Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis

Regenerative endodontic procedures (REPs) are a new option for the treatment of dental pulp or periapical diseases in permanent teeth with open apices. Histologically, the new tissues formed in the root canal after REPs are mainly cementum- or bone-like mineralised tissues, but not the real dentine-...

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Main Authors: Xueying Zhuang, Lingli Ji, Huan Jiang, Yao Liu, Xuemei Liu, Jing Bi, Weidong Zhao, Zhenjiang Ding, Xu Chen
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Stem Cells International
Online Access:http://dx.doi.org/10.1155/2020/5816723
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author Xueying Zhuang
Lingli Ji
Huan Jiang
Yao Liu
Xuemei Liu
Jing Bi
Weidong Zhao
Zhenjiang Ding
Xu Chen
author_facet Xueying Zhuang
Lingli Ji
Huan Jiang
Yao Liu
Xuemei Liu
Jing Bi
Weidong Zhao
Zhenjiang Ding
Xu Chen
author_sort Xueying Zhuang
collection DOAJ
description Regenerative endodontic procedures (REPs) are a new option for the treatment of dental pulp or periapical diseases in permanent teeth with open apices. Histologically, the new tissues formed in the root canal after REPs are mainly cementum- or bone-like mineralised tissues, but not the real dentine-pulp complex. Therefore, how to promote dentine-pulp complex regeneration and improve the clinical effects of REPs has become a prominent research topic. Stem cells from apical papilla (SCAP) are derived from the dental papilla that can differentiate into primary odontoblasts and dental pulp cells that produce root dentine and dental pulp. Exosomes are the key regulator for the paracrine activity of stem cells and can influence the function of recipient cells. In this study, SCAP-derived exosomes (SCAP-Exo) were introduced into the root fragment containing bone marrow mesenchymal stem cells (BMMSCs) and transplanted subcutaneously into immunodeficient mice. We observed that dental pulp-like tissues were present and the newly formed dentine was deposited onto the existing dentine in the root canal. Afterwards, the effects of SCAP-Exo on the dentinogenesis of BMMSCs were elucidated in vitro. We found that the gene and protein expression of dentine sialophosphoprotein and mineralised nodule formation in BMMSCs treated with SCAP-Exo were significantly increased. In summary, SCAP-Exo were endocytosed by BMMSCs and obviously improved their specific dentinogenesis. The use of exosomes derived from dental stem cells could comprise a potential therapeutic approach for dentine-pulp complex regeneration in REPs.
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spelling doaj-art-4fc3cdbe31ec46028dbc4a18776226762025-02-03T01:04:06ZengWileyStem Cells International1687-966X1687-96782020-01-01202010.1155/2020/58167235816723Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific DentinogenesisXueying Zhuang0Lingli Ji1Huan Jiang2Yao Liu3Xuemei Liu4Jing Bi5Weidong Zhao6Zhenjiang Ding7Xu Chen8Department of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Developmental Cell Biology, School of Life Sciences, China Medical University, Shenyang 110122, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaDepartment of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang 110002, ChinaRegenerative endodontic procedures (REPs) are a new option for the treatment of dental pulp or periapical diseases in permanent teeth with open apices. Histologically, the new tissues formed in the root canal after REPs are mainly cementum- or bone-like mineralised tissues, but not the real dentine-pulp complex. Therefore, how to promote dentine-pulp complex regeneration and improve the clinical effects of REPs has become a prominent research topic. Stem cells from apical papilla (SCAP) are derived from the dental papilla that can differentiate into primary odontoblasts and dental pulp cells that produce root dentine and dental pulp. Exosomes are the key regulator for the paracrine activity of stem cells and can influence the function of recipient cells. In this study, SCAP-derived exosomes (SCAP-Exo) were introduced into the root fragment containing bone marrow mesenchymal stem cells (BMMSCs) and transplanted subcutaneously into immunodeficient mice. We observed that dental pulp-like tissues were present and the newly formed dentine was deposited onto the existing dentine in the root canal. Afterwards, the effects of SCAP-Exo on the dentinogenesis of BMMSCs were elucidated in vitro. We found that the gene and protein expression of dentine sialophosphoprotein and mineralised nodule formation in BMMSCs treated with SCAP-Exo were significantly increased. In summary, SCAP-Exo were endocytosed by BMMSCs and obviously improved their specific dentinogenesis. The use of exosomes derived from dental stem cells could comprise a potential therapeutic approach for dentine-pulp complex regeneration in REPs.http://dx.doi.org/10.1155/2020/5816723
spellingShingle Xueying Zhuang
Lingli Ji
Huan Jiang
Yao Liu
Xuemei Liu
Jing Bi
Weidong Zhao
Zhenjiang Ding
Xu Chen
Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis
Stem Cells International
title Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis
title_full Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis
title_fullStr Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis
title_full_unstemmed Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis
title_short Exosomes Derived from Stem Cells from the Apical Papilla Promote Dentine-Pulp Complex Regeneration by Inducing Specific Dentinogenesis
title_sort exosomes derived from stem cells from the apical papilla promote dentine pulp complex regeneration by inducing specific dentinogenesis
url http://dx.doi.org/10.1155/2020/5816723
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