Effect of chitosan irrigant solutions on the release of bioactive proteins from root dentin

Clin Oral Investig. 2023 Feb;27(2):691-703. doi: 10.1007/s00784-022-04787-1. Epub 2022 Nov 18.

Abstract

Objective: To identify the effect of two chitosan solutions on the release of root dentin matrix proteins and to describe the chemical changes observed following conditioning with chelating agents.

Materials and methods: The release of dentin sialoprotein (DSP), transforming growth factor-beta 1 (TGF-β1), vascular endothelial growth factor (VEGF), and platelet-derived growth factor-BB (PDGF-BB) with different chelating agents, including ethylenediaminetetraacetic acid (EDTA), chitosan solution (CS), and nanoparticulate chitosan (CSnp), was investigated. DSP was quantified using an enzyme-linked immunosorbent assay (ELISA). TGF-β1, VEGF, and PDGF-BB were quantified using a cytokine bead panel (CBA). Raman spectroscopy was performed to identify surface chemical changes. Statistical analysis was performed using Kruskal-Wallis test with Mann-Whitney-Wilcoxon rank-sum test (p < 0.05).

Results: TGF-β1, VEGF, and DSP solubilized in all irrigants tested. CSnp showed the highest concentration of DSP. PDGF-BB did not exceed the detection limits. Raman spectroscopy revealed a decrease in the phosphate and carbonate peaks, representing the chelating effect of EDTA, CS, and CSnp. Additionally, CSnp showed the greatest preservation of the amide I and III content.

Conclusion: Proteins can be released from dentin via EDTA, CS, and CSnp conditioning. Raman spectroscopic revealed changes in the inorganic content of the root dentin after chelation. Furthermore, use of CSnp facilitated a preservation of the organic content.

Clinical relevance: Chelation allows the release of proteins, justifying the use of chelating agents in regenerative endodontics. The chitosan-dentin matrix interaction also promotes the protection of the organic content as an additional benefit to its protein releasing effect.

Keywords: Chelating agents; Chitosan; Dentin; Endodontics; Extracellular matrix proteins; Regeneration.

MeSH terms

  • Becaplermin / metabolism
  • Becaplermin / pharmacology
  • Chelating Agents / metabolism
  • Chelating Agents / pharmacology
  • Chitosan* / pharmacology
  • Dentin
  • Edetic Acid / pharmacology
  • Root Canal Irrigants / pharmacology
  • Transforming Growth Factor beta1* / metabolism
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Transforming Growth Factor beta1
  • Chitosan
  • Edetic Acid
  • Vascular Endothelial Growth Factor A
  • Becaplermin
  • Chelating Agents
  • Root Canal Irrigants