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Firoozi P, Amiri MA, Soghli N, Farshidfar N, Hakimiha N, Fekrazad R. The Role of Photobiomodulation on Dental-Derived Stem Cells in Regenerative Dentistry: A Comprehensive Systematic Review. Curr Stem Cell Res Ther 2024; 19:559-586. [PMID: 35950251 DOI: 10.2174/1574888x17666220810141411] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 05/17/2022] [Accepted: 06/17/2022] [Indexed: 11/22/2022]
Abstract
BACKGROUND Photobiomodulation therapy involves exposing tissues to light sources, including light-emitting diodes or low-level lasers, which results in cellular function modulation. The molecular mechanism of this treatment is revealed, demonstrating that depending on the light settings utilized, it has the potential to elicit both stimulatory and inhibitory reactions. OBJECTIVE The current systematic review aimed to evaluate the impact of photobiomodulation therapy on dental stem cells and provide an evidence-based conclusion in this regard. METHODS This systematic review was performed and reported based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) revised guidelines. PICO(S) components were employed to define the inclusion criteria. Web of Science, Scopus, Medline as well as grey literature, and google scholar were searched up to September 2021 to retrieve relevant papers. RESULTS Photobiomodulation therapy showed promising effects on the proliferation, viability, and differentiation of dental stem cells. This finding was based on reviewing related articles with a low risk of bias. CONCLUSION Despite the positive benefits of photobiomodulation therapy on dental stem cells, the current data do not provide a definitive conclusion on the best physical parameters for enhancing cell viability, proliferation, and differentiation.
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Affiliation(s)
- Parsa Firoozi
- Student Research Committee, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Mohammad Amin Amiri
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Negin Soghli
- Student Research Committee, Babol University of Medical Sciences, Babol, Iran
| | - Nima Farshidfar
- Orthodontic Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Neda Hakimiha
- Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Reza Fekrazad
- Laser Research Centre in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran
- International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran
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Future Drug Targets in Periodontal Personalised Medicine—A Narrative Review. J Pers Med 2022; 12:jpm12030371. [PMID: 35330371 PMCID: PMC8955099 DOI: 10.3390/jpm12030371] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 02/22/2022] [Accepted: 02/26/2022] [Indexed: 02/08/2023] Open
Abstract
Periodontal disease is an infection-driven inflammatory disease characterized by the destruction of tooth-supporting tissues. The establishment of chronic inflammation will result in progressive destruction of bone and soft tissue changes. Severe periodontitis can lead to tooth loss. The disease has complex pathogenesis with an interplay between genetic, environmental, and host factors and pathogens. Effective management consists of plaque control and non-surgical interventions, along with adjuvant strategies to control inflammation and disrupt the pathogenic subgingival biofilms. Recent studies have examined novel approaches for managing periodontal diseases such as modulating microbial signaling mechanisms, tissue engineering, and molecular targeting of host inflammatory substances. Mounting evidence suggests the need to integrate omics-based approaches with traditional therapy to address the disease. This article discusses the various evolving and future drug targets, including proteomics, gene therapeutics, vaccines, and nanotechnology in personalized periodontal medicine for the effective management of periodontal diseases.
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Higuchi J, Fortunato G, Woźniak B, Chodara A, Domaschke S, Męczyńska-Wielgosz S, Kruszewski M, Dommann A, Łojkowski W. Polymer Membranes Sonocoated and Electrosprayed with Nano-Hydroxyapatite for Periodontal Tissues Regeneration. NANOMATERIALS (BASEL, SWITZERLAND) 2019; 9:E1625. [PMID: 31731775 PMCID: PMC6915502 DOI: 10.3390/nano9111625] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 11/12/2019] [Accepted: 11/13/2019] [Indexed: 01/21/2023]
Abstract
Diseases of periodontal tissues are a considerable clinical problem, connected with inflammatory processes and bone loss. The healing process often requires reconstruction of lost bone in the periodontal area. For that purpose, various membranes are used to prevent ingrowth of epithelium in the tissue defect and enhance bone regeneration. Currently-used membranes are mainly non-resorbable or are derived from animal tissues. Thus, there is an urgent need for non-animal-derived bioresorbable membranes with tuned resorption rates and porosity optimized for the circulation of body nutrients. We demonstrate membranes produced by the electrospinning of biodegradable polymers (PDLLA/PLGA) coated with nanohydroxyapatite (nHA). The nHA coating was made using two methods: sonocoating and electrospraying of nHA suspensions. In a simulated degradation study, for electrosprayed membranes, short-term calcium release was observed, followed by hydrolytic degradation. Sonocoating produced a well-adhering nHA layer with full coverage of the fibers. The layer slowed the polymer degradation and increased the membrane wettability. Due to gradual release of calcium ions the degradation-associated acidity of the polymer was neutralized. The sonocoated membranes exhibited good cellular metabolic activity responses against MG-63 and BJ cells. The collected results suggest their potential use in Guided Tissue Regeneration (GTR) and Guided Bone Regeneration (GBR) periodontal procedures.
