Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model

(1) Background: The EndoSequence BC Sealer HiFlow (Brasseler, Savannah, GA, USA) has recently been introduced in clinical applications. Thus, the aims of the present study are to determine its biocompatibility in vivo and to examine its ability to drive macrophage polarization in vitro and in vivo....

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Main Authors: Xiaoqian Yang, Jun Tian, Mengjie Li, Weiyang Chen, He Liu, Zhejun Wang, Markus Haapasalo, Ya Shen, Xi Wei
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/15/5/1962
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author Xiaoqian Yang
Jun Tian
Mengjie Li
Weiyang Chen
He Liu
Zhejun Wang
Markus Haapasalo
Ya Shen
Xi Wei
author_facet Xiaoqian Yang
Jun Tian
Mengjie Li
Weiyang Chen
He Liu
Zhejun Wang
Markus Haapasalo
Ya Shen
Xi Wei
author_sort Xiaoqian Yang
collection DOAJ
description (1) Background: The EndoSequence BC Sealer HiFlow (Brasseler, Savannah, GA, USA) has recently been introduced in clinical applications. Thus, the aims of the present study are to determine its biocompatibility in vivo and to examine its ability to drive macrophage polarization in vitro and in vivo. (2) Methods: HiFlow was implanted into rat connective tissue for 7, 30 and 150 days. The microstructures and elemental compositions were determined by scanning electron microscopy-energy-dispersive X-ray spectroscopy (SEM-EDX). Hematoxylin–eosin, immunofluorescence, RT–qPCR and flow cytometry were used to elucidate the effects on inflammatory responses and macrophage polarization. (3) Results: SEM-EDX revealed the formation of surface hydroxyapatite crystal layers. Histological evaluation showed that HiFlow exhibited long-term biocompatibility because it decreased inflammatory responses and reduced the number of macrophages over time; however, tissue necrosis was observed in all the groups. RT–qPCR verified that HiFlow regulated the expression of inflammatory factors to inhibit the inflammatory response. Immunofluorescence analysis performed on in vivo samples revealed that HiFlow promoted M2-like macrophage polarization, and these results were confirmed by flow cytometry in vitro. (4) Conclusion: After 150 days of investigation, HiFlow was considered biologically acceptable, and the formation of apatite crystal layers and the promotion of M2-like macrophage polarization may contribute to its favorable biocompatibility.
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spelling doaj.art-12b41a7501bb4528ab5551dcf31ef3332023-11-23T23:21:34ZengMDPI AGMaterials1996-19442022-03-01155196210.3390/ma15051962Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat ModelXiaoqian Yang0Jun Tian1Mengjie Li2Weiyang Chen3He Liu4Zhejun Wang5Markus Haapasalo6Ya Shen7Xi Wei8Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, ChinaDepartment of Stomatology, Affiliated Hospital of Jining Medical University, Jining 272000, ChinaDivision of Endodontics, Department of Oral Biological & Medical Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, BC V6T 1Z3, CanadaDivision of Endodontics, Department of Oral Biological & Medical Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, BC V6T 1Z3, CanadaDivision of Endodontics, Department of Oral Biological & Medical Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, BC V6T 1Z3, CanadaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University, Guangzhou 510055, China(1) Background: The EndoSequence BC Sealer HiFlow (Brasseler, Savannah, GA, USA) has recently been introduced in clinical applications. Thus, the aims of the present study are to determine its biocompatibility in vivo and to examine its ability to drive macrophage polarization in vitro and in vivo. (2) Methods: HiFlow was implanted into rat connective tissue for 7, 30 and 150 days. The microstructures and elemental compositions were determined by scanning electron microscopy-energy-dispersive X-ray spectroscopy (SEM-EDX). Hematoxylin–eosin, immunofluorescence, RT–qPCR and flow cytometry were used to elucidate the effects on inflammatory responses and macrophage polarization. (3) Results: SEM-EDX revealed the formation of surface hydroxyapatite crystal layers. Histological evaluation showed that HiFlow exhibited long-term biocompatibility because it decreased inflammatory responses and reduced the number of macrophages over time; however, tissue necrosis was observed in all the groups. RT–qPCR verified that HiFlow regulated the expression of inflammatory factors to inhibit the inflammatory response. Immunofluorescence analysis performed on in vivo samples revealed that HiFlow promoted M2-like macrophage polarization, and these results were confirmed by flow cytometry in vitro. (4) Conclusion: After 150 days of investigation, HiFlow was considered biologically acceptable, and the formation of apatite crystal layers and the promotion of M2-like macrophage polarization may contribute to its favorable biocompatibility.https://www.mdpi.com/1996-1944/15/5/1962animal modelbiocompatibilityEndoSequence BC Sealer HiFlowinflammationmacrophage polarizationsubcutaneous connective tissue
spellingShingle Xiaoqian Yang
Jun Tian
Mengjie Li
Weiyang Chen
He Liu
Zhejun Wang
Markus Haapasalo
Ya Shen
Xi Wei
Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model
Materials
animal model
biocompatibility
EndoSequence BC Sealer HiFlow
inflammation
macrophage polarization
subcutaneous connective tissue
title Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model
title_full Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model
title_fullStr Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model
title_full_unstemmed Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model
title_short Biocompatibility of a New Calcium Silicate-Based Root Canal Sealer Mediated via the Modulation of Macrophage Polarization in a Rat Model
title_sort biocompatibility of a new calcium silicate based root canal sealer mediated via the modulation of macrophage polarization in a rat model
topic animal model
biocompatibility
EndoSequence BC Sealer HiFlow
inflammation
macrophage polarization
subcutaneous connective tissue
url https://www.mdpi.com/1996-1944/15/5/1962
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