Wen Xueying, Jiang Wenkai, Li Xiaolin, Liu Qian, Kang Yuanyuan, Song Bing
School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang 110002, China.
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Operative Dentistry & Endodontics, School of Stomatology, Fourth Military Medical University, Xi'an 710032, China.
Biomedicines. 2024 Mar 19;12(3):683. doi: 10.3390/biomedicines12030683.
Spinal cord injury (SCI), a prevalent and disabling neurological condition, prompts a growing interest in stem cell therapy as a promising avenue for treatment. Dental-derived stem cells, including dental pulp stem cells (DPSCs), stem cells from human exfoliated deciduous teeth (SHED), stem cells from the apical papilla (SCAP), dental follicle stem cells (DFSCs), are of interest due to their accessibility, minimally invasive extraction, and robust differentiating capabilities. Research indicates their potential to differentiate into neural cells and promote SCI repair in animal models at both tissue and functional levels. This review explores the potential applications of dental-derived stem cells in SCI neural repair, covering stem cell transplantation, conditioned culture medium injection, bioengineered delivery systems, exosomes, extracellular vesicle treatments, and combined therapies. Assessing the clinical effectiveness of dental-derived stem cells in the treatment of SCI, further research is necessary. This includes investigating potential biological mechanisms and conducting Large-animal studies and clinical trials. It is also important to undertake more comprehensive comparisons, optimize the selection of dental-derived stem cell types, and implement a functionalized delivery system. These efforts will enhance the therapeutic potential of dental-derived stem cells for repairing SCI.
脊髓损伤(SCI)是一种常见的致残性神经疾病,这促使人们对干细胞治疗作为一种有前景的治疗途径的兴趣日益浓厚。源自牙齿的干细胞,包括牙髓干细胞(DPSCs)、人脱落乳牙干细胞(SHED)、根尖乳头干细胞(SCAP)、牙囊干细胞(DFSCs),因其易于获取、微创提取以及强大的分化能力而备受关注。研究表明,它们在动物模型中具有分化为神经细胞并在组织和功能水平上促进脊髓损伤修复的潜力。本文综述探讨了源自牙齿的干细胞在脊髓损伤神经修复中的潜在应用,涵盖干细胞移植、条件培养基注射、生物工程递送系统、外泌体、细胞外囊泡治疗以及联合疗法。评估源自牙齿的干细胞在治疗脊髓损伤中的临床有效性,还需要进一步的研究。这包括研究潜在的生物学机制以及开展大型动物研究和临床试验。进行更全面的比较、优化源自牙齿的干细胞类型的选择以及实施功能化递送系统也很重要。这些努力将提高源自牙齿的干细胞修复脊髓损伤的治疗潜力。