Center for Genetic and Regenerative Medicine, Nagoya University School of Medicine, Nagoya, Aichi, Japan. yyamada@.med.nagoya-u.ac.jp
Tissue Eng Part A. 2010 Jun;16(6):1891-900. doi: 10.1089/ten.TEA.2009.0732.
This study investigated the effect of bone regeneration with dental pulp stem cells (DPSCs), deciduous tooth stem cells (DTSCs), or bone-marrow-derived mesenchymal stem cells (BMMSCs) for clinical study on hydroxyapatite-coated osseointegrated dental implants, using tissue engineering technology. In vitro, human DPSCs and DTSCs expressed STRO-1, CD13, CD29, CD 44, CD73, and osteogenic marker genes such as alkaline phosphatase, Runx2, and osteocalcin. In vivo, prepared bone defect model was implanted using graft materials as follows: platelet-rich plasma (PRP), PRP and canine BMMSCs (cBMMSCs), PRP and canine DPSCs (cDPSCs), PRP and puppy DTSCs (pDTSCs), and control (defect only). After 8 weeks, the dental implants were installed, and 16 weeks later the sections were evaluated histologically and histometrically. The cBMMSCs/PRP, cDPSCs/PRP, and pDTSCs/PRP groups had well-formed mature bone and neovascularization. Histometrically, the bone-implant contact was significantly different between the cBMMSCs/PRP, cDPSCs/PRP, pDTSCs/PRP groups, and the control and PRP groups (p < 0.01). These results demonstrated that these stem cells with PRP have the ability to form bone, and this bone formation activity might be useful for osseointegrated hydroxyapatite-coated dental implants with good levels of bone-implant contact.
本研究利用组织工程技术,探讨了牙髓干细胞(DPSCs)、乳牙干细胞(DTSCs)或骨髓间充质干细胞(BMMSCs)在羟基磷灰石涂层骨整合牙种植体临床研究中的骨再生效果。在体外,人 DPSCs 和 DTSCs 表达 STRO-1、CD13、CD29、CD44、CD73 和碱性磷酸酶、Runx2 和骨钙素等成骨标志物基因。在体内,使用以下移植物材料制备骨缺损模型:富血小板血浆(PRP)、PRP 和犬 BMMSCs(cBMMSCs)、PRP 和犬 DPSCs(cDPSCs)、PRP 和幼犬 DTSCs(pDTSCs)和对照(仅缺陷)。8 周后安装牙种植体,16 周后进行组织学和组织计量学评估。cBMMSCs/PRP、cDPSCs/PRP 和 pDTSCs/PRP 组形成了成熟的骨和新生血管。组织计量学上,cBMMSCs/PRP、cDPSCs/PRP 和 pDTSCs/PRP 组与对照组和 PRP 组之间的骨-种植体接触有显著差异(p < 0.01)。这些结果表明,这些与 PRP 结合的干细胞具有形成骨的能力,这种骨形成活性可能对具有良好骨-种植体接触水平的羟基磷灰石涂层骨整合牙种植体有用。