author on the top three most-cited papers was Hacer Aksel, whilst Adham A. Azim (<i>n</i> = 6; 89 citations) contributed most to the top 100 articles. The institution from which most articles originated was the University of Hong Kong (China) (<i>n</i> = 5; 81 citations), whereas the corresponding authors were predominantly from the United States of America (USA) (<i>n</i> = 31; 560 citations). The VOSviewer map of co-authorship demonstrated research collaborative clusters. ‘Regenerative endodontics’ and ‘stem-cells’ were the most employed keywords (37 and 36 occurrences respectively).</p> </section> <section> <h3> Discussion</h3> <p>The current study was designed not only to showcase the most influential papers in regenerative endodontics since 2019 but also to provide a better understanding of global research in this area over the last five years.</p>
背景:文献计量分析是衡量科学论文影响力和相关性的重要指标,同时还能突出科学领域的主要贡献者和知识差距:更新并分析 2019 年至 2023 年牙髓再生领域被引用次数最多的 100 篇论文:方法:使用Clarivate Web of Science数据库中的 "牙科、口腔外科和医学 "类别期刊,对2019年至2023年有关再生牙髓病学的最新高被引论文进行了检索。三名研究人员进行了研究选择和数据提取。数据提取包括发表标题和年份、作者、被引次数和平均被引次数、机构、国家和大洲、研究设计、期刊名称、关键词和研究主题。此外,还在 Google Scholar 和 Scopus 数据库中收集了引用次数。使用 VOSviewer 软件创建了图解文献计量学网络:结果:被引用次数最多的 100 篇文章的引用次数从 6 次到 85 次不等。大多数文章发表于 2020 年(n = 48),主要发表于《牙髓病学杂志》(47%),其次是《国际牙髓病学杂志》(13%)、《牙科研究杂志》(6%)和《牙科材料》(6%)。在收录的论文中,实验室研究是最常见的研究设计(47 篇),其次是叙述性综述(17 篇)和观察性研究(16 篇)。被引用次数最多的前三篇论文的第一作者是Hacer Aksel,而被引用次数最多的前100篇论文的第一作者是Adham A. Azim(n = 6;89次引用)。大多数文章的来源机构是香港大学(中国)(n = 5;81 次引用),而通讯作者主要来自美利坚合众国(美国)(n = 31;560 次引用)。VOSviewer 的合著者地图显示了研究合作集群。再生牙髓病学 "和 "干细胞 "是使用最多的关键词(分别出现37次和36次):本研究不仅旨在展示自2019年以来再生牙髓病学领域最具影响力的论文,还旨在让人们更好地了解过去五年该领域的全球研究情况:这项文献计量分析突出了再生牙髓病学领域的论文、作者、机构和关键词。被引用次数最多的100篇论文主要包括在美国发表的实验室研究,重点是评估与干细胞接触的生物材料和支架设计策略。代表更高科学证据水平的临床研究和系统综述目前在再生牙髓学领域还不是最有影响力的。
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引用次数: 0
Osteoinductive and regenerative potential of premixed calcium-silicate bioceramic sealers on vascular wall mesenchymal stem cells 预混合硅酸钙生物陶瓷密封剂对血管壁间充质干细胞的骨诱导和再生潜力。
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-29 DOI: 10.1111/iej.14098
Chiara Bernardini, Fausto Zamparini, Carlo Prati, Roberta Salaroli, Andrea Spinelli, Augusta Zannoni, Monica Forni, Maria Giovanna Gandolfi

Aim

The osteogenic potential of new premixed calcium-silicate-containing bioceramic sealers (Ca-Si sealers) was tested with porcine vascular wall-mesenchymal stem cells (pVW-MSCs).

