Int J Stomatol ›› 2021, Vol. 48 ›› Issue (6): 690-695.doi: 10.7518/gjkq.2021106

• Reviews • Previous Articles     Next Articles

Research progress on the application of dental-derived mesenchymal stem cells in periodontal defect repair

Shi Peilei(),Yu Chenhao,Xie Xudong,Wu Yafei,Wang Jun()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2021-02-24 Revised:2021-07-16 Online:2021-11-01 Published:2021-10-28
  • Contact: Jun Wang E-mail:shipeilei0222@outlook.com;junwang@scu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(82071127);National Natural Science Foundation of China(81700980);Sichuan Province Science and Technology Support Program(2019YJ0097)

Abstract:

Periodontitis is a chronic infectious disease characterized by the destruction of periodontal tissue and is the most common cause of tooth loss among adults. The periodontium is a complex structure composed of soft and hard tissues; hence, the regeneration of its tissues is a challenging task. Self-renewal, multipotency, and accessibility make dental-derived mesenchymal stem cells an attractive source for periodontal tissue regeneration. With the development of cell-sheet engineering, biomaterial scaffolds, and 3D printing, dental-derived mesenchymal stem cells show great potential as seed cells in repairing periodontal tissue defects. This paper reviews the research progress on the application of dental-derived mesenchymal stem cells in periodontal defect repair.

Key words: dental-derived mesenchymal stem cell, periodontal tissue repair, tissue engineering, periodontitis

CLC Number: 

