Cabaña-Muñoz María Eugenia, Pelaz Fernández María Jesús, Parmigiani-Cabaña José María, Parmigiani-Izquierdo José María, Merino José Joaquín
CIROM-Centro de Rehabilitación Oral Multidisciplinaria, 30001 Murcia, Spain.
BIONORDIC S.L, 47151 Valladolid, Spain.
Pharmaceutics. 2023 Aug 9;15(8):2109. doi: 10.3390/pharmaceutics15082109.
Adult mesenchymal stem cells are those obtained from the conformation of dental structures (DMSC), such as deciduous and permanent teeth and other surrounding tissues. Background: The self-renewal and differentiation capacities of these adult stem cells allow for great clinical potential. Because DMSC are cells of ectomesenchymal origin, they reveal a high capacity for complete regeneration of dental pulp, periodontal tissue, and other biomedical applications; their differentiation into other types of cells promotes repair in muscle tissue, cardiac, pancreatic, nervous, bone, cartilage, skin, and corneal tissues, among others, with a high predictability of success. Therefore, stem and progenitor cells, with their exosomes of dental origin and surrounding areas in the oral cavity due to their plasticity, are considered a fundamental pillar in medicine and regenerative dentistry. Tissue engineering (MSCs, scaffolds, and bioactive molecules) sustains and induces its multipotent and immunomodulatory effects. It is of vital importance to guarantee the safety and efficacy of the procedures designed for patients, and for this purpose, more clinical trials are needed to increase the efficacy of several pathologies. Conclusion: From a bioethical and transcendental anthropological point of view, the human person as a unique being facilitates better clinical and personalized therapy, given the higher prevalence of dental and chronic systemic diseases.
成人间充质干细胞是从牙齿结构(牙髓间充质干细胞)的结构中获取的,比如乳牙、恒牙以及其他周围组织。背景:这些成体干细胞的自我更新和分化能力具有巨大的临床潜力。由于牙髓间充质干细胞是外胚间充质来源的细胞,它们在牙髓、牙周组织的完全再生以及其他生物医学应用方面展现出很高的能力;它们向其他类型细胞的分化促进了肌肉组织、心脏、胰腺、神经、骨骼、软骨、皮肤和角膜组织等的修复,且成功率具有很高的可预测性。因此,由于其可塑性,口腔内牙齿来源及周围区域的干细胞和祖细胞及其外泌体被认为是医学和再生牙科的重要支柱。组织工程(间充质干细胞、支架和生物活性分子)维持并诱导其多能性和免疫调节作用。确保为患者设计的程序的安全性和有效性至关重要,为此,需要更多的临床试验来提高多种病症的疗效。结论:从生物伦理和超验人类学的角度来看,鉴于牙齿和慢性全身性疾病的高发性,作为独特个体的人类有助于实现更好的临床和个性化治疗。
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