US20200330360A1 - Material for demineralizing dentin collagen fibril, preparation method and application thereof - Google Patents

Material for demineralizing dentin collagen fibril, preparation method and application thereof Download PDF

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US20200330360A1
US20200330360A1 US16/791,343 US202016791343A US2020330360A1 US 20200330360 A1 US20200330360 A1 US 20200330360A1 US 202016791343 A US202016791343 A US 202016791343A US 2020330360 A1 US2020330360 A1 US 2020330360A1
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conjugate
chitosan
kda
edta
dentin
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Lina NIU
Jihua CHEN
Zhiming Zheng
Jingmei GUO
Fan Yu
Kai JIAO
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Assigned to the Fourth Military Medical University of Chinese People's Liberation Army reassignment the Fourth Military Medical University of Chinese People's Liberation Army ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: CHEN, Jihua, Guo, Jingmei, JIAO, Kai, NIU, Lina, YU, FAN, ZHENG, ZHIMING
Publication of US20200330360A1 publication Critical patent/US20200330360A1/en
Priority to US17/744,275 priority Critical patent/US11980681B2/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/884—Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
    • A61K6/898—Polysaccharides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K8/00—Cosmetics or similar toiletry preparations
    • A61K8/18—Cosmetics or similar toiletry preparations characterised by the composition
    • A61K8/72—Cosmetics or similar toiletry preparations characterised by the composition containing organic macromolecular compounds
    • A61K8/73—Polysaccharides
    • A61K8/736—Chitin; Chitosan; Derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/80—Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/884—Preparations for artificial teeth, for filling teeth or for capping teeth comprising natural or synthetic resins
    • A61K6/891—Compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00—Preparations for dentistry
    • A61K6/20—Protective coatings for natural or artificial teeth, e.g. sealings, dye coatings or varnish
    • C—CHEMISTRY; METALLURGY
    • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08J—WORKING-UP; GENERAL PROCESSES OF COMPOUNDING; AFTER-TREATMENT NOT COVERED BY SUBCLASSES C08B, C08C, C08F, C08G or C08H
    • C08J3/00—Processes of treating or compounding macromolecular substances
    • C08J3/24—Crosslinking, e.g. vulcanising, of macromolecules
    • C—CHEMISTRY; METALLURGY
    • C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08J—WORKING-UP; GENERAL PROCESSES OF COMPOUNDING; AFTER-TREATMENT NOT COVERED BY SUBCLASSES C08B, C08C, C08F, C08G or C08H
    • C08J2305/00—Characterised by the use of polysaccharides or of their derivatives not provided for in groups C08J2301/00 or C08J2303/00
    • C08J2305/08—Chitin; Chondroitin sulfate; Hyaluronic acid; Derivatives thereof

Definitions

  • the invention belongs to the field of dental bonding and restorative material, and particularly relates to a material for demineralizing dentin collagen fibril and a preparation method and application thereof.
  • Teeth are highly mineralized organs of the human body.
  • the normal dentin matrix consists of an orderly woven collagen fibril matrix, an orderly arrangement of inorganic phase apatite crystals, and a small amount of non-collagenous protein.
  • the mineralization of dentin can be divided into two parts: intrafibrillar mineralization and extrafibrillar mineralization. Although 65% of the minerals in dentin are located outside the fibrils, intrafibrillar mineralization is essential to maintain the fibril morphology, and determines the mechanical properties of dentin on the nanoscale, and can prevent denatured degradation of collagen by exogenous matrix metalloproteinases in the dentin.
  • the demineralization and remineralization of the teeth are balanced. However, under pathological conditions, the demineralization effect will be greater than the remineralization effect, leading to the destruction of dental tissues, which in turn will damage the function of the teeth.
  • Oral caries the most common oral disease, is the result of the most common pathological demineralization.
  • Cariogenic microorganisms can decompose carbohydrates to produce acid, and synergize with endogenous matrix metalloproteinases of dentin, leading to the demineralization of dental minerals and the degradation of collagen organic substances, and gradually form cavities.
  • caries has been listed by the World Health Organization as the third largest non-communicable disease after cancer and cardiovascular disease. According to the World Health Organization (WHO) research data in 2015, 2.4 billion people have caries in permanent teeth and 621 million people have caries in deciduous teeth. The prevention and treatment of caries is not only an issue of stomatology, but it has also become a public health concerning topic.
