Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Research

Effect of polyhydroxy-terminated PAMAM dendrimer on dentin matrix metalloproteinases within the hybrid layers

Authors: Yu Luo, Ruirui Si, Yuan He, Mengmeng Wang, Yingying Yu, Xin Huang, Rong Huang, Yingyi Huang, Yang Luo, Wei Jin, Yaping Gou

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

Intrafibrillar remineralization within the hybrid layers (HLs) has recently attracted extensive attention in achieving durable resin-dentin bonds. The polyhydroxy-terminated poly(amidoamine) dendrimer (PAMAM-OH) at fourth generation becomes a desirable candidate to induce intrafibrillar remineralization to protect exposed collagen fibrils within HLs based on the size exclusion effect of fibrillar collagen. However, the remineralization process in vivo is time-consuming, during which the exposed collagen fibrils are vulnerable to enzymatic degradation, resulting in unsatisfactory remineralization. Thereby, if PAMAM-OH itself possesses concomitant anti-proteolytic activity during the induction of remineralization, it would be very beneficial to obtain satisfactory remineralization.

Methods

Binding capacity tests using adsorption isotherm and confocal laser scanning microscopy (CLSM) were performed to assess if the PAMAM-OH had adsorption capacity on dentin. Anti-proteolytic testings were detected by MMPs assay kit, in-situ zymography and ICTP assay. Adhesive infiltration of resin-dentin interface and tensile bond strength before and after thermomechanical cycling were implemented to assess if the PAMAM-OH adversely affected resin-dentin bonds.

Results

Anti-proteolytic testings performed using MMPs assay kit, in-situ zymography and ICTP assay indicated that PAMAM-OH inhibited exogenous soluble MMP-9 as well as had inhibitory effect on the endogenous proteases. Adhesive infiltration of resin-dentin interface and tensile bond strength before and after thermomechanical cycling were implemented to indicate that the PAMAM-OH pretreatment had no adverse effects on immediate dentin bonding and prolonged the durability of resin-dentin bonds.

