AGENT FOR PROMOTING ODONTOBLAST PROPAGATION AND DIFFERENTIATION
20220362201 · 2022-11-17
Inventors
- Takashi SAITO (Ebetsu-shi, Hokkaido, JP)
- Youjing QIU (Ishikarigun, Hokkaido, JP)
- Tamaki OTSUKI (Moriyama-shi, Shiga, JP)
- Akiyo TADA (Moriyama-shi, Shiga, JP)
- Takashi YAMAMOTO (Moriyama-shi, Shiga, JP)
- Tatsuya ORI (Moriyama-shi, Shiga, JP)
- Kumiko NAKAMURA (Moriyama-shi, Shiga, JP)
- Tadashi ISHIDA (Moriyama-shi, Shiga, JP)
Cpc classification
A61K45/06
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61P1/02
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61K31/235
HUMAN NECESSITIES
A61K31/235
HUMAN NECESSITIES
International classification
A61K31/235
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
Abstract
An odontoblast proliferation/differentiation promoting agent contains a calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid.
Claims
1. An odontoblast proliferation/differentiation promoting agent comprising a calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid.
2. The odontoblast proliferation/differentiation promoting agent according to claim 1, further comprising a bioabsorbable material that dissolves, disperses, or adsorbs the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid.
3. The odontoblast proliferation/differentiation promoting agent according to claim 1, further comprising an anti-inflammatory agent.
Description
BRIEF DESCRIPTION OF DRAWINGS
[0016]
[0017]
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
MODES FOR CARRYING OUT THE INVENTION
[0026] The odontoblast proliferation/differentiation promoting agent of the present invention contains a calcium salt of 4-(meth) acryloyloxyethyltrimellitic acid as an essential component.
[0027] (1) Calcium Salt of 4-(meth)acryloyloxyethyltrimellitic Acid
[0028] The calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid is represented by the following general formula (1):
##STR00001##
where R is H or CH.sub.3.
[0029] In general formula (1), R is a hydrogen atom or a methyl group, preferably a methyl group.
[0030] That is, the odontoblast proliferation/differentiation promoting agent contains a calcium salt of 4-acryloyloxyethyltrimellitic acid and/or a calcium salt of 4-methacryloyloxyethyltrimellitic acid (hereinafter referred to as C-MET), preferably C-MET.
[0031] When the odontoblast proliferation/differentiation promoting agent has a solid content of 100% by mass, it contains the calcium salt of 4-(meth) acryloyloxyethyltrimellitic acid in a proportion of, for example, 0.01% by mass or more, preferably 0.03% by mass or more, and for example, 100% by mass or less, preferably 95% by mass or less.
[0032] When the content of the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid is the lower limit or more, proliferation of odontoblasts and/or differentiation of stem cells into odontoblasts can be securely promoted. When the content of the calcium salt of 4-(meth) acryloyloxyethyltrimellitic acid is the upper limit or less, the effect of promoting proliferation of odontoblasts and/or differentiation of stem cells into odontoblasts can be secured and the amount of the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid used can be reduced.
[0033] (2) Bioabsorbable Material
[0034] The odontoblast proliferation/differentiation promoting agent preferably further contains a bioabsorbable material as an optional component.
[0035] If the odontoblast proliferation/differentiation promoting agent contains a bioabsorbable material, when the odontoblast proliferation/differentiation promoting agent is brought into contact with a dental pulp, a sufficient space for proliferation of odontoblasts and/or differentiation of stem cells into odontoblasts can be secured (see
[0036] The bioabsorbable material dissolves, disperses, or adsorbs the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid.
[0037] The bioabsorbable material is a material that can be absorbed by a living body, and examples thereof include collagen (e.g., type I collagen, type II collagen, type III collagen, atelocollagen, etc.), proteins (e.g., gelatin, fibrin, etc.), polysaccharides (e.g., oxycellulose, chitin, chitosan, hyaluronic acid, etc.), synthetic polymers (e.g., polyglycolic acid copolymer, polylactic acid copolymer, etc.), and phosphoric acid-based and carbonic acid-based inorganic materials (e.g., hydroxyapatite, tricalcium phosphate, calcium carbonate, etc.). The bioabsorbable material can be used alone or in combination of two or more kinds.
[0038] Of the bioabsorbable materials, preferably, collagen is used.