  • Q254

TrendMD: 
[1] Papapanou PN, Sanz M, Buduneli N, et al. Perio-dontitis: consensus report of workgroup 2 of the 2017 World Workshop on the classification of perio-dontal and peri-implant diseases and conditions[J]. J Periodontol, 2018, 89(Suppl 1):S173-S182.
doi: 10.1002/JPER.17-0721
[2] Magnusson I, Runstad L, Nyman S, et al. A long junctional epithelium: a locus minoris resistentiae in plaque infection[J]. J Clin Periodontol, 1983, 10(3):333-340.
pmid: 6575984
[3] Bosshardt DD. Biological mediators and periodontal regeneration: a review of enamel matrix proteins at the cellular and molecular levels[J]. J Clin Perio-dontol, 2008, 35(8 Suppl):87-105.
[4] Larsson L, Decker AM, Nibali L, et al. Regenerative medicine for periodontal and peri-implant di-seases[J]. J Dent Res, 2016, 95(3):255-266.
doi: 10.1177/0022034515618887 pmid: 26608580
[5] Sallum EA, Ribeiro FV, Ruiz KS, et al. Experimental and clinical studies on regenerative periodontal therapy[J]. Periodontol 2000, 2019, 79(1):22-55.
doi: 10.1111/prd.2019.79.issue-1
[6] Pittenger MF, MacKay AM, Beck SC , et al. Multilineage potential of adult human mesenchymal stem cells[J]. Science, 1999, 284(5411):143-147.
pmid: 10102814
[7] Watson L, Elliman SJ, Coleman CM. From isolation to implantation: a concise review of mesenchymal stem cell therapy in bone fracture repair[J]. Stem Cell Res Ther, 2014, 5(2):51.
doi: 10.1186/scrt439 pmid: 25099622
[8] Yousefi AM, James PF, Akbarzadeh R, et al. Prospect of stem cells in bone tissue engineering: a review[J]. Stem Cells Int, 2016, 2016:6180487.
[9] Gronthos S, Mankani M, Brahim J, et al. Postnatal human dental pulp stem cells (DPSCs) in vitro and in vivo[J]. PNAS, 2000, 97(25):13625-13630.
pmid: 11087820
[10] Miura M, Gronthos S, Zhao M, et al. SHED: stem cel-ls from human exfoliated deciduous teeth[J]. PNAS, 2003, 100(10):5807-5812.
doi: 10.1073/pnas.0937635100
[11] Seo BM, Miura M, Gronthos S, et al. Investigation of multipotent postnatal stem cells from human pe-riodontal ligament[J]. Lancet, 2004, 364(9429):149-155.
doi: 10.1016/S0140-6736(04)16627-0
[12] Morsczeck C, Götz W, Schierholz J, et al. Isolation of precursor cells (PCs) from human dental follicle of wisdom teeth[J]. Matrix Biol, 2005, 24(2):155-165.
pmid: 15890265
[13] Sonoyama W, Liu Y, Fang DJ, et al. Mesenchymal stem cell-mediated functional tooth regeneration in swine[J]. PLoS One, 2006, 1:e79.
doi: 10.1371/journal.pone.0000079
[14] Andrukhov O, Behm C, Blufstein A, et al. Immunomodulatory properties of dental-derived mesenchymal stem cells[M]//Jane M. Periodontology and Dental Implantology. Brisbane: IntechOpen, 2019.
[15] Yang X, van der Kraan PM, Bian Z, et al. Minera-lized tissue formation by BMP2-transfected pulp stem cells[J]. J Dent Res, 2009, 88(11):1020-1025.
doi: 10.1177/0022034509346258 pmid: 19828890
[16] d’Aquino R, Tirino V, Desiderio V, et al. Human neural crest-derived postnatal cells exhibit remarkable embryonic attributes either in vitro or in vivo[J]. Eur Cell Mater, 2011, 21:304-316.
[17] Duffield JS, Park KM, Hsiao LL, et al. Restoration of tubular epithelial cells during repair of the postis-chemic kidney occurs independently of bone marrow-derived stem cells[J]. J Clin Invest, 2005, 115(7):1743-1755.
pmid: 16007251
[18] Nagata M, Iwasaki K, Akazawa K, et al. Conditioned medium from periodontal ligament stem cells enhances periodontal regeneration[J]. Tissue Eng Part A, 2017, 23(9/10):367-377.
doi: 10.1089/ten.tea.2016.0274
[19] Meirelles Lda S, Fontes AM, Covas DT, et al. Me-chanisms involved in the therapeutic properties of mesenchymal stem cells[J]. Cytokine Growth Factor Rev, 2009, 20(5/6):419-427.
doi: 10.1016/j.cytogfr.2009.10.002
[20] da Costa Gonçalves F, Grings M, Nunes NS, et al. Antioxidant properties of mesenchymal stem cells against oxidative stress in a murine model of colitis[J]. Biotechnol Lett, 2017, 39(4):613-622.