  • the clinical treatment of dental caries is still based on surgical treatment.
  • the bonding surface is etched with an acid etchant (such as 30-40% phosphoric acid) so that the dentin collagen fibrils are demineralized; then a binder is applied in and cross-linked with the exposed collagen fibrils to form a mixed layer; finally, the cavity is filled with restorative materials to restore the physiological form and function of the teeth.
  • the restorative materials used are mainly tooth-color composite resin materials based on resin dentin bonding. It can be seen that the integrity and stability of the mixed layer formed by the bonding agent and dentin collagen are key factors in the success of the treatment and the long-term existence of the restoration.
  • Chitin is a homopolysaccharide with the structure of N-acetylglucosamine polymerized through beta linking. It is widely found in the shells of crustaceans, the crusts of insects, and the cell walls of fungi.
  • the chemical name of chitosan is ⁇ -(1 ⁇ 4)-2-amino-2-deoxy-D-glucose, which is the product of N-deacetylated chitin.
  • N-acetyl groups are removed more than 55%.
  • the chelating agent can interact with metal atom or ion, and enclose the metal atom or ion within the chelating agent to form a stable complex or chelate.
  • the object of the present invention provides a dental demineralizing agent, which can prevent and treat dental caries and improve the stability of the bonding interface, thereby prolonging the service life of the bonding restoration. More specifically, it is an object of the present invention to provide a conjugate, material and composition for use in dental demineralization, more specifically demineralization of dentin collagen fibril. For example, the object of the present invention is to provide a material for demineralizing dentin collagen fibril.
  • the conjugate, material, and composition can maintain the original appearance and network structure of dentin collagen fibrils and facilitate subsequent penetration of the resin binder.
  • FIG. 1 shows the infrared spectra of EDTA, glycol chitosan and EDTA-crosslinked glycol chitosan.
  • FIG. 2 shows in an inductively coupled plasma-atomic emission spectrometry method for measuring mineralized dentin, the rate of chelating Ca 2+ by the calcium chelator EDTA cross-linked glycol chitosan at different concentrations (50, 25, and 10 mg/ml) as compared with the control 0.1M EDTA.
  • FIG. 3A shows comparison of the microtensile strength of dentin bonded with the bonding agent in the wet bonding or dry bonding mode by using different dentin demineralizing agents 32% phosphoric acid (PA), 0.1M EDTA, or 25 mg/ml EDTA cross-linked glycol chitosan (glycol chitosan-EDTA, GCE).
  • PA phosphoric acid
  • 0.1M EDTA 0.1M EDTA
  • GCE 25 mg/ml EDTA cross-linked glycol chitosan
  • FIG. 3B is a transmission electron microscope image of mineralized dentin treated with different dentin demineralizing agents 0.1M EDTA or 25 mg/ml EDTA cross-linked glycol chitosan.
  • FIG. 4A shows that EDTA and glycol chitosan-EDTA have similar inhibitory effects on the activity of endogenous recombinant human matrix metalloproteinase-9.
  • FIG. 4B compares degree of degradation of dentin collagen in each group of the dentin mixed layers.
  • FIG. 5A detects the mitochondrial dehydrogenase activity (Mito.) of human dental pulp stem cells (hDPSCs) that had been exposed to different dentin demineralizing agents.
  • FIG. 5B detects intracellular DNA content of human dental pulp stem cells that had been exposed to different dentin demineralizing agents.
  • FIGS. 1-5B of the drawings in which like numerals refer to like features of the invention.
  • the present invention provides a dental demineralizing agent, which can prevent and treat dental caries and improve the stability of the bonding interface, thereby prolonging the service life of the bonding restoration. More specifically, it is an object of the present invention to provide a conjugate, material and composition for use in dental demineralization, more specifically demineralization of dentin collagen fibril. For example, the object of the present invention is to provide a material for demineralizing dentin collagen fibril.
  • the conjugate, material, and composition can maintain the original appearance and network structure of dentin collagen fibrils and facilitate subsequent penetration of the resin binder.
  • the technical problem of the present invention is solved by providing a conjugate of water-soluble chitosan and an aminocarboxylic acid metal chelating agent.