[0039] A state of the bioabsorbable material at ordinary temperature (25° C.) is not particularly limited and may be a liquid or a solid. When in a liquid state at ordinary temperature, the bioabsorbable material dissolves or disperses the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid. When in a solid state at ordinary temperature, the bioabsorbable material adsorbs the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid.
[0040] The content ratio of the bioabsorbable material with respect to 1 part by mass of 4-(meth)acryloyloxyethyltrimellitic acid is , for example, 2 parts by mass or more, preferably 5 parts by mass or more, and for example, 100 parts by mass or less, preferably 80 parts by mass or less.
[0041] (3) Anti-Inflammatory Agent
[0042] The odontoblast proliferation/differentiation promoting agent preferably further contains an anti-inflammatory agent as an optional component.
[0043] If the anti-inflammatory agent contains a bioabsorbable material, when the odontoblast proliferation/differentiation promoting agent is in contact with a dental pulp, inflammation of the dental pulp can be suppressed and proliferation of odontoblasts and/or differentiation of stem cells into odontoblasts can also be securely promoted (see
[0044] The anti-inflammatory agent is not particularly limited as long as it is a known anti-inflammatory agent applicable to dental materials, and examples thereof include steroidal anti-inflammatory agents (e.g., dexamethasone, prednisolone, beclomethasone, etc.), betamethasone, fluticasone, and hydrocortisone. The anti-inflammatory agent can be used alone or in combination of two or more kinds.
[0045] Of the anti-inflammatory agents, preferably, a steroidal anti-inflammatory agent is used, more preferably, dexamethasone is used.
[0046] The content ratio of the anti-inflammatory agent with respect to 1 part by mass of 4-(meth)acryloyloxyethyltrimellitic acid is, for example, 1×10.sup.−7 parts by mass or more, preferably 1×10.sup.−6 parts by mass or more, and for example, 1×10.sup.−2 parts by mass or less, preferably 1×10.sup.−3 parts by mass or less.
[0047] (4) Additional Additives
[0048] Further, the odontoblast proliferation/differentiation promoting agent can contain additional additives as optional components at appropriate ratios. Examples of additional additives include excipients, preservatives, buffering agents, coloring agents, flavoring agents, and thickening agents.
[0049] (5) Formulation of Odontoblast Proliferation/differentiation Promoting Agent
[0050] The above-mentioned odontoblast proliferation/differentiation promoting agent can be suitably used as a pulp capping agent, for example. When dental caries reaches a dental pulp, the odontoblast proliferation/differentiation promoting agent is used so as to be brought into contact with the dental pulp exposed by dental treatment (see
[0051] (5-1) Powder Formulation
[0052] When the odontoblast proliferation/differentiation promoting agent is in a powder formulation, the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid preferably has a particle shape.
[0053] The calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid has an average primary particle size of, for example, 1 μm or more, preferably 5 μm or more, and for example, 100 μm or less, preferably 50 μm or less.
[0054] To use the odontoblast proliferation/differentiation promoting agent in a powder formulation, for example, the odontoblast proliferation/differentiation promoting agent is once retained in a cotton ball, and the cotton ball is then brought into contact with or swung near a dental pulp to fix the odontoblast proliferation/differentiation promoting agent to the dental pulp (see
[0055] (5-2) Liquid Formulation
[0056] When the odontoblast proliferation/differentiation promoting agent is in a liquid formulation, the odontoblast proliferation/differentiation promoting agent preferably contains a solvent.
[0057] The solvent can dissolve or disperse the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid.
[0058] Examples of the solvent include high polar solvents (e.g., water, ethanol, etc.), medium polar solvents (e.g., acetone, etc.), and low polar solvents (e.g., oil, etc.). The solvent can be used alone or in combination of two or more kinds.
[0059] Of the solvents, preferably, water, ethanol, and acetone are used.
[0060] The concentration of the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid in the odontoblast proliferation/differentiation promoting agent in a liquid formulation is, for example, 1 μg/mL or more, preferably 10 μg/mL or more, more preferably 150 μg/mL or more, further more preferably 300 μg/mL or more, and for example, 5000 μg/mL or less, preferably 3000 μg/mL or less, more preferably 2000 μg/mL or less, particularly preferably 1200 μg/mL or less.
[0061] When the concentration of the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid is the lower limit or more, proliferation of odontoblasts and/or differentiation of stem cells into odontoblasts can be more securely promoted. When the concentration of the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid is the upper limit or less, the effect of promoting proliferation of odontoblasts and/or differentiation of stem cells into odontoblasts can be sufficiently secured and the amount of the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid used can be reduced.
