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J Dent Res 84(6):510-514, 2005
© 2005 International and American Associations for Dental Research


RESEARCH REPORT
Biomaterials & Bioengineering

Enamel Matrix Derivative Gel Stimulates Signal Transduction of BMP and TGF-ß

S. Suzuki1,*, T. Nagano1, Y. Yamakoshi4, K. Gomi1, T. Arai1, M. Fukae2, T. Katagiri3, and S. Oida2

1 Department of Periodontics and Endodontics, and
2 Department of Biochemistry, School of Dental Medicine, Tsurumi University, 2-1-3 Tsurumi, Tsurumi-ku, Yokohama 230-8501, Japan;
3 Division of Pathophysiology, Research Center for Genomic Medicine, Saitama Medical School, 1397-1 Yamane Hidaka, Saitama 350-1241, Japan; and
4 Department of Biologic and Materials Science, School of Dentistry, University of Michigan, 1210 Eisenhower Place, Ann Arbor, MI 48108, USA;

* corresponding author, suzuki-shin{at}tsurumi-u.ac.jp


   ABSTRACT
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
It has been shown that Emdogain® Gel (Emd-Gel) containing enamel matrix proteins promotes biomineralization, such as osteogenesis and cementogenesis, during the regeneration of periodontal tissues. However, the growth factors involved in these activities of Emd-Gel remain unclear. In this study, Emd-Gel was fractionated into 22 sub-fractions by size exclusion chromatography. The osteoinductive factors, TGF-ß and BMP, were examined by a specific luciferase reporter gene assay. In the unfractionated Emd-Gel, TGF-ß-like activity was detected, while BMP activity was not. In contrast, in the fractionated Emd-Gel samples, TGF-ß-like activity was detected from fractions 8 to 13, and BMP-like activity was detected from fractions 4 to 6. Also, it was confirmed that the BMP-like activity in Emd-Gel was inhibited by authentic TGF-ß1 and TGF-ß-like activity. These results indicate that Emd-Gel contains both TGF-ß- and BMP-like growth factors that contribute to the induction of biomineralization during periodontal regeneration.

KEY WORDS: enamel matrix derivative gel (Emdogain®Gel) • transforming growth factor-ß (TGF-ß) • bone morphogenetic protein (BMP) • luciferase reporter assay


   INTRODUCTION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
It is known that enamel matrix derivative (EMD) is mainly composed of the amelogenin fraction (Newman et al., 2003). At present, Emdogain® Gel (Emd-Gel) containing EMD and propylene glycol alginate (PGA) is clinically available for the regeneration of periodontal tissues. Enamel extracts, mainly containing amelogenin fraction, induce biomineralization such as the induction of osteogenesis (Boyan et al., 2000) and cementogenesis (Hammarström, 1997). Emd-Gel stimulates biomineralization in cultured human periodontal ligament cells (Nagano et al., 2004).

Recently, it has been suggested that enamel extracts have bioactive properties, bone morphogenetic protein (BMP)-like activity (Iwata et al., 2002) and transforming growth factor-ß (TGF-ß)-like activity (Kawase et al., 2001). Therefore, we hypothesized that the osteoinductive growth factors, BMP and TGF-ß, may be involved in Emd-Gel. In this study, they were examined by the luciferase reporter assay.

The plasminogen activator inhibitor type-1 (PAI-1) has been used as a marker for TGF-ß-induced transcription (Dong et al., 2002), and the induction of PAI-1 gene in Mv1Lu cells has been well-characterized. TGF-ß1 activity has been determined in Mv1Lu cells with the use of the luciferase reporter gene conjugated to the TGF-ß-responsive PAI-1 promoter region (PAI-1 luc) (Saitoh et al., 1996). In contrast, the inhibitor of differentiation-1 (Id1) has been used as a marker for BMP-induced transcription (Katagiri et al., 2002). BMP activity has been determined in C2C12 cells with the use of the luciferase reporter gene conjugated to the BMP-responsive Id1 promoter region (Id1-luc).