  • the invention relates to a conjugate of a water-soluble chitosan and an aminocarboxylic acid metal chelating agent for use in dental demineralization, preferably dentin demineralization, more preferably demineralization of dentin collagen fibril.
  • the amino group of the water-soluble chitosan and the carboxyl group of the aminocarboxylic acid metal chelating agent form an amide bond.
  • chitosan can have the following structural formula:
  • n and m are integers and the ratio of n to m depends on the degree of deacetylation of the chitosan.
  • the degree of deacetylation of the chitosan of the present invention is at least 55%, such as 60% to 100%, 65% to 99%, 70% to 98%, 75% to 97%, 80% to 96%, 85% to 95%, or at least 90%.
  • the ratio of n to m is 9:1.
  • the amino-containing monomer i.e., glucosamine monomer
  • the acetamido-containing monomer i.e., acetylglucosamine monomer
  • the total number of n+m is greater than 100, such as greater than 150, preferably greater than 200, greater than 250, greater than 300, greater than 350, greater than 400, greater than 450, greater than 500, greater than 600, greater than 800, or greater than 1000.
  • the total number of n+m is less than 10,000, preferably less than 8,000, less than 7,000, less than 6,000, less than 5,000, less than 4,000, less than 3,500, less than 3,000, less than 2,500, less than 2,000, or less than 1,500.
  • chitosan can have the following structural formula:
  • n and m are integers and the ratio of n to m depends on the degree of deacetylation of the chitosan.
  • the degree of deacetylation of the chitosan of the present invention is at least 55%, such as 60% to 100%, 65% to 99%, 70% to 98%, 75% to 97%, 80% to 96%, 85% to 95%, or at least 90%.
  • the ratio of n to m is 9:1.
  • the amino-containing monomer i.e., glucosamine monomer
  • the acetamido-containing monomer i.e., acetylglucosamine monomer
  • the total number of n+m is greater than 100, such as greater than 150, preferably greater than 200, greater than 250, greater than 300, greater than 350, greater than 400, greater than 450, greater than 500, greater than 600, greater than 800, or greater than 1000.
  • the total number of n+m is less than 10,000, preferably less than 8,000, less than 7,000, less than 6,000, less than 5,000, less than 4,000, less than 3,500, less than 3,000, less than 2,500, less than 2,000, or less than 1,500.
  • the aminocarboxylic acid metal chelating agent of the present invention has a carboxyl group capable of forming an amide bond with an amino group of a water-soluble chitosan.
  • the chelating agent is usually a polybasic carboxylic acid (e.g., a 1 to 6 basic carboxylic acid) containing one or more amino groups (e.g., 1 to 4 amino groups, usually tertiary amino groups), where the amino and carboxyl groups are capable of interacting with a metal atom/ion to form coordination bonds.
  • the chelating agent can have 6 to 18 carbon atoms, such as 6, 10, 14, 16, or 18 carbon atoms, and optionally have a hydroxyl group and/or an oxy group.
  • the metal atom or ion that the aminocarboxylic acid metal chelating agent can chelate includes calcium, magnesium, iron, copper, zinc, and the like, preferably calcium.
  • aminocarboxylic acid metal chelating agents include ethylenediaminetetraacetic acid (EDTA), hydroxyethyl ethylenediaminetriacetic acid (HEDTA), diethylenetriaminepentaacetic acid (DTPA), aminotriacetic acid (also known as nitrilotriacetic acid, NTA), dihydroxyethyl glycine (DEG), ethylene glycol tetraacetic acid (EGTA), ethylenediamine diacetic acid (EDDHA), triethylenetetraaminehexaacetic acid (TTHA), cyclohexanediamine tetraacetic acid (CDTA), 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA), 1,4,8,11-tetraaza
  • the invention relates to a dental demineralizing material, preferably a material for demineralizing dentin collagen fibril.
  • the dental demineralizing material is made by a conjugation reaction between the water-soluble chitosan and the aminocarboxylic acid metal chelating agent.
  • the conjugation reaction is performed in the presence of a cross-linking agent.
  • the part by mass of water-soluble chitosan can be 0.05 to 20, preferably 0.1 to 15, 0.2 to 10, 0.5 to 8, such as 0.8, 0.9, 1, 1.2, 1.5, 2, 3, 4 or 5.