Methodology

Two Ca-Si-containing sealers: Ceraseal (MetaBiomed, Cheong-si, South Korea) and AH Plus Bioceramic (Maruchi, Wonju-si, South Korea), and an epoxy resin sealer (AH Plus; Dentsply, Konstanz, Germany) as a control, were prepared according to the manufacturers' indications. All samples were allowed to set for 100% of their setting time in a sterile humid cabinet at 37°C and 95% relative humidity. pVW-MSC seeding efficiency and osteogenic differentiation were analysed as marker of gene/protein expression for up to 12 days. Mineralization assay and immunofluorescence staining were performed and evaluated over a period of 21 days. Statistical analyses were conducted using one-way analysis of variance (p < .05). Additional samples were prepared and stored under the same conditions and inspected using an environmental scanning electron microscope equipped with an energy dispersive X-ray spectroscopy system.

Results

Significantly higher cell seeding efficiency (p < .05) was observed for both Ca-Si sealers from day 8. pVW-MSCs showed a significant shift towards the osteogenic lineage only when seeded in contact with Ca-Si sealers. Gene expression of osteopontin was upregulated significantly. Collagen I and osteocalcin were clearly expressed by cells in contact with Ca-Si sealers. Mineralization granules were observed in Alizarin red assays and confocal laser scanning microscopy analysis of both Ca-Si sealers. No gene expression or granule mineralization were observed on the epoxy resin sealer.

Conclusions

Premixed Ca-Si sealers displayed a higher potential for osteogenic activity on pVW-MSCs. Epoxy resin sealer was unable to induce any osteogenic activity. The properties of both Ca-Si sealers suggest their potential as osteoinductive platforms for vascular MSCs in periapical bone.

目的:用猪血管壁-间充质干细胞(pVW-MSCs)测试新型预混合含硅酸钙生物陶瓷封闭剂(Ca-Si 封闭剂)的成骨潜力:方法:两种含 Ca-Si 的封闭剂:方法:根据制造商的说明制备两种含钙硅封闭剂:Ceraseal(MetaBiomed,韩国清溪市)和AH Plus Bioceramic(Maruchi,韩国原州市),以及作为对照的环氧树脂封闭剂(AH Plus;Dentsply,德国康斯坦茨)。所有样品均在 37°C 和 95% 相对湿度的无菌潮湿柜中静置 100%。pVW-间充质干细胞的播种效率和成骨分化作为基因/蛋白表达的标记进行了长达 12 天的分析。在 21 天内进行矿化测定和免疫荧光染色。统计分析采用单因素方差分析(P 结果):细胞播种效率显著提高(p 结论:细胞播种效率显著提高:预混合 Ca-Si 封闭剂对 pVW 间充质干细胞具有更高的成骨活性。环氧树脂封闭剂无法诱导任何成骨活性。这两种钙硅封层的特性表明,它们有可能成为根尖周骨中血管间充质干细胞的成骨诱导平台。
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引用次数: 0
Autophagy regulates bone loss via the RANKL/RANK/OPG axis in an experimental rat apical periodontitis model 在实验性大鼠根尖牙周炎模型中,自噬通过 RANKL/RANK/OPG 轴调节骨质流失。
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-24 DOI: 10.1111/iej.14103
Zhiwu Wu, Shaoying Duan, Mingming Li, Aopeng Zhang, Hui Yang, Jingjing Luo, Ran Cheng, Tao Hu

Aim

Autophagy is involved in human apical periodontitis (AP). However, it is not clear whether autophagy is protective or destructive in bone loss via the receptor activator of nuclear factor-κB ligand (RANKL)/RANK/osteoprotegerin (OPG) axis. This study aimed to investigate the involvement of autophagy via the RANKL/RANK/OPG axis during the development of AP in an experimental rat model.

Methodology

Twenty-four female Sprague–Dawley rats were divided into control, experimental AP (EAP) + saline, and EAP + 3-methyladenine (An autophagy inhibitor, 3-MA) groups. The control group did not receive any treatment. The EAP + saline group and the EAP + 3-MA group received intraperitoneal injections of saline and 3-MA, respectively, starting 1 week after the pulp was exposed. Specimens were collected for microcomputed tomography (micro-CT) scanning, histological processing, and immunostaining to examine the expression of light chain 3 beta (LC3B), RANK, RANKL, and OPG. Data were analysed using one-way analysis of variance (p < .05).

