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口腔组织来源干细胞的电刺激:开启牙齿与牙周再生的新潜能

Electrical Stimulation of Oral Tissue-Derived Stem Cells: Unlocking New Potential for Dental and Periodontal Regeneration.

作者信息

Pires Rúben S, Santos Mafalda S, Miguel Filipe, da Silva Cláudia L, Silva João Carlos

机构信息

Department of Bioengineering, iBB-Institute for Bioengineering and Biosciences, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal.

Associate Laboratory i4HB-Institute for Health and Bioeconomy, Instituto Superior Técnico, Universidade de Lisboa, Av. Rovisco Pais, 1049-001 Lisboa, Portugal.

出版信息

Cells. 2025 Jun 4;14(11):840. doi: 10.3390/cells14110840.

DOI:10.3390/cells14110840
PMID:40498016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12155425/
Abstract

The tooth and its supporting periodontium are essential structures of the oral cavity, frequently compromised by conditions such as dental defects, aries, and periodontal diseases, which, if poorly treated, often lead to tooth loss. These conditions, affecting billions of people worldwide, remain significant healthcare and socio-economic challenges. Regenerative dentistry has emerged as a possible therapeutic option, leveraging advances in tissue engineering (TE), stem cell biology, and biophysical stimulation. Oral tissue-derived mesenchymal stem/stromal cells (OMSCs) hold great potential for dental and periodontal regeneration. Electrical stimulation (ES), a biophysical cue known to regulate key cellular behaviors such as migration, proliferation, and differentiation, has gained increasing attention for enhancing the therapeutic capacities of OMSCs. This review explores the biological properties of OMSCs under ES, its role in regenerative dentistry, and recent breakthroughs in ES-based dental and periodontal TE strategies. Furthermore, the current challenges and future directions for translating these innovative approaches into clinical practice are discussed.

摘要

牙齿及其支持性牙周组织是口腔的重要结构,常因牙齿缺损、龋齿和牙周疾病等状况而受损,若治疗不当,往往会导致牙齿脱落。这些影响全球数十亿人的状况,仍然是重大的医疗保健和社会经济挑战。再生牙科已成为一种可能的治疗选择,它利用了组织工程(TE)、干细胞生物学和生物物理刺激方面的进展。口腔组织来源的间充质干/基质细胞(OMSCs)在牙齿和牙周再生方面具有巨大潜力。电刺激(ES)作为一种已知可调节迁移、增殖和分化等关键细胞行为的生物物理信号,在增强OMSCs的治疗能力方面越来越受到关注。本综述探讨了ES作用下OMSCs的生物学特性、其在再生牙科中的作用以及基于ES的牙齿和牙周组织工程策略的最新突破。此外,还讨论了将这些创新方法转化为临床实践的当前挑战和未来方向。

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本文引用的文献

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The Impact of pH on the Piezoelectric Properties of Dentin in Root Canal Treated Teeth: Implications for Dental Materials and Oral Health.pH对根管治疗牙齿中牙本质压电性能的影响:对牙科材料和口腔健康的启示。
J Endod. 2025 Feb;51(2):195-199. doi: 10.1016/j.joen.2024.11.001. Epub 2024 Nov 19.
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Global, Regional, and Country-Level Economic Impacts of Oral Conditions in 2019.2019年口腔疾病对全球、区域和国家层面的经济影响
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Electric Current Application on Dental Implant Biofilms: Review.
电流在牙种植体生物膜上的应用:综述
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Electrical stimulation induced pre-vascularization of engineered dental pulp tissue.电刺激诱导工程化牙髓组织的血管前期形成。
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Direct coupled electrical stimulation towards improved osteogenic differentiation of human mesenchymal stem/stromal cells: a comparative study of different protocols.直接电刺激促进人骨髓间充质干细胞成骨分化的作用:不同方案的对比研究。
Sci Rep. 2024 Mar 5;14(1):5458. doi: 10.1038/s41598-024-55234-y.
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Piezoelectric hydrogel for treatment of periodontitis through bioenergetic activation.用于通过生物能量激活治疗牙周炎的压电水凝胶
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Recent advances of cellular stimulation with triboelectric nanogenerators.摩擦纳米发电机用于细胞刺激的最新进展
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The Effect of Low-Frequency Pulsed Electromagnetic Fields on the Differentiation of Permanent Dental Pulp Stem Cells into Odontoblasts.低频脉冲电磁场对恒牙牙髓干细胞向成牙本质细胞分化的影响
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A Novel Injectable Piezoelectric Hydrogel for Periodontal Disease Treatment.一种新型可注射压电水凝胶用于牙周病治疗。
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