Abstract

ABSTRACTObjective The purpose of this study was to investigate the biological effects of epicatechin (ECN), a crosslinking agent, on human dental pulp cells (hDPCs) cultured in collagen scaffolds.Material and Method To evaluate the effects of ECN on the proliferation of hDPCs, cell counting was performed using optical and fluorescent microscopy. Measurements of alkaline phosphatase (ALP) activity, alizarin red staining, and real-time polymerase chain reactions were performed to assess odontogenic differentiation. The compressive strength and setting time of collagen scaffolds containing ECN were measured. Differential scanning calorimetry was performed to analyze the thermal behavior of collagen in the presence of ECN.Results Epicatechin increased ALP activity, mineralized nodule formation, and the mRNA expression of dentin sialophosphoprotein (DSPP), a specific odontogenic-related marker. Furthermore, ECN upregulated the expression of DSPP in hDPCs cultured in collagen scaffolds. Epicatechin activated the extracellular signal-regulated kinase (ERK) and the treatment with an ERK inhibitor (U0126) blocked the expression of DSPP. The compressive strength was increased and the setting time was shortened in a dose-dependent manner. The number of cells cultured in the ECN-treated collagen scaffolds was significantly increased compared to the cells in the untreated control group.Conclusions Our results revealed that ECN promoted the proliferation and differentiation of hDPCs. Furthermore, the differentiation was regulated by the ERK signaling pathway. Changes in mechanical properties are related to cell fate, including proliferation and differentiation. Therefore, our study suggests the ECN treatment might be desirable for dentin-pulp complex regeneration.

Highlights

  • Apexification has been used to treat pulp pathosis in immature teeth with open apices

  • Alkaline phosphatase (ALP) activity Alkaline phosphatase activity was measured as an early marker of odontogenic differentiation RI K'3&V 7KHUH ZHUH QR VLJQL¿FDQW GLIIHUHQFHV between the ECN-treated cells and control cells through day 3 (p>0.05)

  • Crosslinking of collagen scaffolds is considered a favorable technique because it enhances many EHQH¿FLDOSURSHUWLHVRIWKHVFDIIROGDQGPD\SURYLGH some advantages concerning cell growth and fate

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Summary

Introduction

Apexification has been used to treat pulp pathosis in immature teeth with open apices. The GLVDGYDQWDJH RI DSH[L¿FDWLRQ LV WKDW LW QHLWKHU allows the root wall to thicken nor continuously develops the immature root. The GLVDGYDQWDJH RI DSH[L¿FDWLRQ LV WKDW LW QHLWKHU allows the root wall to thicken nor continuously develops the immature root19 To overcome these disadvantages of apexification, regenerative endodontic therapy was introduced. To overcome these disadvantages of apexification, regenerative endodontic therapy was introduced10 In this approach, a blood clot serves as a scaffold for the growth and differentiation of stem cells. There have been many controversies over regenerative endodontic therapy regarding the nature of the regenerated tissue and its predictability. As biotechnology has developed there have been many attempts to regenerate pulp-dentin complexes using tissue engineering concepts

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