Beruflich Dokumente
Kultur Dokumente
pubs.acs.org/Langmuir
Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Matsugasaki, 606-8126 Kyoto, Japan
Department of Molecular Cell Physiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine,
Kamigyo-ku, Kyoto 602-8566, Japan
Amedica Corporation, 1885 West 2100 South, Salt Lake City, Utah 84119, United States
Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto
602-8566, Japan
Department of Medical Engineering for Treatment of Bone and Joint Disorders, Osaka University, 2-2 Yamadaoka, Suita, Osaka
565-0854, Japan
#
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri 65212, United States
1. INTRODUCTION
One of the main challenges in modern dentistry is the
development of new methods for maintaining an eective
defense against periodontitis.1 In its early stages, this disease
can be reversed by eective personal oral hygiene. However, the
general susceptibility of the host and the local susceptibility of
the teeth are both factors that are dicult to control and
stabilize due to the evolving nature of the bacteria
themselves.2,3 Recent research reports have shown improved
strategies for curing advanced periodontitis (e.g., root planing
combined with local administration of a hydrogen peroxide gel
using customized trays,4 the use of xylitol as a stoichiometrically
unfavorable substance for extensive acid, especially lactic acid,
fermentation,5 local drug delivery including the use of an
ethylene vinyl acetate ber that contains tetracycline,611 a
gelatin chip that contains chlorhexidine,12 and a minocycline
polymer formulation as adjuncts to scaling and root
planning13). A detailed understanding of the molecular
chemistry governing the metabolic deterioration of oral bacteria
subjected to these therapeutic agents is central to their
optimization. It is from these molecular chemistry arguments
2016 American Chemical Society
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2. EXPERIMENTAL PROCEDURES
2.1. Silicon Nitride Samples and Their Salient Characterizations. Polished Si3N4 bioceramic disks containing Y2O3 and Al2O3
sintering aids (AMEDICA Corporation, Salt Lake City, UT 84119,
USA) were received and employed in this study. Some manufacturing
details of this bioceramic are as follows: Si3N4 powder (Ube SN E-10,
Ube City, Japan) was rst mixed with Y2O3 (Grade C, H. C. Starck,
Munich, Germany) and Al2O3 (SA8-DBM, Baikowski/Malako,
Charlotte, NC) sintering aids and cold-pressed at room temperature
into disk-shaped samples. Then, the cold-pressed disks were sintered
in an ambient nitrogen atmosphere at a temperature in excess of 1700
C to closed porosity and further densied by hot isostatic pressing at
a temperature exceeding 1650 C and N2 gas pressure of >200 MPa.
The disk surfaces were lapped using 6 m diamond (Engis, Wheeling,
IL) on a lapping machine (Lapmaster, Mt. Prospect, IL) and
subsequently polished using colloidal silica (Leco, St. Joseph, MI).
All samples were subjected to ultrasonic cleaning in deionized water of
17.5 M cm resistivity (750II, Myron L Company, Carlsbad, CA) for
30 min to remove contaminants.
To probe the eect of surface chemistry on bacterial response, the
polished surfaces of some sintered Si3N4 disks were modied either by
wet chemical etching or by oxidation. In the former treatment,
hydrouoric acid (HF) conspicuously removed the amphoteric SiO2
layer without signicantly etching the underlying nitride. This
treatment maximized the concentration of amine groups at the
surface, while pushing the surface composition as far to the nitride end
of the nitride-oxide spectrum as possible. Polished samples were
immersed in a 5 wt % HF solution for 45 s, transferred into a
continuously refreshed DI water bath for 30 min, dried under a stream
of ltered N2, and stored in a desiccator containing hygroscopic media
(Indicating Drierite, W.A. Hammond DRIERITE Co., Xenia, OH)
under partial vacuum (100 Torr) to slow spontaneous reoxidation.
