Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells

Background: Root Canal Treatments play a critical role in managing periapical and pulp diseases, but failure to control the inflammation may result in treatment failure. Newer developments have targeted anti-inflammatory bioactive sealers as potential contenders. The objective of this study was to...

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Main Authors: Ayesha Imtiaz, Kiran Nayyar, Khadija Akhtar, Muhammad Yousuf Ali, Naresh kumar, Ehsan Ul Haq
Format: Article
Language:English
Published: ziauddin University 2025-01-01
Series:Pakistan Journal of Medicine and Dentistry
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Online Access:https://ojs.zu.edu.pk/pjmd/article/view/3420
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author Ayesha Imtiaz
Kiran Nayyar
Khadija Akhtar
Muhammad Yousuf Ali
Naresh kumar
Ehsan Ul Haq
author_facet Ayesha Imtiaz
Kiran Nayyar
Khadija Akhtar
Muhammad Yousuf Ali
Naresh kumar
Ehsan Ul Haq
author_sort Ayesha Imtiaz
collection DOAJ
description Background: Root Canal Treatments play a critical role in managing periapical and pulp diseases, but failure to control the inflammation may result in treatment failure. Newer developments have targeted anti-inflammatory bioactive sealers as potential contenders. The objective of this study was to explore the anti-inflammatory potential of Endoseal E-MTA (E-MTA), Ketac-Endo (Ketac-E), and Sealapex (S-apex) on cultured Human periodontal ligament stem cells. Methods: After Study approval (BMU-EC/06-2022) from Baqai Medical University Karachi, this study was conducted from September 2022 to February 2023. Three Sealers as commercially available products were used on the cultured hPDLSCs via in-vitro experiments and treated with serial concentrations of 20ul, 40ul, and 60ul respectively to perform MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide] cell viability assay. Expression profiling via Real Time-PCR of anti-inflammatory biometers was determined via RNA extract from 24h MTT assay due to its greater reproducibility. Data were subjected to statistical analysis (ANOVA Testing) to compare the effectiveness of each sealer using SPSS version 22 with a significant p-value<0.05. Results: E-MTA elicits a noticeably enhanced production of IL-10 (2.97 fold) and TGF-β (3.12 fold) levels than its parent compound MTA, demonstrating enhanced anti-inflammatory and immunomodulatory potential while Ketac-Endo and Sealapex showed lesser relative gene fold values Conclusion: It has been concluded that E-MTA exhibits more enhanced bioactivity and capacity to improve the RCT outcome due to reduced inflammation and increased tissue regeneration than Ketac-Endo and Sealapex.
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institution Kabale University
issn 2313-7371
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language English
publishDate 2025-01-01
publisher ziauddin University
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series Pakistan Journal of Medicine and Dentistry
spelling doaj-art-ff7bc091babe409485e1de9e240682592025-01-19T20:18:26Zengziauddin UniversityPakistan Journal of Medicine and Dentistry2313-73712308-25932025-01-0114110.36283/ziun-pjmd14-1/019Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem CellsAyesha Imtiaz0Kiran Nayyar1Khadija Akhtar2Muhammad Yousuf Ali3Naresh kumar4Ehsan Ul Haq5Baqai Medical University, Karachi, Pakistan.de Montmorency College of Dentistry, Lahore, PakistanInstitute Of Dentistry, CMH Lahore Medical College, PakistanKarachi Medical and Dental College (KMU), PakistanBhitai Dental and Medical College mirpurkhas sindh, Pakistan.School of Biochemistry, Free University of Berlin, Germany. Background: Root Canal Treatments play a critical role in managing periapical and pulp diseases, but failure to control the inflammation may result in treatment failure. Newer developments have targeted anti-inflammatory bioactive sealers as potential contenders. The objective of this study was to explore the anti-inflammatory potential of Endoseal E-MTA (E-MTA), Ketac-Endo (Ketac-E), and Sealapex (S-apex) on cultured Human periodontal ligament stem cells. Methods: After Study approval (BMU-EC/06-2022) from Baqai Medical University Karachi, this study was conducted from September 2022 to February 2023. Three Sealers as commercially available products were used on the cultured hPDLSCs via in-vitro experiments and treated with serial concentrations of 20ul, 40ul, and 60ul respectively to perform MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide] cell viability assay. Expression profiling via Real Time-PCR of anti-inflammatory biometers was determined via RNA extract from 24h MTT assay due to its greater reproducibility. Data were subjected to statistical analysis (ANOVA Testing) to compare the effectiveness of each sealer using SPSS version 22 with a significant p-value<0.05. Results: E-MTA elicits a noticeably enhanced production of IL-10 (2.97 fold) and TGF-β (3.12 fold) levels than its parent compound MTA, demonstrating enhanced anti-inflammatory and immunomodulatory potential while Ketac-Endo and Sealapex showed lesser relative gene fold values Conclusion: It has been concluded that E-MTA exhibits more enhanced bioactivity and capacity to improve the RCT outcome due to reduced inflammation and increased tissue regeneration than Ketac-Endo and Sealapex. https://ojs.zu.edu.pk/pjmd/article/view/3420Endoseal MTAKetac-EndoSealapexIL-10TGF-ΒTissue Repair
spellingShingle Ayesha Imtiaz
Kiran Nayyar
Khadija Akhtar
Muhammad Yousuf Ali
Naresh kumar
Ehsan Ul Haq
Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells
Pakistan Journal of Medicine and Dentistry
Endoseal MTA
Ketac-Endo
Sealapex
IL-10
TGF-Β
Tissue Repair
title Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells
title_full Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells
title_fullStr Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells
title_full_unstemmed Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells
title_short Comparative Analysis of the Anti-inflammatory Effects of E-MTA, Ketac-E, and Sealapex on Human Periodontal Ligament Stem Cells
title_sort comparative analysis of the anti inflammatory effects of e mta ketac e and sealapex on human periodontal ligament stem cells
topic Endoseal MTA
Ketac-Endo
Sealapex
IL-10
TGF-Β
Tissue Repair
url https://ojs.zu.edu.pk/pjmd/article/view/3420
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