doi: 10.1007/s10529-016-2272-3 pmid: 28032203
[21] Mooney DJ, Vandenburgh H. Cell delivery mechanisms for tissue repair[J]. Cell Stem Cell, 2008, 2(3):205-213.
doi: 10.1016/j.stem.2008.02.005 pmid: 18371446
[22] Du J, Shan Z, Ma P, et al. Allogeneic bone marrow mesenchymal stem cell transplantation for periodontal regeneration[J]. J Dent Res, 2014, 93(2):183-188.
doi: 10.1177/0022034513513026 pmid: 24226426
[23] Chen FM, Sun HH, Lu H, et al. Stem cell-delivery therapeutics for periodontal tissue regeneration[J]. Biomaterials, 2012, 33(27):6320-6344.
doi: 10.1016/j.biomaterials.2012.05.048
[24] Chien KH, Chang YL, Wang ML, et al. Promoting induced pluripotent stem cell-driven biomineralization and periodontal regeneration in rats with maxillary-molar defects using injectable BMP-6 hydrogel[J]. Sci Rep, 2018, 8(1):114.
doi: 10.1038/s41598-017-18415-6
[25] Pan J, Deng JJ, Luo Y, et al. Thermosensitive hydrogel delivery of human periodontal stem cells overexpressing platelet-derived growth factor-BB enhan-ces alveolar bone defect repair[J]. Stem Cells Dev, 2019, 28(24):1620-1631.
doi: 10.1089/scd.2019.0184
[26] Yamato M, Okano T. Cell sheet engineering[J]. Mater Today, 2004, 7(5):42-47.
[27] Kwon OH, Kikuchi A, Yamato M, et al. Rapid cell sheet detachment from poly(N-isopropylacrylamide)-grafted porous cell culture membranes[J]. J Biomed Mater Res, 2000, 50(1):82-89.
doi: 10.1002/(ISSN)1097-4636
[28] Ito A, Ino K, Kobayashi T, et al. The effect of RGD peptide-conjugated magnetite cationic liposomes on cell growth and cell sheet harvesting[J]. Biomate-rials, 2005, 26(31):6185-6193.
[29] Guillaume-Gentil O, Akiyama Y, Schuler M, et al. Polyelectrolyte coatings with a potential for electro-nic control and cell sheet engineering[J]. Adv Mater, 2008, 20(3):560-565.
doi: 10.1002/(ISSN)1521-4095
[30] Iwata T, Washio K, Yoshida T, et al. Cell sheet engineering and its application for periodontal regeneration[J]. J Tissue Eng Regen Med, 2015, 9(4):343-356.
doi: 10.1002/term.1785
[31] Sekine H, Shimizu T, Dobashi I, et al. Cardiac cell sheet transplantation improves damaged heart function via superior cell survival in comparison with dissociated cell injection[J]. Tissue Eng Part A, 2011, 17(23/24):2973-2980.
doi: 10.1089/ten.tea.2010.0659
[32] Hu JC, Cao Y, Xie YL, et al. Periodontal regeneration in swine after cell injection and cell sheet transplantation of human dental pulp stem cells follo-wing good manufacturing practice[J]. Stem Cell Res Ther, 2016, 7(1):130.
doi: 10.1186/s13287-016-0362-8
[33] Guo SJ, Guo WH, Ding Y, et al. Comparative study of human dental follicle cell sheets and periodontal ligament cell sheets for periodontal tissue regeneration[J]. Cell Transplant, 2013, 22(6):1061-1073.
doi: 10.3727/096368912X656036
[34] Fu XR, Jin LY, Ma P, et al. Allogeneic stem cells from deciduous teeth in treatment for periodontitis in miniature swine[J]. J Periodontol, 2014, 85(6):845-851.
doi: 10.1902/jop.2013.130254
[35] Yu XB, Ge SH, Chen SL, et al. Human gingiva-derived mesenchymal stromal cells contribute to pe-riodontal regeneration in beagle dogs[J]. Cells Tissues Organs, 2013, 198(6):428-437.
doi: 10.1159/000360276
[36] Chen FM, Liu XH. Advancing biomaterials of human origin for tissue engineering[J]. Prog Polym Sci, 2016, 53:86-168.
doi: 10.1016/j.progpolymsci.2015.02.004
[37] Fawzy El-Sayed KM, Mekhemar MK, Beck-Broichsitter BE, et al. Periodontal regeneration employing gingival margin-derived stem/progenitor cells in conjunction with IL-1ra-hydrogel synthetic extracellular matrix[J]. J Clin Periodontol, 2015, 42(5):448-457.
doi: 10.1111/jcpe.12401 pmid: 25875208
