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Merja Sulkala a, Taina Tervahartiala b,c, Timo Sorsa b,c, Markku Larmas a,d,
Tuula Salo a,d, Leo Tjäderhane b,c,*
a
Institute of Dentistry, University of Oulu, PO Box 5281, 90014 University of Oulu, Oulu, Finland
b
Institute of Dentistry, University of Helsinki, PO Box 41, FIN-00014 Helsinki, Finland
c
Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Helsinki, Finland
d
Oulu University Hospital, Oulu, Finland
Article history: Objective: Previously an unidentified collagenolytic metalloprotease together with gelati-
Accepted 9 August 2006 nase (matrix metalloproteinase-2, MMP-2), and enamelysin (MMP-20) have been detected in
human dentin. The aim of the study was to characterize dentinal collagenolytic enzymes.
Keywords: Furthermore, we hypothesized that the dentinal MMPs are protected by the mineral phase,
Dentin and studied the stability of dentinal MMPs.
Collagenase Design: To characterize dentinal collagenolytic enzymes, we used Western blotting with
Gelatinase specific antibodies against MMP collagenases (MMP-1, -8, and -13) and cathepsin K. MMP-8
Human immunofluorometric assay (IFMA) was also used for MMP-8 detection, and functional
collagenase activity was examined with type I collagen degradation assay. The stability
of dentinal MMPs was examined by autoclaving dentin blocks before protein extraction and
subsequent examination of protein levels and the activities of dentin collagenase and
gelatinases.
Results: MMP-8 (collagenase-2) was detected in dentin both with Western blot and IFMA, and
dentinal samples also cleaved the intact type I collagen into characteristic 3/4(aA)-cleavage
products in vitro. No other collagenases or cathepsin K were detected. In autoclaved samples
no MMP-8 was found, but gelatinase activity was observed in protein fractions of miner-
alized dentin.
Conclusions: MMP-8 represents the major collagenase in human dentin. Unlike MMP-8,
dentinal gelatinases can be detected after autoclave treatment of dentin, indicating their
high resistance to external sample treatment procedures.
# 2006 Elsevier Ltd. All rights reserved.
* Corresponding author at: Institute of Dentistry, University of Helsinki, PO Box 41, FIN-00014 Helsinki, Finland. Tel.: +358 9 1912 7261;
fax: +358 9 1912 7286.
E-mail address: leo.tjaderhane@helsinki.fi (L. Tjäderhane).
0003–9969/$ – see front matter # 2006 Elsevier Ltd. All rights reserved.
doi:10.1016/j.archoralbio.2006.08.009
122 archives of oral biology 52 (2007) 121–127
of these enzymes are incorporated into mineralized dentin, 2.2. Western blot
since at least gelatinase A (MMP-2)5 and enamelysin4 together
with an as yet unidentified latent collagenolytic enzyme6,7 Samples (with and without 100 mM DTT) were diluted in 1
have been found in dentin. These dentinal proteases may be Laemmli buffer,19 prepared at 60 8C, electrophoresed on 12%
released and activated during dentin caries progression.6,8–10 SDS-PAGE gels, and transferred to ImmobilonTM P PVDF
In addition to these proteases, mineralized dentin also Transfer membrane (Millipore Corporation, Bedford, MA,
contains specific tissue inhibitors of MMPs, TIMP-1, and -2.11,12 USA). Non-specific binding was inhibited by incubation with
The dentinal enzymes presumably originate from dentin- 5% non-fat dry milk (Valio, Helsinki, Finland) in TBS for 60 min.
forming odontoblasts. The odontoblasts of fully developed After washing with TBS–Tween-20, the filter was incubated
human teeth synthesize several MMPs, at least gelatinases with primary antibody (concentration 1 mg/mL) overnight at
(MMP-2 and -9),13 collagenase-2 (MMP-8),14 membrane- room temperature. The primary antibodies used were rabbit
bound MMP-14 (MT1-MMP),15 and enamelysin.4 Odonto- anti-human MMP-8,20 mouse anti-human MMP-1 and MMP-13
blasts also synthesize other proteases, at least cathepsin D.16 (Oncogene IM67 and IM44L, Boston, MA, USA), and goat anti-
Even though bone and dentin resemble each other with human cathepsin K antibody (SC6507, Santa Cruz Biotechnol-
respect to organic and mineral content, mineralized dentin ogy Inc., Santa Cruz, CA, USA). Following washings, the filter
is not remodelled similarly to bone. MMPs are involved in was incubated with biotinylated secondary antibody (swine
bone turnover, but osteoclast-derived cathepsin K is con- anti-rabbit, rabbit anti-mouse, or rabbit anti-goat) (1:1000,
sidered a pivotal bone collagenolytic enzyme.17 Also, upon DAKO A/S, Glostrup, Denmark), and with ABComplex solution
the shedding of the primary teeth, odontoclasts express (1:1000, DAKO, A/S, Glostrup, Denmark) for 1 h. The complexes
cathepsin K.18 were detected with the ECL Chemiluminescence Western
The aim of the study was to identify and characterize the blotting detection kit (Amersham, Buckinghamshire, UK)
enzymes behind the collagenolytic activity observed pre- according to the manufacturer’s instructions. When sepa-
viously in dentin,6,7 and therefore, the presence of MMP rately described, filter reprobing was performed according to
collagenases (MMP-1, -8, and -13) and the major bone the manufacturer’s instructions (ECL detection kit, Amer-
collagenolytic enzyme, cathepsin K, in dentin was investi- sham). Briefly, the filter was incubated in reprobing buffer
gated. Furthermore, we hypothesized that the dentinal MMPs (100 mM 2-mercaptoethanol, 2% SDS, 62.5 mM Tris–HCl, pH
are protected by the mineral phase and are therefore highly 6.7) for 30 min at 60 8C to remove the bound antibodies. Then
stable and resistant. This hypothesis was tested by autoclav- the filter was incubated with 5% non-fat milk, and blotting was
ing dentin blocks before protein extraction and subsequent repeated similarly to the first detection with another antibody.
