Moore A N, Perez S C, Hartgerink J D, D'Souza R N, Colombo J S
Department of Chemistry, Rice University, Houston, TX, USA.
Department of Chemistry, Rice University, Houston, TX, USA Department of Bioengineering, Rice University Houston, TX, USA.
J Dent Res. 2015 Dec;94(12):1773-81. doi: 10.1177/0022034515600380. Epub 2015 Aug 18.
Preservation of a vital dental pulp is a central goal of restorative dentistry. Currently, there is significant interest in the development of tissue engineering scaffolds that can serve as biocompatible and bioactive pulp-capping materials, driving dentin bridge formation without causing cytotoxic effects. Our earlier in vitro studies described the biocompatibility of multidomain peptide (MDP) hydrogel scaffolds with dental pulp-derived cells but were limited in their ability to model contact with intact 3-dimensional pulp tissues. Here, we utilize an established ex vivo mandible organ culture model to model these complex interactions. MDP hydrogel scaffolds were injected either at the interface of the odontoblasts and the dentin or into the pulp core of mandible slices and subsequently cultured for up to 10 d. Histology reveals minimal disruption of tissue architecture adjacent to MDP scaffolds injected into the pulp core or odontoblast space. Additionally, the odontoblast layer is structurally preserved in apposition to the MDP scaffold, despite being separated from the dentin. Alizarin red staining suggests mineralization at the periphery of MDP scaffolds injected into the odontoblast space. Immunohistochemistry reveals deposition of dentin sialophosphoprotein by odontoblasts into the adjacent MDP hydrogel, indicating continued functionality. In contrast, no mineralization or dentin sialophosphoprotein deposition is evident around MDP scaffolds injected into the pulp core. Collagen III expression is seen in apposition to gels at all experimental time points. Matrix metalloproteinase 2 expression is observed associated with centrally injected MDP scaffolds at early time points, indicating proteolytic digestion of scaffolds. Thus, MDP scaffolds delivered centrally and peripherally within whole dental pulp tissue are shown to be biocompatible, preserving local tissue architecture. Additionally, odontoblast function and pulp vitality are sustained when MDP scaffolds are intercalated between dentin and the odontoblast region, a finding that has significant implications when considering these materials as pulp-capping agents.
保存有活力的牙髓是修复牙科的核心目标。目前,人们对开发能够作为生物相容性和生物活性盖髓材料的组织工程支架有着浓厚的兴趣,这种支架能够促进牙本质桥形成而不产生细胞毒性作用。我们早期的体外研究描述了多结构域肽(MDP)水凝胶支架与牙髓来源细胞的生物相容性,但在模拟与完整三维牙髓组织接触的能力方面存在局限性。在这里,我们利用已建立的离体下颌骨器官培养模型来模拟这些复杂的相互作用。将MDP水凝胶支架注射到成牙本质细胞与牙本质的界面处或下颌骨切片的牙髓核心中,随后培养长达10天。组织学显示,注射到牙髓核心或成牙本质细胞间隙的MDP支架附近的组织结构破坏最小。此外,尽管与牙本质分离,但成牙本质细胞层在与MDP支架相邻处结构保持完整。茜素红染色表明,注射到成牙本质细胞间隙的MDP支架周边有矿化现象。免疫组织化学显示,成牙本质细胞将牙本质涎磷蛋白沉积到相邻的MDP水凝胶中,表明其功能持续存在。相比之下,注射到牙髓核心的MDP支架周围未观察到矿化或牙本质涎磷蛋白沉积。在所有实验时间点,均可看到与凝胶相邻处有Ⅲ型胶原表达。在早期时间点,观察到基质金属蛋白酶2的表达与中央注射的MDP支架相关,表明支架发生了蛋白水解消化。因此,在整个牙髓组织中中央和周边递送的MDP支架显示出生物相容性,保留了局部组织结构。此外,当MDP支架插入牙本质和成牙本质细胞区域之间时,成牙本质细胞功能和牙髓活力得以维持,这一发现对于将这些材料用作盖髓剂具有重要意义。