Department of Oral Implantology, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, 646000, China.
Luzhou Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Luzhou, 646000, China.
Small. 2024 Mar;20(9):e2305490. doi: 10.1002/smll.202305490. Epub 2023 Oct 18.
Accumulation of reactive oxygen species (ROS) in periodontitis exacerbates the destruction of alveolar bone. Therefore, scavenging ROS to reshape the periodontal microenvironment, alleviate the inflammatory response and promote endogenous stem cell osteogenic differentiation may be an effective strategy for treating bone resorption in periodontitis. In this study, sericin-hydroxyapatite nanoparticles (Se-nHA NPs) are synthesized using a biomimetic mineralization method. Se-nHA NPs and proanthocyanidins (PC) are then encapsulated in sericin/sodium alginate (Se/SA) using an electrostatic injection technique to prepare Se-nHA/PC microspheres. Microspheres are effective in scavenging ROS, inhibiting the polarization of macrophages toward the M1 type, and inducing the polarization of macrophages toward the M2 type. In normal or macrophage-conditioned media, the Se-nHA/PC microspheres effectively promoted the osteogenic differentiation of human periodontal ligament stem cells (hPDLSCs). Furthermore, the Se-nHA/PC microspheres demonstrated anti-inflammatory effects in a periodontitis rat model by scavenging ROS and suppressing pro-inflammatory cytokines. The Se-nHA/PC microspheres are also distinguished by their capacity to decrease alveolar bone loss, reduce osteoclast activity, and boost osteogenic factor expression. Therefore, the biomimetic Se-nHA/PC composite microspheres have efficient ROS-scavenging, anti-inflammatory, and osteogenic abilities and can be used as a multifunctional filling material for inflammatory periodontal tissue regeneration.
活性氧(ROS)在牙周炎中的积累加剧了牙槽骨的破坏。因此,清除 ROS 以重塑牙周微环境、减轻炎症反应和促进内源性干细胞成骨分化可能是治疗牙周炎骨吸收的有效策略。本研究采用仿生矿化法合成丝胶-羟基磷灰石纳米粒子(Se-nHA NPs)。然后,通过静电注射技术将 Se-nHA NPs 和原花青素(PC)包封在丝胶/海藻酸钠(Se/SA)中,制备 Se-nHA/PC 微球。微球能够有效清除 ROS,抑制巨噬细胞向 M1 型极化,并诱导巨噬细胞向 M2 型极化。在正常或巨噬细胞条件培养基中,Se-nHA/PC 微球可有效促进人牙周膜干细胞(hPDLSCs)的成骨分化。此外,Se-nHA/PC 微球通过清除 ROS 和抑制促炎细胞因子在牙周炎大鼠模型中表现出抗炎作用。Se-nHA/PC 微球还具有减少牙槽骨丢失、降低破骨细胞活性和增强成骨因子表达的能力。因此,仿生 Se-nHA/PC 复合微球具有高效的 ROS 清除、抗炎和成骨能力,可作为炎症性牙周组织再生的多功能填充材料。
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