Results

Micro-CT showed greater bone loss in the EAP + 3-MA group than in the EAP + saline group, indicated by an elevated trabecular space (Tb.Sp) (p < .05). Inflammatory cell infiltration was observed in the EAP + saline and EAP + 3-MA groups. Compared with EAP + saline group, the EAP + 3-MA group showed weaker expression of LC3B (p < .01) and OPG (p < .05), more intense expression of RANK (p < .01) and RANKL (p < .01), and a higher RANKL/OPG ratio (p < .05).

Conclusion

Autophagy may exert a protective effect against AP by regulating the RANKL/RANK/OPG axis, thereby inhibiting excessive bone loss.

目的:自噬参与人类根尖牙周炎(AP)。然而,尚不清楚自噬是通过核因子κB配体受体激活剂(RANKL)/RANK/骨保护素(OPG)轴对骨质流失起保护作用还是起破坏作用。本研究旨在探讨自噬通过 RANKL/RANK/OPG 轴参与实验大鼠模型中 AP 的形成:24只雌性Sprague-Dawley大鼠被分为对照组、实验性AP(EAP)+生理盐水组和EAP+3-甲基腺嘌呤(一种自噬抑制剂,3-MA)组。对照组不接受任何治疗。EAP + 生理盐水组和 EAP + 3-MA 组分别在暴露牙髓一周后开始腹腔注射生理盐水和 3-MA。采集标本进行微型计算机断层扫描(micro-CT)、组织学处理和免疫染色,以检测轻链 3 beta(LC3B)、RANK、RANKL 和 OPG 的表达。数据采用单因素方差分析(P 结果):显微 CT 显示,EAP + 3-MA 组比 EAP + 生理盐水组的骨质流失更严重,表现为骨小梁间隙(Tb.Sp)升高(p 结论:自噬可能会对骨质流失起到保护作用:自噬可通过调节 RANKL/RANK/OPG 轴对 AP 发挥保护作用,从而抑制骨质过度流失。
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引用次数: 0
Inflammatory microenvironment of moderate pulpitis enhances the osteo-/odontogenic potential of dental pulp stem cells by autophagy 中度牙髓炎的炎症微环境通过自噬作用增强牙髓干细胞的成骨/成牙潜能
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-21 DOI: 10.1111/iej.14108
Si Yu, Xue-Mei Liu, Yao Liu, Lu Tang, Shuang Lei, Chang Geng, Zhengwei Yuan, Xu Chen

Aim

This study investigated the effects of the inflammatory microenvironment of moderate pulpitis on biological properties of human dental pulp stem cells (DPSCs) and further explored the mechanism involved in osteo-/odontogenic induction of the inflammatory microenvironment.

Methodology

Healthy DPSCs (hDPSCs) and inflammatory DPSCs (iDPSCs) were isolated from human-impacted third molars free of caries and clinically diagnosed with moderate pulpitis, respectively. Healthy DPSCs were treated with lipopolysaccharides (LPS) to mimic iDPSCs in vitro. The surface markers expressed on hDPSCs and iDPSCs were detected by flow cytometry. A CCK-8 assay was performed to determine cell proliferation. Flow cytometric analysis was used to evaluate cell apoptosis. The osteo-/odontogenic differentiation of DPSCs was evaluated by western blot, alkaline phosphatase staining, and Alizarin Red S staining. The functions of the genes of differentially expressed mRNAs of hDPSCs and iDPSCs were analysed using gene set enrichment analysis. Transmission electron microscopy and western blot were used to evaluate the autophagy changes of LPS-treated DPSCs.

Results

Compared with hDPSCs, iDPSCs showed no significant difference in proliferative capacity but had stronger osteo-/odontogenic potential. In addition, the mRNAs differentially expressed between iDPSCs and hDPSCs were considerably enriched in autophagosome formation and assembly-related molecules. In vitro mechanism studies further found that low concentrations of LPS could upregulate DPSC autophagy-related protein expression and autophagosome formation and promote its odontogenic/osteogenic differentiation, whereas the inhibition of DPSC autophagy led to the weakening of the odontogenic/osteogenic differentiation induced by LPS.

