Zhou Peng, Chrepa Vanessa, Karoussis Ioannis, Pikos Michael A, Kotsakis Georgios A
Translational Periodontal Research Laboratory, Department of Periodontics, UT Health San Antonio, San Antonio, TX, United States.
Department of Endodontics, UT Health San Antonio, San Antonio, TX, United States.
Front Physiol. 2021 Mar 26;12:653661. doi: 10.3389/fphys.2021.653661. eCollection 2021.
The aim of this study was to evaluate the cytocompatibility of an herbal extract compound oral rinse [StellaLife VEGA (SLife)] against relevant human cellular models of oral surgical wound healing. SL was compared to the gold standard for peri-/post-operative oral surgical use, i.e., Chlorhexidine (CHX) and to a commonly utilized essential-oil (EO) based antiseptic rinse. Fibroblasts and primary oral stem cells of the apical papilla (SCAPs) were employed to assess its comparative cytotoxicity to the active comparator antiseptic rinses and its effects on wound healing In cytotoxicity assays, multiple timepoints were tested ranging from clinically relevant of 60-s rinsing to protracted challenge of up to 5 min, to determine dose-dependent toxicity. The SLife group consistently demonstrated minimal cytotoxicity as compared to active comparators across experimental timepoints and different cells lines. At concentrations up to 20% v/v SLife-challenged fibroblasts and SCAPs demonstrated no significant toxicity as compared to unstimulated controls ( > 0.05). When assessing wound healing, a scratch wound assay revealed significantly accelerated cell migration for SLife as compared to CHX ( < 0.05). Notably, all active comparator antiseptic rinses affected wound healing responses by significantly reducing total collagen deposition after intermittent "rinsing" intervals that simulated post-surgical oral rinsing. Nonetheless, intermittent as well as continuous challenge of cells with SLife had a positive effect in functional collagen assays. An herbal extract compound-based oral rinse was found to be cytocompatible to cells critical to oral wound healing and to promote fibroblast migration and differentiation, contrary to existing antiseptic rinses that lack selective cytotoxicity.
本研究的目的是评估一种草药提取物复方口腔含漱液[StellaLife VEGA(SLife)]对口腔外科伤口愈合相关人类细胞模型的细胞相容性。将SL与口腔外科手术围手术期/术后使用的金标准,即氯己定(CHX)以及一种常用的基于精油(EO)的抗菌含漱液进行比较。采用成纤维细胞和根尖乳头原代口腔干细胞(SCAPs)来评估其与活性对照抗菌含漱液相比的细胞毒性以及对伤口愈合的影响。在细胞毒性试验中,测试了从临床相关的60秒冲洗到长达5分钟的长时间刺激等多个时间点,以确定剂量依赖性毒性。与活性对照相比,在整个实验时间点和不同细胞系中,SLife组始终表现出最小的细胞毒性。在浓度高达20% v/v时,与未刺激的对照相比,SLife处理的成纤维细胞和SCAPs未表现出明显毒性(>0.05)。在评估伤口愈合时,划痕试验显示,与CHX相比,SLife能显著加速细胞迁移(<0.05)。值得注意的是,所有活性对照抗菌含漱液在模拟术后口腔冲洗的间歇性“冲洗”间隔后,均通过显著减少总胶原蛋白沉积来影响伤口愈合反应。尽管如此,SLife对细胞的间歇性和持续性刺激在功能性胶原蛋白检测中具有积极作用。与缺乏选择性细胞毒性的现有抗菌含漱液相反,一种基于草药提取物复方的口腔含漱液被发现对口腔伤口愈合至关重要的细胞具有细胞相容性,并能促进成纤维细胞迁移和分化。