gelatinase and collagenase analysis.
2.3. MMP-8 immunofluorometric assay (IFMA)
2. Materials and methods The total amounts of MMP-8 in dentin protein samples,
including the G1, E1, E3, and G2 fractions of two native teeth
2.1. Study material and one tooth autoclaved twice, were determined by time-
resolving immunofluorescence assay.21,22 The monoclonal
Fully developed sound human third molars of young adult MMP-8-specific antibodies 8708 and 8706 (Medix Biochemica,
patients (20–30 years) were removed at the Oulu Municipal Kauniainen, Finland) were used as a catching antibody and a
Health Center and the Department of Oral and Maxillofacial tracer antibody, respectively, and the tracer antibody was
Surgery, University of Oulu as part of routine treatment. The labelled using europium-chelate.23 The assays were per-
teeth were used for the experiments with the patient’s formed on microtiter plates in two steps. Dentin protein
informed consent, and the study protocol was approved by samples were diluted in enzyme buffer (50 mM Tris–HCl, pH
the Ethical Committee of the Northern Ostrobothnia Hospital 7.5; 0.2 mM NaCl, 1 mM CaCl2). Twenty microlitres of samples
District (#23-2003). and 80 mL of assay buffer [20 mM Tris–HCl, pH 7.5, 0.5 M NaCl,
Dentin proteins were extracted according to the pre- 5 mM CaCl2, 0.5% BSA, 0.05% sodium azide and 20 mg/L
viously described protocol.5 To study the stability of dentinal diethylenetriaminepentaacetic acid (DTPA)] with 2 mL/mL
MMPs, the experimental samples were steam-autoclaved normal mouse serum were pipetted into the wells. After
(134 8C for 9 min) once (n = 4) or twice (n = 5), while the native incubation, the wells were washed and filled with 100 mL of
dentin blocks (n = 9) were not treated. The dentin blocks were assay buffer containing 8706-Eu-labelled antibody. After
then crushed and powdered. The proteins of the non- incubation and washing, 100 mL of enhancement solution
mineralized compartment were extracted with 4 M guani- was added, and after 5 min, fluorescence was measured using
dine–HCl (G1 fraction), and the dentin powder was subse- a 1234 Delfia Research Fluorometer (Wallac, Turku, Finland).
quently demineralized four times with 0.5 M EDTA (E1–E4
fractions). After demineralization, the guanidine–HCl extrac- 2.4. Measurement of collagenase activity against soluble
tion was repeated (G2 fraction). The total protein concentra- native type I collagen
tion of the extraction solution from each sample was
measured by Bio-Rad DC Protein Assay kit (Bio-Rad Labora- Dentin protein samples (G1 and E1 fractions of native teeth)
tories, Hercules, CA, USA), and lyophilized aliquots of 60 mg with and without 1 mM APMA ( p-aminophenylmercuric
dentin protein were used for the analyses, unless otherwise acetate) treatment were incubated for 24 h with 1.5 mM native
stated. human skin type I collagen in 50 mM Tris–HCl, 0.15 M NaCl,
archives of oral biology 52 (2007) 121–127 123
the control dentin blocks (n = 3) the gelatinase activity was they may also inhibit the active forms of MMPs.27 MMP
inhibited by 25 mM Ilomastat (11.6 12.1% activity remaining activation may also, at least partially, have been caused by the
when compared to the non-inhibited sample activity, mean extraction protocol, similarly to cartilage MMPs.33
and standard deviation), and in the group of autoclaved dentin After autoclave treatment, gelatinolytic activity was
blocks (n = 3) the gelatinase activity was totally abolished by observed in the mineral-bound protein fractions (E2 fraction)
Ilomastat (remaining activity 0 0%, mean and standard and mineralized organic matrix of dentin (G2 fraction) by two
deviation). distinct gelatinase activity assays, indicating that the dentinal
gelatinases embedded in minerals are rather resistant, as
already suggested previously.5 The low molecular weight
4. Discussion bands present in some autoclaved samples may represent
fragmented or truncated forms of MMP-2 still exhibiting
Dentinal MMPs have been suggested to be involved in various gelatinolytic activity.34 On the contrary, MMP-8 could not be
physiological processes occurring in dentin, such as matura- observed in autoclaved dentin, suggesting lower resistance in
tion during ageing5 and the formation and calcification of relation to gelatinases. This difference may be, at least
intra- and intertubular dentin3,10,12,13 as well as dentin caries partially, explained by the collagen binding properties of
progression.9,28 To elucidate further the presence and dis- gelatinases,35 which stabilizes at least MMP-2 from autolysis.36
tribution of these enzymes in dentin, we characterized the The MMP-8 levels in extracts showed a decreasing gradient
human dentinal collagenolytic enzymes and examined the in respect to the total enzyme amounts along with advancing
stability and resistance of dentinal MMPs. extraction steps. On the other hand, gelatinase activity was