Conclusions

PAMAM-OH possesses anti-proteolytic activity and prevents exposed collagen fibrils within HLs from degradation, which lays the foundation for the satisfactory intrafibrillar remineralization induced by PAMAM-OH within HLs to achieve durable resin-dentin bonds in the next work.
Literature
1.
go back to reference Breschi L, Maravic T, Cunha SR, Comba A, Cadenaro M, Tjäderhane L, et al. Dentin bonding systems: from dentin collagen structure to bond preservation and clinical applications. Dent Mater. 2018;34(1):78–96.CrossRefPubMed Breschi L, Maravic T, Cunha SR, Comba A, Cadenaro M, Tjäderhane L, et al. Dentin bonding systems: from dentin collagen structure to bond preservation and clinical applications. Dent Mater. 2018;34(1):78–96.CrossRefPubMed
2.
go back to reference Chen L, Chen W, Yu Y, Yang JJ, Jiang Q, Wu W, et al. Effect of chlorhexidine-loaded poly(amido amine) dendrimer on matrix metalloproteinase activities and remineralization in etched human dentin in vitro. J Mech Behav Biomed Mater. 2021;121:104625.CrossRefPubMed Chen L, Chen W, Yu Y, Yang JJ, Jiang Q, Wu W, et al. Effect of chlorhexidine-loaded poly(amido amine) dendrimer on matrix metalloproteinase activities and remineralization in etched human dentin in vitro. J Mech Behav Biomed Mater. 2021;121:104625.CrossRefPubMed
3.
go back to reference Liu YX, Thomopoulos S, Chen CQ, Birman V, Buehler MJ, Genin GM. Modelling the mechanics of partially mineralized collagen fibrils, fibres and tissue. J Royal Soc Interface. 2014;11:20130835.CrossRef Liu YX, Thomopoulos S, Chen CQ, Birman V, Buehler MJ, Genin GM. Modelling the mechanics of partially mineralized collagen fibrils, fibres and tissue. J Royal Soc Interface. 2014;11:20130835.CrossRef
4.
go back to reference Mazzoni A, Tjäderhane L, Checchi V, Di Lenarda R, Salo T, Tay F, et al. Role of dentin MMPs in caries progression and bond stability. J Dent Res. 2015;94(2):241–51.CrossRefPubMedPubMedCentral Mazzoni A, Tjäderhane L, Checchi V, Di Lenarda R, Salo T, Tay F, et al. Role of dentin MMPs in caries progression and bond stability. J Dent Res. 2015;94(2):241–51.CrossRefPubMedPubMedCentral
5.
go back to reference Nishitani Y, Yoshiyama M, Wadgaonkar B, Breschi L, Mannello F, Mazzoni A, et al. Activation of gelatinolytic/collagenolytic activity in dentin by self-etching adhesives. Eur J Oral Sci. 2006;114(2):160–6.CrossRefPubMed Nishitani Y, Yoshiyama M, Wadgaonkar B, Breschi L, Mannello F, Mazzoni A, et al. Activation of gelatinolytic/collagenolytic activity in dentin by self-etching adhesives. Eur J Oral Sci. 2006;114(2):160–6.CrossRefPubMed
6.
go back to reference Osorio R, Yamauti M, Osorio E, Ruiz-Requena ME, Pashley D, Tay F, et al. Effect of dentin etching and chlorhexidine application on metalloproteinase-mediated collagen degradation. Eur J Oral Sci. 2011;119(1):79–85.CrossRefPubMed Osorio R, Yamauti M, Osorio E, Ruiz-Requena ME, Pashley D, Tay F, et al. Effect of dentin etching and chlorhexidine application on metalloproteinase-mediated collagen degradation. Eur J Oral Sci. 2011;119(1):79–85.CrossRefPubMed
7.
go back to reference Gou YP, Meghil MM, Pucci CR, Breschi L, Pashley DH, Cutler CW, et al. Optimizing resin-dentin bond stability using a bioactive adhesive with concomitant antibacterial properties and anti-proteolytic activities. Acta Biomater. 2018;75:171–82.CrossRefPubMed Gou YP, Meghil MM, Pucci CR, Breschi L, Pashley DH, Cutler CW, et al. Optimizing resin-dentin bond stability using a bioactive adhesive with concomitant antibacterial properties and anti-proteolytic activities. Acta Biomater. 2018;75:171–82.CrossRefPubMed
8.