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Affiliation(s)
- Julia Higuchi
- Laboratory of Nanostructures, Institute of High Pressure Physics, Polish Academy of Sciences, 01142 Warsaw, Poland; (B.W.); (A.C.); (W.Ł.)
- Faculty of Materials Science and Engineering, Warsaw University of Technology, 02507 Warsaw, Poland
- Laboratory for Biomimetic Membranes and Textiles, Empa Swiss Federal Laboratories for Materials Science and Technology, 9014 St. Gallen, Switzerland
| | - Giuseppino Fortunato
- Laboratory for Biomimetic Membranes and Textiles, Empa Swiss Federal Laboratories for Materials Science and Technology, 9014 St. Gallen, Switzerland
| | - Bartosz Woźniak
- Laboratory of Nanostructures, Institute of High Pressure Physics, Polish Academy of Sciences, 01142 Warsaw, Poland; (B.W.); (A.C.); (W.Ł.)
| | - Agnieszka Chodara
- Laboratory of Nanostructures, Institute of High Pressure Physics, Polish Academy of Sciences, 01142 Warsaw, Poland; (B.W.); (A.C.); (W.Ł.)
- Faculty of Materials Science and Engineering, Warsaw University of Technology, 02507 Warsaw, Poland
| | - Sebastian Domaschke
- Experimental Continuum Mechanics, Empa Swiss Federal Laboratories for Materials Science and Technology, 8600 Dübendorf, Switzerland;
- Department of Mechanical and Process Engineering, Institute for Mechanical Systems, ETH Zürich, 8092 Zürich, Switzerland
| | - Sylwia Męczyńska-Wielgosz
- Centre for Radiobiology and Biological Dosimetry, Institute of Nuclear Chemistry and Technology, 03195 Warsaw, Poland;
| | - Marcin Kruszewski
- Department of Molecular Biology and Translational Research, Institute of Rural Health, 20090 Lublin, Poland;
| | - Alex Dommann
- Department Materials meet Life, Empa Swiss Federal Laboratories for Materials Science and Technology, 9014 St. Gallen, Switzerland;
| | - Witold Łojkowski
- Laboratory of Nanostructures, Institute of High Pressure Physics, Polish Academy of Sciences, 01142 Warsaw, Poland; (B.W.); (A.C.); (W.Ł.)
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Neunzehn J, Pötschke S, Hannig C, Wiesmann HP, Weber MT. Odontoblast-like differentiation and mineral formation of pulpsphere derived cells on human root canal dentin in vitro. Head Face Med 2017; 13:23. [PMID: 29221472 PMCID: PMC5723081 DOI: 10.1186/s13005-017-0156-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2017] [Accepted: 12/01/2017] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND The revitalization or regeneration of the dental pulp is a preferable goal in current endodontic research. In this study, human dental pulp cell (DPC) spheres were applied to human root canal samples to evaluate their potential adoption for physiological tissue-like regeneration of the dental root canal by odontoblastic differentiation as well as cell-induced mineral formation. METHODS DPC were cultivated into three-dimensional cell spheres and seeded on human root canal specimens. The evaluation of sphere formation, tissue-like behavior and differentiation as well as mineral formation of the cells was carried out with the aid of optical light microscopy, immunohistochemical staining and scanning electron microscopy (SEM). RESULTS Spheres and cells migrated out of the spheres showed an intense cell-cell- and cell-dentin-contact with the formation of extra cellular matrix. In addition, the ingrowth of cell processes into dentinal tubules and the interaction of cell processes with the tubule walls were detected by SEM-imaging. Immunohistochemical staining of the odontoblast specific matrix proteins, dentin matrix protein-1, and dentin sialoprotein revealed an odontoblast-like cell differentiation in contact with the dentin surface. This differentiation was confirmed by SEM-imaging of cells with an odontoblast specific phenotype and cell induced mineral formation. CONCLUSIONS The results of the present study reveal the high potential of pulp cells organized in spheres for dental tissue engineering. The odontoblast-like differentiation and the cell induced mineral formation display the possibility of a complete or partial "dentinal filling" of the root canal and the opportunity to combine this method with other current strategies.