Conclusions

This explorative study showed that DPSCs isolated from teeth with moderate pulpitis possessed higher osteo-/odontogenic differentiation capacity, and the mechanism involved was related to the inflammatory microenvironment-mediated autophagy of DPSCs. This helps to better understand the repair potential of inflamed dental pulp and provides the biological basis for pulp preservation and hard tissue formation in minimally invasive endodontics.

本研究探讨了中度牙髓炎的炎症微环境对人牙髓干细胞(DPSCs)生物学特性的影响,并进一步探索了炎症微环境诱导骨/牙生成的机制。
{"title":"Inflammatory microenvironment of moderate pulpitis enhances the osteo-/odontogenic potential of dental pulp stem cells by autophagy","authors":"Si Yu,&nbsp;Xue-Mei Liu,&nbsp;Yao Liu,&nbsp;Lu Tang,&nbsp;Shuang Lei,&nbsp;Chang Geng,&nbsp;Zhengwei Yuan,&nbsp;Xu Chen","doi":"10.1111/iej.14108","DOIUrl":"10.1111/iej.14108","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigated the effects of the inflammatory microenvironment of moderate pulpitis on biological properties of human dental pulp stem cells (DPSCs) and further explored the mechanism involved in osteo-/odontogenic induction of the inflammatory microenvironment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Healthy DPSCs (hDPSCs) and inflammatory DPSCs (iDPSCs) were isolated from human-impacted third molars free of caries and clinically diagnosed with moderate pulpitis, respectively. Healthy DPSCs were treated with lipopolysaccharides (LPS) to mimic iDPSCs in vitro. The surface markers expressed on hDPSCs and iDPSCs were detected by flow cytometry. A CCK-8 assay was performed to determine cell proliferation. Flow cytometric analysis was used to evaluate cell apoptosis. The osteo-/odontogenic differentiation of DPSCs was evaluated by western blot, alkaline phosphatase staining, and Alizarin Red S staining. The functions of the genes of differentially expressed mRNAs of hDPSCs and iDPSCs were analysed using gene set enrichment analysis. Transmission electron microscopy and western blot were used to evaluate the autophagy changes of LPS-treated DPSCs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with hDPSCs, iDPSCs showed no significant difference in proliferative capacity but had stronger osteo-/odontogenic potential. In addition, the mRNAs differentially expressed between iDPSCs and hDPSCs were considerably enriched in autophagosome formation and assembly-related molecules. In vitro mechanism studies further found that low concentrations of LPS could upregulate DPSC autophagy-related protein expression and autophagosome formation and promote its odontogenic/osteogenic differentiation, whereas the inhibition of DPSC autophagy led to the weakening of the odontogenic/osteogenic differentiation induced by LPS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This explorative study showed that DPSCs isolated from teeth with moderate pulpitis possessed higher osteo-/odontogenic differentiation capacity, and the mechanism involved was related to the inflammatory microenvironment-mediated autophagy of DPSCs. This helps to better understand the repair potential of inflamed dental pulp and provides the biological basis for pulp preservation and hard tissue formation in minimally invasive endodontics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13724,"journal":{"name":"International endodontic journal","volume":null,"pages":null},"PeriodicalIF":5.4,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141507285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endodontic sequelae associated with repetitive impacts to the dentofacial region during boxing activities 与拳击活动中反复撞击牙颌面区有关的牙髓后遗症
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-21 DOI: 10.1111/iej.14111
Sally McCarthy, Kishor Gulabivala, Geoffrey St. George, Simon Harvey, Yuan-Ling Ng

Aim

To explore self-reported dentofacial trauma and their potential endodontic sequelae in boxers using a questionnaire, followed by clinical and radiographic assessment to (1) compare the nature and number of self-reported dentofacial injuries with physical evidence of injury sequelae; and (2) investigate potential risk factors influencing dentofacial trauma and their endodontic sequelae.