go back to reference Liu Y, Tjäderhane L, Breschi L, Mazzoni A, Li N, Mao J, et al. Limitations in bonding to dentin and experimental strategies to prevent bond degradation. J Dent Res. 2011;90(8):953–68.CrossRefPubMedPubMedCentral Liu Y, Tjäderhane L, Breschi L, Mazzoni A, Li N, Mao J, et al. Limitations in bonding to dentin and experimental strategies to prevent bond degradation. J Dent Res. 2011;90(8):953–68.CrossRefPubMedPubMedCentral
9.
go back to reference De Munck J, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M, et al. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res. 2005;84(2):118–32.CrossRefPubMed De Munck J, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M, et al. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res. 2005;84(2):118–32.CrossRefPubMed
10.
go back to reference Frankenberger R, Pashley DH, Reich SM, Lohbauer U, Petschelt A, Tay FR. Characterisation of resin-dentine interfaces by compressive cyclic loading. Biomaterials. 2005;26(14):2043–52.CrossRefPubMed Frankenberger R, Pashley DH, Reich SM, Lohbauer U, Petschelt A, Tay FR. Characterisation of resin-dentine interfaces by compressive cyclic loading. Biomaterials. 2005;26(14):2043–52.CrossRefPubMed
11.
go back to reference Kirkevang L, Vaeth M, Wenzel A. Prevalence and incidence of caries lesions in relation to placement and replacement of fillings: a longitudinal observational radiographic study of an adult Danish population. Caries Res. 2009;43(4):286–93.CrossRefPubMed Kirkevang L, Vaeth M, Wenzel A. Prevalence and incidence of caries lesions in relation to placement and replacement of fillings: a longitudinal observational radiographic study of an adult Danish population. Caries Res. 2009;43(4):286–93.CrossRefPubMed
12.
go back to reference Blackburn R, Harvey A, Kettle L, Manian A, Payne J, Russell S. Sorption of chlorhexidine on cellulose: mechanism of binding and molecular recognition. J Phys Chem B. 2007;111(30):8775–84.CrossRefPubMed Blackburn R, Harvey A, Kettle L, Manian A, Payne J, Russell S. Sorption of chlorhexidine on cellulose: mechanism of binding and molecular recognition. J Phys Chem B. 2007;111(30):8775–84.CrossRefPubMed
13.
go back to reference Paulose NE, Fawzy AS. Effect of carbodiimide on the bond strength and durability of resin-dentin interface. J Adhes Sci Technol. 2017;32(9):931–46.CrossRef Paulose NE, Fawzy AS. Effect of carbodiimide on the bond strength and durability of resin-dentin interface. J Adhes Sci Technol. 2017;32(9):931–46.CrossRef
14.
go back to reference Chiang YS, Chen YL, Chuang SF, Wu CM, Wei PJ, Han CF, et al. Riboflavin-ultraviolet-A-induced collagen cross-linking treatments in improving dentin bonding. Dent Mater. 2013;29(6):682–92.CrossRefPubMed Chiang YS, Chen YL, Chuang SF, Wu CM, Wei PJ, Han CF, et al. Riboflavin-ultraviolet-A-induced collagen cross-linking treatments in improving dentin bonding. Dent Mater. 2013;29(6):682–92.CrossRefPubMed
15.
go back to reference Hass V, Luque-Martinez IV, Gutierrez MF, Moreira CG, Gotti VB, Feitosa VP, et al. Collagen cross-linkers on dentin bonding: stability of the adhesive interfaces, degree of conversion of the adhesive, cytotoxicity and in situ MMP inhibition. Dent Mater. 2016;32(6):732–41.CrossRefPubMed Hass V, Luque-Martinez IV, Gutierrez MF, Moreira CG, Gotti VB, Feitosa VP, et al. Collagen cross-linkers on dentin bonding: stability of the adhesive interfaces, degree of conversion of the adhesive, cytotoxicity and in situ MMP inhibition. Dent Mater. 2016;32(6):732–41.CrossRefPubMed
16.
go back to reference Mazzoni A, Angeloni V, Comba A, Maravic T, Cadenaro M, Tezvergil-Mutluay A, et al. Cross-linking effect on dentin bond strength and MMPs activity. Dent Mater. 2018;34(2):288–95.CrossRefPubMed Mazzoni A, Angeloni V, Comba A, Maravic T, Cadenaro M, Tezvergil-Mutluay A, et al. Cross-linking effect on dentin bond strength and MMPs activity. Dent Mater. 2018;34(2):288–95.CrossRefPubMed
17.
