通过细胞归巢作用,联合使用富血小板纤维蛋白和处理过的牙本质基质促进牙根再生。
The combination use of platelet-rich fibrin and treated dentin matrix for tooth root regeneration by cell homing.
作者信息
Ji Baohui, Sheng Lei, Chen Gang, Guo Shujuan, Xie Li, Yang Bo, Guo Weihua, Tian Weidong
机构信息
1 State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University , Chengdu, People's Republic of China .
出版信息
Tissue Eng Part A. 2015 Jan;21(1-2):26-34. doi: 10.1089/ten.tea.2014.0043. Epub 2014 Aug 11.
Endogenous regeneration through cell homing provides an alternative approach for tissue regeneration, except cell transplantation, especially considering clinical translation. However, tooth root regeneration through cell homing remains a provocative approach in need of intensive study. Both platelet-rich fibrin (PRF) and treated dentin matrix (TDM) are warehouses of various growth factors, which can promote cell homing. We hypothesized that endogenous stem cells are able to sense biological cues from PRF membrane and TDM, and contribute to the regeneration of tooth root, including soft and hard periodontal tissues. Therefore, the biological effects of canine PRF and TDM on periodontal ligament stem cells (PDLSCs) and bone marrow mesenchymal stem cells (BMSCs) were evaluated respectively in vitro. Beagle dogs were used as orthotopic transplantation model. It was found that PRF significantly recruited and stimulated the proliferation of PDLSCs and BMSCs in vitro. Together, PRF and TDM induced cell differentiation by upregulating the mineralization-related gene expression of bone sialoprotein (BSP) and osteopotin (OPN) after 7 days coculture. In vivo, transplantation of autologous PRF and allogeneic TDM into fresh tooth extraction socket achieved successful root regeneration 3 months postsurgery, characterized by the regeneration of cementum and periodontal ligament (PDL)-like tissues with orientated fibers, indicative of functional restoration. The results suggest that tooth root connected to the alveolar bone by cementum-PDL complex can be regenerated through the implantation of PRF and TDM in a tooth socket microenvironment, probably by homing of BMSCs and PDLSCs. Furthermore, bioactive cues and inductive microenvironment are key factors for endogenous regeneration. This approach provides a tangible pathway toward clinical translation.
除细胞移植外,通过细胞归巢实现内源性再生为组织再生提供了一种替代方法,尤其考虑到临床转化。然而,通过细胞归巢实现牙根再生仍是一种需要深入研究的激发性方法。富含血小板纤维蛋白(PRF)和处理过的牙本质基质(TDM)都是多种生长因子的储存库,它们可促进细胞归巢。我们假设内源性干细胞能够感知来自PRF膜和TDM的生物学信号,并有助于牙根的再生,包括软硬牙周组织。因此,分别在体外评估了犬PRF和TDM对牙周膜干细胞(PDLSCs)和骨髓间充质干细胞(BMSCs)的生物学效应。使用比格犬作为原位移植模型。结果发现,PRF在体外显著募集并刺激了PDLSCs和BMSCs的增殖。此外,在共培养7天后,PRF和TDM通过上调骨唾液蛋白(BSP)和骨桥蛋白(OPN)的矿化相关基因表达诱导细胞分化。在体内,将自体PRF和异体TDM移植到新鲜拔牙窝中,术后3个月成功实现了牙根再生,其特征是牙骨质和具有定向纤维的牙周膜(PDL)样组织再生,表明功能恢复。结果表明,通过在牙槽窝微环境中植入PRF和TDM,可能通过BMSCs和PDLSCs的归巢,可以再生通过牙骨质-PDL复合体与牙槽骨相连的牙根。此外,生物活性信号和诱导性微环境是内源性再生的关键因素。这种方法为临床转化提供了一条切实可行的途径。