Dystrophic calcification is found to be of a variable degree, and this might originate from the impairment of the host cells
Dystrophic calcification is found to be of a variable degree, and this might originate from the impairment of the host cells.16Therefore, it could be hypothesized that CNPs might have particular potency on human dental pulp cells (HDPCs). might interfere with the normal physiologic function of the cells, and that might lead to dental pulp calcification. Elucidation of the cytotoxic characteristics of CNPs may offer a new perspective for understanding the etiology of human dental pulp stones. Keywords:calcifying nanoparticles, nanobacteria, human dental pulp cells == Introduction == Calcifying nanoparticles (CNPs) are self-propagating, cultivable macromolecular complexes, previously called nanobacteria.1,2The defining characteristics for CNPs are their ability to aggregate calcium and phosphate on their outer Ensartinib hydrochloride envelope at physiologic concentrations and conditions.3Therefore it precipitates CNPs as a potential etiological factor involved in various pathological calcification diseases in human beings, such as kidney stones,47calcified arteries,810human breast cancer,11and gallbladder stones.12,13 As there is a close relationship between CNPs and pathological calcification diseases in human beings, it is essential to clarify their effect on cultured mammalian cells. iftioglu and Kajander14firstly reported that four out of six nanobacteria isolates from different Ensartinib hydrochloride sera exerted a cytotoxic effect on 3T6 fibroblasts verified by MTT viability assay, lactate dehygrogenase release, and direct microscopy. In nanobacteria-infected fibroblasts, electron microscopy revealed intra- and extracellular acicular crystal deposits, stainable with von Kossa staining and resembling calcospherules found in pathological calcification.3The authors suggested that the nanobacteria had a special way of invading mammalian cells and were an important cause Ensartinib hydrochloride of cell vacuolization and poor growth.3,14In 2009, Zhang et al15claimed that gingival epithelial cells exposed to CNPs showed gross vacuolization and calcification occurring in intracellular vacuoles. This finding indicated CNPs role in pathologic calcification of primary cultured human gingival epithelial cells in vitro. Pulp stones are discrete calcifications and are among changes that include more diffuse pulp calcifications such as dystrophic calcification.16Stones may exist freely within the pulp tissue or be attached to or embedded in dentine. 17More often than not, the existence of pulp stones may lead to narrowing or obstruction of the access to the apical point in the root canal; this is one of the most important factors leading to the failure of root canal therapy and loss of the teeth. We have discovered the close relationship between CNPs and dental pulp calcification in a former investigation,18which indicated that CNPs might possibly play an important role in the formation of dental pulp stones. Ensartinib hydrochloride This finding significantly Ensartinib hydrochloride expanded our expectations to explain the formation of dental pulp calcification, of which the etiology until now was ambiguous. 1922As far as we know today, pulp calcification is a type of chronic regressive degeneration of the pulp tissue; however, what leads to this devolution remains unclear. Dystrophic calcification is found to be of a variable degree, and this might originate from the impairment of the host cells.16Therefore, it could be hypothesized that CNPs might have particular potency on human dental pulp cells (HDPCs). Those cells suffered from the encroachment after accumulative effect and resulted in a progressive deposition of calcified masses. To better understand CNPs potential effect on cultured HDPCs based on this hypothesis, it is essential to evaluate the undermining mechanism of their co-interaction, qualitatively and quantitatively. In this study, we observed the ultrastructural variation of HDPC attacked by CNPs through transmission electron microscopy (TEM) and the spatial relationship of HDPCs and CNPs after coculture by immunofluroscence staining. Furthermore, CNPs cytotoxic effect on HDPCs was verified by MTT viability assay. From these experiments, it could be concluded that CNPs might invade HDPCs and exert biological effects on the attacking cells that might result in pulp calcification. == Method and material == == Culture of HDPCs == HDPCs (human dental pulp cells) were obtained from 22 healthy third molars (19- RAB7B to 27-year-old patients) which were extracted during normal treatment at the Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China. Protocol was reviewed and approved, and informed consents were obtained from the tissue donors with approval of the ethical committee of the Hospital of Stomatology, Sun Yat-sen University. The primary HDPCs.