go back to reference Parise Gré C, Pedrollo Lise D, Ayres AP, De Munck J, Tezvergil-Mutluay A, Seseogullari-Dirihan R, et al. Do collagen cross-linkers improve dentin's bonding receptiveness? Dent Mater. 2018;34(11):1679–89.CrossRefPubMed Parise Gré C, Pedrollo Lise D, Ayres AP, De Munck J, Tezvergil-Mutluay A, Seseogullari-Dirihan R, et al. Do collagen cross-linkers improve dentin's bonding receptiveness? Dent Mater. 2018;34(11):1679–89.CrossRefPubMed
18.
go back to reference Daood U, Swee Heng C, Neo Chiew Lian J, et al. In vitro analysis of riboflavin-modified, experimental, two-step etch-and-rinse dentin adhesive: Fourier transform infrared spectroscopy and micro-Raman studies. Int J Oral Sci. 2014;7(2):110–24.CrossRefPubMedCentral Daood U, Swee Heng C, Neo Chiew Lian J, et al. In vitro analysis of riboflavin-modified, experimental, two-step etch-and-rinse dentin adhesive: Fourier transform infrared spectroscopy and micro-Raman studies. Int J Oral Sci. 2014;7(2):110–24.CrossRefPubMedCentral
19.
go back to reference Daood U, Malik AA, Ilyas MS, Ahmed A, et al. Antimicrobial and self-crosslinking potential of experimentally developed dioctadecyldimethyl ammonium bromide and riboflavin dentin adhesive. J Biomed Mater Res A. 2021;109(11):2392–406.CrossRefPubMed Daood U, Malik AA, Ilyas MS, Ahmed A, et al. Antimicrobial and self-crosslinking potential of experimentally developed dioctadecyldimethyl ammonium bromide and riboflavin dentin adhesive. J Biomed Mater Res A. 2021;109(11):2392–406.CrossRefPubMed
20.
go back to reference Daood U, Omar H, Qasim S, Nogueira LP, et al. New antimicrobial and collagen crosslinking formulated dentin adhesive with improved bond durability. J Mech Behav Biomed Mater. 2020;110:103927.CrossRefPubMed Daood U, Omar H, Qasim S, Nogueira LP, et al. New antimicrobial and collagen crosslinking formulated dentin adhesive with improved bond durability. J Mech Behav Biomed Mater. 2020;110:103927.CrossRefPubMed
21.
go back to reference Bapat RA, Muthusamy SK, Sidhu P, et al. Synthesis and incorporation of quaternary ammonium Silane antimicrobial into self-crosslinked type I collagen scaffold: a hybrid formulation for 3D printing. Macromol Biosci. 2022;22(3):e2100326.CrossRefPubMed Bapat RA, Muthusamy SK, Sidhu P, et al. Synthesis and incorporation of quaternary ammonium Silane antimicrobial into self-crosslinked type I collagen scaffold: a hybrid formulation for 3D printing. Macromol Biosci. 2022;22(3):e2100326.CrossRefPubMed
22.
go back to reference Gu LS, Huffman BP, Arola DD, Kim YK, Mai S, Elsalanty ME, et al. Changes in stiffness of resin-infiltrated demineralized dentin after remineralization by a bottom-up biomimetic approach. Acta Biomater. 2010;6(4):1453–61.CrossRefPubMed Gu LS, Huffman BP, Arola DD, Kim YK, Mai S, Elsalanty ME, et al. Changes in stiffness of resin-infiltrated demineralized dentin after remineralization by a bottom-up biomimetic approach. Acta Biomater. 2010;6(4):1453–61.CrossRefPubMed
23.
go back to reference Ryou H, Pashley DH, Tay FR, Arola D. A characterization of the mechanical behavior of resin-infiltrated dentin using nanoscopic dynamic mechanical analysis. Dent Mater. 2013;29(7):719–28.CrossRefPubMed Ryou H, Pashley DH, Tay FR, Arola D. A characterization of the mechanical behavior of resin-infiltrated dentin using nanoscopic dynamic mechanical analysis. Dent Mater. 2013;29(7):719–28.CrossRefPubMed
24.
go back to reference Tjäderhane L, Nascimento FD, Breschi L, Mazzoni A, Tersariol ILS, Geraldeli S, et al. Strategies to prevent hydrolytic degradation of the hybrid layer-a review. Dent Mater. 2013;29(10):999–1011.CrossRefPubMedPubMedCentral Tjäderhane L, Nascimento FD, Breschi L, Mazzoni A, Tersariol ILS, Geraldeli S, et al. Strategies to prevent hydrolytic degradation of the hybrid layer-a review. Dent Mater. 2013;29(10):999–1011.CrossRefPubMedPubMedCentral
