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利用悬浮干细胞实现牙种植部位的骨再生。

Bone regeneration at dental implant sites with suspended stem cells.

作者信息

Zheng R C, Park Y K, Cho J J, Kim S K, Heo S J, Koak J Y, Lee J H

机构信息

Department of Prosthodontics & Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.

Department of Dental Research Institute, Brain Korea 21, Seoul National University, Seoul, South Korea.

出版信息

J Dent Res. 2014 Oct;93(10):1005-13. doi: 10.1177/0022034514548706. Epub 2014 Sep 2.

Abstract

During the maintenance of bone marrow-derived mesenchymal stem cells (BMMSCs), suspended cells are discarded normally. We noted the osteogenic potential of these cells to be like that of anchorage-dependent BMMSCs. Therefore, we characterized suspended BMMSCs from rabbit bone marrow by bioengineering and applied the suspended BMMSCs to double-canaled dental implants inserted into rabbits. After primary isolation of BMMSCs, we collected the suspended cells during primary culture on the third day. The cells were transferred and maintained on an extracellular-matrix-coated culture plate. The cells were characterized and compared with BMMSCs by colony-forming-unit fibroblast (CFU-f) and cell proliferation assay, fluorescence-activated cell sorter (FACS), in vitro multipotency, and reverse transcription polymerase chain reaction (RT-PCR). We also analyzed the osteogenic potential of cells mixed with hydroxyapatite/tricalcium phosphate (HA/TCP) and transplanted into immunocompromised mice. We compared the viability and proliferation of the suspended BMMSCs and BMMSCs on the titanium implant surface and observed cell morphology. Then, the cells mixed with HA/TCP were applied to the double-canaled implants during installation into rabbit tibia. Four weeks later, we analyzed bone formation inside the canal by histomorphometry. The suspended cells showed higher CFU-f on the extracellular matrix (ECM)-coated culture plate and similar results of proliferation capacity compared with BMMSCs. The cells also showed osteogenic, adipogenic, and chondrogenic ability. The suspended cells showed levels of attachment survival and proliferation on the surfaces of titanium implant discs to be higher than or similar to those of BMMSCs. The suspended cells as well as BMMSCs showed stronger bone formation ability in both upper and lower canals of the implants compared with controls on double-canaled implants inserted into rabbit tibia. In this study, we showed that suspended cells after primary BMMSC isolation have bone regeneration capacity like that of BMMSCs, not only in vitro but also in vivo. ECM was valuable for propagation of MSCs for cell-based bone regeneration. Therefore, the suspended cells could also be useful tools for bone regeneration after implant surgery.

摘要

在骨髓间充质干细胞(BMMSCs)的培养过程中,通常会丢弃悬浮细胞。我们注意到这些细胞的成骨潜能与贴壁依赖性BMMSCs相似。因此,我们通过生物工程对兔骨髓中的悬浮BMMSCs进行了表征,并将悬浮BMMSCs应用于植入兔体内的双根管牙种植体。在BMMSCs初次分离后,我们在第三天的原代培养过程中收集了悬浮细胞。将这些细胞转移至细胞外基质包被的培养板上进行培养。通过集落形成单位成纤维细胞(CFU-f)和细胞增殖测定、荧光激活细胞分选仪(FACS)、体外多能性以及逆转录聚合酶链反应(RT-PCR)对这些细胞进行表征,并与BMMSCs进行比较。我们还分析了与羟基磷灰石/磷酸三钙(HA/TCP)混合并移植到免疫缺陷小鼠体内的细胞的成骨潜能。我们比较了悬浮BMMSCs和BMMSCs在钛种植体表面的活力和增殖情况,并观察了细胞形态。然后,在将与HA/TCP混合的细胞植入兔胫骨的双根管种植体过程中,将其应用于双根管种植体。四周后,我们通过组织形态计量学分析了根管内的骨形成情况。与BMMSCs相比,悬浮细胞在细胞外基质(ECM)包被的培养板上显示出更高的CFU-f,并且增殖能力结果相似。这些细胞还表现出成骨、成脂和成软骨能力。悬浮细胞在钛种植体盘表面的附着存活和增殖水平高于或类似于BMMSCs。与植入兔胫骨的双根管种植体的对照组相比,悬浮细胞以及BMMSCs在种植体的上下根管中均显示出更强的骨形成能力。在本研究中,我们表明,BMMSCs初次分离后的悬浮细胞不仅在体外,而且在体内都具有与BMMSCs相似的骨再生能力。ECM对于基于细胞的骨再生中MSCs的增殖很有价值。因此,悬浮细胞也可能是种植手术后骨再生的有用工具。

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