Abstract:Objective To determine the effects of the combination of triple antibiotic paste (TAP) with calcium hydroxide paste (CH) on expressions of virulence genes(gel E, cyl A and esp) of E.faecalis biofilms.Methods A model of E.faecalis biofilms in the starvation phase was established in vitro. Samples were randomly divided into four groups: normal saline (NS)control group, calcium hydroxide paste (CH)group, triple antibiotic paste (TAP)group, and combination(TAP+CH)group. The effects of the three medicines on expressions of virulence genes(gel E, cyl A and esp) in E.faecalis were evaluated by quantitative polymerase chain reaction.Results After treatment, the three experimental medications all inhibited the expressions of virulence genes (gel E, cyl A and esp) more significantly than in the control group (gel E:22.74±1.63,13.23±1.26,10.68±1.03 vs. 38.65±3.00, P<0.05; cyl A:8.60±0.68, 7.05±0.55, 6.34±0.30 vs. 10.91±1.00, P<0.05; esp:10.65±1.29, 7.05±0.55, 6.01±0.44 vs. 13.97±2.42, P<0.05). TAP+CH and TAP both inhibited the expressions of virulence genes more significantly than CH did. There was no significant difference between TAP+CH and TAP in the expressions of these genes.Conclusions TAP+CH and TAP play an important role in inhibiting biofilm formation.
胡婷, 王萍. 三重抗生素联合氢氧化钙对粪肠球菌相关毒力因子的影响[J]. 武警医学, 2020, 31(10): 874-877.
HU Ting WANG Ping. Effects of calcium hydroxide in combination with triple antibiotiques on Enterococcus faecalis virulence factors. Med. J. Chin. Peop. Armed Poli. Forc., 2020, 31(10): 874-877.
Song M, Kim H C, Lee W, et al. Analysis of the cause of failure in nonsurgical endodontic treatment by microscopic inspection during endodontic microsurgery[J]. J Endod, 2011, 37(11): 1516-1519.
[2]
Stuart C H, Schwartz S A, Beeson T J, et al. Enterococcus faecalis: its role in root canal treatment failure and current concepts in retreatment[J]. J Endod, 2006, 32(2): 93-98.
[3]
Algarni A A, Yassen G H, Gregory R L. Inhibitory effect of gels loaded with a low concentration of antibiotics against biofilm formation by Enterococcus faecalis and Porphyromonas gingivalis [J]. J Oral Sci, 2015, 57(3): 213-218.
[4]
Kayaoglu G, Ørstavik D. Virulence factors of Enterococcus faecalis: relationship to endodontic disease [J]. Crit Rev Oral Biol Med, 2004, 15(5): 308-320.
[5]
Sabrah A H, Yassen G H, Gregory R L. Effectiveness of antibiotic medicaments against biofilm formation of Enterococcus faecalis and Porphyromonas gingivalis[J]. J Endod, 2013, 39(11): 1385-1389.
[6]
Diogenes A R, Ruparel N B, Teixeira F B, et al. Translational science in disinfection for regenerative endodontics [J]. J Endod, 2014, 40: 52-57.
[7]
Mohamed J A, Huang W, Nallapareddy S R, et al. Influence of origin of isolates, especially endocarditis isolates, and various genes on biofilm formation by Enterococcus faecalis[J]. Infect Immun, 2004, 72(6): 3658-3663.
[8]
Atila-Pektas B1, Yurdakul P, Gülmez D, et al. Antimicrobial effects of root canal medicaments against Enterococcus faecalis and Streptococcus mutans[J]. Int Endod, 2013, 46(5):413-418.
[9]
Love R M. Enterococcus faecalis--a mechanism for its role in endodontic failure [J]. Int Endod J, 2001, 34(5): 399-405.
[10]
Rocas I N, Lee C Y, Jung I Y. Polymerase chain reaction identification of microorganisms in previously root-filled teeth in a South Korean population[J]. J Endod, 2004, 30(7): 504-508.
[11]
Pavaskar R, de Ataide Ide N, Chalakkal P, et al. An in vitro study comparing the intracanal effectiveness of calcium hydroxide- and linezolid-based medicaments against Enterococcus faecalis[J]. J Endod, 2012, 38(1): 95-100.
[12]
Vidana R, Rashid M U, Ozenci V, et al. The origin of endodontic Enterococcus faecalis explored by comparison of virulence factor patterns and antibiotic resistance to that of isolates from stool samples, blood cultures and food[J]. Int Endod J, 2016, 49(4): 343-351
[13]
Nosrat A, Seifi A, Asgary S. Regenerative endodontic treatment (revascularization) for necrotic immature permanent molars: a review and report of two cases with a new biomaterial[J]. J Endod, 2011, 37(4): 562-567.
[14]
Madhubala M M, Srinivasan N, Ahamed S. Comparative evaluation of propolis and triantibiotic mixture as an intracanal medicament against Enterococcus faecalis[J]. J Endod, 2011, 37(9): 1287-1289
[15]
Delgado R J, Gasparoto T H, Sipert C R, et al. Antimicrobial effects of calcium hydroxide and chlorhexidine on Enterococcus faecalis[J]. J Endod, 2010, 36(8): 1389-1393.
[16]
Kangarlou A, Neshandar R, Matini N, et al. Antibacterial efficacy of AH Plus and AH26 sealers mixed with amoxicillin, triple antibiotic paste and nanosilver[J]. J Dent Res Dent Clin Dent Prospect, 2016, 10(4):220-225.
[17]
Turkaydin D, Demir E, Basturk F B, et al. Efficacy of XP-endo finisher in the removal of triple antibiotic paste from immature root canals[J]. J Endod, 2017, 43(9): 1528-1531.
[18]
Lakhani A A,Sekhar K S, Gupta P,et al. Efficacy of triple antibiotic paste, Moxifloxacin, calcium hydroxide and 2% chlorhexidine gel in elimination of E. Faecalis: an in vitro study[J]. J Clin Diagn Res, 2017, 11(1):ZC06-ZC09.
[19]
Windley W 3rd, Teixeira F, Levin L, et al. Disinfection of immature teeth with a triple antibiotic paste[J]. J Endod, 2005, 31(6): 439-443.
[20]
Vijayaraghavan R, Mathian V M, Sundaram A M, et al. Triple antibiotic paste in root canal therapy [J]. J Pharm Bioallied Sci, 2012, 4(Suppl 2): S230-233.
[21]
Alam T, Nakazawa F, Uematsu H, et al. Susceptibility of enterococcus feacalis to a combination of antibacterial drugs (3 mix) in vitro[J]. J Oral Biosci, 2005, 43:315-320
[22]
Adl A, Hamedi S, Shams M S, et al. The ability of triple antibiotic paste and calcium hydroxide in disinfection of dentinal tubules[J]. Iran Endod J, 2014, 9(2): 123-126.
[23]
Bazvand L, Aminozarbian M G, Farhad A, et al. Antibacterial effect of triantibiotic mixture, chlorhexidine gel, and two natural materials Propolis and Aloe vera against Enterococcus faecalis: an ex vivo study[J]. Dent Res J (Isfahan), 2014, 11(4): 469-474.
[24]
Mohammadi Z, Dummer P M. Properties and applications of calcium hydroxide in endodontics and dental traumatology [J]. Int Endod J, 2011, 44(8): 697-730.