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Affiliation(s)
- Jörg Neunzehn
- Technische Universität Dresden, Institute of Material Science, Chair for Biomaterials, Budapester Strasse 27, D-01069, Dresden, Germany.
| | - Sandra Pötschke
- Clinic for Operative and Pediatric Dentistry, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, D-01307, Dresden, Germany
| | - Christian Hannig
- Clinic for Operative and Pediatric Dentistry, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, D-01307, Dresden, Germany
| | - Hans-Peter Wiesmann
- Technische Universität Dresden, Institute of Material Science, Chair for Biomaterials, Budapester Strasse 27, D-01069, Dresden, Germany
| | - Marie-Theres Weber
- Clinic for Operative and Pediatric Dentistry, Medical Faculty Carl Gustav Carus, TU Dresden, Fetscherstraße 74, D-01307, Dresden, Germany
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Lai QG, Sun SL, Zhou XH, Zhang CP, Yuan KF, Yang ZJ, Luo SL, Tang XP, Ci JB. Adipose-derived stem cells transfected with pEGFP-OSX enhance bone formation during distraction osteogenesis. J Zhejiang Univ Sci B 2014; 15:482-90. [PMID: 24793766 PMCID: PMC4076605 DOI: 10.1631/jzus.b1300203] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2013] [Accepted: 12/16/2013] [Indexed: 01/12/2023]
Abstract
This study was designed to investigate the effects of local delivery of adipose-derived stem cells (ADSCs) transfected with transcription factor osterix (OSX) on bone formation during distraction osteogenesis. New Zealand white rabbits (n=54) were randomly divided into three groups (18 rabbits per group). A directed cloning technique was used for the construction of recombinant plasmid pEGFP-OSX, where EGFP is the enhanced green fluorescence protein. After osteodistraction of the right mandible of all experimental rabbits, rabbits in group A were treated with ADSCs transfected with pEGFP-OSX, group B with ADSCs transfected with pEGFP-N1, and group C with physiological saline. Radiographic and histological examinations were processed after half of the animals within each group were humanely killed by injection of sodium pentothal at Week 2 or 6 after surgery. The distraction bone density was measured as its projectional bone mineral density (BMD). Three parameters were measured, namely, the thickness of new trabeculae (TNT), and the volumes of the newly generated cortical bone (NBV1) and the cancellous bone (NBV2) of the distracted regions. Good bone generation in the distraction areas was found in group A, which had the highest BMD, TNT, and NBV in the distraction zones among the groups. There was no significant difference in bone generation in the distraction areas between groups B and C. The results indicate that the transplantation of ADSCs transfected with pEGFP-OSX can effectively promote bone generation during distraction in vivo.
