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用于牙本质-牙髓复合体再生的仿生智能牙本质细胞外基质-壳聚糖水凝胶

Bioinspired smart dentin ECM-chitosan hydrogels for dentin-pulp complex regeneration.

作者信息

Osman Maya, Sharmin Zinat, Suchy Stephen, Gao Feng, Kaminski Amber, Mitchell John C, Sigar Ira M, Carrilho Marcela R

机构信息

College of Graduate Studies, Biomedical Sciences Program, Midwestern University, Downers Grove, IL, USA; College of Dental Medicine-Arizona, Midwestern University, Glendale, AZ, USA.

College of Dental Medicine-Illinois, Midwestern University, Downers Grove, IL, USA.

出版信息

J Dent. 2025 Aug;159:105811. doi: 10.1016/j.jdent.2025.105811. Epub 2025 May 13.


DOI:10.1016/j.jdent.2025.105811
PMID:40373869
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12167138/
Abstract

OBJECTIVES: Approximately two-thirds of the world's population suffers from dental caries, and clinical treatment of the resulting lesions varies from dental fillings to devitalization. Despite recent advances in regenerative endodontic therapy, scaffolds intended for the regeneration of the dentin-pulp complex with innate odontogenic potential and microarchitecture similar to these dental tissues are still scarce. Taking advantage of the physio-biological properties of demineralized dentin extracellular matrix (ECM), we developed a functional hydrogel that combines insoluble molecules of dentin with chitosan. METHODS: Dentin powder obtained from extracted teeth was partially demineralized with acetic acid. Demineralized dentin and chitosan powder were separately dissolved in acetic acid to form suspensions that were then mixed in volume ratios of 25/75 or 50/50 (v/v %). The extrudability and gelation time of hydrogel precursors were assessed. Three-dimensional constructs were fabricated following pre-hydrogels pH-adjustment, injection into custom-made molds and incubation at 37 °C. Constructs were characterized for infrared spectral analysis, relative sol-gel fraction, degree of porosity, flexural elastic modulus, in-vitro biodegradability, in-vitro bioactivity, antimicrobial properties against Enterococcus faecalis and biocompatibility for OD-21 cells. RESULTS: For most of the tested properties, the two proposed hydrogels showed differences, but regardless of these differences, both materials presented morphology, biomechanical attributes, cytocompatibility, and antibacterial properties to serve as dental pulp cell-inducing scaffolds. CONCLUSIONS: Dentin ECM-chitosan hydrogels exhibited in-vitro bioactivity, biocompatibility, and antimicrobial properties to be considered as promising candidates for application as injectable scaffolds for dentin-pulp complex regeneration. CLINICAL SIGNIFICANCE: Extracellular matrices (ECMs) from native tissues have long been considered ideal scaffolds for tissue regeneration. Here, we describe the physicochemical, mechanical, and biological attributes of newly developed hydrogels derived from the functionalization of demineralized dentin ECM with chitosan. The proposed dentin-ECM-chitosan hydrogels have demonstrable microarchitecture, biophysical characteristics, biocompatibility, and antibacterial capacity to produce cell-inducing scaffolds for use in regenerative dentistry.

摘要

目的:世界上约三分之二的人口患有龋齿,由此产生的病变的临床治疗方法从补牙到牙髓失活各不相同。尽管再生牙髓治疗最近取得了进展,但具有天然牙源性潜力且微观结构与这些牙组织相似的用于牙本质 - 牙髓复合体再生的支架仍然稀缺。利用脱矿牙本质细胞外基质(ECM)的生理生物学特性,我们开发了一种将牙本质不溶性分子与壳聚糖结合的功能性水凝胶。 方法:从拔除的牙齿中获得的牙本质粉末用乙酸进行部分脱矿。将脱矿牙本质和壳聚糖粉末分别溶解在乙酸中形成悬浮液,然后按25/75或50/50(v/v%)的体积比混合。评估水凝胶前体的挤出性和凝胶化时间。在对预水凝胶进行pH调节后,将其注入定制模具并在37°C下孵育,从而制造三维构建体。对构建体进行红外光谱分析、相对溶胶 - 凝胶分数、孔隙率、弯曲弹性模量、体外生物降解性、体外生物活性、对粪肠球菌的抗菌性能以及对OD - 21细胞的生物相容性表征。 结果:对于大多数测试特性,两种提议的水凝胶表现出差异,但无论这些差异如何,两种材料都呈现出形态、生物力学属性、细胞相容性和抗菌性能,可作为诱导牙髓细胞的支架。 结论:牙本质ECM - 壳聚糖水凝胶表现出体外生物活性、生物相容性和抗菌性能,被认为是作为用于牙本质 - 牙髓复合体再生的可注射支架应用的有前途的候选材料。 临床意义:天然组织的细胞外基质(ECM)长期以来一直被认为是组织再生的理想支架。在此,我们描述了通过壳聚糖对脱矿牙本质ECM进行功能化而新开发的水凝胶的物理化学、机械和生物学属性。所提议的牙本质 - ECM - 壳聚糖水凝胶具有可证明的微观结构、生物物理特性、生物相容性和抗菌能力,可生产用于再生牙科的诱导细胞支架。

相似文献

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Bioinspired smart dentin ECM-chitosan hydrogels for dentin-pulp complex regeneration.

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[2]
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[3]
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[4]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Hydrogel Network Architecture Design Space: Impact on Mechanical and Viscoelastic Properties.

Gels. 2025-7-30

本文引用的文献

[1]
Bioengineered Injectable Hydrogel Based on the Dentin Extracellular Matrix and Chitosan.

ACS Omega. 2025-2-25

[2]
Use of marine occurrent extracts to enhance the stability of dentin extracellular matrix.

J Mech Behav Biomed Mater. 2024-6

[3]
Expert consensus on difficulty assessment of endodontic therapy.

Int J Oral Sci. 2024-3-1

[4]
Treatment outcomes of regenerative endodontic therapy in immature permanent teeth with pulpal necrosis: A systematic review and network meta-analysis.

Int Endod J. 2024-3

[5]
In vitro assessment of antimicrobial potential of low molecular weight chitosan and its ability to mechanically reinforce and control endogenous proteolytic activity of dentine.

Int Endod J. 2023-11

[6]
The healing capacity and osteogenesis pattern of demineralized dentin matrix (DDM)-fibrin glue (FG) compound.

Sci Rep. 2023-8-12

[7]
The Host Response to Autogenous, Allogeneic, and Xenogeneic Treated Dentin Matrix/Demineralized Dentin Matrix-Oriented Tissue Regeneration.

Tissue Eng Part B Rev. 2024-2

[8]
Dentin extracellular matrix loaded bioactive glass/GelMA support rapid bone mineralization for potential pulp regeneration.

Int J Biol Macromol. 2023-4-15

[9]
Differential analysis of the dentin soluble proteomic.

J Dent. 2023-4

[10]
Chitosan-Based Hemostatic Hydrogels: The Concept, Mechanism, Application, and Prospects.

Molecules. 2023-2-3

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