[0062] To use the odontoblast proliferation/differentiation promoting agent in a liquid formulation, for example, the odontoblast proliferation/differentiation promoting agent is applied, sprayed, or added dropwise to a dental pulp (see
[0063] (5-3) Sheet Formulation
[0064] When the odontoblast proliferation/differentiation promoting agent is in a sheet formulation, the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid is preferably adsorbed to a sheet formed of a bioabsorbable material (e.g., collagen sheet, etc.).
[0065] In this case, the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid preferably has a particle shape. The average primary particle size of the calcium salt of 4-(meth) acryloyloxyethyltrimellitic acid is, for example, in the same range as the above-mentioned range.
[0066] To use the odontoblast proliferation/differentiation promoting agent in a sheet formulation, for example, the odontoblast proliferation/differentiation promoting agent is stuck to a tooth so that the calcium salt of 4-(meth)acryloyloxyethyltrimellitic acid comes into contact with a dental pulp (see
[0067] (5) Effects
[0068] When dental caries does not reach a dental pulp 1, in dental treatment, a caries portion of an enamel 3 and a primary dentin 2 is removed to form, for example, a cavity 9, as shown in
[0069] is adhered to the tooth with the dental adhesive 7. That is, when the dental caries does not reach the dental pulp 1, the dental adhesive 7 is used so as to come into contact with surfaces of the enamel 3 and the primary dentin 2 and so as not to come into contact with the dental pulp 1.
[0070] On the other hand, as shown in
[0071] As shown in
[0072] On the other hand, as shown in
EXAMPLES
[0073] Hereinafter, the present invention will be described more in detail with reference to examples, but not limited to the examples. Specific numerical values such as blending ratios (content), physical property values, and parameters used in the following description can be replaced with the upper limit value (numeral values defined with “or less” or “less than”) or the lower limit value (numeral values defined with “or more” or “more than”) of the corresponding blending ratios (content), physical property values, and parameters described in the above-mentioned “MODES FOR CARRYING OUT THE INVENTION”.
Examples 1 to 10
Preparation of Calcium Salt of 4-methacryloyloxyethyltrimellitic Acid
[0074] To a glass reactor equipped with a stirrer, a condenser tube, a thermometer, and a dropping funnel were added 64 g of ethanol and 3.19 g (0.01 mol) of 4-methacryloxyethyltrimellitic acid (hereinafter referred to as 4-MET), and the mixture was stirred while an internal temperature of the reactor was cooled to about 10° C. with ice water, to thereby dissolve 4-MET in the ethanol.
[0075] Separately, 0.74g (0.01 mol) of calcium hydroxide was dissolved in 400 g of distilled water to prepare an aqueous calcium hydroxide solution. Then, the aqueous calcium hydroxide solution was added dropwise to the ethanol solution of 4-MET with the dropping funnel for about 30 minutes. At this time, the internal temperature of the reactor was kept unchanged.
[0076] For 30 minutes after completion of the dropping of the ethanol solution of 4-MET, the internal temperature of the reactor was increased to room temperature (25° C.) and stirring of the reaction mixture was continued to age the reaction product of 4-MET and calcium hydroxide. The reaction mixture thus obtained was concentrated in a vacuum distiller and the precipitated reaction product was filtered. The residue was washed with ethanol and then dried to give about 3.3 g of a white solid powder.
[0077] The solid powder thus obtained was confirmed to be a calcium salt of 4-MET (C-MET) by NMR analysis and elemental analysis. An acid-base gram equivalent ratio (calcium base gram equivalent/acid gram equivalent) of the C-MET was 1.0 [gram equivalent/gram equivalent].
[0078] C-MET was roughly pulverized with a ball mill and the pulverized product was further sufficiently pulverized to a uniform fine powder in an agate mortar. When a portion of the C-MET powder was observed with a scanning electron micrograph, the C-MET powder had a maximum primary particle size of about 30 μm and a minimum average primary particle size of about 0.1 μm. The C-MET powder was subjected to gas sterilization with ethylene oxide, packaged, and then stored.