Methodology

A focus group validated questionnaire was completed by 176 boxers recruited from 16 London boxing clubs; 61 boxers from this cohort then attended a London dental hospital, for a clinical and radiographic assessment. Data from the questionnaire and clinical assessments were then collated and analysed using Chi-squared or t-tests.

Results

Questionnaire data revealed 87.5% of boxers reported a history of dentofacial trauma during boxing activity. The clinical and radiographic assessment detected evidence of dentofacial trauma in 91.8% of boxers and dental injury or endodontic-related injury sequelae in 68.9% of boxers. There was a significant association between dentofacial trauma and boxers who did not participate in weekly neck weight sessions (p < .001), and there was a significant association between trauma-related endodontic sequelae and: boxer age (p = .01); competitions per month (p = .002); and defensive skill (p = .007).

Conclusions

A majority of the cohort had suffered dentofacial injuries and endodontic sequelae. The questionnaire data under-reported musculoskeletal injuries and endodontic sequelae, suggesting that some hard-tissue injuries following repetitive dentofacial trauma may have a subclinical presentation. Injury risk may be related to increased boxer age, defensive skills, frequency of participation in competitions, and frequency of neck weight sessions per week.

通过问卷调查以及临床和放射学评估,探讨拳击运动员自我报告的牙面创伤及其潜在的牙髓后遗症,以便:(1) 比较自我报告的牙面损伤的性质和数量与损伤后遗症的物理证据;(2) 调查影响牙面创伤及其牙髓后遗症的潜在风险因素。
{"title":"Endodontic sequelae associated with repetitive impacts to the dentofacial region during boxing activities","authors":"Sally McCarthy,&nbsp;Kishor Gulabivala,&nbsp;Geoffrey St. George,&nbsp;Simon Harvey,&nbsp;Yuan-Ling Ng","doi":"10.1111/iej.14111","DOIUrl":"10.1111/iej.14111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore <i>self-reported</i> dentofacial trauma and their potential endodontic sequelae in boxers using a questionnaire, followed by clinical and radiographic assessment to (1) compare the nature and number of <i>self-reported</i> dentofacial injuries with physical evidence of injury sequelae; and (2) investigate potential risk factors influencing dentofacial trauma and their endodontic sequelae.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A focus group validated questionnaire was completed by 176 boxers recruited from 16 London boxing clubs; 61 boxers from this cohort then attended a London dental hospital, for a clinical and radiographic assessment. Data from the questionnaire and clinical assessments were then collated and analysed using Chi-squared or <i>t</i>-tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Questionnaire data revealed 87.5% of boxers reported a history of dentofacial trauma during boxing activity. The clinical and radiographic assessment detected evidence of dentofacial trauma in 91.8% of boxers and dental injury or endodontic-related injury sequelae in 68.9% of boxers. There was a significant association between dentofacial trauma and boxers who did not participate in weekly neck weight sessions (<i>p</i> &lt; .001), and there was a significant association between trauma-related endodontic sequelae and: boxer age (<i>p</i> = .01); competitions per month (<i>p</i> = .002); and defensive skill (<i>p</i> = .007).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A majority of the cohort had suffered dentofacial injuries and endodontic sequelae. The questionnaire data under-reported musculoskeletal injuries and endodontic sequelae, suggesting that some hard-tissue injuries following repetitive dentofacial trauma may have a subclinical presentation. Injury risk may be related to increased boxer age, defensive skills, frequency of participation in competitions, and frequency of neck weight sessions per week.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13724,"journal":{"name":"International endodontic journal","volume":null,"pages":null},"PeriodicalIF":5.4,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iej.14111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141507284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Targeted metabolomics analysis approach to unravel the biofilm formation pathways of Enterococcus faecalis clinical isolates 用靶向代谢组学分析方法揭示粪肠球菌临床分离物的生物膜形成途径。
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-18 DOI: 10.1111/iej.14110
Tanujaa Suriyanarayanan, Lye Siang Lee, Sharon Hong Yu Han, Jianhong Ching, Chaminda J. Seneviratne

Aim

(i) To characterize Enterococcus faecalis biofilm formation pathways by semi-targeted metabolomics and targeted nitrogen panel analysis of strong (Ef63) and weak (Ef 64) biofilm forming E. faecalis clinical isolates and (ii) to validate the identified metabolic markers using targeted inhibitors.

