Huang Tsui-Hsein, Chao Chien-Wei, Kao Chia-Tze
School of Dentistry, College of Oral Medicine, Chung Shan Medical University, Department of Endodontics, Chung Shan Medical University Hospital, Taichung, Taiwan.
Department of Orthodontics, Chung Shan Medical University Hospital, Taichung, Taiwan.
J Dent Sci. 2021 Oct;16(4):1117-1124. doi: 10.1016/j.jds.2021.04.020. Epub 2021 Jun 10.
BACKGROUND/PURPOSE: Local anesthesia (LA) application is a routine dental work in clinic. The aim of present study was to evaluate the extent of biologic effects of LA on periodontal ligaments (PDL) or bone cells (MG63).
Local anesthetics (LAs) at different concentrations were added to PDL and MG 63 cells. The viability of the cells was analyzed using an MTT assay. The inflammatory markers, COX-2, IL-1, IL-6 and TNF-A, of PDL and MG63 cells treated with LAs were analyzed with a Western blot assay. The extract medium of the LA-treated PDL cells was added to the MG63 cells for subsequent culture and to examine the RANKL, ALP, and OPG expression. The data were statistically analyzed with p < 0.05 set as an indication of significance.
The viability of the PDL and MG63 cells was less 50% at LAs concentrations above the 10 mM. At high LA concentrations, the PDL and MG63 cells treated with LAs became spherical in shape, or vesicles developed in the cytoplasm. The IL-1, IL-6, and TNF-A expression in the PDL groups showed no statistical differences between Septanest and Scandonest ( > 0.05). The RANKL expression in the MG63 cells increased as the Septanest and Scandonest concentrations were increased in the PDL extract medium ( < 0.05) after 48 h of culturing.
The LAs with adrenaline increased inflammation in the PDL and MG63 cells. The LA-treated PDL extract medium increased the RANKL expression in the MG63 cells.
背景/目的:局部麻醉剂(LA)的应用是临床常规牙科操作。本研究的目的是评估LA对牙周膜(PDL)或骨细胞(MG63)的生物学效应程度。
将不同浓度的局部麻醉剂添加到PDL和MG63细胞中。使用MTT法分析细胞活力。用蛋白质免疫印迹法分析经LA处理的PDL和MG63细胞的炎症标志物COX-2、IL-1、IL-6和TNF-A。将经LA处理的PDL细胞的提取培养基添加到MG63细胞中进行后续培养,并检测RANKL、ALP和OPG的表达。数据采用统计学分析,以p<0.05为有统计学意义的指标。
当LA浓度高于10 mM时,PDL和MG63细胞的活力低于50%。在高LA浓度下,经LA处理的PDL和MG63细胞呈球形,或细胞质中出现小泡。PDL组中IL-1、IL-6和TNF-A的表达在Septanest和Scandonest之间无统计学差异(p>0.05)。培养48小时后,随着PDL提取培养基中Septanest和Scandonest浓度的增加,MG63细胞中的RANKL表达增加(p<0.05)。
含肾上腺素的LA增加了PDL和MG63细胞中的炎症。经LA处理的PDL提取培养基增加了MG63细胞中的RANKL表达。