State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, No.14, Section 3 of Renmin Road South, Chengdu, 610041, China.
Department of Stomatology, Aviation General Hospital of China Medical University and Beijing Institute of Translational Medicine, Chinese Academy of Science, Beijing, China.
Clin Oral Investig. 2023 Dec 26;28(1):35. doi: 10.1007/s00784-023-05465-6.
Biomimetic mineralization mediated by proteins and peptides is a promising strategy for enamel repair, and its specific application model needs more research. In this work, we exploited a liposomal delivery system for a novel peptide (DK5) derived from histatin-1 (DK5-Lips) as a new biomimetic mineralization strategy against initial enamel caries.
The DK5-Lips was prepared using calcium acetate gradient method and then the in vitro release, salivary stability, and cytotoxicity were studied. Initial enamel caries was created in bovine enamel blocks and subjected to pH-cycling model treated with DK5-Lips. Surface microhardness testing, polarized light microscopy (PLM), and transverse microradiography (TMR) were analyzed. Then the biocompatibility of DK5-Lips was evaluated in the caries model of Sprague-Dawley rats, and the anti-caries effect was assessed using Micro-CT analysis, Keyes scores, and PLM in vivo.
DK5-Lips provided a mean particle size of (97.63 ± 4.94)nm and encapsulation efficiency of (61.46 ± 1.44)%, exhibiting a sustained release profile, excellent stability in saliva, and no significant toxicity on human gingival fibroblasts (HGFs). The DK5-Lips group had higher surface microhardness recovery, shallower caries depth, and less mineral loss in bovine enamel. Animal experiments showed higher volume and density values of residual molar enamel, lower Keyes score, and shallower lesion depth of the DK5-Lips group with good biocompatibility.
As a safe and effective application model, DK5-Lips could significantly promote the remineralization of initial enamel caries both in vitro and in vivo.
The potential of liposome utilization as vehicle for oral delivery of functional peptides may provide a new way for enamel restoration.
蛋白质和肽介导的仿生矿化是一种很有前途的釉质修复策略,其具体的应用模式需要更多的研究。在这项工作中,我们利用一种新型肽(DK5)的脂质体递送系统(源自组蛋白-1(DK5-Lips))作为一种针对初始釉质龋的新仿生矿化策略。
采用醋酸钙梯度法制备 DK5-Lips,然后研究其体外释放、唾液稳定性和细胞毒性。在牛牙釉质块中制造初始釉质龋,并用 DK5-Lips 进行 pH 循环模型处理。进行表面显微硬度测试、偏光显微镜(PLM)和横向显微放射照相术(TMR)分析。然后在 Sprague-Dawley 大鼠龋模型中评估 DK5-Lips 的生物相容性,并通过 Micro-CT 分析、Keyes 评分和体内 PLM 评估其抗龋效果。
DK5-Lips 的平均粒径为(97.63±4.94)nm,包封效率为(61.46±1.44)%,呈持续释放曲线,在唾液中稳定性好,对人牙龈成纤维细胞(HGFs)无明显毒性。DK5-Lips 组牛牙釉质的表面显微硬度恢复更高,龋深度更浅,矿物质损失更少。动物实验显示,DK5-Lips 组磨牙釉质的残留体积和密度值更高,Keyes 评分更低,病变深度更浅,具有良好的生物相容性。
作为一种安全有效的应用模式,DK5-Lips 可显著促进初始釉质龋的体外和体内再矿化。
脂质体作为功能性肽口服递药载体的应用潜力,可能为釉质修复提供新途径。