Conversely, the oxidation treatment yielded the maximum concentration of hydroxyl groups and pushed the surface composition as far
to the oxide end of the nitride-oxide spectrum as possible. In this case,
polished samples were kept for 7 h at 1070 C using an open-air kiln
(Deltech, Denver, CO). X-ray photoelectron spectroscopy (XPS),
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Co., Northampton, MA, USA). An average of 20 Raman measurements were collected at dierent random locations from as-cultured
PG and from PG inoculated onto various Si3N4 surfaces. These same
bacterial samples were also observed by uorescence microscopy after
exposure to the Si3N4 surfaces. Staining of the bacteria with propidium
iodide (PI) and 5-(and 6)-carboxyuorescein diacetate (CFDA)
solutions (Bacstain-PI solution and Bacstain-CFDA; Dojindo Lab.,
Osaka, Japan) was performed to facilitate their examination. Dead or
injured bacteria had a red-colored emission associated with PI, while
CFDA provided a green emission for living bacteria. Observations
were made by means of a uorescence microscope (BZ-X700;
Keyence, Osaka, Japan).
2.4. pH Microscopy. Local pH experiments were conducted using
a pH microscope (SCHEM-110; Horiba, Kyoto, Japan) capable of
measuring and mapping local pH values at the surface of solids with
high spatial resolution. In performing the pH mapping experiment,
Si3N4 samples were fully embedded into an acidic gel consisting of
articial saliva, KCl, and agar. The pH-imaging sensor consisted of a
at semiconductor plate with a total sensing area of 2.5 2.5 cm2. The
highest spatial resolution and the pH sensitivity of the sensor were 100
m and 0.1 pH, respectively. The microscope was equipped with a
light addressable potentiometric sensor, capable of detecting protons
within the electrolyte. A light beam was directed from the back of the
sensor with a bias voltage applied between the electrolyte and the
back. Since characterization of the AC photocurrent, which was
induced by the modulated illumination from the back of the sensor,
depended on the amount of protons at the sensor surface, the pH
value was determined to a high degree of precision by measuring the
local value of electric current.25 The detected current signals were then
converted into a color scale, with each pixel correlated to the pH image
using image analysis software (Image Pro Plus, Media Cybernetics,
MD, USA). This generated a visual pH map around the embedded
Si3N4 samples. After embedding the test pieces, pH maps were
obtained at various time intervals up to 45 min duration.
Figure 1. Raman spectra in the region between 600 and 1700 cm1, as
collected on PG bacteria: (a) as-cultured, (i.e., prior to exposure to the
Si3N4 surface); (b) after 6 days of exposure to an as-sintered and
polished Si3N4 surface; (c) after 6 days of exposure to a polished and
thermally oxidized Si3N4 surface; and (d) after 6 days of exposure to a
polished and HF-etched Si3N4 surface. Bands arising from the nucleic
acid, proteins, and lipids are grouped into four distinct spectral zones
and labeled according to Table 1, which also reports their physical
meaning.
3. RESULTS
3.1. Labeling the Raman Spectrum of PG Bacteria.
Figure 1a shows the Raman spectrum collected on as-cultured
(living) PG bacteria in their reference state on a silica glass
surface. The total spectral region, which lies between 600 and
1700 cm1, appears to be rich in Raman features. The observed
Raman bands are from nucleic acid, proteins, and lipids (cf.
Table 1 and labels in Figure 1a). The Raman spectra for PG
bacteria were divided into Zones IIV, from lower to higher
frequencies, as shown in Figure 1a. DNA/RNA related bands
dominated the low-frequency side of the Raman region
between 600 and 900 cm1. Nucleic acids were identied by
Raman bands characteristic of nucleotide and sugarphosphate
backbone vibrations. The main DNA/RNA Raman bands are
reportedly represented by a strong triplet in the spectral zone
780820 cm1, including thymine, cytosine, uracil, C5-O-P-OC3 phosphodiester bonds in DNA, and C5-O-P-O-C3
phosphodiester bonds in RNA.26 In the present experiments,
zone I included one main band at lower frequencies (664 cm1;
labeled as Band 1 in Figure 1a), which is likely related to the
CS stretching mode of cysteine, a DNA/RNA binding
protein, with a shoulder at 679 cm1 due to guanine ring