[38] Wang ZS, Feng ZH, Wu GF, et al. The use of platelet-rich fibrin combined with periodontal ligament and jaw bone mesenchymal stem cell sheets for periodontal tissue engineering[J]. Sci Rep, 2016, 6:28126.
doi: 10.1038/srep28126
[39] Feng F, Akiyama K, Liu Y, et al. Utility of PDL progenitors for in vivo tissue regeneration: a report of 3 cases[J]. Oral Dis, 2010, 16(1):20-28.
pmid: 20355278
[40] Iwata T, Yamato M, Washio K, et al. Periodontal regeneration with autologous periodontal ligament-derived cell sheets-a safety and efficacy study in ten patients[J]. Regen Ther, 2018, 9:38-44.
[41] Chen FM, Gao LN, Tian BM, et al. Treatment of periodontal intrabony defects using autologous pe-riodontal ligament stem cells: a randomized clinical trial[J]. Stem Cell Res Ther, 2016, 7:33.
doi: 10.1186/s13287-016-0288-1
[42] Matsuura K, Shimizu T, Okano T. Toward the deve-lopment of bioengineered human three-dimensional vascularized cardiac tissue using cell sheet technology[J]. Int Heart J, 2014, 55(1):1-7.
doi: 10.1536/ihj.13-337
[43] Pandula PK, Samaranayake LP, Jin LJ, et al. Human umbilical vein endothelial cells synergize osteo/odontogenic differentiation of periodontal ligament stem cells in 3D cell sheets[J]. J Periodontal Res, 2014, 49(3):299-306.
doi: 10.1111/jre.12107
[44] Panduwawala CP, Zhan X, Dissanayaka WL, et al. In vivo periodontal tissue regeneration by periodontal ligament stem cells and endothelial cells in three-dimensional cell sheet constructs[J]. J Periodontal Res, 2017, 52(3):408-418.
doi: 10.1111/jre.12405 pmid: 27495271
[45] Zhang H, Liu SY, Zhu B, et al. Composite cell sheet for periodontal regeneration: crosstalk between diffe-rent types of MSCs in cell sheet facilitates complex periodontal-like tissue regeneration[J]. Stem Cell Res Ther, 2016, 7(1):168.
pmid: 27842561
[46] Sun HH, Qu TJ, Zhang XH, et al. Designing biomaterials for in situ periodontal tissue regeneration[J]. Biotechnol Prog, 2012, 28(1):3-20.
doi: 10.1002/btpr.698
[47] Kuraitis D, Giordano C, Ruel M, et al. Exploiting extracellular matrix-stem cell interactions: a review of natural materials for therapeutic muscle regeneration[J]. Biomaterials, 2012, 33(2):428-443.
doi: 10.1016/j.biomaterials.2011.09.078 pmid: 22014942
[48] Chen FM, Zhang M, Wu ZF. Toward delivery of multiple growth factors in tissue engineering[J]. Biomaterials, 2010, 31(24):6279-6308.
doi: 10.1016/j.biomaterials.2010.04.053
[49] Soto-Gutierrez A, Yagi H, Uygun BE, et al. Cell delivery: from cell transplantation to organ engineering[J]. Cell Transplant, 2010, 19(6):655-665.
doi: 10.3727/096368910X508753 pmid: 20525441
[50] Iwata T, Yamato M, Tsuchioka H, et al. Periodontal regeneration with multi-layered periodontal ligament-derived cell sheets in a canine model[J]. Biomate-rials, 2009, 30(14):2716-2723.
[51] Park CH. Biomaterial-based approaches for regene-ration of periodontal ligament and cementum using 3D platforms[J]. Int J Mol Sci, 2019, 20(18):E4364.
[52] Vaquette C, Pilipchuk SP, Bartold PM, et al. Tissue engineered constructs for periodontal regeneration: current status and future perspectives[J]. Adv Healthc Mater, 2018, 7(21):e1800457.
[53] Lee CH, Hajibandeh J, Suzuki T, et al. Three-dimensional printed multiphase scaffolds for regeneration of periodontium complex[J]. Tissue Eng Part A, 2014, 20(7/8):1342-1351.
doi: 10.1089/ten.tea.2013.0386
[54] Rasperini G, Pilipchuk SP, Flanagan CL, et al. 3D-printed bioresorbable scaffold for periodontal repair[J]. J Dent Res, 2015, 94(9 Suppl):153S-157S.
doi: 10.1177/0022034515588303
[55] Ferrarotti F, Romano F, Gamba MN, et al. Human intrabony defect regeneration with micrografts contai-ning dental pulp stem cells: a randomized controlled clinical trial[J]. J Clin Periodontol, 2018, 45(7):841-850.
doi: 10.1111/jcpe.12931 pmid: 29779220
[56] Neri S. Genetic stability of mesenchymal stromal cells for regenerative medicine applications: a fundamental biosafety aspect[J]. Int J Mol Sci, 2019, 20(10):2406.