Preparation of Odontoblast Proliferation/Differentiation Promoting Agent
[0079] Next, the C-MET powder was dissolved or dispersed in ultrapure water (dH.sub.2O) in order to make the following concentrations of C-MET in Examples, to thereby prepare an odontoblast proliferation/differentiation promoting agent in a liquid formulation. In Example 17, C-MET was not dissolved or dispersed in ultrapure water, and powdery C-MET was determined as an odontoblast proliferation/differentiation promoting agent in a powder formulation.
Example 1
[0080] 10 μg/mL (1.0% by mass)
Example 2
[0081] 20 μg/mL (2.0% by mass)
Example 3
[0082] 50 μg/mL (4.8% by mass)
Example 4
[0083] 100 μg/mL (9.1% by mass)
Example 5
[0084] 200 μg/mL (16.7% by mass)
Example 6
[0085] 300 μg/mL (23.1% by mass)
Example 7
[0086] 500 μg/mL (33.3% by mass)
Example 8
[0087] 1000 μg/mL (50.0% by mass)
Example 9
[0088] 1500 μg/mL (60.0% by mass)
Example 10
[0089] 2000 μg/mL (66.7% by mass)
Example 11
[0090] 30.9 μg/mL (3.0% by mass)
Example 12
[0091] 52.6 μg/mL (5.0% by mass)
Example 13
[0092] 111.1 μg/mL (10.0% by mass)
Example 14
[0093] 250 g/mL (20.0% by mass)
Example 15
[0094] 666.7 μg/mL (40.0% by mass)
Example 16
[0095] 4000 μg/mL (80.0% by mass)
Example 17
[0096] 100.0% by mass
[0097] <Evaluation>
[0098] <<Odontoblast proliferation test>>
[0099] A Dulbecco's modified Eagle's medium (DMEM) added with 5% by mass of fetal bovine serum (FBS) was prepared. Then, an MDPC-23 cell (rat dental papilla-derived cell), which is a rat odontoblast-like cell line, was cultured in DMEM. Subsequently, 0.1 mL of DMEM where the MDPC-23 cells were cultured was injected into each well in a microplate (96 wells) so that 1000 MDPC-23 cells were distributed into each well.
[0100] Next, the odontoblast proliferation/differentiation promoting agents of Examples 1 to 10 and ultrapure water (control) were individually added to corresponding wells. Then, the added mixture was allowed to stand at ordinary temperature (25° C.) for 5 days. Thereafter, the proliferation of the MDPC-23 cells was evaluated using a kit for measuring the number of living cells (CCK-8: Cell Counting Kit-8).
[0101] In the CCK-8 assay, a microplate reader (measurement wavelength: 450 nm) was used. The CCK-8 assay was repeated 6 times.
[0102] The results of the CCK-8 assay in Examples 1 to 5 and the control were shown in
[0103] As shown in
[0104] As shown in
[0105] <<Expression Test of Dentin Formation Related Gene>>
[0106] A Dulbecco's modified Eagle's medium (DMEM) added with 5% by mass of fetal bovine serum (FBS) was prepared. Then, an MDPC-23 cell (rat dental papilla-derived cell) was cultured in DMEM. Subsequently, 2 mL of DMEM where the MDPC-23 cells were cultured was injected into each well in a microplate (12 wells) so that 104 MDPC-23 cells were distributed into each well.
[0107] Next, the odontoblast proliferation/differentiation promoting agents of Examples 4, 6 and 7 and ultrapure water (control) were individually added to corresponding wells. Then, the added mixture was allowed to stand at ordinary temperature (25° C.) for 5 days. Thereafter, 0.02 mL of an aqueous solution of β-glycerophosphoric acid (β-GP) (10 mmol/L), 0.02 mL of an aqueous solution of ascorbic acid (50 μg/mL), and 0.002 mL of an aqueous solution of dexamethasone (100 nmol/L) (steroidal anti-inflammatory agent) were added to each well.
[0108] Then, the added mixture was allowed to stand for another 2 days and thereafter, was subjected to real-time PCR. As an internal standard, β-actin was used. The real-time PCR was repeated 3 times.
[0109] Messenger RNA (mRNA) expression levels of RNA-dentin sialophosphoprotein (rDSPP) are shown in
[0110] As shown in
[0111] <<Measurement of Cell Survival Rate>>
[0112] A Dulbecco's modified Eagle's medium (DMEM) added with 5% by mass of fetal bovine serum (FBS), 50 units/mL of penicillin, and 50 μg/mL of streptomycin was prepared. Then, a human dental pulp stem cell (hDPSC) was cultured in DMEM. Subsequently, 0.02 mL of β-glycerophosphoric acid (β-GP) (10 mmol/L) and 0.02 mL of ascorbic acid (50 μg/mL) were added to the DMEM for culturing hDPSC.