  • the part by mass of the aminocarboxylic acid metal chelating agent can be 1 to 60, preferably 5 to 50, 10 to 40, such as 15, 20, 25, 30, 35, or 45.
  • the part by mass of the cross-linking agent can be 0.1 to 15, preferably 0.2 to 10, 0.5 to 5, such as 0.6, 0.8, 1, 1.5, 2, 2.5, 3, or 3.5.
  • the material provided by the present invention is prepared from 0.5-1 part by mass of water-soluble chitosan, 10-30 parts by mass of aminocarboxylic acid metal chelating agent, and 0.8-1.5 parts by mass of cross-linking agent.
  • the material provided by the present invention is prepared from 0.5-1 part by mass of water-soluble chitosan, 10-30 parts by mass of EDTA, and 0.8-1.5 parts by mass of a cross-linking agent. Covalent binding reaction between water-soluble chitosan and EDTA is conducted through the action of the cross-linking agent.
  • an amide bond is formed between the free amine group of the water-soluble chitosan and the free carboxyl group of the aminocarboxylic acid metal chelating agent.
  • the pH of the material according to the invention is neutral or alkaline.
  • the water-soluble chitosan of the present invention is selected from the group consisting of glycol chitosan, carboxymethyl chitosan, chitosan hydrochloride, chitosan quaternary ammonium salt, chitosan sulfate ester, chitosan oligosaccharide, or hyaluronic acid-like chitosan or the mixture thereof.
  • the cross-linking agent of the present invention is selected from 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide, N-hydroxysuccinimide, glutaraldehyde, bisimidate ester, or maleimide, or a mixture thereof.
  • the content of free amino group of the conjugate or material of the present invention is less than 20%, preferably 0% to 15%, such as 0.5% to 10%, such as 1% to 5%, such as about 1.5%, about 2%, about 2.5%, about 3%, about 3.5%, about 4%, or about 4.5%, as compared to the water-soluble chitosan prior to the conjugation reaction or covalent binding reaction.
  • the conjugate and material of the invention has a Mn of greater than 40 kDa, preferably greater than 50 kDa, such as 60 kDa to 600 kDa, 80 kDa to 500 kDa, 100 kDa to 400 kDa, 120 kDa to 300 kDa, 150 kDa to 200 kDa, for example about 130 kDa, about 140 kDa, about 160 kDa, about 170 kDa, about 180 kDa, or about 190 kDa.
  • Mn of greater than 40 kDa, preferably greater than 50 kDa, such as 60 kDa to 600 kDa, 80 kDa to 500 kDa, 100 kDa to 400 kDa, 120 kDa to 300 kDa, 150 kDa to 200 kDa, for example about 130 kDa, about 140 kDa, about 160 kDa, about 170 k
  • the conjugate and material of the invention has a Mw of greater than 80 kDa, preferably greater than 100 kDa, such as 200 kDa to 800 kDa, such as 300 kDa to 700 kDa, such as about 250 kDa, about 350 kDa, about 400 kDa, about 450 kDa, about 500 kDa, about 550 kDa, about 600 kDa, or about 650 kDa.
  • the conjugate and material of the invention has a Mp of greater than 60 kDa, preferably greater than 70 kDa, such as 80 kDa to 600 kDa, such as 100 kDa to 500 kDa, such as about 150 kDa, about 200 kDa, about 250 kDa, about 300 kDa, about 350 kDa, about 400 kDa, or about 450 kDa.
  • the polydispersity index PDI of the conjugate and material of the present invention is 1 to 5, preferably 2 to 4, such as about 1.5, about 2.5, about 3, about 3.5, or about 4.5.
  • the conjugate or material of the invention has a neutral or basic pH, such as pH 7-10, such as 7.5, 8, 8.5, 9 or 9.5.
  • the invention relates to a conjugate of glycol chitosan and ethylenediaminetetraacetic acid or a dental demineralizing material made from the conjugate.
  • the conjugate and material can be represented by the following structural formula:
  • the conjugate having Formula III may also include a monomer (i.e., glucosamine monomer) containing a free amino group that do not form an amide bond with a carboxyl group of EDTA.