Methodology

Previous proteomics profiling of E. faecalis clinical isolates with strong and weak biofilm formation revealed that differences in metabolic activity levels of small molecule, nucleotide and nitrogen compound metabolic processes and biosynthetic pathways, cofactor metabolic process, cellular amino acid and derivative metabolic process and lyase activity were associated with differences in biofilm formation. Hence, semi-targeted analysis of Ef 63, Ef 64 and ATC control strain Ef 29212 was performed by selecting metabolites that were part of both the previously identified pathways and a curated library with confirmed physical and chemical identity, followed by confirmatory targeted nitrogen panel analysis. Significantly regulated metabolites (p < .05) were selected based on fold change cut-offs of 1.2 and 0.8 for upregulation and downregulation, respectively, and subjected to pathway enrichment analysis. The identified metabolites and pathways were validated by minimum biofilm inhibitory concentration (MBIC) and colony forming unit (CFU) assays with targeted inhibitors.

Results

Metabolomics analysis showed upregulation of betaine, hypoxanthine, glycerophosphorylcholine, tyrosine, inosine, allantoin and citrulline in Ef 63 w.r.t Ef 64 and Ef 29212, and thesemetabolites mapped to purinemetabolism, urea cycle and aspartate metabolism pathways. MBIC and CFU assays using compounds against selected metabolites and metabolic pathways, namely glutathione against hypoxanthine and hydroxylamine against aspartate metabolism showed inhibitory effects against E. faecalis biofilm formation.

Conclusions

The study demonstrated the importance of oxidative stress inducers such as hypoxanthine and aspartate metabolism pathway in E. faecalis biofilm formation. Targeted therapeutics against these metabolic markers can reduce the healthcare burden associated with E. faecalis infections.