doi: 10.3390/ijms20102406
[57] Yannarelli G, Pacienza N, Cuniberti L, et al. Brief report: the potential role of epigenetics on multipotent cell differentiation capacity of mesenchymal stromal cells[J]. Stem Cells, 2013, 31(1):215-220.
doi: 10.1002/stem.1262 pmid: 23097343
[58] Dlouhy BJ, Awe O, Rao RC, et al. Autograft-derived spinal cord mass following olfactory mucosal cell transplantation in a spinal cord injury patient: case report[J]. J Neurosurg Spine, 2014, 21(4):618-622.
doi: 10.3171/2014.5.SPINE13992
[59] Farag A, Hashimi SM, Vaquette C, et al. The effect of decellularized tissue engineered constructs on pe-riodontal regeneration[J]. J Clin Periodontol, 2018, 45(5):586-596.
doi: 10.1111/jcpe.12886 pmid: 29500836
[60] Chew JRJ, Chuah SJ, Teo KYW, et al. Mesenchymal stem cell exosomes enhance periodontal ligament cell functions and promote periodontal rege-neration[J]. Acta Biomater, 2019, 89:252-264.
doi: 10.1016/j.actbio.2019.03.021
[1] Fu Yu, He Wei, Huang Lan. Ferroptosis and its implication in oral diseases [J]. Int J Stomatol, 2024, 51(1): 36-44.
[2] Luo Xiaojie,Wang Dexu,Chen Xiaotao. Relationship between periodontitis and ferroptosis based on bioinformatics analysis [J]. Int J Stomatol, 2023, 50(6): 661-668.
[3] Huang Yuanhong,Peng Xian,Zhou Xuedong.. Progress in research into the effect of Rhizoma Drynariae on the treatment of bone-related diseases in the oral cavity [J]. Int J Stomatol, 2023, 50(6): 679-685.
[4] Hu Jia,Wang Xiuqing,Lu Guoying,Huang Xiaojing.. Regenerative endodontic procedures for permanent tooth with immature apices in adult patients [J]. Int J Stomatol, 2023, 50(6): 686-695.
[5] Chen Runzhi,Zhang Wentao,Chen Feng,Yang Fan. Modification of silk fibroin-based hydrogels and their applications for bone tissue engineering [J]. Int J Stomatol, 2023, 50(6): 739-746.
[6] Gong Meiling,Cheng Xingqun,Wu Hongkun.. Research progress on the correlation between Parkinson’s disease and periodontitis [J]. Int J Stomatol, 2023, 50(5): 587-593.
[7] Xu Zhibo,Meng Xiuping.. Research progress on mechanism of Enterococcus faecalis escaping host immune defense [J]. Int J Stomatol, 2023, 50(5): 613-617.
[8] Sun Jia,Han Ye,Hou Jianxia. Research progress on the role of interleukin-6-hepcidin signal axis in regulating the pathogenesis of periodontitis-associated anemia [J]. Int J Stomatol, 2023, 50(3): 329-334.
[9] Wu Jiaxin,Cheng Xingqun,Wu Hongkun.. Clinical application and research progress on hyaluronic acid in the repair of papillary height loss [J]. Int J Stomatol, 2023, 50(3): 347-352.
[10] Liang Zhiying,Zhao Yuanxi,Zhu Jiani,Su Qin.. Retrospective analysis of clinical data of 288 cases of endodontic microsurgery on anterior teeth [J]. Int J Stomatol, 2023, 50(2): 166-171.
[11] Liu Tiqian,Liang Xing,Liu Weiqing,Li Xiaohong,Zhu Rui.. Research progress on the role and mechanism of occlusal trauma in the development of periodontitis [J]. Int J Stomatol, 2023, 50(1): 19-24.
[12] Li Qiong,Yu Weixian. Research progress on resveratrol for the treatment of periodontitis and its bioavailability [J]. Int J Stomatol, 2023, 50(1): 25-31.
[13] Huang Weikun,Xu Qiuyan,Zhou Ting.. Role of baicalin and mechanisms through which baicalin attenuates oxidative stress injury induced by lipopolysaccharide on macrophages [J]. Int J Stomatol, 2022, 49(5): 521-528.
[14] Zhou Jianpeng,Xie Xudong,Zhao Lei,Wang Jun.. Research progress on the roles and mechanisms of T-helper 17 cells and interleukin-17 in periodontitis [J]. Int J Stomatol, 2022, 49(5): 586-592.
[15] Chen Huiyu,Bai Mingru,Ye Ling.. Progress in understanding the correlations between semaphorin 3A and common oral diseases [J]. Int J Stomatol, 2022, 49(5): 593-599.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .