Ishimatsu Hirotaka, Kitamura Chiaki, Morotomi Takahiko, Tabata Yasuhiko, Nishihara Tatsuji, Chen Ker-Kong, Terashita Masamichi
Division of Pulp Biology, Operative Dentistry, and Endodontics, Department of Cariology and Periodontology, Kyushu Dental College, Kitakyushu, Japan.
J Endod. 2009 Jun;35(6):858-65. doi: 10.1016/j.joen.2009.03.049.
Pulp regeneration therapy is important to overcome the limitations of conventional therapy to induce reparative dentinogenesis. In the present study, we examined the effects of controlled release of different dosages of fibroblast growth factor-2 (FGF-2) from gelatin hydrogels to regenerate the dentin-pulp complex.
After the amputation of dental pulp of rat molars, gelatin hydrogels incorporating various dosages of FGF-2 were individually implanted into dentin defects above the sites of the amputated pulps. Histologic changes as well as the expression of dentin matrix protein-1 (DMP-1) and nestin in the dentin defect area above the amputated pulp were analyzed.
We found that controlled release of high doses of FGF-2 from gelatin hydrogels induced DMP-1-positive calcified particles in the proliferating pulp, whereas a moderate dose of FGF-2 induced DMP-1-positive dentinal bridge on the surface of the proliferating pulp. These findings indicate that the dosage of released FGF-2 has an influence on the structure of calcified tissue regenerated in dentin defects. In addition, pulp cells near calcified tissues regenerated in dentin defects were nestin-negative, suggesting that the calcified tissues might be osteodentin.
Our results showed that the dentin regeneration on amputated pulp, not reparative dentin formation toward amputated pulp, can be regulated by adjusting the dosage of FGF-2 incorporated in biodegradable gelatin hydrogels.
牙髓再生疗法对于克服传统疗法诱导修复性牙本质生成的局限性具有重要意义。在本研究中,我们检测了明胶水凝胶中不同剂量的成纤维细胞生长因子-2(FGF-2)控释对牙本质-牙髓复合体再生的影响。
在大鼠磨牙牙髓切断术后,将含有不同剂量FGF-2的明胶水凝胶分别植入牙髓切断部位上方的牙本质缺损处。分析牙髓切断部位上方牙本质缺损区域的组织学变化以及牙本质基质蛋白-1(DMP-1)和巢蛋白的表达。
我们发现,明胶水凝胶中高剂量FGF-2的控释在增殖的牙髓中诱导出DMP-1阳性的钙化颗粒,而中等剂量的FGF-2在增殖牙髓表面诱导出DMP-1阳性的牙本质桥。这些发现表明,释放的FGF-2剂量对牙本质缺损中再生的钙化组织结构有影响。此外,在牙本质缺损中再生的钙化组织附近的牙髓细胞巢蛋白呈阴性,这表明钙化组织可能是骨样牙本质。
我们的结果表明,通过调整可生物降解明胶水凝胶中FGF-2的剂量,可以调节切断牙髓上的牙本质再生,而不是朝向切断牙髓的修复性牙本质形成。