   MATERIALS & METHODS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Gel Filtration
Emd-Gel was obtained from the Seikagaku-kougyo Corporation (Tokyo, Japan). The Emd-Gel (9 mg/0.3 mL) was applied to a column of Sephadex G-100 (4 x 100 cm) equilibrated with 4 M guanidine solution (0.05 M Tris-HCl, pH 7.4) and run at a flow rate of 12 mL/hr. The elution was monitored at 280 nm, and the eluate was collected in 3-mL fractions. An aliquot of each fraction was de-salted on a PD-10 column (Amersham-Pharmacia Biotech, Uppsala, Sweden) in 0.1 M acetic acid and lyophilized.

SDS-Polyacrylamide Gel Electrophoresis
SDS-polyacrylamide gel electrophoresis (SDS-PAGE) was performed with the use of a 15% polyacrylamide slab gel containing 1% SDS (Laemmli, 1970). Electrophoresis was carried out with a current of 20 mA for 4 hrs. The gels were stained with 0.125% Coomassie Brilliant Blue R-250 and de-stained with a 7.5% acetic-5% methanol solution. The apparent molecular weights of the protein bands were determined according to Bio-Rad LMW protein standards.

Cell Culture
Mv1Lu mink lung epithelial cells and mouse C2C12 myoblast cells were obtained from the RIKEN Cell Bank (Tsukuba Science City, Ibaraki, Japan). Mv1Lu cells were maintained in Dulbecco’s Modified Eagle’s Medium (DMEM; Life Technologies, Grand Island, NY, USA) containing 10% fetal bovine serum (FBS; Sigma Chemical Co.), 1% antibiotics [100 U/mL of penicillin-G and 100 µg/mL of streptomycin sulfate (Gibco BRL, Grand Island, NY, USA)] at 37°C in a humidified 5% CO2 atmosphere. C2C12 cells were maintained in DMEM medium containing 15% FBS and 1% antibiotics.

Luciferase Reporter Assays for TGF-ß and BMP Activities
Mv1Lu cells were seeded at 1.5 x 104 cells/well in 96-well plates and incubated for 24 hrs for examination of TGF-ß1 activity. PAI-1-luc conjugated by the TGF-ß-responsive PAI-1 promoter region was transfected in Mv1Lu cells by Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA). Mv1Lu cells were incubated in serum-free medium for 4 hrs during transient transfection, and the culture medium was replaced with fresh medium containing 2.5% FBS with sample, and then cultured for an additional 24 hrs. The luciferase reporter assay was performed according to the supplier’s protocol (Dual-Luciferase Reporter Assay System, Promega Co., Madison, WI, USA) with a MiniLumat LB 9506 (BERTHOLD GmbH & Co., Bad Wildbad, Germany), for measurement of luciferase activity.

We also examined BMP2 activity using Id1-luc (Katagiri et al., 2002) conjugated by the BMP2-responsive Id1 promoter region in C2C12 cells, which were seeded at 1.0 x 104 cells/well in 96-well plates.

Statistical Analysis
All values are represented as mean ± standard error (SE). Statistical significance was determined by an unpaired Student’s t test, and p < 0.05 was considered statistically significant.


   RESULTS
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Luciferase Reporter Assays for Unfractionated Emd-Gel
Using PAI-1-luc, we examined the signal transduction of TGF-ß1 and Emd-Gel by luciferase activity. Emd-Gel stimulated signal transduction depending on the increasing dose of EMA-Gel (Fig. 1BGo), as well as TGF-ß1 (Fig. 1AGo). This indicated that TGF-ß-like activity was contained in Emd-Gel.



