Honda Masaki, Ohshima Hayato
Department of Oral Anatomy, Aichi Gakuin University School of Dentistry, Nagoya, Japan.
Division of Anatomy and Cell Biology of the Hard Tissue, Department of Tissue Regeneration and Reconstruction, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
J Oral Biosci. 2022 Mar;64(1):26-36. doi: 10.1016/j.job.2022.01.002. Epub 2022 Jan 11.
Regenerative medicine has emerged as a multidisciplinary field with the promising potential of renewing tissues and organs. The main types of adult stem cells used in clinical trials are hematopoietic and mesenchymal stem cells (MSCs). Stem cells are defined as self-renewing clonogenic progenitor cells that can generate one or more types of specialized cells.
MSCs form adipose, cartilage, and bone tissue. Their protective and regenerative effects, such as mitogenic, anti-apoptotic, anti-inflammatory, and angiogenic effects, are mediated through paracrine and endocrine mechanisms. Dental pulp is a valuable source of stem cells because the collection of dental pulp for stem cell isolation is non-invasive, in contrast to conventional sources, such as bone marrow and adipose tissue. Teeth are an excellent source of dental pulp stem cells (DPSCs) for therapeutic procedures and they can be easily obtained after tooth extraction or the shedding of deciduous teeth. Thus, there is increased interest in optimizing and establishing standard procedures for obtaining DPSCs; preserving well-defined DPSC cultures for specific applications; and increasing the efficiency, reproducibility, and safety of the clinical use of DPSCs.
This review comprehensively describes the biological characteristics and origins of DPSCs, their identification and harvesting, key aspects related to their characterization, their multilineage differentiation potential, current clinical applications, and their potential use in regenerative medicine for future dental and medical applications.
再生医学已成为一个多学科领域,具有更新组织和器官的广阔潜力。临床试验中使用的主要成体干细胞类型是造血干细胞和间充质干细胞(MSC)。干细胞被定义为能够自我更新的克隆性祖细胞,可产生一种或多种类型的特化细胞。
间充质干细胞可形成脂肪、软骨和骨组织。它们的保护和再生作用,如促有丝分裂、抗凋亡、抗炎和血管生成作用,是通过旁分泌和内分泌机制介导的。牙髓是干细胞的宝贵来源,因为与骨髓和脂肪组织等传统来源不同,采集牙髓用于干细胞分离是非侵入性的。牙齿是用于治疗程序的牙髓干细胞(DPSC)的极佳来源,在拔牙或乳牙脱落后很容易获得。因此,人们对优化和建立获取牙髓干细胞的标准程序、为特定应用保存明确的牙髓干细胞培养物以及提高牙髓干细胞临床应用的效率、可重复性和安全性的兴趣日益增加。
本综述全面描述了牙髓干细胞的生物学特性和来源、其鉴定和采集、与表征相关的关键方面、其多向分化潜能、当前的临床应用以及它们在再生医学中未来牙科和医学应用的潜在用途。