Nakajima Kengo, Kunimatsu Ryo, Ando Kazuyo, Ando Toshinori, Hayashi Yoko, Kihara Takuya, Hiraki Tomoka, Tsuka Yuji, Abe Takaharu, Kaku Masato, Nikawa Hiroki, Takata Takashi, Tanne Kazuo, Tanimoto Kotaro
Department of Orthodontics and Craniofacial Developmental Biology, Division of Dental Sciences, Biomedical Sciences Major, Hiroshima University Graduate School of Biomedical & Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.
Department of Orthodontics and Craniofacial Developmental Biology, Division of Dental Sciences, Biomedical Sciences Major, Hiroshima University Graduate School of Biomedical & Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8553, Japan.
Biochem Biophys Res Commun. 2018 Mar 11;497(3):876-882. doi: 10.1016/j.bbrc.2018.02.156.
Cleft lip and palate is the most common congenital anomaly in the orofacial region. Autogenous iliac bone graft, in general, has been employed for closing the bone defect at the alveolar cleft. However, such iliac bone graft provides patients with substantial surgical and psychological invasions. Consequently, development of a less invasive method has been highly anticipated. Stem cells from human exfoliated deciduous teeth (SHED) are a major candidate for playing a significant role in tissue engineering and regenerative medicine. The aim of this study was to elucidate the nature of bone regeneration by SHED as compared to that of human dental pulp stem cells (hDPSCs) and bone marrow mesenchymal stem cells (hBMSCs). The stems cells derived from pulp tissues and bone marrow were transplanted with a polylactic-coglycolic acid barrier membrane as a scaffold, for use in bone regeneration in an artificial bone defect of 4 mm in diameter in the calvaria of immunodeficient mice. Three-dimensional analysis using micro CT and histological evaluation were performed. Degree of bone regeneration with SHED relative to the bone defect was almost equivalent to that with hDPSCs and hBMSCs 12 weeks after transplantation. The ratio of new bone formation relative to the pre-created bone defect was not significantly different among groups with SHED, hDPSCs and hBMSCs. In addition, as a result of histological evaluation, SHED produced the largest osteoid and widely distributed collagen fibers compared to hDPSCs and hBMSCs groups. Thus, SHED transplantation exerted bone regeneration ability sufficient for the repair of bone defect. The present study has demonstrated that SHED is one of the best candidate as a cell source for the reconstruction of alveolar cleft due to the bone regeneration ability with less surgical invasion.
唇腭裂是口腔面部区域最常见的先天性畸形。一般来说,自体髂骨移植已被用于闭合牙槽嵴裂处的骨缺损。然而,这种髂骨移植给患者带来了巨大的手术和心理创伤。因此,人们一直高度期待开发一种侵入性较小的方法。人脱落乳牙干细胞(SHED)是在组织工程和再生医学中发挥重要作用的主要候选细胞。本研究的目的是阐明与人类牙髓干细胞(hDPSCs)和骨髓间充质干细胞(hBMSCs)相比,SHED的骨再生特性。将来自牙髓组织和骨髓的干细胞与聚乳酸 - 乙醇酸屏障膜作为支架一起移植,用于免疫缺陷小鼠颅骨直径4毫米的人工骨缺损中的骨再生。使用微型CT进行三维分析并进行组织学评估。移植后12周,SHED相对于骨缺损的骨再生程度几乎与hDPSCs和hBMSCs相当。在SHED、hDPSCs和hBMSCs组中,新骨形成相对于预先创建的骨缺损的比例没有显著差异。此外,组织学评估结果显示,与hDPSCs和hBMSCs组相比,SHED产生的类骨质最大且胶原纤维分布广泛。因此,SHED移植发挥了足以修复骨缺损的骨再生能力。本研究表明,由于SHED具有骨再生能力且手术侵入性较小,它是牙槽嵴裂重建细胞来源的最佳候选者之一。