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Figure 1. Biological activity induced by unfractionated Emd-Gel. Mv1Lu cells were transfected with PAI-1 gene, then treated with (A) TGF-ß1 (0.05, 0.1, 0.2, 0.4, 0.6 ng/mL) and (B) Emd-Gel (10, 20, 30, 40, 50 µg/mL). C2C12 cells were transfected with Id1 gene, and then treated with (C) BMP2 (50, 100, 150, 200, 250 ng/mL) and (D) Emd-Gel (25, 50, 75, 100, 125 µg/mL). Luciferase activity was determined after an overnight incubation. Data are means ± SE of 4 culture wells. *p < 0.05, **p < 0.001.

 
We examined the signal transduction of BMP2 and Emd-Gel using Id1-luc. The results showed that the signal transduction of BMP2 was promoted in a dose-dependent manner (Fig. 1CGo). However, no BMP-like activity was recognized in the unfractionated Emd-Gel (Fig. 1DGo).

Luciferase Reporter Assays for Fractionated Emd-Gel
We fractionated Emd-Gel using a column of Sephadex G-100 to separate the growth factors (Fig. 2AGo). The corresponding SDS-PAGE profiles from fractions 1 to 22 are shown in Fig. 2BGo. This result showed that Emd-Gel mainly contains amelogenins and their derivatives (Fig. 2BGo).



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Figure 2. Fractionation of Emd-Gel from Sephadex G-100 column. (A) The chromatogram represents absorbance at 280 nm. (B) SDS-PAGE profiles of the separated fractions stained with CBB. Molecular weights (Bio-Rad Low Range Standards, Hercules, CA, USA) are shown in left margin.

 
Using PAI-1-luc and Id1-luc, we examined each fraction to detect BMP and TGF-ß activities. These results showed that BMP-like growth factor existed in fractions 4 to 6, and TGF-ß-like growth factor existed in fractions 8 to 13 (Fig. 3Go). The SDS-PAGE profiles showed 10- to 25-KDa peptides in fractions 4 to 13 (Fig. 2BGo). The molecular size corresponded to that of TGF-ß and BMP family proteins.



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Figure 3. TGF-ß and BMP activities induced by fractionated Emd-Gel. Mv1Lu cells were transfected with PAI-1 gene, and C2C12 cells were transfected with Id1 gene. These cells were then treated with fractionated Emd-Gel. Luciferase activity was determined after an overnight incubation. Data are means ± SE of 4 culture wells. *p < 0.05.

 
Cross-talk of TGF-ß1 and BMP2
The cross-talk of BMP2 and TGF-ß1 was investigated by use of the luciferase reporter gene assay. The results showed that the signal transduction of BMP2 and BMP-like growth factor from fractions 4-6 was suppressed by TGF-ß1 or TGF-ß-like growth factor from fractions 8-13 (Figs. 4AGo, 4BGo).



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Figure 4. Effect of TGF-ß on signal transduction of BMP. C2C12 cells were transfected with Id1 gene, then treated with (A) 100 ng/mL BMP2 and 10 ng/mL TGF-ß1, and with (B) BMP-like fraction (fractions 4-6) in Emd-Gel added to TGF-ß and TGF-ß-like fraction (fractions 8-13) in Emd-Gel. Luciferase activity was measured after an overnight incubation. Data are means ± SE of 4 culture wells. *p < 0.05, **p < 0.001.

 

   DISCUSSION
 TOP
 ABSTRACT
 INTRODUCTION
 MATERIALS & METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Enamel matrix derivative (EMD), which promotes osteogenesis (Boyan et al., 2000) and cementogenesis (Hammarström, 1997) in vitro and in vivo, is clinically used as Emdogain® Gel (Emd-Gel) for periodontal regeneration (Bratthall et al., 2001).

Recently, it has been reported that EMD contains TGF-ß-like activity (Kawase et al., 2001); therefore, we examined the TGF-ß activity in Emd-Gel using the TGF-ß-specific reporter gene assay. The results showed that TGF-ß-like growth factor was contained in Emd-Gel (Figs. 1BGo, 3Go). It has been reported that TGF-ß1 may play an important role in the modulation of tissue formation and development of the periodontium (Gao et al., 1998). Furthermore, TGF-ß1 is mitogenic to periodontal ligament cells (Brady et al., 1998) and inhibits epithelial cell proliferation (Kawase et al., 2002). Based on these results, the TGF-ß-like growth factor in Emd-Gel may have an effect similar to that of TGF-ß1 in periodontal regeneration.