  • a monomer i.e., glucosamine monomer
  • the acetamide group-containing monomer i.e., an acetylglucosamine monomer
  • the EDTA amide group-containing monomer i.e., an EDTA acylated glucosamine monomer
  • the optional free amino-containing monomer i.e., glucosamine monomer
  • the ratio between the EDTA amide group-containing monomers (optionally together with the free amino group-containing monomers) and the acetamide group-containing monomers is variable, depending on the degree of deacetylation of the glycol chitosan which degree is defined above with respect to Formula I or Formula II.
  • the content of free amine group of the conjugate or material according to the present invention is less than 20%, preferably 0% to 15%, such as 0.5% to 10%, such as 1% to 5%, such as about 1.5%, about 2%, about 2.5%, about 3%, about 3.5%, about 4%, or about 4.5%, as compared with the glycol chitosan prior to the conjugation reaction or covalent binding reaction.
  • n is greater than 100, such as greater than 150, preferably greater than 200, greater than 250, greater than 300, greater than 350, greater than 400, greater than 450, greater than 500, greater than 600, greater than 800, or greater than 1000. In another aspect, n is less than 10,000, preferably less than 8,000, less than 7,000, less than 6,000, less than 5,000, less than 4,000, less than 3,500, less than 3,000, less than 2,500, less than 2,000, or less than 1,500.
  • the invention relates to a dental demineralizing composition
  • a dental demineralizing composition comprising the conjugate or material of the present invention, and an orally acceptable excipient or vehicle.
  • the content of the conjugate or material is 0.05% to 50% by weight, preferably 0.1% to 40% by weight, such as 0.2% to 30% by weight, 0.5% to 20% by weight, 1% to 10% by weight, such as 1.5%, 2%, 2.5%, 3%, 3.5%, 4%, 4.5%, 5%, 5.5%, 6%, 7%, 8%, or 9% by weight.
  • the conjugate material according to the present invention can be in the form of a powder (e.g., a lyophilized powder), a solution, a gel, or a suspension.
  • the orally acceptable excipient or vehicle refers to the excipient or vehicle that is provided in a concentration or amount that is safe for the human body when applied to the oral cavity and does not generally interferes with the activity of another active ingredient in the composition.
  • the excipient includes a gelling agent, a thickening agent, a surfactant, a dye, or a preservative, etc., as described in US Patent Publication Nos. US2003/0157034A1, US2011/0076646A1, and US2012/0161067A1, which are incorporated herein by reference.
  • the vehicle may include water.
  • the invention relates to a dental bonding and restorative kit comprising a conjugate, material or composition according to the invention, and a dental bonding agent and/or restorative agent.
  • the bonding agent and restorative agent include dental silver alloy powder; composite resins such as acrylic resins; cements and the like.
  • the bonding agent and/or restorative agent are those commercially available under the trade names AdperTM Single Bond 2 or FiltekTM Z250.
  • the present invention relates to a method of dental bonding restoration, the method comprising (a) applying an effective amount of a conjugate, material or composition of the invention to a tooth surface in need of restoration, optionally removing said conjugate, material, or composition; and applying the dental bonding agent and/or restorative agent to the tooth surface in need of restoration.
  • the present invention relates to a method for preparing a conjugate, material or composition of the present invention, the method comprising: mixing a water-soluble chitosan with an aminocarboxylic acid metal chelating agent in the presence of a cross-linking agent to obtain a conjugate of the water-soluble chitosan with the aminocarboxylic acid metal chelating agent.
  • the conjugate is prepared by mixing 0.5-1 part by mass of water-soluble chitosan, 10-30 parts by mass of aminocarboxylic acid metal chelating agent, and 0.8-1.5 parts by mass of cross-linking agent.
  • the invention also provides a method for preparing material for demineralizing dentin collagen fibril.
  • the method provided by the present invention includes the steps of mixing the aqueous water-soluble chitosan solution with the EDTA aqueous solution, dissolving the cross-linking agent in the mixed solution, and performing the reaction at room temperature.
  • a covalently binding action occurs between the water-soluble chitosan and EDTA.
  • the part by mass of the water-soluble chitosan can be 0.05 to 20, preferably 0.1 to 15, 0.2 to 10, 0.5 to 8, such as 0.8, 0.9, 1, 1.2, 1.5, 2, 3, 4 or 5.
  • the part by mass of the aminocarboxylic acid metal chelating agent can be 1 to 60, preferably 5 to 50, 10 to 40, such as 15, 20, 25, 30, 35, or 45.
