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      Characterization of dental pulp stem cells isolated from a patient diagnosed with Crouzon syndrome

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          Abstract

          Stem cells isolated from patients with rare diseases are important to elucidate their pathogeny and mechanisms to enable regenerative therapy. However, the mechanisms underlying tissue regeneration using patient‐derived dental pulp stem cells (DPSCs) are unclear. In this study, we investigated the levels of mRNA and protein expression related to cellular differentiation of Crouzon syndrome patient‐derived DPSCs (CS‐DPSCs) with a Gly338Arg fibroblast growth factor receptor 2 mutation. Multipotency‐related gene expression levels were equivalent in both healthy donor DPSCs and CS‐DPSCs. CS‐DPSCs showed higher osteocalcin ( OCN) expression than healthy donor DPSCs. CS‐DPSCs showed a lower increase in the rate of OCN expression among phorbol 12‐myristate 13‐acetate (PMA)‐treated cells than healthy donor DPSCs compared with untreated control cells. CS‐DPSCs showed a lower phosphorylation rate of p38 and p44/42 in PMA‐treated cells than healthy donor DPSCs compared with untreated control cells. These results demonstrate that CS‐DPSCs have higher OCN expression and lower PMA stimulation‐responsiveness than healthy donor DPSCs.

          Abstract

          We examined the cellular response to phorbol 12‐myristate 13‐acetate stimulation to elucidate the molecular mechanisms of odontoblastic differentiation in dental pulp stem cells derived from a Crouzon syndrome patient (CS‐DPSCs) for analyzing FGF signal transduction and osteocalcin expression in CS‐DPSCs.

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          Most cited references34

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          Postnatal human dental pulp stem cells (DPSCs) in vitro and in vivo.

          Dentinal repair in the postnatal organism occurs through the activity of specialized cells, odontoblasts, that are thought to be maintained by an as yet undefined precursor population associated with pulp tissue. In this study, we isolated a clonogenic, rapidly proliferative population of cells from adult human dental pulp. These DPSCs were then compared with human bone marrow stromal cells (BMSCs), known precursors of osteoblasts. Although they share a similar immunophenotype in vitro, functional studies showed that DPSCs produced only sporadic, but densely calcified nodules, and did not form adipocytes, whereas BMSCs routinely calcified throughout the adherent cell layer with clusters of lipid-laden adipocytes. When DPSCs were transplanted into immunocompromised mice, they generated a dentin-like structure lined with human odontoblast-like cells that surrounded a pulp-like interstitial tissue. In contrast, BMSCs formed lamellar bone containing osteocytes and surface-lining osteoblasts, surrounding a fibrous vascular tissue with active hematopoiesis and adipocytes. This study isolates postnatal human DPSCs that have the ability to form a dentin/pulp-like complex.
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            Stem cell properties of human dental pulp stem cells.

            In this study, we characterized the self-renewal capability, multi-lineage differentiation capacity, and clonogenic efficiency of human dental pulp stem cells (DPSCs). DPSCs were capable of forming ectopic dentin and associated pulp tissue in vivo. Stromal-like cells were reestablished in culture from primary DPSC transplants and re-transplanted into immunocompromised mice to generate a dentin-pulp-like tissue, demonstrating their self-renewal capability. DPSCs were also found to be capable of differentiating into adipocytes and neural-like cells. The odontogenic potential of 12 individual single-colony-derived DPSC strains was determined. Two-thirds of the single-colony-derived DPSC strains generated abundant ectopic dentin in vivo, while only a limited amount of dentin was detected in the remaining one-third. These results indicate that single-colony-derived DPSC strains differ from each other with respect to their rate of odontogenesis. Taken together, these results demonstrate that DPSCs possess stem-cell-like qualities, including self-renewal capability and multi-lineage differentiation.
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              The efficacy of mesenchymal stem cells to regenerate and repair dental structures.