25.
go back to reference Li JH, Yang JJ, Li JY, Chen L, Liang KN, Wu W, et al. Bioinspired intrafibrillar mineralization of human dentine by PAMAM dendrimer. Biomaterials. 2013;34(28):6738–47.CrossRefPubMed Li JH, Yang JJ, Li JY, Chen L, Liang KN, Wu W, et al. Bioinspired intrafibrillar mineralization of human dentine by PAMAM dendrimer. Biomaterials. 2013;34(28):6738–47.CrossRefPubMed
26.
go back to reference Jiao K, Niu LN, Ma CF, Huang XQ, Pei DD, Luo T, et al. Complementarity and uncertainty in Intrafibrillar mineralization of collagen. Adv Funct Mater. 2016;26(38):6858–75.CrossRef Jiao K, Niu LN, Ma CF, Huang XQ, Pei DD, Luo T, et al. Complementarity and uncertainty in Intrafibrillar mineralization of collagen. Adv Funct Mater. 2016;26(38):6858–75.CrossRef
27.
go back to reference Gou YP, Yang X, He LB, Xu XY, Liu YP, Liu YB, et al. Bio-inspired peptide decorated dendrimers for a robust antibacterial coating on hydroxyapatite. Polym Chem. 2017;8(29):4264–79.CrossRef Gou YP, Yang X, He LB, Xu XY, Liu YP, Liu YB, et al. Bio-inspired peptide decorated dendrimers for a robust antibacterial coating on hydroxyapatite. Polym Chem. 2017;8(29):4264–79.CrossRef
28.
go back to reference Svenson S, Tomalia DA. Dendrimers in biomedical applications--reflections on the field. Adv Drug Deliv Rev. 2005;57(15):2106–29. Svenson S, Tomalia DA. Dendrimers in biomedical applications--reflections on the field. Adv Drug Deliv Rev. 2005;57(15):2106–29.
29.
go back to reference Liang KN, Yuan H, Li JS, Yang JJ, Zhou X, He LB, et al. Remineralization of demineralized dentin induced by amine-terminated PAMAM dendrimer. Macromol Mater Eng. 2015;300(1):107–17.CrossRef Liang KN, Yuan H, Li JS, Yang JJ, Zhou X, He LB, et al. Remineralization of demineralized dentin induced by amine-terminated PAMAM dendrimer. Macromol Mater Eng. 2015;300(1):107–17.CrossRef
30.
go back to reference Liang KN, Gao Y, Li JS, Liao Y, Xiao SM, Lv HY, et al. Effective dentinal tubule occlusion induced by polyhydroxy-terminated PAMAM dendrimer in vitro. RSC Adv. 2014;4(82):43496–503.CrossRef Liang KN, Gao Y, Li JS, Liao Y, Xiao SM, Lv HY, et al. Effective dentinal tubule occlusion induced by polyhydroxy-terminated PAMAM dendrimer in vitro. RSC Adv. 2014;4(82):43496–503.CrossRef
31.
go back to reference Dickens SH, Flaim GM. Effect of a bonding agent on in vitro biochemical activities of remineralizing resin-based calcium phosphate cements. Dent Mater. 2008;24(9):1273–80.CrossRefPubMedPubMedCentral Dickens SH, Flaim GM. Effect of a bonding agent on in vitro biochemical activities of remineralizing resin-based calcium phosphate cements. Dent Mater. 2008;24(9):1273–80.CrossRefPubMedPubMedCentral
32.
go back to reference Liu Y, Li N, Qi YP, Niu LN, Elshafiy S, Mao J, et al. The use of sodium trimetaphosphate as a biomimetic analog of matrix phosphoproteins for remineralization of artificial caries-like dentin. Dent Mater. 2011;27(5):465–77.CrossRefPubMedPubMedCentral Liu Y, Li N, Qi YP, Niu LN, Elshafiy S, Mao J, et al. The use of sodium trimetaphosphate as a biomimetic analog of matrix phosphoproteins for remineralization of artificial caries-like dentin. Dent Mater. 2011;27(5):465–77.CrossRefPubMedPubMedCentral
33.
go back to reference Taha NA, Palamara JE, Messer HH. Assessment of laminate technique using glass ionomer and resin composite for restoration of root filled teeth. J Dent. 2012;40(8):617–23.CrossRefPubMed Taha NA, Palamara JE, Messer HH. Assessment of laminate technique using glass ionomer and resin composite for restoration of root filled teeth. J Dent. 2012;40(8):617–23.CrossRefPubMed
34.