  • the part by mass of the cross-linking agent can be 0.1 to 15, preferably 0.2 to 10, 0.5 to 5, such as 0.6, 0.8, 1, 1.5, 2, 2.5, 3, or 3.5.
  • the pH of the mixed solution is adjusted to be neutral or alkaline, such as pH 7-10, such as 7.5, 8, 8.5, 9 or 9.5.
  • the method of the present invention includes the steps of mixing an aqueous water-soluble chitosan solution at a concentration of 5 to 10 mg/ml with an aqueous EDTA solution at a concentration of 100 to 300 mg/ml in an equal volume; adjusting the pH of the mixed solution to pH 6.0; and afterwards adding 8 to 15 mg of a cross-linking agent at room temperature for 12-16 hours; removing the unreacted residue by dialysis under an appropriate condition; and freeze-drying to obtain a material for demineralizing dentin collagen fibril.
  • the material for demineralizing dentin collagen fibril of the present invention can be used for dentin demineralizing treatment in dental bonding restoration, and used for preparing dental bonding and restorative system.
  • the invention has the following effects.
  • the donor atoms in the molecular structure of the aminocarboxylic acid metal chelating agent are bonded to the skeleton of the optimized water-soluble chitosan through covalent cross-linking, thereby preparing a new type of calcium ion chelating agent, which make full use of the natural macromolecular properties of chitosan and the excellent calcium ion chelating ability of EDTA.
  • This can exert multiple advantages when the conjugate or material according to the present invention is applied to the mineralized dentin surface in the carious area.
  • the water-soluble chitosan covalently bonded with an aminocarboxylic acid metal chelating agent has a significantly enhanced ability to chelate calcium ion, quickly reacts with minerals outside of dentin collagen fibrils, and completes demineralization within the time frame (30 seconds or less) which is acceptable in clinical treatment.
  • the natural dentin collagen itself has selective permeability. Materials with a molecular weight greater than 40 kDa will be completely excluded from the collagen molecules. Materials with a molecular weight less than 6 kDa can freely pass through the space within the collagen fibrils. Materials with molecular weight between 6 kDa and 40 kDa partially access to the inner of collagen fibrils. Due to the large molecular weight of water-soluble chitosan (82 kDa), the chelating agent cannot enter the inside of the fibril, so that it selectively removes the extrafibrillar minerals from the dentin collagen at the bonding interface and retains the intrafibrillar minerals. This maintains network structure of dentin collagen and promotes the penetration of adhesive resin.
  • the water-soluble chitosan is rich in polycationic structures, which can significantly inhibit planktonic microorganisms and bacterial bio-membranes in secondary caries and active root surface caries and allow this new type of calcium ion chelating agent to have the dual functions of rapid demineralization and effective antibacterial action.
  • the excellent biocompatibility and low cytotoxicity of the water-soluble chitosan can effectively protect the activity of dental pulp stem cells in a living pulp tooth, avoid the adverse stimulating effect of traditional acid etchants on dental pulp stem cells and provide good prerequisites for regeneration of caries-affected and demineralized dentin.
  • the covalent conjugate of water-soluble chitosan and aminocarboxylic acid metal chelating agent is neutral or alkaline in PH, which avoids the local acid environment formed by traditional acid etching agents and causes deficiency or insufficiency of activation of endogenous matrix proteases.
  • EDTA aminocarboxylic acid metal chelating agent
  • the present invention can selectively remove the extrafibrillar minerals from dentin collagen, so that the dentin collagen fibrils maintain their original morphology and network structure, which is beneficial to the subsequent resin adhesive penetration. Meanwhile, the inner of collagen can be still protected by minerals from degradation under exogenous stimulation. It achieves obvious effects on preventing dental caries, improving the stability of the bonding interface, and extending the use of bonding restorations.
  • the invention comprehensively utilizes the advantages of water-soluble chitosan as a natural macromolecule and the efficient calcium ion chelation of EDTA.
  • the method according to present invention comprises mixing a water-soluble chitosan solution and an aqueous EDTA solution in an equal volume, and adding a covalent cross-linking agent to conduct a covalent bonding reaction under the action of the cross-linking agent.
  • the material used in this Example was prepared as follow: mixing an aqueous solution of glycol chitosan (degree of polymerization ⁇ 400, MilliporeSigma, St. Louis, Mo., USA) with an aqueous solution of EDTA at an appropriate concentration, adding 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide cross-linking agent and continuously stirring for 14 hours at room temperature, and removing the unreacted residue by using an appropriate dialysis condition.
  • the total amount used was glycol chitosan 10 g, EDTA 300 g, and 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide cross-linking agent 15g.
  • a preferred dialysis condition was to place the above reaction solution in a dialysis membrane with a cut-off molecular weight of 12-14 kDa and containing 0.05 M NaOH to remove reactants with smaller molecular weight.
  • the uncrosslinked residues were removed via dialysis by using dialysis membrane with a cut-off molecular weight of 12-14 kDa and containing double distilled water.
  • the total amount used was glycol chitosan 10 mg, EDTA 300 mg, and 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide cross-linking agent 15 mg.
  • the EDTA can be sufficiently and rapidly dissolved by adjusting the pH value, for example, adjusting the pH to 8.0.
  • a neutral or alkaline demineralizing material can be prepared by adjusting the pH of the mixed solution to be neutral or alkaline during preparation.
  • Example 2 This Example was different from Example 1 in:
  • Example 2 the calcium ion chelator material water-soluble EDTA-crosslinked chitosan constructed by the present invention had the characteristics as shown below.
  • FIG. 1 show the infrared spectrum of EDTA, glycol chitosan, and EDTA cross-linked glycol chitosan.
  • the position and intensity of the infrared absorption peak reflected the features of the structure, composition and chemical groups of EDTA, glycol chitosan, and EDTA cross-linked glycol chitosan.
  • characteristic absorption peaks (C ⁇ O stretching vibrations) of EDTA were detected at a wavelength of 1300-1400 cm ⁇ 1 , indicating that chemical bonding between EDTA and glycol chitosan occurred.
  • FIG. 2 show in an inductively coupled plasma-atomic emission spectrometry method for measuring mineralized dentin, the rate of chelating Ca 2+ by the calcium chelator EDTA cross-linked glycol chitosan at different concentrations (50, 25, and 10 mg/ml) as compared with the control 0.1M EDTA.
  • the results showed that 0.1M EDTA had the strongest demineralization effect.
  • the demineralization ability of EDTA cross-linked glycol chitosan was improved, as the concentration thereof increased.
  • FIGS. 3A and 3B show the effects of different dentin demineralizing agents (phosphoric acid (PA), 0.1M EDTA, or 25 mg/ml EDTA cross-linked glycol chitosan (GCE)) on the bonding strength after the treatment to the dentin surface.
  • PA phosphoric acid
  • 0.1M EDTA 0.1M EDTA
  • GCE glycol chitosan
  • the conditioned specimen was kept moist by removing excess water from the dentin surface with lint-free tissues prior to bonding.
  • dry bonding the conditioned dentin was air-dried with of land moisture-free air for 5 sec.
  • the dentin bond strength was measured by the following methods.
  • each tooth segment was bonded with Adper Single Bond 2 (3M ESPE; St Paul, Minn., USA). After bonding, a 4-mm thick of resin composite (Z250, 3M ESPE) was placed over the adhesive-coated dentin surface using incremental light-curing. The bonded teeth with composite build-ups were storage in water for 24 h at 37° C. Each specimen was subsequently sectioned to 0.9 mm ⁇ 0.9 mm ⁇ 7 mm long sticks, each with the resin-dentin interface in the middle of the stick.
  • Each stick was attached with cyanoacrylate glue (Zapit; Dental Ventures of America, Corona, Calif., USA) to a testing jig and stressed to failure under tension in a universal testing machine (Vitrodyne V1000; Liveco Inc., Burlington, Vt., USA) at a cross-head speed of 1 mm/min.
  • the tensile load at failure was recorded and divided by the measured cross-sectioned area of each beam to yield the tensile bond strength.
  • 3A showed comparison of the microtensile strength of dentin bonded with the bonding agent in the wet bonding or dry bonding mode by using 32% phosphoric acid treatment for 15 seconds; 0.1M EDTA treatment for 60 seconds, or 25 mg/ml glycol chitosan-EDTA for 30 seconds.
  • Statistical analysis was conducted by using phosphoric acid-wet bonding as a control group. The results showed that in the dry bonding mode, 32% phosphoric acid and 0.1M EDTA groups exhibited a significant decrease in bonding strength (p ⁇ 0.05).
