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Enzymes in the in-situ pellicle of children with different caries activity
Susann Grychtol1, Gabriele Viergutz1, Sandra Pötschke1
1Clinic of Operative Dentistry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Insights
Enzymes in children's dental pellicle were studied, finding Glucosyltransferase D is higher in caries-active children. This suggests Glucosyltransferase D could be a biomarker for high caries risk in kids.
Area of Science:
- Oral biology
- Pediatric dentistry
- Biochemistry
Background:
- The dental pellicle, a salivary film on teeth, plays a crucial role in oral health.
- Understanding pellicle composition in children, especially those with varying caries activity, is vital for early diagnosis and prevention.
- Enzymes within the pellicle, like glucosyltransferases, are implicated in dental caries development.
Purpose of the Study:
- To investigate enzymes, including glucosyltransferase (GTF) isoforms, within the in-situ dental pellicle of children.
- To compare enzyme activities and GTF isoform distribution between caries-free and caries-active children.
- To explore the potential of GTF D as a biomarker for caries risk in pediatric populations.
Main Methods:
- Formation of in-situ pellicle on bovine enamel slabs attached to dental splints in children.
- Assay of amylase, lysozyme, and peroxidase activities at 3 and 30 minutes.
- Quantification of GTF B, C, and D isoforms using gold-immunolabelling and transmission electron microscopy (TEM) at 30 minutes.
Main Results:
- All investigated enzymes (amylase, lysozyme, peroxidase) were detected in an active state in the children's pellicle, with no significant activity differences between caries-free and caries-active groups.
- All GTF isoforms were present, though GTF B was detected sporadically. GTF isoforms showed random distribution within pellicle layers.
- A significantly higher concentration of Glucosyltransferase D was found in the pellicle of children with active caries compared to caries-free children.
Conclusions:
- Pellicle formation in children exhibits uniformity and selectivity.
- Glucosyltransferase D levels in the dental pellicle may serve as a potential biomarker for identifying children at high risk for dental caries.
- Further research into GTF D's role could lead to improved caries risk assessment strategies in pediatric dentistry.
Abstract:
The present study investigated, for the first time, enzymes in the in-situ pellicle of children. Furthermore, it was purposed to detect glucosyltransferase (GTF) isoforms in each child's pellicle. Twenty-four children (5-9 yr of age) participated in the study. Twelve were caries free with no decayed, missing, and filled teeth (dmft), whereas 12 had active caries (dmft ≥ 2, indicating at least two untreated carious lesions). Bovine enamel slabs, fixed on individual upper jaw splints, were utilized for pellicle formation in situ. After 3 and 30 min, samples were tested for amylase, lysozyme, and peroxidase activities; total GTF activity was examined only in the 30-min pellicle. Gold-immunolabelling was used to quantify the GTF B, C, and D isoforms in the pellicle by transmission electron microscopy (TEM). All enzymes tested were detected in the children's in-situ pellicle in an active conformation, and there were no significant differences in their levels of activity between caries-free and caries-active children. All GTF isoforms were found to be randomly distributed within all pellicle layers, althoug GTF B was only detected very sporadically. A significantly higher amount of GTF D was detected in the pellicle of caries-active children. Pellicle formation in children is characterized by uniformity and selectivity. Glucosyltransferase D might represent a possible biomarker for high caries risk in children.
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