» Articles » PMID: 38133087

Activation of Gelatinases in Permanent Human Teeth After Different Experimental Radiotherapy Protocols

Abstract

The objective of this study was to compare the activation of gelatinases in dentin-enamel junction (DEJ) and underlying dentin of permanent teeth after experimental radiotherapy in conventional and hypofractionated modalities. Newly extracted third molars (n = 15) were divided into three experimental radiotherapy groups: control, conventional (CR), and hypofractionated (HR) (n = 5 per group). After in vitro exposure to ionizing radiation, following standardized protocols for each modality, a gelatinous substrate was incubated on the tooth slices (n = 10 per group). Activation of gelatinases was measured by in situ zymography, expressed in arbitrary fluorescence units (mm2) from three tooth regions: cervical, cuspal, and pit. Fluorescence intensity was compared among radiotherapy protocols and tooth regions in each protocol, considering a significance level of 5%. Considering all tooth regions, the fluorescence intensity of the CR group was higher than the HR and control groups, both in DEJ and underlying dentin (p <0.001). In addition, the fluorescence intensity was higher in underlying dentin when compared to DEJ in all groups (p <0.001). Considering each tooth region, a statistically significant difference between CR and HR was only observed in the pit region of underlying dentin (p <0.001). Significant and positive correlations between fluorescence intensities in DEJ and underlying dentin were also observed (p <0.001). Experimental radiotherapy influenced the activation of gelatinases, as well as exposure to the conventional protocol can trigger a higher activation of gelatinases when compared to hypofractionated, both in DEJ and underlying dentin.

References
1.
Queiroz A, Carpio-Bonilla C, Arnez M, Dos Santos T, Palma-Dibb R, Oliveira H . Radiotherapy Activates Matrix Metalloproteinases in the Dentinoenamel Junction of Primary Teeth. J Dent Child (Chic). 2020; 87(2):83-89. View

2.
Palmier N, Migliorati C, Prado-Ribeiro A, Oliveira M, Filho A, Goes M . Radiation-related caries: current diagnostic, prognostic, and management paradigms. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020; 130(1):52-62. DOI: 10.1016/j.oooo.2020.04.003. View

3.
Santin G, Palma-Dibb R, Romano F, Oliveira H, Nelson Filho P, Queiroz A . Physical and adhesive properties of dental enamel after radiotherapy and bonding of metal and ceramic brackets. Am J Orthod Dentofacial Orthop. 2015; 148(2):283-92. DOI: 10.1016/j.ajodo.2015.03.025. View

4.
McGuire J, Mousa A, Zhang B, Todoki L, Huffman N, Chandrababu K . Extracts of irradiated mature human tooth crowns contain MMP-20 protein and activity. J Dent. 2014; 42(5):626-35. PMC: 4326248. DOI: 10.1016/j.jdent.2014.02.013. View

5.
Ribeiro Cunha S, Maravic T, Comba A, Ramos P, Tay F, Pashley D . In vivo and in vitro radiotherapy increased dentin enzymatic activity. J Dent. 2020; 100:103429. DOI: 10.1016/j.jdent.2020.103429. View