go back to reference Gou YP, Li JY, Meghil MM, Cutler CW, Xu HHK, Tay FR, et al. Quaternary ammonium silane-based antibacterial and anti-proteolytic cavity cleanser. Dent Mater. 2018;34(12):1814–27.CrossRefPubMed Gou YP, Li JY, Meghil MM, Cutler CW, Xu HHK, Tay FR, et al. Quaternary ammonium silane-based antibacterial and anti-proteolytic cavity cleanser. Dent Mater. 2018;34(12):1814–27.CrossRefPubMed
35.
go back to reference Toroian D, Lim JE, Price PA. The size exclusion characteristics of type I collagen: implications for the role of noncollagenous bone constituents in mineralization. J Biol Chem. 2007;282(31):22437–47.CrossRefPubMed Toroian D, Lim JE, Price PA. The size exclusion characteristics of type I collagen: implications for the role of noncollagenous bone constituents in mineralization. J Biol Chem. 2007;282(31):22437–47.CrossRefPubMed
36.
go back to reference Takahashi M, Nakajima M, Tagami J, Scheffel DLS, Carvalho RM, Mazzoni A, et al. The importance of size-exclusion characteristics of type I collagen in bonding to dentin matrices. Acta Biomater. 2013;9(12):9522–8.CrossRefPubMed Takahashi M, Nakajima M, Tagami J, Scheffel DLS, Carvalho RM, Mazzoni A, et al. The importance of size-exclusion characteristics of type I collagen in bonding to dentin matrices. Acta Biomater. 2013;9(12):9522–8.CrossRefPubMed
37.
go back to reference Garnero P, Ferreras M, Karsdal M, Nicamhlaoibh R, Risteli J, Borel O, et al. The type I collagen fragments ICTP and CTX reveal distinct enzymatic pathways of bone collagen degradation. J Bone Miner Res. 2003;18(5):859–67.CrossRefPubMed Garnero P, Ferreras M, Karsdal M, Nicamhlaoibh R, Risteli J, Borel O, et al. The type I collagen fragments ICTP and CTX reveal distinct enzymatic pathways of bone collagen degradation. J Bone Miner Res. 2003;18(5):859–67.CrossRefPubMed
38.
go back to reference Barakat MA, Ramadan MH, Alghamdi MA, Algarny SS, Woodcock HL, Kuhn JN. Remediation of Cu(II), Ni(II), and Cr(III) ions from simulated wastewater by dendrimer/titania composites. J Environ Manag. 2013;117:50–7. Barakat MA, Ramadan MH, Alghamdi MA, Algarny SS, Woodcock HL, Kuhn JN. Remediation of Cu(II), Ni(II), and Cr(III) ions from simulated wastewater by dendrimer/titania composites. J Environ Manag. 2013;117:50–7.
39.
go back to reference Vargova V, Pytliak M, Mechirova V. Matrix metalloproteinases. Exp Suppl. 2012;103:1–33. Vargova V, Pytliak M, Mechirova V. Matrix metalloproteinases. Exp Suppl. 2012;103:1–33.
40.
go back to reference Wu Q, Shan TT, Zhao MD, Mai S, Gu LS. The inhibitory effect of carboxyl-terminated polyamidoamine dendrimers on dentine host-derived matrix metalloproteinases in vitro in an etch-and-rinse adhesive system. R Soc Open Sci. 2019;6(10):182104.CrossRefPubMedPubMedCentral Wu Q, Shan TT, Zhao MD, Mai S, Gu LS. The inhibitory effect of carboxyl-terminated polyamidoamine dendrimers on dentine host-derived matrix metalloproteinases in vitro in an etch-and-rinse adhesive system. R Soc Open Sci. 2019;6(10):182104.CrossRefPubMedPubMedCentral
41.
go back to reference Gou YP, Jin W, He YN, Luo Y, Si RR, He Y, Wang ZC, Li J, Liu B. Effect of cavity cleanser with long-term antibacterial and anti-proteolytic activities on resin-dentin bond stability. Front Cell Infect Microbiol. 2021;11:784153.CrossRefPubMedPubMedCentral Gou YP, Jin W, He YN, Luo Y, Si RR, He Y, Wang ZC, Li J, Liu B. Effect of cavity cleanser with long-term antibacterial and anti-proteolytic activities on resin-dentin bond stability. Front Cell Infect Microbiol. 2021;11:784153.CrossRefPubMedPubMedCentral
Metadata
Title
Effect of polyhydroxy-terminated PAMAM dendrimer on dentin matrix metalloproteinases within the hybrid layers
Authors
Yu Luo
Ruirui Si
Yuan He
Mengmeng Wang
Yingying Yu
Xin Huang
Rong Huang
Yingyi Huang
Yang Luo
Wei Jin
Yaping Gou
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-02841-2

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue