Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study

Abstract Objectives This study aimed to investigate the regenerative potential of a novel three-dimensional, scaffold-free human periodontal ligament stem cell-derived cell pellet (PDLSC-CP) for bone tissue regeneration and alveolar ridge preservation. The study evaluated the efficacy of PDLSC-CP in...

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Main Authors: Xiang Liang, Zhou Zhang, Siya Fang, Sadam Ahmed Elayah, Le Bai, Sina Ahmadi, Jin Liu, Fangfang Xu, Ying Han, Junbo Tu, Sijia Na
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06495-0
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author Xiang Liang
Zhou Zhang
Siya Fang
Sadam Ahmed Elayah
Le Bai
Sina Ahmadi
Jin Liu
Fangfang Xu
Ying Han
Junbo Tu
Sijia Na
author_facet Xiang Liang
Zhou Zhang
Siya Fang
Sadam Ahmed Elayah
Le Bai
Sina Ahmadi
Jin Liu
Fangfang Xu
Ying Han
Junbo Tu
Sijia Na
author_sort Xiang Liang
collection DOAJ
description Abstract Objectives This study aimed to investigate the regenerative potential of a novel three-dimensional, scaffold-free human periodontal ligament stem cell-derived cell pellet (PDLSC-CP) for bone tissue regeneration and alveolar ridge preservation. The study evaluated the efficacy of PDLSC-CP in vitro and in vivo, comparing it with traditional cell sheets (PDLSC-CS). Methods PDLSCs were isolated from extracted premolars and characterized for their mesenchymal stem cell properties, including fibroblast-like morphology, colony-forming ability, multilineage differentiation potential, and specific surface marker expression. PDLSC-CP and PDLSC-CS were constructed and compared through histomorphological, immunofluorescence, real-time PCR, and western blot analyses. In vivo evaluations were performed using rat calvarial defect models and canine alveolar ridge preservation models, with micro-CT and histological analyses to assess bone regeneration and ridge preservation. Results PDLSC-CP demonstrated superior histomorphological characteristics, including higher cell density, richer extracellular matrix (ECM), and enhanced osteogenic potential compared to PDLSC-CS. In vitro analyses revealed significantly elevated expression of ECM proteins (fibronectin, collagen type I) and osteogenic markers in PDLSC-CP. In vivo evaluations confirmed its remarkable capacity for bone regeneration in rat calvarial defects and alveolar ridge preservation in canine models. Micro-CT and histological analyses showed that PDLSC-CP promoted extensive and dense new bone formation, with improved bone volume fraction, trabecular thickness, and mineralization. Conclusions The findings highlight the therapeutic potential of PDLSC-CP as a promising tool for bone tissue engineering and regenerative medicine. Its ability to enhance bone regeneration and alveolar ridge preservation underscores its clinical relevance. Graphical Abstract
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spelling doaj-art-5448e957345d4f5599e4bdb304dfebce2025-08-20T03:46:12ZengBMCBMC Oral Health1472-68312025-07-0125111510.1186/s12903-025-06495-0Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo studyXiang Liang0Zhou Zhang1Siya Fang2Sadam Ahmed Elayah3Le Bai4Sina Ahmadi5Jin Liu6Fangfang Xu7Ying Han8Junbo Tu9Sijia Na10Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityDepartment of Oral and Maxillofacial Surgery, Jiblah University for Medical and Health SciencesKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi’an Jiaotong UniversityAbstract Objectives This study aimed to investigate the regenerative potential of a novel three-dimensional, scaffold-free human periodontal ligament stem cell-derived cell pellet (PDLSC-CP) for bone tissue regeneration and alveolar ridge preservation. The study evaluated the efficacy of PDLSC-CP in vitro and in vivo, comparing it with traditional cell sheets (PDLSC-CS). Methods PDLSCs were isolated from extracted premolars and characterized for their mesenchymal stem cell properties, including fibroblast-like morphology, colony-forming ability, multilineage differentiation potential, and specific surface marker expression. PDLSC-CP and PDLSC-CS were constructed and compared through histomorphological, immunofluorescence, real-time PCR, and western blot analyses. In vivo evaluations were performed using rat calvarial defect models and canine alveolar ridge preservation models, with micro-CT and histological analyses to assess bone regeneration and ridge preservation. Results PDLSC-CP demonstrated superior histomorphological characteristics, including higher cell density, richer extracellular matrix (ECM), and enhanced osteogenic potential compared to PDLSC-CS. In vitro analyses revealed significantly elevated expression of ECM proteins (fibronectin, collagen type I) and osteogenic markers in PDLSC-CP. In vivo evaluations confirmed its remarkable capacity for bone regeneration in rat calvarial defects and alveolar ridge preservation in canine models. Micro-CT and histological analyses showed that PDLSC-CP promoted extensive and dense new bone formation, with improved bone volume fraction, trabecular thickness, and mineralization. Conclusions The findings highlight the therapeutic potential of PDLSC-CP as a promising tool for bone tissue engineering and regenerative medicine. Its ability to enhance bone regeneration and alveolar ridge preservation underscores its clinical relevance. Graphical Abstracthttps://doi.org/10.1186/s12903-025-06495-0Alveolar ridge preservationBone regenerationCell pelletExtracellular matrixScaffold-free tissuePeriodontal ligament stem cells
spellingShingle Xiang Liang
Zhou Zhang
Siya Fang
Sadam Ahmed Elayah
Le Bai
Sina Ahmadi
Jin Liu
Fangfang Xu
Ying Han
Junbo Tu
Sijia Na
Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study
BMC Oral Health
Alveolar ridge preservation
Bone regeneration
Cell pellet
Extracellular matrix
Scaffold-free tissue
Periodontal ligament stem cells
title Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study
title_full Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study
title_fullStr Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study
title_full_unstemmed Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study
title_short Three-dimensional scaffold-free periodontal ligament stem cell pellets for alveolar ridge preservation: an in vitro and in vivo study
title_sort three dimensional scaffold free periodontal ligament stem cell pellets for alveolar ridge preservation an in vitro and in vivo study
topic Alveolar ridge preservation
Bone regeneration
Cell pellet
Extracellular matrix
Scaffold-free tissue
Periodontal ligament stem cells
url https://doi.org/10.1186/s12903-025-06495-0
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