breathing (Band 2).27,28 Bands labeled as 3 and 4 in Table 1 are
related to CS stretching trans in amino acid methionine and
(CH3)3-N stretching in membrane phospholipid heads,
respectively.2931 A quadruplet also appeared at 743, 781,
821, and 849 cm1, which was assigned to DNA/RNA
vibrational modes, as follows: T ring breathing mode (Band
5), (U, C, T) breathing mode in DNA/RNA (Band 6), OP
O stretching mode in DNA (Band 7), and Z-form helix band
(Band 8), respectively.3033 Also the spectral zone between 900
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Zone II
Zone III
Zone IV
spectral
location
(cm1)
664
2
3
679
694
718
734
743
755
781
7
8
821
849
934
10
953
11
972
12
1001
**
1044
13
1106
14
1125
15
1167
16
1228
17
1249
18
1284
19
1309
20
1339
21
22
1365
1394
***
1412
23
1448
24
25
26
1543
1567
1582
27
28
29
30
1608
1642
1663
1684
assignment
T, G ring and CS stretching
modes of cysteine
guanine ring breathing
CS stretching trans in amino
acid methionine
(CH3)3-N stretching in
membrane phospholipids
heads
choline groups in membrane
phospholipids
T ring breathing mode in
DNA
tryptophan in hydrophobic
environment
U, C, T ring breathing mode
in DNA/RNA
OPO stretching in DNA
left-handed helix DNA
(Z form)
CC backbone stretching in
-helix
CH3 symmetric stretching in
-helix
CC backbone stretching in
collagen
CC breathing mode of
aromatic ring in
phenylalanine
NO3 in peroxynitrite (cis
conformation)
CO and CC stretching in
polysaccharides
CC skeletal stretching in
phospholipids (gauche
conf.)
CC skeletal stretching in
lipids
CN stretching Amide III in
-sheet
CN stretching Amide III in
collagen
CN stretching Amide III in
-helix
CN stretching + NH inplane bending amide III
CH2/CH3 wagging and
twisting in tryptophan
amino acid tryptophan
symmetric CO stretching in
carboxylate COO groups
symmetric CO stretching in
carboxylate COO groups
CH2 scissoring in lipids and
proteins
amide II
amide II
asymmetric CO stretching in
carboxylate COO groups
amino acid phenylalanine
Amide I -helix
Amide I -sheet
Amide I disordered structure
ref
27
28
2931
2931
47
30
56
31
32
33
3436
3436
3436
37
48
38, 39
39
38, 39
31, 32
40
31, 32
31, 32
27
24
26, 42
26, 42
38
30, 38
38
42
45
45
45
30
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is a ngerprint of its metabolic activity. Its lower intensity
suggests that Si3N4 had a negative eect on PGs metabolism.
(v) Another striking feature found in Zone II is the
appearance of a new Raman band at 1044 cm1 (labeled as
** in Figure 1b). This band, which is assigned to
peroxynitrite (NO3) in cis conformation, represents the
strongest emission for this compound.48 Moreover, it resides
in a spectral area where no overlap occurs with Raman bands
intrinsic to the constituent molecules of the PG bacteria (cf.
Figure 1a). The peroxynitrite anion (ONOO) is a
strong oxidizer formed from the reaction of the superoxide with
nitric acid. It is a particularly toxic substance for a number of
bacteria. The ONOO anion is able to quickly cross cell
membranes through anion channels,49 and once inside the cell,
it directly reacts with lipids, DNA, and proteins through
oxidative reactions.50 In turn, these reactions trigger drastic
cellular responses that include oxidative injury and bacterial
necrosis.
(vi) In Zone III, Band 13 at 1106 cm1 (which represents
CO and CC stretching in polysaccharides) completely
disappeared. Since the bacterias outer membrane consists
mainly of O-polysaccharides, the observed disappearance of
Band 13 demonstrates substantial degradation of the bacterial
cell walls.
(vii) In Zone III, signicantly reduced intensity was noted for
the CN stretching of Amide III in both the -sheet and helix (Bands 16 and 18, respectively). Conversely, the
homologous band in collagen (Band 17), which was always
the strongest band in the spectrum, showed no signicant
intensity reduction. This is further evidence of the primary and
secondary structure of the proteins being altered or degraded.
(viii) In Zone III, signicantly reduced intensity was noted
for the CN stretching of Amide III in both the -sheet and helix (Bands 16 and 18, respectively). Conversely, the
homologous band in collagen (Band 17), which was always
the strongest band in the spectrum, showed no signicant
intensity reduction. This is further evidence of the primary and
secondary structures of the proteins being altered or degraded.
(ix) Zone IV is described here with respect to its 3 highfrequency emissions (Bands 2830), while Bands 2427 will
be considered in more detail in the next subsection when
comparing the eect of other surface modulated Si3N4 samples
on the metabolism of PG. This triplet occurring at 1642, 1663,
and 1684 cm1 (i.e., Bands 28, 29, and 30, respectively) can be
assigned to Amide I in -helix, -sheet, and a disordered
structure, respectively. They are relevant indicators of the
metabolic activity of the PG bacteria.17 The Amide I bands can
be dened as the spectroscopic signature of life. Their
intensity depends on the nutrient conditions of the bacteria;
with stronger bands indicating higher metabolic activity. On the
one hand, comparing Figure 1a and b shows the complete
elimination of the Amide I Band 29. This correlates with the
disappearance of the -sheet structure as a consequence of PG
bacteria/Si3N4 interaction. On the other hand, Band 30, already
intrinsically weak in cultured PG bacteria, remained conspicuously unchanged after exposure to the Si3N4 surface.
The inherent high molecular specicity of Raman spectroscopy provided rich information on the metabolic activity of
living PG bacteria, both in the as-cultured state and after
exposure to as-sintered Si3N4. The Raman data showed clear
signs of degradation in DNA/RNA, protein, and phospholipid
structures after relatively short-term exposures to as-sintered
Si3N4.
3.3. Linking Si3N4 Surface Modulation to PG Metabolism. Altering the chemistry of the Si3N4 surface by HFetching and thermal oxidation did not cancel the biomaterials
antibacterial behavior. However, important dierences could be
noted by monitoring PGs metabolism. Figure 1c and d provide
the Raman spectra of PG exposed to oxidized and HF-etched
Si3N4 surfaces, respectively. Identical test conditions were
employed for these two Si3N4 surfaces as were used for the assintered (polished) surface. The main dierences among these
various spectra (cf. Figure 1ad) are as follows:
(i) In Zone I, the DNA triplet of PG at 781, 821, and 849
cm1 was equally damaged when exposed to all surfacemodied samples. However, only the oxidized Si3N4 sample
signicantly altered the spectral Zone I morphology when
compared to the as-sintered Si3N4 surface. There was a
signicant intensity decrease for Band 1 (at 664 cm1) and a
complete disappearance of Band 2 (at 679 cm1). Conversely, a
relative enhancement of Band 3 (at 694 cm1) was observed for
the oxidized sample, which is a trend undetected in either the
as-sintered or the HF-etched samples. Band 3 arises from CS
stretching in amino acids, which are relatively less degraded by
contact with the oxidized Si3N4 sample. Basic DNA damage
occurs indirectly by reactive oxygen species, including hydroxyl
radicals (OH).55 Therefore, the variations of Bands 1 and 2
are further evidence of DNA degradation in its guanine
structure.
(ii) In Zone I, the appearance of the band at 734 cm1 from
choline groups of phospholipids in PG for both thermally
oxidized and HF-etched samples (labeled as * in Figure 1c
and d, respectively) conrmed an increase in membranous
lipids in the lytic bacteria, similar to the case described above
for the as-sintered sample (cf. Figure 1b).
(iii) In Zone I, the prominence of a new band at 755 cm1,
which was assigned to symmetric breathing of tryptophan31,56
and labeled with S1 (meaning shift) in Figure 1c,
represented one clear dierence between the PG spectrum on
the oxidized and those of the other samples of the tested series.
This emission is related to the hydrophobicity of the protein. In
PG spectra collected on as-sintered and HF-etched samples,
this band was obviously embedded into the main feature
labeled as Band 5 and generally assigned to the T breathing
mode in DNA, (cf. Table 1). However, a signicant blue shift of
the tryptophan component of Band 5 made it clearly visible as a
shoulder in the Raman spectrum of PG exposed to the
thermally oxidized surface (cf. Band S1 in Figure, 1c). The blue
shift of Band S1 provides evidence that a larger amount of
tryptophan is actually located in a more hydrophobic
environment (i.e., membrane core) as compared to the other
samples of the investigated series.56 This eect might also
reect a structural dierence in the protein itself, imposed by
the lack of a large aromatic side chain at its surface. Side chains
normally make the structure more rigid, thus protecting it from
penetration into the lipid membrane.57
(iv) The band of peroxynitrite at 1044 cm1 was not detected
for PG on the oxidized Si3N4, while it was again found
(although with weaker intensity) for PG on the HF-etched
Si3N4, similar to the as-sintered Si3N4. Raman intensities of this
peroxynitrite band, collected under exactly the same spectroscopic conditions, were systematically null for PG cultured on
thermally oxidized Si3N4 and 2-fold lower for PG on HF-etched
as compared to as-sintered Si3N4.
(v) In Zone III, similar patterns of Raman intensity
degradation were observed in all the investigated samples.
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However, a peculiarity of the PG spectrum on oxidized Si3N4
was the appearance of a new band at around 1412 cm1
(labeled as *** in Figure 1c). This new band appeared as a
high-frequency shoulder to Band 22. It could not be resolved in
any of the other investigated samples. While the asymmetric
stretching vibrations of the deprotonated carboxylate anion,
COO, is fully obscured by the intense amide bands in the
range of 15001650 cm1, the symmetric stretching of COO
vibration clearly appeared in all investigated samples at around
1394 cm1. This band is stronger in bacterial samples
embedded in alkaline pH environment,58 which is indeed the
case here. However, peculiar to the PG spectrum on the
oxidized sample, splitting of the COO vibration was observed
(cf. Band *** in Figure 1c). Because precise frequencies are
dependent upon neighboring functional groups,59 it is
speculated that Band 22 (i.e., COO) represents the majority
of the carboxylate groups located on the bacterial wall surfaces,
while Band *** arises from protons that rapidly diused inside
the cell wall and protonated the carboxylates present within the
plasma membrane and the cytoplasm.
(vi) Again in Zone III, a signicant reduction in Raman
intensity of Band 23 (1448 cm1, which mainly represents
lipids) was recorded for all samples. As discussed in the
previous section, this observation indeed substantiates the
common degradation of the lipid structure within the bacterial
cell membrane. Information on lipid acyl chains has been
historically obtained by examining the bandwidth and
maximum frequency of the CH2 stretching vibrations,
typically at higher frequencies than the range investigated
here.60 Although these commonly investigated vibrations are
related to localized bonds, which are not directly involved in
the isomerization of the carbon backbone, they proved sensitive
to chain order. This study also showed that the CH2 scissoring
mode in lipids was also sensitive to alterations in the
conformation and dynamics of the lipid acyl chains in the
bacterial cell membrane. Consequently, this technique may be
used to monitor lipid phase behavior in a lower range of
frequencies. Note that Band 23 in the spectra of the PG
samples exposed to all Si3N4 samples commonly revealed a
shoulder at higher frequencies (labeled as S2 in Figure 1bd),
as compared to the reference spectrum of as-cultured PG. This
blue shift, which is sensitive to peroxidation, is associated with
increased intermolecular distance and indicates a substantial
increase in the uidity of the membrane structure.61
(vii) Regarding Zone IV, trends for Bands 28, 29, and 30,
assigned to Amide I in -helix, -sheet, and the disordered
structure, respectively, were similar to that described in the
previous section for PG cultured on as-sintered Si3N4.
However, the -sheet Band 29 was considerably weaker, but
it did not completely disappear as was the case for as-sintered
Si3N4. The Amide I bands consistently revealed lower
metabolic activity for PG, with the reduced Raman intensity
directly representing poor nutrient conditions within the
bacteria.
(viii) The spectroscopic situation of the low frequency bands
in Zone IV is complex. Such complexity arises due to
overlapping vibrations from Amide II and asymmetric CO
stretching in carboxylate COO groups. The Amide II Band 24
was signicantly shifted toward higher frequencies (i.e., from
1543 to 1559 cm1) for PG cultured on the as-sintered Si3N4
(cf. label S3 in Fig. 1b). This blue shift was less pronounced
(from 1543 to 1545 cm1) and null for PG cultured on HFetched and thermally oxidized Si3N4, respectively. A similar
trend in spectral shifts was also found for the Amide II Band 25,
whose spectral position underwent a blue shift of 10 cm1, no
shift, and 2 cm1 for PG on the as-sintered, thermally oxidized,
and HF-etched Si3N4, respectively. However, in comparison
with the as-cultured PG bacteria, a clear reduction in Raman
intensity was recorded for Band 25 for bacteria cultured on assintered Si3N4. Blue shifts in Amide II vibrations are related to
both the peroxidation process and from overlapping carboxylate
vibrations. In either case, peroxidation eciency can be
qualitatively determined by the amount of the blue shift. This
reasoning leads to the conclusion that as-sintered Si3N4 appears
to be the most ecient surface for PG protein degradation.
(ix) The Raman intensity of Band 27 in Zone IV is
unfortunately dictated by an overlap of asymmetric carboxylate
and phenylalanine vibrations (i.e., bands that represent
competing trends for bacterial degradation). In fact, formation
of peroxidation products such as carboxylic acids, aldehydes,
and ketones occurs in parallel with the vanishing of the main
constituents of both bacterial cells and wall membranes. As a
result, it is dicult to monitor any signicant variation in the
intensity of the Raman emission at this specic frequency.
Nevertheless, the degradation of phenylalanine and formation
of carboxylic acids was conrmed by monitoring their isolated
bands at 1001 and 1394 cm1, respectively.
The most striking items in the above complex description are
denitely the evidence of DNA degradation and the appearance
of the peroxynitrite Raman band at 1044 cm1 in HF-etched
Si3N4 and as-sintered Si3N4 (cf. the above items i and iv,
respectively). These two evidences should be picked out from
the overall discussion above, since they are key in the
forthcoming Discussion section.
3.4. Fluorescence Analysis of PG Bacterial Lysis.
Conrmation of the death of the PG bacteria following 6
days of exposure was obtained using conventional uorescence
microscopy after staining the bacteria with CFDA and PI
markers, which colored live and dead bacteria green and red,
respectively. The results of this uorescence analysis are shown
in Figure 2a and b for as-sintered and oxidized surfaces,
respectively. A micrograph of stained bacteria on the HF-etched
surface is omitted here because it appeared conspicuously the
same as that in Figure 2a. On the one hand, all bacteria for assintered and HF-etched samples were completely red-stained
and showed somewhat isolated colonization (i.e., they
preserved their original morphology). On the other hand, PG
bacteria on the oxidized surface spread widely, colonized, and
were found to form a biolm after 6 days of exposure. An
orange rather than red stain with some weakly greenish areas
indicated a lower degree of lysis when compared to that of assintered and HF-etched surfaces for the same testing
conditions.
Measurements of wetting angles, shown in Figure 3a and b
for the as-sintered and thermally oxidized materials, respectively, revealed signicantly improved wettability for the latter
sample (8.94 0.99 vs 20.87 1.27). The extreme
hydrophilicity of oxidized Si3N4 correlates well with data
obtained from streaming potential measurements. Thermally
oxidized samples exhibited a much higher magnitude of surface
charge than the as-sintered or HF-etched samples at
homeostatic pH. Since silica surfaces typically exhibit low
wetting angles,62 it is reasonable to expect a similar result from
oxidized Si3N4. While the spreading of PG on thermally
oxidized Si3N4 could conceivably be a consequence of
improved hydrophilicity, its observed proliferation and lower
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Figure 4. Room-temperature evolution of pH surrounding an assintered (polished) Si3N4 sample as a function of time in an acidic gel.
The buering ability of Si3N4 gradually increases pH in ever wider
zones of the surrounding acidic gel. The average pH of the
unperturbed gel = 4.5.
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3SiO2 + 6H 2O 3Si(OH)4
(2)
(3)
(4)
(5)
where the subscripts (s) and (aq) refer to solid and aqueous
states, respectively. Note that eq 3, which represents the
protonation of silanol groups, can only occur in highly acidic
environments, which is not the case here. Accordingly, the two
reactions represented by eqs 4 and 5 are key in determining the
pH at the Si3N4 surface under changing concentrations of H+
and OH ions.
According to Fubini and co-workers,70 the presence of active
sites at ground and polished ceramic surfaces interferes with
macrophage metabolism stimulating brogenic factors. On the
basis of electron paramagnetic resonance, which only detects
unpaired electrons, these researchers were able to distinguish
the dierence between hemolytic and heterolytic Si-bond
cleavage. Some of the detected active species were superoxide
radicals, such as (Si-O) and (Si-O
2 ). In other words, the
reaction of Si3N4 with the biological environment makes
available important ionic precursors of peroxynitrite (which was
directly detected by Raman spectroscopy in PG cultures
exposed to amine-rich Si3N4 surfaces). Unpaired electrons
react with the adsorbed O2 on the Si3N4 surface to yield O
2
radical anions, and subsequently, other highly oxidative
protonated radicals active in bacterial inactivation. Superoxide
ions have also been reported to develop from silica in the
presence of methane, CH4, with the Si/O ratio in the surface
silica being less than 0.5 and any bonded hydrogen present only
in SiOH groups.71 Note also that hydroxyl radicals damage
nucleic acids, lipids, and amino acids (e.g., conversion of
phenylalanine to m- and o-tyrosine);7275 and in fact, mutations
of amino acids and peroxidation of lipids were detected by
Raman spectroscopy in this study.
PG is an asaccharolytic microorganism which is capable of
metabolizing nitrogenous compounds as a source of energy and
generating a microenvironment abundant in ammonia and
other important metabolic byproducts.76 The nitratenitrite
ammonia conversion process also involves the production of
nitric oxide (NO) from nitrite reductions.7779 Despite NO
being a freely diusible, highly reactive, and cytotoxic gas, PG
(under normal metabolic conditions) is capable of eciently
removing it by reacting NO with oxyhemoglobin. These
reactions actually prevent NO from directly reaching oxygen.
4. DISCUSSION
4.1. Mechanism of Chemically Driven Lysis in PG
Bacteria on Si3N4. This study was initiated from the
standpoint that PG bacterial lysis in contact with Si3N4 surfaces
cannot be simply attributed to osmotic shock because PG
bacteria are known to preferentially proliferate in high pH
environments.6466 Accordingly, the mere rise in pH, which
was observed in Figures 4 and 5, cannot per se be the cause of
PGs lysis. The experiments described herein were originally
designed to clarify the eect of surface charge on the
bacteriostatic capability of Si3N4. However, according to potential measurements and uorescence microscopy, it was
concluded that oxidized (hydroxyl-rich) Si3N4 (i.e., the most
negatively charged surface in the tested series) was less eective
in inducing PG lysis when compared to the as-sintered and HFetched (amine-rich) Si3N4. Accordingly, one cannot rationalize
PGs lytic behavior by invoking electrical repulsion of the
bacteria from Si3N4. These considerations led to the hypothesis
that chemical interactions were mainly responsible for the
observed antibacterial behavior. The reactions that classical
surface chemistry recognizes for the overall process of
chemisorptionoxidationdissolution at the surface of Si3N4
can be written, as follows:
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5. CONCLUSIONS
Raman spectroscopic monitoring of PG deposited on the
surface of Si3N4 bioceramics revealed relevant alterations in its
metabolism, including degradation of nucleic acid, and drastic
reductions in phenilalanine, Amide III proteins, and lipids. Its
lysis was specically attributed to the formation of peroxynitrite, which in turn was a consequence of the metabolic release
of nitric oxide by PG and its reaction with active oxygen species
at the Si3N4 surface. A mechanism of simultaneously feeding and
poisoning of PG was hypothesized as a result of systematic
monitoring of its metabolism by Raman spectroscopy. It
originated from the peculiar chemical reactions occurring at the
Si3N4 surface. It is important to note that this mechanism may
also apply to a broader family of Gram-negative bacteria, as the
chemistry involved is shared among dierent bacterial species.
In conclusion, Si3N4 seems to possess the right or smart
chemistry to be of benet in the treatment of acute or chronic
periodontitis. Its ability to disrupt the metabolic activity of PG,
the major bacterium responsible for this disease, may eventually
prove to be of value to dental clinicians. While signicant
additional studies are needed, particularly associated with a
greater understanding of the roles and ranges of surface
chemistry, Si3N4 shows early promise as a therapeutic aid in
stimulating specic benecial human functions which may aid
in re-establishing healthy oral environments.
AUTHOR INFORMATION
Corresponding Author
*E-mail: pezzotti@kit.ac.jp.
Notes
ACKNOWLEDGMENTS
We thank Professors A. Benedetti and P. Riello at Ca Foscari
University of Venice for interesting discussions.
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