Seseogullari-Dirihan Roda, Tjäderhane Leo, Pashley David H, Tezvergil-Mutluay Arzu
Finnish Doctoral Program in Oral Sciences (FINDOS), University of Turku, Institute of Dentistry, Turku, Finland; Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku, Turku, Finland.
Institute of Dentistry, University of Oulu, and Medical Research Center, Oulu University Hospital and University of Oulu, Oulu, Finland; Department of Oral and Maxillofacial Diseases, University of Helsinki, and Helsinki University Hospital, Helsinki, Finland.
Dent Mater. 2015 Oct;31(10):1225-31. doi: 10.1016/j.dental.2015.08.145. Epub 2015 Aug 25.
The aim of this study was to evaluate the effect of using UVA-induced crosslinking with or without riboflavin as photosensitizers on degradation of dentin matrix by dentin proteases.
Demineralized dentin specimens (0.4×3×6 mm(3), n=10/group) were subjected to: (RP1), 0.1% riboflavin-5 phosphate/UVA for 1 min; (RP5), 0.1% riboflavin-5 phosphate/UVA for 5 min; (R1), 0.1% riboflavin/UVA for 1 min; (R5), 0.1% riboflavin-UVA for 5 min; (UV1), UVA for 1 min; (UV5), UVA for 5 min. Specimens were incubated in 1 mL zinc and calcium containing media for 1 day and 1 week. An untreated group served as control (CM). After incubation, the loss of dry mass of samples was measured and aliquots of media were analyzed for the release of C-terminal fragment telopeptide (ICTP vs. CTX) of collagen to evaluate for cathepsin K (CA-K) and total matrix metalloproteinase (MMP)-mediated degradation. Data were analyzed using repeated measures ANOVA at α=0.05.
Although UVA radiation alone reduced dentin degradation, UVA-activated riboflavin or riboflavin-5 phosphate inhibited MMP and CA-K activities more than UVA alone. The effects of crosslinking were more pronounced in 7-day samples; only with CA-K were the effects of crosslinking with or without photosensitizer significantly different from controls in 1-day samples.
The use of bioactive forms (RP) or longer treatment time did not result with better effect. The use of UVA crosslinking reduces dentin matrix degradation, especially with photosensitizers.
本研究旨在评估使用或不使用核黄素作为光敏剂的紫外线A(UVA)诱导交联对牙本质蛋白酶降解牙本质基质的影响。
脱矿牙本质标本(0.4×3×6 mm³,每组n = 10)接受以下处理:(RP1),0.1%核黄素-5磷酸/UVA照射1分钟;(RP5),0.1%核黄素-5磷酸/UVA照射5分钟;(R1),0.1%核黄素/UVA照射1分钟;(R5),0.1%核黄素-UVA照射5分钟;(UV1),UVA照射1分钟;(UV5),UVA照射5分钟。标本在含锌和钙的1 mL培养基中孵育1天和1周。一个未处理组作为对照(CM)。孵育后,测量样品干质量的损失,并分析培养基等分试样中胶原蛋白C末端片段端肽(ICTP与CTX)的释放,以评估组织蛋白酶K(CA-K)和总基质金属蛋白酶(MMP)介导的降解。使用重复测量方差分析在α = 0.05水平分析数据。
尽管单独的UVA辐射可减少牙本质降解,但UVA激活的核黄素或核黄素-5磷酸比单独的UVA更能抑制MMP和CA-K活性。交联的效果在7天的样品中更明显;仅在1天的样品中,使用或不使用光敏剂的交联对CA-K的影响与对照有显著差异。
使用生物活性形式(RP)或更长的处理时间并未产生更好的效果。UVA交联的使用可减少牙本质基质降解,尤其是在使用光敏剂时。