目的:(i) 通过对强(Ef63)和弱(Ef64)生物膜形成的粪肠球菌临床分离株进行半靶向代谢组学和靶向氮面板分析,确定粪肠球菌生物膜形成途径的特征;(ii) 使用靶向抑制剂验证已确定的代谢标记物:之前对具有强生物膜形成能力和弱生物膜形成能力的粪大肠杆菌临床分离株进行的蛋白质组学分析表明,小分子、核苷酸和氮化合物代谢过程和生物合成途径、辅助因子代谢过程、细胞氨基酸和衍生物代谢过程以及裂解酶活性水平的差异与生物膜形成的差异有关。因此,对 Ef 63、Ef 64 和 ATC 对照菌株 Ef 29212 进行了半靶向分析,选择了既属于先前确定的途径又属于已确认物理和化学特性的策划文库的代谢物,然后进行了确认性靶向氮小组分析。受显著调控的代谢物(p 结果:代谢组学分析表明,与 Ef 64 和 Ef 29212 相比,Ef 63 中的甜菜碱、次黄嘌呤、甘油磷酸胆碱、酪氨酸、肌苷、尿囊素和瓜氨酸出现上调,这些代谢物与嘌呤代谢、尿素循环和天冬氨酸代谢途径相关。利用针对选定代谢物和代谢途径的化合物(即针对次黄嘌呤代谢的谷胱甘肽和针对天冬氨酸代谢的羟胺)进行的 MBIC 和 CFU 检测显示,这些化合物对粪肠杆菌生物膜的形成具有抑制作用:该研究证明了氧化应激诱导剂(如次黄嘌呤和天门冬氨酸代谢途径)在粪大肠杆菌生物膜形成中的重要性。针对这些代谢标记物的靶向疗法可以减轻与粪大肠杆菌感染相关的医疗负担。
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引用次数: 0
Chitosan-based endodontic irrigation solutions and TGF-β1 treatment: Creating the most favourable environment for the survival and proliferation of stem cells of the apical papilla in vitro 基于壳聚糖的牙髓冲洗液和 TGF-β1 治疗:为根尖乳头干细胞的体外生存和增殖创造最有利的环境。
IF 5.4 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-06-18 DOI: 10.1111/iej.14112
Roumaissa Belkadi, Diana Sanz-Serrano, Francesc Ventura, Montse Mercade
<div> <section> <h3> Background</h3> <p>The dental pulp's environment is essential for the regulation of mesenchymal stem cells' homeostasis and thus, it is of great importance to evaluate the materials used in regenerative procedures.</p> </section> <section> <h3> Aim</h3> <p>To assess in vitro (i) the effect of chitosan nanoparticles, 0.2% chitosan irrigation solution, Dual Rinse®, 17% EDTA, 10% citric acid and 2.5% NaOCl on DSCS viability; (ii) the effect of different concentrations of TGF-β1 on DCSC proliferation; and (iii) whether treatment with TGF-β1 following exposure to the different irrigation solutions could compensate for their negative effects.</p> </section> <section> <h3> Methodology</h3> <p>(i) DSCS were treated with three dilutions (1:10, 1:100 and 1:1000) of the six irrigation solutions prepared in DMEM for 10 and 60 min to assess the effect on viability. (ii) The effect of different concentrations (0, 1, 5 and 10 ng/mL) of TGF-β1 on DCSC proliferation was assessed at 1, 3 and 7 days. (iii) The proliferative effect of TGF-β1 following 10-min exposure to 1:10 dilution of each irrigation solution was also tested. We used MTT assay to assess viability and proliferation. We performed statistical analysis using Prism software.</p> </section> <section> <h3> Results</h3> <p>(i) The different endodontic irrigation solutions tested showed a significant effect on cell viability (<i>p</i> ≤ .0001). Significant interactions between the endodontic irrigation solutions and their dilutions were also found for all parameters (<i>p</i> ≤ .0001). Chitosan nanoparticles and 0.2% chitosan irrigation solution were the least cytotoxic to DSCS whilst 2.5% NaOCl was the most cytotoxic followed by 17% EDTA. (ii) TGF-β1 at concentrations of 1 and 5 ng/mL resulted in significantly higher proliferation compared to the control group. (iii) Exposure to 17% EDTA or 2.5% NaOCl for 10 min was sufficient to make DSCS cells refractory to the proliferative effects of TGF-β1. DSCS groups treated with TGF-β1 following exposure to chitosan nanoparticles, 0.2% chitosan irrigation solution, Dual Rinse® and 10% CA demonstrated significantly higher proliferation compared to non-TGF-β1-treated groups (<i>p</i> ≤ .0001, <i>p</i> ≤ .0001, <i>p</i> ≤ .0001 and <i>p</i> = .01 respectively).</p> </section> <section> <h3> Conclusions</h3> <p>The current study offers data that can be implemented to improve the outcome of regenerative endodontic procedures by using less toxic irrig