  • the 25 mg/ml glycol chitosan-EDTA group in both dry bonding and wet bonding modes achieved a bonding strengthen which was not apparently different from that of the control group.
  • 3B was a transmission electron microscope image of mineralized dentin treated with 0.1M EDTA for 60 seconds or 25 mg/ml glycol chitosan-EDTA for 30 seconds.
  • the EDTA group showed complete demineralization in a part of area and partial demineralization in some areas.
  • the glycol chitosan-EDTA group showed partial demineralization of dentin, exhibiting obvious extrafibrillar spaces having no mineral and intact intrafibrillar mineralization.
  • FIGS. 4A and 4B compare the inhibitory effect of different concentrations of EDTA and EDTA cross-linked glycol chitosan (GCE) on the activity of endogenous recombinant human matrix metalloproteinase-9 (rHMMP-9), with 32% phosphoric acid (PA) as a control.
  • GCE endogenous recombinant human matrix metalloproteinase-9
  • PA phosphoric acid
  • the MMP assay kit contains an intact thiopeptolide that is cleaved by specific MMPs to release a sulfhydryl group that produces colored 2-nitro-5-thiobenzoic acid with Ellman's reagent.
  • a series of EDTA and GCE solutions 50 mg/mL, 25 mg/mL, 10 mg/mL, 5 mg/mL, 1 mg/mL) were used as test agents and 32% H 3 PO4 was used for comparison.
  • the thiopeptolide substrate solution was diluted to 0.2 mM with assay buffer in a 1:50 volume ratio.
  • each well contained 2 ⁇ L of rhMMP-9 (19.6 ng/well), 10 ⁇ L of potential MMP inhibitor and 50 ⁇ L of thiopeptolide substrate solution. Additional assay buffer was added to generate 100 ⁇ L per well.
  • the control groups included: (1) a positive control containing rhMMP-9 enzyme only without the potential anti-MMP agent; (2) an inhibitor control containing rhMMP-9 enzyme and 10 ⁇ L of GM6001, a known MMP inhibitor; (3) a test compound control containing assay buffer and test solutions at different concentrations; (4) a substrate control containing assay buffer. Readings were taken after 60 min of incubation at 37 ° C.
  • FIG. 4A shows that EDTA and glycol chitosan-EDTA have similar inhibitory effects on the activity of endogenous recombinant human matrix metalloproteinase-9.
  • FIG. 4B compares degree of degradation of dentin collagen in each group of the dentin mixed layers. The results showed that the degradation rate of collagen in the 32% phosphate group was the highest, followed by EDTA, and the EDTA crosslinked glycol chitosan was the weakest. This indicated that the protection effect of EDTA crosslinked glycol chitosan group on dentin collagen is the best.
  • FIGS. 5A and 5B show the cytotoxicity test of different dentin demineralizing agents 32% phosphoric acid (PA), 0.1M EDTA, or 25 mg/ml EDTA cross-linked glycol chitosan (GCE) with PBS as a control.
  • FIG. 5A detects the mitochondrial dehydrogenase activity (Mito.) of human dental pulp stem cells (hDPSCs) that had been exposed to different dentin demineralizing agents.
  • FIG. 5B detects intracellular DNA content of human dental pulp stem cells that had been exposed to different dentin demineralizing agents.
  • Table 1 showed the characterization of molecular weight of glycol chitosan and EDTA cross-linked glycol chitosan by gel permeation chromatography, and the characterization of cross-linking degree between glycol chitosan and EDTA.
  • the results showed that the molecular weight of glycol chitosan-EDTA formed after cross-linking was significantly increased, while the amount of free amine groups was significantly reduced, indicating that almost all of the amino groups on the glycol chitosan backbone and the carboxyl groups on the EDTA molecules reacted and covalently bonded to form amide bonds.
  • Mn number-average molecular weight
  • Mw weight-average molecular weight
  • Mp peak molecular weight
  • PDI polydispersity index (Mw/Mn)
  • Example 2 differed from Example 2 in:
  • Example 2 differed from Example 2 in:
  • Example 2 differed from Example 2 in:
  • Example 2 differed from Example 2 in:
  • Example 2 differed from Example 2 in:

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