Evidence map›Paper›PMID 40695440›Full record

ArticleJournal of dentistry2025

Structure-activity relationships of A-and B-type proanthocyanidins in long-term dentin biomodification and biocompatibility.

Yvette Alania, Mariana Reis-Havlat, Shu-Xi Jing, Fahimeh Tabatabaei, James B McAlpine, Shao-Nong Chen, Guido F Pauli, Ana K Bedran-Russo

Abstract read
In one paragraph

Article in Journal of dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yvette AlaniaDepartment of General Dental Sciences, School of Dentistry, Marquette University, 1801W Wisconsin Ave, Milwaukee, WI 53233, USA; Department of Comprehensive Dentistry, School of Dentistry, University of Maryland, 650W Baltimore St, Baltimore, MD 21201, USA.
Mariana Reis-HavlatDepartment of General Dental Sciences, School of Dentistry, Marquette University, 1801W Wisconsin Ave, Milwaukee, WI 53233, USA; Department of Oral Biology, College of Dentistry, University of Illinois Chicago, 801 S Paulina St., Chicago, IL 60612, USA.
Shu-Xi JingPharmacognosy Institute and Department of Pharmaceutical Sciences, Retzky College of Pharmacy, University of Illinois Chicago, 833 S Wood St, Chicago, IL 60612, USA.
Fahimeh TabatabaeiDepartment of General Dental Sciences, School of Dentistry, Marquette University, 1801W Wisconsin Ave, Milwaukee, WI 53233, USA.
James B McAlpinePharmacognosy Institute and Department of Pharmaceutical Sciences, Retzky College of Pharmacy, University of Illinois Chicago, 833 S Wood St, Chicago, IL 60612, USA.
Shao-Nong ChenPharmacognosy Institute and Department of Pharmaceutical Sciences, Retzky College of Pharmacy, University of Illinois Chicago, 833 S Wood St, Chicago, IL 60612, USA.
Guido F PauliPharmacognosy Institute and Department of Pharmaceutical Sciences, Retzky College of Pharmacy, University of Illinois Chicago, 833 S Wood St, Chicago, IL 60612, USA.
Ana K Bedran-RussoDepartment of General Dental Sciences, School of Dentistry, Marquette University, 1801W Wisconsin Ave, Milwaukee, WI 53233, USA; Department of Oral Biology, College of Dentistry, University of Illinois Chicago, 801 S Paulina St., Chicago, IL 60612, USA. Electronic address: bedran@uic.edu.

Funding

Dentin Biomodification for Optimization of Bioadhesive Dental RestorationsR01DE028194 · NIDCR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BEDRAN-RUSSO, ANA KARINA B · 2019 to 2023
$2.6M
NIDCR NIH HHS R01 DE028194
6 · The paper itself

Abstract

objectiveTo explore the structure-activity relationships of plant-based proanthocyanidins (PACs) with dental pulp stem cells (DPSCs) and the long-term biomechanical stability of PAC-modified dentin extracellular matrix (ECM).

methodsMid-coronal dentin ECM (n = 8) was treated with eight PAC tetramers and trimers with varying A-/B-type linkages. Chemo-mechanical analyses included dynamic mechanical analysis and ATR-FTIR spectroscopy. Viscoelastic components were calculated after PAC biomodification, 18-month incubation, and protein destabilization. Collagen structure was assessed via IR amide absorbance ratios. DPSCs were cultured with PACs at different concentrations (100, 10, and 1 μg/mL) to measure proliferation. ANOVA and post-hoc tests were used for statistical analysis (α=0.05).

resultsPACs increased dentin moduli (p < 0.001), with AB- trimeric and B-type tetrameric PACs inducing the highest E* (∼132-142 MPa). AB, BB trimers, and AAA tetramers remained stable after 18 months, while other PACs decreased significantly yet maintained 6.4- to 9-fold higher E* than control (p < 0.001). Protein destabilization reduced E* and E' in AB-/B-type tetramer groups (p < 0.001) but maintained a 4- to 8-fold increase (p < 0.001). BB and AB trimers exhibited the highest damping capacity, shifting towards a more viscous-like behavior (p < 0.001). Substituting A- for B-type linkages increased damping by 53 %. Biomodified dentin ratios increased after incubation (p < 0.001). Only high PAC concentration reduced DPSCs proliferation (p < 0.001), lower concentrations had no effects (p > 0.067).

conclusionsPACs increased and subsequently sustained dentin moduli overtime. PAC-treated dentin's chemo-mechanical behavior was driven by interflavanyl linkages type, degree of polymerization, and terminal monomeric unit, where B-type PACs enhanced mechanical and damping due to greater flexibility, while A-type PACs confered long-term stability and resistance to degradation. Biocompatibility depended on PAC concentration, with potential benefits for dental pulp cells. CLINICAL RELEVANCE: Trimeric and tetrameric proanthocyanidins (PACs) were found to be biocompatible with dental pulp stem cells, and their specific interflavanyl linkages guide the dentin viscoelastic behavior. These findings are relevant for tailoring their development into biomimetic restorative and regenerative biomaterials.

Indexed as

Biocompatible MaterialsDentinProanthocyanidinsBiomechanical PhenomenaCell ProliferationCells, CulturedCollagenDental PulpExtracellular MatrixHumansMaterials TestingSpectroscopy, Fourier Transform InfraredStem CellsStructure-Activity RelationshipViscosityBiocompatible MaterialsCollagenProanthocyanidinsDental pulp stem cellsDentinDynamic mechanical analysisExtracellular matrixProanthocyanidins

Identifiers

PMID40695440
PMCPMC13224784

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.