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Inflammatory Response

An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
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Immune microenvironment modulation for treating inflammatory periodontal bone defects using a dynamic dual-responsive

Jiufan Yao1,2,3, Chi Zhang1,2,3, Chuanying Yu1,2,3

  • 1Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong Province, 510055, P. R. China. liwch57@mail.sysu.edu.cn.

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Summary

A novel hydrogel loaded with sinapic acid (SA) effectively treats periodontitis by controlling inflammation and promoting bone regeneration. This advanced material offers a promising solution for periodontal bone defects.

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Area of Science:

  • Biomaterials Science
  • Periodontology
  • Immunology

Background:

  • Periodontitis is a bacterial-induced chronic inflammatory disease impacting tooth-supporting structures.
  • Effective treatment requires plaque control and maintaining local immune balance for bone regeneration.

Purpose of the Study:

  • To develop a pH/ROS dual-responsive hydrogel system (CDFBCS@SA) for controlled sinapic acid (SA) release.
  • To evaluate the hydrogel's efficacy in improving the periodontal inflammatory microenvironment and promoting bone regeneration.

Main Methods:

  • Fabrication of a dynamic cross-linked hydrogel using modified carboxymethyl cellulose (CMCDA) and carboxymethyl chitosan (CCS).
  • Loading of sinapic acid (SA), a natural phenolic compound with antibacterial and immunomodulatory properties.
  • In vitro and in vivo assessments of the hydrogel's effects on inflammatory factors, oxidative stress, macrophage polarization, and bone regeneration.

Main Results:

  • The CDFBCS@SA hydrogel demonstrated controlled, long-term release of SA.
  • The system effectively modulated the periodontal inflammatory microenvironment by reducing inflammation and oxidative stress.
  • Significant enhancement of periodontal bone defect regeneration was observed in vivo.

Conclusions:

  • The pH/ROS dual-responsive hydrogel system offers a promising strategy for periodontal regenerative therapy.
  • Controlled SA release from the hydrogel aids in restoring local immune homeostasis.
  • This approach shows potential for treating periodontal bone defects by promoting bone regeneration.