背景:目的:在体外评估(i)壳聚糖纳米颗粒、0.2%壳聚糖灌洗液、Dual Rinse®、17% EDTA、10%柠檬酸和2.方法:(i) 用 DMEM 制备的六种灌洗液的三种稀释液(1:10、1:100 和 1:1000)处理 DSCS 10 分钟和 60 分钟,以评估其对活力的影响。(ii) 不同浓度(0、1、5 和 10 ng/mL)的 TGF-β1 对 DCSC 增殖的影响分别在 1、3 和 7 天进行评估。(iii) 每种灌流液 1:10 稀释 10 分钟后,还测试了 TGF-β1 的增殖效应。我们使用 MTT 法评估活力和增殖。结果:(i) 测试的不同牙髓冲洗液对细胞活力有显著影响(p ≤ .0001)。牙髓冲洗液及其稀释液之间的相互作用对所有参数也有显著影响(p ≤ .0001)。壳聚糖纳米颗粒和 0.2% 壳聚糖冲洗液对 DSCS 的细胞毒性最小,而 2.5% NaOCl 的细胞毒性最大,其次是 17% EDTA。(ii) 与对照组相比,浓度为 1 和 5 ng/mL 的 TGF-β1 导致增殖明显增加。(iii) 暴露于 17% EDTA 或 2.5% NaOCl 10 分钟足以使 DSCS 细胞对 TGF-β1 的增殖效应产生耐受性。经壳聚糖纳米颗粒、0.2% 壳聚糖灌洗液、Dual Rinse® 和 10% CA 处理的 DSCS 组与未经 TGF-β1 处理的 DSCS 组相比,增殖率明显更高(分别为 p ≤ .0001、p ≤ .0001、p ≤ .0001 和 p = .01):本研究提供的数据可通过使用毒性较低的冲洗液和在治疗方案中添加 TGF-β1 来改善牙髓再生术的效果。
{"title":"Chitosan-based endodontic irrigation solutions and TGF-β1 treatment: Creating the most favourable environment for the survival and proliferation of stem cells of the apical papilla in vitro","authors":"Roumaissa Belkadi,&nbsp;Diana Sanz-Serrano,&nbsp;Francesc Ventura,&nbsp;Montse Mercade","doi":"10.1111/iej.14112","DOIUrl":"10.1111/iej.14112","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The dental pulp's environment is essential for the regulation of mesenchymal stem cells' homeostasis and thus, it is of great importance to evaluate the materials used in regenerative procedures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To assess in vitro (i) the effect of chitosan nanoparticles, 0.2% chitosan irrigation solution, Dual Rinse®, 17% EDTA, 10% citric acid and 2.5% NaOCl on DSCS viability; (ii) the effect of different concentrations of TGF-β1 on DCSC proliferation; and (iii) whether treatment with TGF-β1 following exposure to the different irrigation solutions could compensate for their negative effects.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methodology&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;(i) DSCS were treated with three dilutions (1:10, 1:100 and 1:1000) of the six irrigation solutions prepared in DMEM for 10 and 60 min to assess the effect on viability. (ii) The effect of different concentrations (0, 1, 5 and 10 ng/mL) of TGF-β1 on DCSC proliferation was assessed at 1, 3 and 7 days. (iii) The proliferative effect of TGF-β1 following 10-min exposure to 1:10 dilution of each irrigation solution was also tested. We used MTT assay to assess viability and proliferation. We performed statistical analysis using Prism software.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;(i) The different endodontic irrigation solutions tested showed a significant effect on cell viability (&lt;i&gt;p&lt;/i&gt; ≤ .0001). Significant interactions between the endodontic irrigation solutions and their dilutions were also found for all parameters (&lt;i&gt;p&lt;/i&gt; ≤ .0001). Chitosan nanoparticles and 0.2% chitosan irrigation solution were the least cytotoxic to DSCS whilst 2.5% NaOCl was the most cytotoxic followed by 17% EDTA. (ii) TGF-β1 at concentrations of 1 and 5 ng/mL resulted in significantly higher proliferation compared to the control group. (iii) Exposure to 17% EDTA or 2.5% NaOCl for 10 min was sufficient to make DSCS cells refractory to the proliferative effects of TGF-β1. DSCS groups treated with TGF-β1 following exposure to chitosan nanoparticles, 0.2% chitosan irrigation solution, Dual Rinse® and 10% CA demonstrated significantly higher proliferation compared to non-TGF-β1-treated groups (&lt;i&gt;p&lt;/i&gt; ≤ .0001, &lt;i&gt;p&lt;/i&gt; ≤ .0001, &lt;i&gt;p&lt;/i&gt; ≤ .0001 and &lt;i&gt;p&lt;/i&gt; = .01 respectively).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The current study offers data that can be implemented to improve the outcome of regenerative endodontic procedures by using less toxic irrig","PeriodicalId":13724,"journal":{"name":"International endodontic journal","volume":null,"pages":null},"PeriodicalIF":5.4,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/iej.14112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International endodontic journal
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