[0113] Subsequently, 0.1 mL of the DMEM for culturing hDPSC was injected into each well in a microplate (96 wells) so that 1,000 to 3,000 hDPSCs were distributed into each well.
[0114] Next, the odontoblast proliferation/differentiation promoting agents of Examples 9, 11 to 17 and ultrapure water (control) were individually added to corresponding wells. Then, the added mixture was allowed to stand at ordinary temperature (25° C.) for 4 days. Thereafter, the cell survival rate was evaluated using a kit for measuring the number of living cells (CCK-8: Cell Counting Kit-8).
[0115] In the CCK-8 assay, a microplate reader (measurement wavelength: 450 nm) was used. The CCK-8 assay was repeated 6 times. The results were shown in
[0116] As shown in
[0117] <<Differentiation Test of Human Dental Pulp Stem Cells Into Odontoblasts>>
[0118] A DMEM for culturing hDPSC was prepared in the same manner as in the measurement of cell survival rate.
[0119] The following powdery samples were each dissolved or dispersed in ultrapure water (dH.sub.2O), and then diluted with DMEM, to thereby prepare odontoblast proliferation/differentiation promoting agents of Example 12 and Comparative Examples 1 to 4. The concentration of the sample in each odontoblast proliferation/differentiation promoting agent was 5% by mass.
[0120] Sample: [0121] Calcium salt of 4-MET: C-MET (Example 12), [0122] 4-methacryloxyethyltrimellitic acid: 4-MET (Comparative Example 1), [0123] Calcium hydroxide: CH (Comparative Example 2), [0124] Mineral trioxide aggregate: MTA (Comparative Example 3), and [0125] Calcium chloride: CaCl.sub.2 (Comparative Example 4).
[0126] Next, the odontoblast proliferation/differentiation promoting agents of Example 12 and Comparative Examples 1 to 4 and ultrapure water (control) were individually dissolved directly in the DMEM for culturing hDPSC.
[0127] Then, after allowed to stand for 24 days, DMEMs containing the odontoblast proliferation/differentiation promoting agents of Example 12 and Comparative Examples 1 to 4 and ultrapure water (control) dissolved therein were subjected to real-time PCR. As an internal standard, β-actin was used.
[0128] mRNA expression levels of RNA-bone sialoprotein (BSP) are shown in
[0129] As shown in
[0130] When DMEM containing the odontoblast proliferation/differentiation promoting agent of Example 12 and ultrapure water (control) therein was allowed to stand for 14, 21, and 28 days, the calcification state thus obtained was evaluated via alkaline phosphatase (ALPase) measurement. The results were shown in
[0131] Further, when DMEM containing the odontoblast proliferation/differentiation promoting agents of Example 12 and Comparative Examples 1 to 4 and ultrapure water (control) therein was allowed to stand for 30 and 32 days, the calcification state thus obtained was evaluated via alizarin red S staining measurement. The results are shown in
[0132] As shown in
[0133] <<Differentiation Test of Mesenchymal Stem Cells Into Odontoblasts>>
[0134] A DMEM for culturing mesenchymal stem cell (MSC) was prepared in the same manner as the measurement of cell survival rate, except that hDPSC was replaced with MSC.
[0135] Next, the odontoblast proliferation/differentiation promoting agent of Example 12 and ultrapure water (control) were individually dissolved directly in the DMEM for culturing MSC. Then, DMEM was subjected to real-time PCR when allowed to stand for 10, 17, and 24 days. As an internal standard, β-actin was used.
[0136] mRNA expression levels of RNA-bone sialoprotein (BSP) are shown in
[0137] As shown in
[0138] While the illustrative embodiments of the present invention are provided in the above description, such is for illustrative purpose only and it is not to be construed restrictively. Modification and variation of the present invention that will be obvious to those skilled in the art is to be covered by the following claims.
INDUSTRIAL APPLICABILITY
[0139] The odontoblast proliferation/differentiation promoting agent of the present invention is suitably used as, for example, a pulp capping agent.
REFERENCE SIGNS LIST
[0140] 1 dental pulp
[0141] 2 primary dentin
[0142] 3 enamel
[0143] 5 odontoblast proliferation/differentiation promoting agent
[0144] 6 tertiary dentin