Porcine enamel extracts have biomineralization-promoting activity, such as BMP-like activity (Iwata et al., 2002). However, in this assay system, BMP activity was not detected in unfractionated Emd-Gel (Fig. 1DGo). Therefore, we fractionated Emd-Gel using a column of Sephadex G-100 equilibrated with 4 M guanidine solution (Fig. 2AGo) to separate the proteins mixed with propylene glycol alginate (PGA). We then examined each fraction to detect the BMP activity in fractionated Emd-Gel. The results showed that Emd-Gel contained BMP-like growth factor from fractions 4 to 6, and these fractions contained proteins of 20 kDa, similar to BMP (Bessho et al., 1991) (Figs. 2BGo, 3Go). It has been reported that the BMP family may play an important role in biomineralization (Wozney et al., 1988; Katagiri et al., 1990; Yamashiro et al., 2003). The BMP-like growth factor in Emd-Gel may stimulate osteogenesis and cementogenesis during periodontal regeneration.

TGF-ß1 potentiated the inhibitory effect of BMP2 (Katagiri et al., 1994; De Jong et al., 2002). Therefore, we investigated the cross-talk of TGF-ß1 and BMP2. These results showed that the signal transduction of BMP2 was inhibited by TGF-ß1 (Fig. 4AGo). Also, the signal transduction of BMP-like growth factor was inhibited by authentic TGF-ß1 or TGF-ß-like growth factor in Emd-Gel (Fig. 4BGo). However, the signal transduction of TGF-ß1 was not suppressed by BMP2 (data not shown). It has been reported that the inhibitory Smad6 and 7 exert a negative feedback effect by competing with the receptor-activated Smads (R-Smads: Smads 1, 2, 3, and 5) (Imamura et al., 1997; Nakao et al., 1997). Smad7 inhibits the signaling by both TGF-ß and BMP, whereas Smad6 inhibits TGF-ß signals less effectively (Mochizuki et al., 2004). Therefore, the signal transduction of BMP-2 was inhibited by TGF-ß1, though the signal transduction of TGF-ß1 was not suppressed by BMP-2. Also, Smads 1, 5, and 8 are activated by BMP receptors, whereas Smads 2 and 3 are activated by TGF-ß and activin receptors (Miyazono, 1999). Common mediator Smads (Co-Smad: Smad4) and activin receptor-like kinase (ALK) 1, which is a type I receptor and activates smads 1 and 5, are shared by BMP and TGF-ß signaling pathways (Miyazono, 1999; Derynck and Zhang, 2003). Therefore, it is considered that TGF-ß cannot completely inhibit the activities of BMP.

Another TGF-ß-like activity was detected in the low-molecular region (fractions 19-21) on the G-100 column chromatogram (Figs. 2BGo, 3Go). It has been reported that small peptides of amelogenin have bioactivity (Veis et al., 2000). We could not detect such peptides in fractions 19-21. Further investigation will be required to confirm the small peptides.

These results suggest that several growth and differentiation factors exist in Emdogain® Gel (Emd-Gel), which contains TGF-ß- and BMP-like growth factors that contribute to the induction of biomineralization during periodontal regeneration.


   ACKNOWLEDGMENTS
 
We thank Dr. Takeo Karakida for his technical support and Dr. Kohei Miyazono for providing PAI-1-luc. This work was performed at Tsurumi University High Technology Research Center. This work was supported by a grant-in-aid (No. 16591869) and funding from the Bio-Venture Project from the Japanese Ministry of Education, Culture, Sports, Science and Technology.

Received May 6, 2004; Last revision February 27, 2005; Accepted March 22, 2005


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This Article
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