State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi Clinical Research Center for Oral Diseases, Department of Orthodontics, School of Stomatology, the Fourth Military Medical University, Xi'an, 710032, China.
State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, the Fourth Military Medical University, Xi'an, 710032, China.
Theranostics. 2019 May 31;9(15):4265-4286. doi: 10.7150/thno.35914. eCollection 2019.
Periodontal ligament stem cells (PDLSCs) can repair alveolar bone defects in periodontitis in a microenvironment context-dependent manner. This study aimed to determine whether different extracellular matrices (ECMs) exert diverse effects on osteogenic differentiation of PDLSCs and accurately control alveolar bone defect repair. : The characteristics of PDLSCs and bone marrow mesenchymal stem cells (BMSCs) with respect to surface markers and multi-differentiation ability were determined. Then, we prepared periodontal ligament cells (PDLCs)-derived and bone marrow cells (BMCs)-derived ECMs (P-ECM and B-ECM) and the related decellularized ECMs (dECMs). Transmission electron microscopy (TEM), scanning electron microscopy (SEM), atomic force microscopy (AFM), and protein mass spectrometry were used to distinguish the ECMs. The expression of Type IV collagen A2 (COL4A2) in the ECMs was inhibited by siRNA or activated by lentiviral transduction of relevant cells. The stemness, proliferation, and differentiation of PDLSCs were determined in different dECMs. For the analysis, different dECMs under the regulation of COL4A2 mixed with PDLSCs and Bio-Oss bone powder were subcutaneously implanted into immunocompromised mice or in defects in rat alveolar bone. The repair effects were identified by histological or immunohistochemical staining and micro-CT. : B-dECM exhibited more compact fibers than P-dECM, as revealed by TEM, SEM, and AFM. Protein mass spectrometry showed that COL4A2 was significantly increased in B-dECM compared with P-dECM. PDLSCs displayed stronger proliferation, stemness, and osteogenic differentiation ability when cultured on B-dECM than P-dECM. Interestingly, B-dECM enhanced the osteogenic differentiation of PDLSCs to a greater extent than P-dECM both and whereas downregulation of COL4A2 in B-dECM showed the opposite results. Furthermore, the classical Wnt/β-catenin pathway was found to play an important role in the negative regulation of osteogenesis through COL4A2, confirmed by experiments with the Wnt inhibitor DKK-1 and the Wnt activator Wnt3a. : These findings indicate that COL4A2 in the ECM promotes osteogenic differentiation of PDLSCs through negative regulation of the Wnt/β-catenin pathway, which can be used as a potential therapeutic strategy to repair bone defects.
牙周膜干细胞(PDLSCs)可以在微环境依赖的情况下修复牙周炎中的牙槽骨缺损。本研究旨在确定不同的细胞外基质(ECM)是否对 PDLSCs 的成骨分化产生不同的影响,并能准确控制牙槽骨缺损的修复。
我们确定了牙周膜细胞(PDLCs)和骨髓间充质干细胞(BMSCs)在表面标志物和多向分化能力方面的特征。然后,我们制备了牙周膜细胞(PDLCs)衍生和骨髓细胞(BMCs)衍生的细胞外基质(P-ECM 和 B-ECM)和相关的去细胞细胞外基质(dECM)。使用透射电子显微镜(TEM)、扫描电子显微镜(SEM)、原子力显微镜(AFM)和蛋白质质谱分析来区分 ECMs。通过 siRNA 抑制或通过相关细胞的慢病毒转导激活 ECM 中的 IV 型胶原 A2(COL4A2)的表达。在不同的 dECM 中测定 PDLSCs 的干性、增殖和分化。
在 COL4A2 调节下,将不同的 dECM 与 PDLSCs 和 Bio-Oss 骨粉混合,皮下植入免疫缺陷小鼠或大鼠牙槽骨缺损处。通过组织学或免疫组织化学染色和微 CT 分析鉴定修复效果。
与 P-dECM 相比,TEM、SEM 和 AFM 显示 B-dECM 具有更致密的纤维。蛋白质质谱分析显示,B-dECM 中的 COL4A2 明显高于 P-dECM。与 P-dECM 相比,PDLSCs 在 B-dECM 上培养时表现出更强的增殖、干性和成骨分化能力。有趣的是,B-dECM 增强了 PDLSCs 的成骨分化,其程度大于 P-dECM 无论是在体外还是体内,而下调 B-dECM 中的 COL4A2 则显示出相反的结果。此外,通过使用 Wnt 抑制剂 DKK-1 和 Wnt 激活剂 Wnt3a 的实验,发现 COL4A2 通过负调控 Wnt/β-catenin 通路在成骨分化中起重要作用,这得到了证实。
这些发现表明,ECM 中的 COL4A2 通过负调控 Wnt/β-catenin 通路促进 PDLSCs 的成骨分化,可作为修复骨缺损的潜在治疗策略。