Division of Periodontology, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8514, Japan.
Division of Periodontology, Faculty of Dentistry & Graduate School of Medical and Dental Sciences, Niigata University, Niigata 951-8514, Japan.
Int J Pharm. 2024 Sep 5;662:124544. doi: 10.1016/j.ijpharm.2024.124544. Epub 2024 Jul 31.
Periodontitis is a chronic inflammatory disease that causes destruction of the periodontium and eventual tooth loss. The priority in the periodontal treatment is to remove the subgingival biofilm. Chemical removal of biofilms using antimicrobial agents has been applied in clinical practice. However, their clinical effect is still limited because the agents must overcome biofilm's significant drug tolerance, which is primarily caused by the extracellular matrix, a physical barrier that attenuates drug diffusion. This study aimed to study the use of ionic liquids (ILs), a new class of biocompatible materials, for controlling subgingival biofilms because of their excellent permeability. Choline and geranate (CAGE) IL was tested for its highly potent antiseptic behavior and permeability. Antibacterial tests revealed that the significant efficacy of CAGE against periodontopathic microorganisms was derived from their ability to destroy cell membrane, as demonstrated by membrane permeability assay and transmission electron microscopy imaging. Antibiofilm tests using two pathogenic biofilm models revealed that CAGE exerted efficacy against the biofilm-embedded bacteria, conspicuously neutralized the biofilms, and eventually destroyed the biofilm structure. Furthermore, the penetration of CAGE into the biofilm was visually confirmed using confocal laser scanning microscopy. This study highlighted the potential of CAGE as a powerful antibiofilm therapeutic.
牙周炎是一种慢性炎症性疾病,会导致牙周组织破坏,最终导致牙齿脱落。牙周治疗的重点是清除龈下生物膜。在临床实践中,已经使用抗菌剂等化学方法来去除生物膜。然而,其临床效果仍然有限,因为这些药物必须克服生物膜的显著药物耐受性,这主要是由细胞外基质引起的,细胞外基质是一种物理屏障,会削弱药物的扩散。本研究旨在研究使用离子液体 (ILs) 作为一种新型生物相容性材料来控制龈下生物膜,因为它们具有出色的通透性。测试了胆碱和香叶酸盐 (CAGE) IL 的高效杀菌行为和通透性。抗菌试验表明,CAGE 对牙周病微生物具有显著疗效,这源于其破坏细胞膜的能力,这通过细胞膜通透性测定和透射电子显微镜成像得到证实。使用两种致病性生物膜模型进行的抗生物膜试验表明,CAGE 对生物膜内的细菌有效,明显中和了生物膜,最终破坏了生物膜结构。此外,还使用共聚焦激光扫描显微镜直观地证实了 CAGE 进入生物膜的情况。本研究强调了 CAGE 作为一种强大的抗生物膜治疗药物的潜力。
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