Department of Orthodontics and Pediatric Dentistry, University of Michigan School of Dentistry, Ann Arbor, MI, 48109, USA.
Cell Tissue Res. 2021 Feb;383(2):603-616. doi: 10.1007/s00441-020-03271-0. Epub 2020 Aug 17.
The dental pulp, a non-mineralized connective tissue uniquely encased within the cavity of the tooth, provides a niche for diverse arrays of dental mesenchymal stem cells. Stem cells in the dental pulp, including dental pulp stem cells (DPSCs), stem cells from human exfoliated deciduous teeth (SHEDs) and stem cells from apical papilla (SCAPs), have been isolated from human tissues with an emphasis on their potential application to regenerative therapies. Recent studies utilizing mouse genetic models shed light on the identities of these mesenchymal progenitor cells derived from neural crest cells (NCCs) in their native conditions, particularly regarding how they contribute to homeostasis and repair of the dental tissue. The current concept is that at least two distinct niches for stem cells exist in the dental pulp, e.g., the perivascular niche and the perineural niche. The precise identities of these stem cells and their niches are now beginning to be unraveled thanks to sophisticated mouse genetic models, which lead to better understanding of the fundamental properties of stem cells in the dental pulp and the apical papilla in humans. The new knowledge will be highly instrumental for developing more effective stem cell-based regenerative therapies to repair teeth in the future.
牙髓是一种非矿化的结缔组织,独特地包裹在牙齿的腔体内,为各种牙齿间充质干细胞提供了一个小生境。牙髓中的干细胞,包括牙髓干细胞(DPSCs)、人脱落乳牙中的干细胞(SHEDs)和根尖乳头中的干细胞(SCAPs),已经从人体组织中分离出来,重点研究它们在再生治疗中的潜在应用。最近利用小鼠遗传模型的研究揭示了这些来源于神经嵴细胞(NCCs)的间充质祖细胞在其天然状态下的特性,特别是它们如何有助于牙齿组织的稳态和修复。目前的概念是,牙髓中至少存在两个不同的干细胞小生境,例如血管周隙和神经周隙。多亏了复杂的小鼠遗传模型,这些干细胞及其小生境的精确特性才开始被揭示,这有助于更好地理解牙髓和人根尖乳头中干细胞的基本特性。这些新知识将对开发更有效的基于干细胞的再生治疗方法以修复牙齿起到重要作用。