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双作用 GA-KR12 肽在再矿化初期釉质龋中的疗效:一项体外研究。

Efficacy of the dual-action GA-KR12 peptide for remineralising initial enamel caries: an in vitro study.

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.

Department of Oral Medicine, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, China.

出版信息

Clin Oral Investig. 2022 Mar;26(3):2441-2451. doi: 10.1007/s00784-021-04210-1. Epub 2021 Oct 12.

DOI:10.1007/s00784-021-04210-1
PMID:34635946
Abstract

OBJECTIVE

To investigate the antibiofilm and remineralising effects of the dual-action peptide GA-KR12 on artificial enamel caries.

MATERIALS AND METHODS

Enamel blocks with artificial caries were treated with sterilised deionised water as control or GA-KR12. The blocks underwent biochemical cycling with Streptococcus mutans for 3 weeks. The architecture, viability, and growth kinetics of the biofilm were determined, respectively, by scanning electron microscopy (SEM), confocal laser scanning microscopy, and quantitative (culture colony-forming units, CFUs). The mineral loss, calcium-to-phosphorus ratio, surface morphology, and crystal characteristics of the enamel surface were determined, respectively, using micro-computed tomography, energy dispersive spectroscopy, SEM, and X-ray diffraction (XRD).

RESULTS

SEM showed confluent growth of S. mutans in the control group but not in the GA-KR12-treated group. The dead-to-live ratios of the control and GA-KR12-treated groups were 0.42 ± 0.05 and 0.81 ± 0.08, respectively (p < 0.001). The log CFUs of the control and GA-KR12-treated groups were 8.15 ± 0.32 and 6.70 ± 0.49, respectively (p < 0.001). The mineral losses of the control and GA-KR12-treated groups were 1.39 ± 0.09 gcm and 1.19 ± 0.05 gcm, respectively (p < 0.001). The calcium-to-phosphorus molar ratios of the control and GA-KR12-treated groups were 1.47 ± 0.03 and 1.57 ± 0.02, respectively (p < 0.001). A uniformly remineralised prismatic pattern on enamel blocks was observed in the GA-KR12-treated but not in the control group. The hydroxyapatite in the GA-KR12-treated group was better crystallised than that in the control group.

CONCLUSION

The dual-action peptide GA-KR12 inhibited the growth of S. mutans biofilm and promoted the remineralisation of enamel caries.

CLINICAL RELEVANCE

GA-KR12 potentially is applicable for managing enamel caries.

摘要

目的

研究双功能肽 GA-KR12 对人工釉质龋的抗生物膜和再矿化作用。

材料与方法

用灭菌去离子水(对照)或 GA-KR12 处理有龋人工釉质块。将块体用变异链球菌进行生物化学循环 3 周。分别通过扫描电子显微镜(SEM)、共聚焦激光扫描显微镜和定量(培养菌落形成单位,CFU)来确定生物膜的结构、活力和生长动力学。分别通过微计算机断层扫描、能量色散光谱、SEM 和 X 射线衍射(XRD)来确定釉质表面的矿物质损失、钙磷比、表面形貌和晶体特征。

结果

SEM 显示对照组中变异链球菌呈融合生长,而 GA-KR12 处理组则无。对照组和 GA-KR12 处理组的死/活比分别为 0.42±0.05 和 0.81±0.08(p<0.001)。对照组和 GA-KR12 处理组的 log CFU 分别为 8.15±0.32 和 6.70±0.49(p<0.001)。对照组和 GA-KR12 处理组的矿物质损失分别为 1.39±0.09 gcm 和 1.19±0.05 gcm(p<0.001)。对照组和 GA-KR12 处理组的钙磷摩尔比分别为 1.47±0.03 和 1.57±0.02(p<0.001)。在 GA-KR12 处理组中观察到釉质块上有均匀的再矿化棱柱图案,而在对照组中则没有。GA-KR12 处理组的羟基磷灰石结晶性优于对照组。

结论

双功能肽 GA-KR12 抑制变异链球菌生物膜的生长并促进釉质龋的再矿化。

临床意义

GA-KR12 可能适用于管理釉质龋。

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