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经 CD105+ 干细胞联合基质细胞衍生因子-1 移植实现牙髓切除术后的完全牙髓再生。

Complete pulp regeneration after pulpectomy by transplantation of CD105+ stem cells with stromal cell-derived factor-1.

机构信息

Department of Dental Regenerative Medicine, National Center for Geriatrics and Gerontology, Research Institute, Obu, Aichi, Japan.

出版信息

Tissue Eng Part A. 2011 Aug;17(15-16):1911-20. doi: 10.1089/ten.TEA.2010.0615.

Abstract

Loss of pulp due to caries and pulpitis leads to loss of teeth and reduced quality of life. Thus, there is an unmet need for regeneration of pulp. A promising approach is stem cell therapy. Autologous pulp stem/progenitor (CD105(+)) cells were transplanted into a root canal with stromal cell-derived factor-1 (SDF-1) after pulpectomy in mature teeth with complete apical closure in dogs. The root canal was successfully filled with regenerated pulp including nerves and vasculature by day 14, followed by new dentin formation along the dentinal wall. The newly regenerated tissue was significantly larger in the transplantation of pulp CD105(+) cells with SDF-1 compared with those of adipose CD105(+) cells with SDF-1 or unfractionated total pulp cells with SDF-1. The pulp CD105(+) cells highly expressed angiogenic/neurotrophic factors compared with other cells and localized in the vicinity of newly formed capillaries after transplantation, demonstrating its potent trophic effects on neovascularization. Two-dimensional electrophoretic analyses and real-time reverse transcription-polymerase chain reaction analyses demonstrated that the qualitative and quantitative protein and mRNA expression patterns of the regenerated pulp were similar to those of normal pulp. Thus, this novel stem cell therapy is the first demonstration of complete pulp regeneration, implying novel treatment to preserve and save teeth.

摘要

由于龋齿和牙髓炎导致的牙髓丧失会导致牙齿脱落和生活质量下降。因此,人们对牙髓再生的需求尚未得到满足。一种有前途的方法是干细胞疗法。在犬成熟牙齿的完全根尖封闭后,经牙髓切除术后,将自体牙髓干细胞/前体细胞(CD105(+))与基质细胞衍生因子-1(SDF-1)一起移植到根管中。在第 14 天,再生的牙髓包括神经和脉管系统成功地填充了根管,随后沿着牙本质壁形成了新的牙本质。与 SDF-1 中的脂肪 CD105(+)细胞或 SDF-1 中的未分离的总牙髓细胞相比,SDF-1 中的牙髓 CD105(+)细胞的移植可显著增加再生组织的大小。与其他细胞相比,牙髓 CD105(+)细胞高度表达血管生成/神经营养因子,并在移植后定位于新形成的毛细血管附近,证明其对新血管生成具有强大的营养作用。二维电泳分析和实时逆转录聚合酶链反应分析表明,再生牙髓的蛋白质和 mRNA 表达模式在质量和数量上均与正常牙髓相似。因此,这种新型干细胞疗法是完全牙髓再生的首次证明,为保存和保留牙齿提供了新的治疗方法。

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