PMID- 26274909 OWN - NLM STAT- MEDLINE DCOM- 20160509 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 8 DP - 2015 TI - N-Acetyl Cysteine (NAC)-Directed Detoxification of Methacryloxylethyl Cetyl Ammonium Chloride (DMAE-CB). PG - e0135815 LID - 10.1371/journal.pone.0135815 [doi] LID - e0135815 AB - Methacryloxylethyl cetyl ammonium chloride (DMAE-CB) is a polymerizable antibacterial monomer and has been proved as an effective strategy to achieve bioactive bonding with reliable bacterial inhibitory effects. However, the toxicity of DMAE-CB may hamper its wide application in clinical situations. Thus, this study was designed to investigate the toxicity of DMAE-CB and explore the possible protective effects of N-acetyl cysteine (NAC). High performance liquid chromatography (HPLC) and liquid chromatography-mass spectrometry (LC-MS) analysis showed that chemical binding of NAC and DMAE-CB occurred in a time dependent manner. Pre-incubation of fourty-eight hours is required for adequate reaction between DMAE-CB and NAC. DMAE-CB reduced human dental pulp cells (hDPCs) viability in a dose-dependent manner. The toxic effects of DMAE-CB were accompanied by increased reactive oxygen species (ROS) level and reduced glutathione (GSH) content. NAC alleviated DMAE-CB-induced oxidative stress. Annexin V/ Propidium Iodide (PI) staining and Hoechst 33342 staining indicated that DMAE-CB induced apoptosis. Collapsed mitochondrial membrane potential (MMP) and activation of caspase-3 were also observed after DMAE-CB treatment. NAC rescued hDPCs from DMAE-CB-induced apoptosis, accompanied by lower level of MMP loss and caspase-3 activity. This study assists to elucidate the mechanism underlying the cytotoxic effects of DMAE-CB and provides theoretical supports for the searching of effective strategies to reduce toxicity of quaternary ammonium dental monomers. FAU - Jiao, Yang AU - Jiao Y AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Ma, Sai AU - Ma S AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Li, Jing AU - Li J AD - Department of Orthopaedic Oncology, Xijing Hospital Affiliated to the Fourth Military Medical University, Xi'an, PR China. FAU - Shan, Lequn AU - Shan L AD - Department of Orthopaedic Surgery, Tangdu hospital, the Fourth Military Medical University, Xi'an, PR China. FAU - Wang, Yingjie AU - Wang Y AD - State Key Laboratory of Military Stomatology, Department of General and Emergency, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Tian, Min AU - Tian M AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Yang, Yanwei AU - Yang Y AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Sun, Jinlong AU - Sun J AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Ban, Jinghao AU - Ban J AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. FAU - Chen, Jihua AU - Chen J AD - State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, PR China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150814 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Methacrylates) RN - 0 (Quaternary Ammonium Compounds) RN - 0 (methacryloxylethyl cetyl dimethyl ammonium) RN - EC 3.4.22.- (CASP3 protein, human) RN - EC 3.4.22.- (Caspase 3) RN - WYQ7N0BPYC (Acetylcysteine) SB - IM MH - Acetylcysteine/*pharmacology MH - Adolescent MH - Adult MH - Apoptosis/*drug effects MH - Caspase 3/metabolism MH - Cells, Cultured MH - Chromatography, High Pressure Liquid MH - Dental Pulp/*metabolism/pathology MH - Female MH - Humans MH - Male MH - Mass Spectrometry MH - Methacrylates/*toxicity MH - Oxidative Stress/*drug effects MH - Quaternary Ammonium Compounds/*toxicity PMC - PMC4537128 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/08/15 06:00 MHDA- 2016/05/10 06:00 PMCR- 2015/08/14 CRDT- 2015/08/15 06:00 PHST- 2015/06/10 00:00 [received] PHST- 2015/07/27 00:00 [accepted] PHST- 2015/08/15 06:00 [entrez] PHST- 2015/08/15 06:00 [pubmed] PHST- 2016/05/10 06:00 [medline] PHST- 2015/08/14 00:00 [pmc-release] AID - PONE-D-15-25260 [pii] AID - 10.1371/journal.pone.0135815 [doi] PST - epublish SO - PLoS One. 2015 Aug 14;10(8):e0135815. doi: 10.1371/journal.pone.0135815. eCollection 2015.