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Affiliation(s)
- Qing-guo Lai
- Department of Oral and Maxillofacial Surgery, the Second Hospital of Shandong University, Jinan 250033, China
- Department of Oral and Maxillofacial Surgery, Shanghai Key Laboratory of Stomatology, the Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China
| | - Shao-long Sun
- Department of Stomatology, Zhaoyuan People’s Hospital, Zhaoyuan 265400, China
- School of Stomatology, Shandong University, Jinan 250012, China
| | - Xiao-hong Zhou
- Department of Ultrasonography, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, China
| | - Chen-ping Zhang
- Department of Oral and Maxillofacial Surgery, Shanghai Key Laboratory of Stomatology, the Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China
| | - Kui-feng Yuan
- Department of Oral and Maxillofacial Surgery, the Second Hospital of Shandong University, Jinan 250033, China
| | - Zhong-jun Yang
- Department of Oral and Maxillofacial Surgery, the Second Hospital of Shandong University, Jinan 250033, China
| | - Sheng-lei Luo
- Department of Oral and Maxillofacial Surgery, the Second Hospital of Shandong University, Jinan 250033, China
| | - Xiao-peng Tang
- Department of Oral and Maxillofacial Surgery, the Second Hospital of Shandong University, Jinan 250033, China
| | - Jiang-bo Ci
- Department of Oral and Maxillofacial Surgery, the Second Hospital of Shandong University, Jinan 250033, China
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Chen FM, Jin Y. Periodontal tissue engineering and regeneration: current approaches and expanding opportunities. TISSUE ENGINEERING PART B-REVIEWS 2010; 16:219-55. [PMID: 19860551 DOI: 10.1089/ten.teb.2009.0562] [Citation(s) in RCA: 210] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The management of periodontal tissue defects that result from periodontitis represents a medical and socioeconomic challenge. Concerted efforts have been and still are being made to accelerate and augment periodontal tissue and bone regeneration, including a range of regenerative surgical procedures, the development of a variety of grafting materials, and the use of recombinant growth factors. More recently, tissue-engineering strategies, including new cell- and/or matrix-based dimensions, are also being developed, analyzed, and employed for periodontal regenerative therapies. Tissue engineering in periodontology applies the principles of engineering and life sciences toward the development of biological techniques that can restore lost alveolar bone, periodontal ligament, and root cementum. It is based on an understanding of the role of periodontal formation and aims to grow new functional tissues rather than to build new replacements of periodontium. Although tissue engineering has merged to create more opportunities for predictable and optimal periodontal tissue regeneration, the technique and design for preclinical and clinical studies remain in their early stages. To date, the reconstruction of small- to moderate-sized periodontal bone defects using engineered cell-scaffold constructs is technically feasible, and some of the currently developed concepts may represent alternatives for certain ideal clinical scenarios. However, the predictable reconstruction of the normal structure and functionality of a tooth-supporting apparatus remains challenging. This review summarizes current regenerative procedures for periodontal healing and regeneration and explores their progress and difficulties in clinical practice, with particular emphasis placed upon current challenges and future possibilities associated with tissue-engineering strategies in periodontal regenerative medicine.
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Affiliation(s)
- Fa-Ming Chen
- Department of Periodontology and Oral Medicine, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China
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Abstract
INTRODUCTION It is now accepted that progenitor/stem cells reside within the post-natal dental pulp. Studies have identified several niches of multipotent mesenchymal progenitor cells, known as dental pulp stem cells, which have a high proliferative potential for self-renewal. These progenitor stem cells are now recognized as being vital to the dentine regeneration process following injury. Understanding the nature of these progenitor/stem cell populations in the pulp is important in determining their potentialities and development of isolation or recruitment strategies for use in regeneration and tissue engineering. Characterization of these cells, and determination of their potentialities in terms of specificity of regenerative response, may help direct new clinical treatment modalities. Such novel treatments may involve controlled direct recruitment of the cells in situ and possible seeding of stem cells at sites of injury for regeneration or use of the stem cells with appropriate scaffolds for tissue engineering solutions. Such approaches may provide an innovative and novel biologically based new generation of clinical materials and/or treatments for dental disease. AIM This study aimed to review the body of knowledge relating to stem cells and to consider the possibility of these cell populations, and related technology, in future clinical applications.
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Affiliation(s)
- Alastair J Sloan
- Mineralised Tissue Research Group, Tissue Engineering and Regenerative Dentistry, School of Dentistry Cardiff University, Cardiff, UK.