              Identification, characterization, and potential application of mesenchymal stem cells (MSC) derived from human dental tissues. Dental pulp and periodontal ligament were obtained from normal human impacted third molars. The tissues were digested in collagenase/dispase to generate single cell suspensions. Cells were cultured in alpha-MEM supplemented with 20% fetal bovine serum, 2 mM l-glutamine, 100 microM l-ascorbate-2-phosphate. Magnetic and fluorescence activated cell sorting were employed to characterize the phenotype of freshly isolated and ex vivo expanded cell populations. The developmental potential of cultured cells was assessed following co-transplantation with hydroxyapetite/tricalcium phosphate (HA/TCP) particles into immunocompromised mice for 8 weeks. MSC were identified in adult human dental pulp (dental pulp stem cells, DPSC), human primary teeth (stem cells from human exfoliated deciduous teeth, SHED), and periodontal ligament (periodontal ligament stem cells, PDLSC) by their capacity to generate clongenic cell clusters in culture. Ex vivo expanded DPSC, SHED, and PDLSC populations expressed a heterogeneous assortment of makers associated with MSC, dentin, bone, smooth muscle, neural tissue, and endothelium. PDLSC were also found to express the tendon specific marker, Scleraxis. Xenogeneic transplants containing HA/TCP with either DPSC or SHED generated donor-derived dentin-pulp-like tissues with distinct odontoblast layers lining the mineralized dentin-matrix. In parallel studies, PDLSC generated cementum-like structures associated with PDL-like connective tissue when transplanted with HA/TCP into immunocompromised mice. Collectively, these data revealed the presence of distinct MSC populations associated with dental structures with the potential of stem cells to regenerate living human dental tissues in vivo.
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                Author and article information

                Contributors
                ryuryu@tky.ndu.ac.jp
                Journal
                J Cell Physiol
                J Cell Physiol
                10.1002/(ISSN)1097-4652
                JCP
                Journal of Cellular Physiology
                John Wiley and Sons Inc. (Hoboken )
                0021-9541
                1097-4652
                01 January 2021
                July 2021
                : 236
                : 7 ( doiID: 10.1002/jcp.v236.7 )
                : 5317-5324
                Affiliations
                [ 1 ] Department of Pharmacology The Nippon Dental University School of Life Dentistry Tokyo Japan
                [ 2 ] Research Center for Odontology The Nippon Dental University School of Life Dentistry Tokyo Japan
                [ 3 ] Department of Developmental and Regenerative Dentistry The Nippon Dental University School of Life Dentistry Tokyo Japan
                [ 4 ] Department of Oral Health The Nippon Dental University School of Life Dentistry Tokyo Japan
                Author notes
                [*] [* ] Correspondence Takeo W. Tsutsui, Department of Pharmacology, The Nippon Dental University School of Life Dentistry, 1‐9‐20 Fujimi, Chiyoda‐ku, Tokyo 102‐8159, Japan.

                Email: ryuryu@ 123456tky.ndu.ac.jp

                Author information
                http://orcid.org/0000-0001-7411-2556
                https://orcid.org/0000-0002-2226-6702
                https://orcid.org/0000-0002-6713-6725
                https://orcid.org/0000-0003-2361-7479
                Article
                JCP30241
                10.1002/jcp.30241
                8048801
                33386632
                809cdbe6-26e5-4930-b220-9ca12440feea
                © 2020 The Authors. Journal of Cellular Physiology Published by Wiley Periodicals LLC

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 November 2020
                : 17 February 2020
                : 09 December 2020
                Page count
                Figures: 5, Tables: 0, Pages: 8, Words: 4900
                Funding
                Funded by: Japan Society for the Promotion of Science , open-funder-registry 10.13039/501100001691;
                Award ID: Scientific Research (C) Number 18K09626
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                July 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.2 mode:remove_FC converted:15.04.2021

                Anatomy & Physiology
                crouzon syndrome,dental pulp stem cells,fibroblast growth factor receptor 2,mitogen‐activated protein kinase,osteocalcin

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