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Comparison of the use of D-enantiomeric and L-enantiomeric antimicrobial peptides incorporated in a calcium-chelating irrigant against Enterococcus faecalis root canal wall biofilms

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan, Hubei, Peoples R China [2]Augusta Univ, Dent Coll Georgia, Augusta, GA 30912 USA [3]Univ Maryland, Sch Dent, Dept Adv Oral Sci & Therapeut, Baltimore, MD 21201 USA [4]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, State Key Lab Mil Stomatol, Xian, Shaanxi, Peoples R China [5]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Natl Clin Res Ctr Oral Dis, Xian, Shaanxi, Peoples R China [6]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Shaanxi Key Lab Stomatol, Xian, Shaanxi, Peoples R China [7]Xinxiang Med Univ, Affiliated Hosp 3, Xinxiang, Henan, Peoples R China
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关键词: Antimicrobial peptide Biofilm E faecalis Irrigant Root canal

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Objectives: To compare the anti-biofilm efficacy of two antimicrobial peptides (AMPs), 1018 and DJK-5, in disrupting canal wall biofilms in the isthmus, canal and dentinal tubules of single-rooted maxillary premolars. Methods: Enterococcus faecalis single-species biofilms were formed in-situ in the root canal system of the premolars (n = 91). Confocal laser scanning microscopy, bacterial sampling, colony-forming unit counting, XTT assay, lactate dehydrogenase assay and phenol-sulphuric acid method were used to identify the anti-biofilm efficacy of both AMPs and their influence on bacterial metabolic activity. Results: Both AMPs disrupted in-situ E. faecalis biofilms and altered their metabolic activity. At 20 mu g/mL, the D-enantiomeric AMP DJK-5 killed 55.5 %, 57.3 % and 55.8 % of biofilm bacteria in the isthmus, canal and dentinal tubules, respectively, in 1 min. In contrast, the c-enantiomeric AMP 1018 only eradicated 25.6 %, 25.5 % and 27.5 % of biofilm bacteria in the isthmus, canal and dentinal tubules, respectively, within the same time. Anti-biofilm efficacy of the root canal irrigants tested were in the order: 6 % NaOCl > 20 mu g/mL DJK-5 > 10 mu g/mL DJK-5 > 20 mu g/mL 1018 > 10 mu g/mL 1018 > 0.9 % NaCl. Conclusions: The present results are confirmatory of previous studies, in that D-enantiomeric AMPs exhibit more potent antibacterial properties than L-enantiomeric AMPs against E. faecalis biofilms within the canal space. Nevertheless, the potency of both AMPs are concentration-dependent. Incorporation of these agents into EDTA, a non-antibacterial calcium-chelating irrigant for removal of the inorganic component of the canal space debris, does not reduce the efficacy of either AMP. Clinical Significance: The present study provides the proof of concept that incorporation of an antimicrobial peptide into a calcium-chelating root canal irrigant enhances the disinfection of intratubular single-species biofilms during smear layer and smear plug removal.

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出版当年[2018]版:
大类 | 2 区 医学
小类 | 2 区 牙科与口腔外科
最新[2025]版:
大类 | 2 区 医学
小类 | 1 区 牙科与口腔外科
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出版当年[2017]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE
最新[2023]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Stomatol, Wuhan, Hubei, Peoples R China
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通讯机构: [2]Augusta Univ, Dent Coll Georgia, Augusta, GA 30912 USA [4]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, State Key Lab Mil Stomatol, Xian, Shaanxi, Peoples R China [5]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Natl Clin Res Ctr Oral Dis, Xian, Shaanxi, Peoples R China [6]Fourth Mil Med Univ, Sch Stomatol, Dept Prosthodont, Shaanxi Key Lab Stomatol, Xian, Shaanxi, Peoples R China [7]Xinxiang Med Univ, Affiliated Hosp 3, Xinxiang, Henan, Peoples R China
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