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Yu J, Shi J, Jin Y. Current Approaches and Challenges in Making a Bio-Tooth. TISSUE ENGINEERING PART B-REVIEWS 2008; 14:307-19. [DOI: 10.1089/ten.teb.2008.0165] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- Jinhua Yu
- Institute of Stomatology, Nanjing Medical University, Nanjing, Jiangsu, P.R. China
- Department of Endodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China
- Research and Development Center for Tissue Engineering, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China
| | - Junnan Shi
- Department of Endodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China
| | - Yan Jin
- Research and Development Center for Tissue Engineering, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China
- Department of Oral Histology & Pathology, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, P.R. China
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Naujoks C, Meyer U, Wiesmann HP, Jäsche-Meyer J, Hohoff A, Depprich R, Handschel J. Principles of cartilage tissue engineering in TMJ reconstruction. Head Face Med 2008; 4:3. [PMID: 18298824 PMCID: PMC2288597 DOI: 10.1186/1746-160x-4-3] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2007] [Accepted: 02/25/2008] [Indexed: 11/10/2022] Open
Abstract
Diseases and defects of the temporomandibular joint (TMJ), compromising the cartilaginous layer of the condyle, impose a significant treatment challenge. Different regeneration approaches, especially surgical interventions at the TMJ's cartilage surface, are established treatment methods in maxillofacial surgery but fail to induce a regeneration ad integrum. Cartilage tissue engineering, in contrast, is a newly introduced treatment option in cartilage reconstruction strategies aimed to heal cartilaginous defects. Because cartilage has a limited capacity for intrinsic repair, and even minor lesions or injuries may lead to progressive damage, biological oriented approaches have gained special interest in cartilage therapy. Cell based cartilage regeneration is suggested to improve cartilage repair or reconstruction therapies. Autologous cell implantation, for example, is the first step as a clinically used cell based regeneration option. More advanced or complex therapeutical options (extracorporeal cartilage engineering, genetic engineering, both under evaluation in pre-clinical investigations) have not reached the level of clinical trials but may be approached in the near future. In order to understand cartilage tissue engineering as a new treatment option, an overview of the biological, engineering, and clinical challenges as well as the inherent constraints of the different treatment modalities are given in this paper.
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Affiliation(s)
- Christian Naujoks
- Clinic for Maxillofacial and Plastic Facial Surgery, Westdeutsche Kieferklinik, University of Düsseldorf, Germany
| | - Ulrich Meyer
- Clinic for Maxillofacial and Plastic Facial Surgery, Westdeutsche Kieferklinik, University of Düsseldorf, Germany
| | | | | | - Ariane Hohoff
- Clinic for Orthodontics, University of Münster, Germany
| | - Rita Depprich
- Clinic for Maxillofacial and Plastic Facial Surgery, Westdeutsche Kieferklinik, University of Düsseldorf, Germany
| | - Jörg Handschel
- Clinic for Maxillofacial and Plastic Facial Surgery, Westdeutsche Kieferklinik, University of Düsseldorf, Germany
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Sun S, Wang Z, Hao Y. Osterix overexpression enhances osteoblast differentiation of muscle satellite cells in vitro. Int J Oral Maxillofac Surg 2008; 37:350-6. [PMID: 18272339 DOI: 10.1016/j.ijom.2007.11.024] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2007] [Revised: 09/15/2007] [Accepted: 11/28/2007] [Indexed: 11/30/2022]
Abstract
Muscle satellite cells have long been considered a distinct myogenic lineage responsible for postnatal growth, repair and maintenance of skeletal muscle. Recent studies have demonstrated that they are multi-potential. Osterix (Osx), a novel zinc-finger-containing transcription factor of the sp family, is required for osteoblast differentiation and bone formation. It was hypothesized that Osx overexpression would enhance osteoblast differentiation of muscle satellite cells in vitro. Recombinant adenovirus-mediated Osx gene (Ad-Osx) was constructed and used to transfect muscle satellite cells. Osx overexpression inhibited myogenesis, as demonstrated by suppression of MyoD and myogenin mRNA levels and reduced myotube formation. Muscle satellite cells transduced with Ad-Osx exhibited apparent osteoblast differentiation as determined by the expression of related osteoblastic genes, increased activity of alkaline phosphatase and the formation of mineralized nodules. These results confirmed the ability of Osx to enhance osteoblast differentiation of muscle satellite cells in vitro, and the competence of muscle satellite cells as promising seed cells for bone tissue engineering.
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Affiliation(s)
- S Sun
- Department of Oral and Maxillofacial Surgery, School of Stomatology, Tongji University, Shanghai, China
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Abstract
Cytotoxic exposure of bone marrow and other non-hematopoietic organs containing self-renewing stem cell populations is associated with damage to the supportive microenvironment. Recent evidence indicates that radical oxygen species resulting from the initial oxidative stress persist for months after ionizing irradiation exposure of tissues including oral cavity, esophagus, lung and bone marrow. Antioxidant gene therapy using manganese superoxide dismutase plasmid liposomes has provided organ-specific radiation protection associated with delay or prevention of acute and late toxicity. Recent evidence has suggested that manganese superoxide dismutase transgene expression in cells of the organ microenvironment contributes significantly to the mechanism of protection. Incorporating this knowledge into designs of novel approaches for stem cell protection is addressed in the present review.
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Affiliation(s)
- J S Greenberger
- Department of Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA 15213-2532, USA.
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