Translational Biomedical Science, University of Rochester, Rochester, New York, USA.
Eastman Institute for Oral Health, University of Rochester, Rochester, New York, USA.
Tissue Eng Part A. 2021 Jun;27(11-12):733-747. doi: 10.1089/ten.TEA.2020.0278. Epub 2020 Dec 9.
Rebuilding the tooth-supporting tissues (periodontium) destroyed by periodontitis remains a clinical challenge. Periodontal ligament cells (PDLCs), multipotent cells within the periodontal ligament (PDL), differentiate and form new PDL and mineralized tissues (cementum and bone) during native tissue repair in response to specific extracellular matrix (ECM) cues. Thus, harnessing ECM cues to control PDLC activity , and ultimately, to design a PDLC delivery vehicle for tissue regeneration is an important goal. In this study, poly(ethylene glycol) hydrogels were used as a synthetic PDL ECM to interrogate the roles of cell-matrix interactions and cell-mediated matrix remodeling in controlling PDLC activity. Results showed that PDLCs within matrix metalloproteinase (MMP)-degradable hydrogels expressed key PDL matrix genes and showed a six to eightfold increase in alkaline phosphatase (ALP) activity compared with PDLCs in nondegradable hydrogel controls. The increase in ALP activity, commonly considered an early marker of cementogenic/osteogenic differentiation, occurred independent of the presentation of the cell-binding ligand RGD or soluble media cues and remained elevated when inhibiting PDLC-matrix binding and intracellular tension. ALP activity was further increased in softer hydrogels regardless of degradability and was accompanied by an increase in PDLC volume. However, scaffolds that fostered PDLC ALP activity did not necessarily promote hydrogel ECM mineralization. Rather, matrix mineralization was greatest in stiffer, MMP-degradable hydrogels and required the presence of soluble media cues. These divergent outcomes illustrate the complexity of the PDLC response to ECM cues and the limitations of current scaffold materials. Nevertheless, key biomaterial design principles for controlling PDLC activity were identified for incorporation into scaffolds for periodontal tissue regeneration. Impact statement Engineered scaffolds are an attractive approach for delivering periodontal ligament cells (PDLCs) to rebuild the tooth-supporting tissues. Replicating key extracellular matrix (ECM) cues within tissue engineered scaffolds may maximize PDLC potential. However, the identity of important ECM cues and how they can be harnessed to control PDLC activity is still unknown. In this study, matrix degradability, cell-matrix binding, and stiffness were varied using synthetic poly(ethylene glycol) hydrogels for three-dimensional PDLC culture. PDLCs exhibited dramatic and divergent responses to these cues, supporting further investigation of ECM-replicating scaffolds for control of PDLC behavior and periodontal tissue regeneration.
牙周炎破坏的牙齿支持组织(牙周组织)的重建仍然是一个临床挑战。牙周韧带细胞(PDLCs)是牙周韧带(PDL)中的多能细胞,在天然组织修复过程中,它们会根据特定的细胞外基质(ECM)线索分化并形成新的牙周韧带和矿化组织(牙骨质和骨)。因此,利用 ECM 线索来控制 PDLC 活性,最终设计用于组织再生的 PDLC 输送载体是一个重要目标。在这项研究中,聚乙二醇水凝胶被用作合成牙周 ECM,以研究细胞-基质相互作用和细胞介导的基质重塑在控制 PDLC 活性中的作用。结果表明,在基质金属蛋白酶(MMP)可降解水凝胶中的 PDLC 表达关键的牙周基质基因,并表现出比不可降解水凝胶对照中的 PDLC 高六到八倍的碱性磷酸酶(ALP)活性。ALP 活性的增加,通常被认为是成牙骨质/成骨分化的早期标志物,发生在不呈现细胞结合配体 RGD 或可溶性介质线索的情况下,并且当抑制 PDLC-基质结合和细胞内张力时,ALP 活性仍然升高。无论降解性如何,在更柔软的水凝胶中,ALP 活性进一步增加,并伴随着 PDLC 体积的增加。然而,促进 PDLC ALP 活性的支架不一定促进水凝胶 ECM 矿化。相反,在更硬的 MMP 可降解水凝胶中,基质矿化最大,并且需要存在可溶性介质线索。这些不同的结果说明了 PDLC 对 ECM 线索的反应的复杂性,以及当前支架材料的局限性。尽管如此,为了将其纳入牙周组织再生的支架中,已经确定了控制 PDLC 活性的关键生物材料设计原则。