The study shows MMP-8 (collagenase-2) bound to the non- even higher in the mineralized organic matrix of dentin than
mineralized and mineralized compartments of human dentin. in the non-mineralized compartment. Therefore, it seems that
MMP-8 is expressed by odontoblasts and pulp tissue of fully relatively more gelatinases than MMP-8 are incorporated or
developed human teeth,14 and among fibrillar collagens, MMP- more efficiently bound to the mineralized dentin matrix, and
8 prefers type I collagen as a substrate,29 which is the utmost MMP-8 might be primarily involved in the organization of the
major interstitial collagen type in the dentin organic matrix.1 A dentin organic matrix before mineralization. Even though
previously described enzyme with collagenase activity of mineralized dentin is not thought to undergo significant
crude dentin powder had a molecular mass of 62 kDa in a reorganization, predentin and non-mineralized dentin inside
reduced and 68 kDa in the native form.7 We showed that, by the dentinal tubules are very likely to be organized in response
using the protein extraction protocol, MMP-8 immunoreactive to the functional demands and maintenance of odontoblast
bands of 50 and 62 kDa, corresponding to mesenchymal-type attachment. In addition, dentin mechanical properties (bend-
MMP-8 produced by odontoblasts,14 could be observed in ing strength and resistance to fatigue) decrease significantly
dithiothreitol-reduced samples. However, in non-reduced with age, and changes in intertubular collagen matrix have
samples, bands above 100 kDa were observed, suggesting been suggested to contribute to these structural responses.39
non-covalent binding of MMP-8 by disulphide bonds with The reduction of MMP-2 in the mineralized dentin over age5
other molecules in dentin. In cartilage extracts, mesenchy- suggests that MMPs – at least MMP-2 – are involved in this
mal-type MMP-8 is also observed in complexed forms without matrix reorganization. Since all the teeth in this study were
reduction.30 obtained from young adults, we cannot speculate on whether
The presence of other collagenases in dentin could not be a similar reduction in MMP-8 in dentin would occur.
conclusively proven. MMP-13 was not detected in Western The high relative activity of gelatinases in the organic
blots, and even though faint bands with MMP-1 antibody were matrix and their resistant nature suggest them to have an
detected, reprobing with MMP-8 antibody produced practically important role as dentin-bound enzymes. As suggested by the
identical, but much stronger bands, suggesting the possibility inhibition of gelatinases by Ilomastat, the dentinal gelatinase
of non-specific binding with MMP-1 antibody. Cathepsin K activity seems to be mostly due to the enzymes of MMP family.
could not be detected in human dentin, either. MMP-2, which The MMPs present in mineralized dentin may be released and
has been previously described in dentin,5 has only weak activated during caries progression, and they may further
activity against fibrillar collagens.31 We therefore conclude release dentinal growth factors mediating signals for tissue
that odontoblast-derived MMP-8 is, for the most part, repair.10 Once the dentinal MMPs have been activated, they
responsible for the collagenolytic activity observed in dentin. can degrade the dentin organic matrix in caries, thus
Previously, MMP-2 has been detected in human dentin both contributing to lesion progression.6,8–10,28 Activation of dent-
in non-mineralized and mineralized protein fractions (G1 and inal enzymes may also be involved in the degradation of
G2, respectively).5 We could also demonstrate gelatinolytic collagen fibrils in the adhesive layer of dental composite
activity in the EDTA extracts. Although the demineralizing restoration, being therefore at least partially responsible for
agent EDTA inhibits MMPs, the inhibition is reversible,32 thus restoration failures.37,38
allowing MMP-2 detection in zymograms (Fig. 2) and func- In conclusion, this study identified MMP-8 to be the major
tional gelatinase assays (Fig. 4). The reduced gelatinolytic collagenolytic enzyme in human dentin. Furthermore, the
activity after preincubation with organomercurial MMP study describes the differential distribution of MMPs in dentin:
activator APMA suggests that the extracted gelatinases were MMP-8 was mostly found in unbound protein fraction, while
already in the active form. This is supported by the most of gelatinolytic activity was observed in organic matrix
predominance of the 59 kDa active form of MMP-2 in gelatin and released only after demineralization. The physiological
zymograms. Organomercurials activate latent proMMPs, but and/or pathological significance of this difference remains to
126 archives of oral biology 52 (2007) 121–127
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We greatly appreciate Dr. Terttu Sippola and her staff at the
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