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      iRoot BP Plus promotes osteo/odontogenic differentiation of bone marrow mesenchymal stem cells via MAPK pathways and autophagy

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          Abstract

          Background

          iRoot BP Plus is a novel bioceramic endodontic material. Recently, it has been considered as an alternative to MTA which is the most popular scaffold cover during regenerative endodontic therapy. This study aimed to evaluate the effects of iRoot BP Plus on the osteo/odontogenic capacity of bone marrow mesenchymal stem cells (BMMSCs), including the underlying mechanisms.

          Methods

          BMMSCs were collected by a whole marrow method and treated with iRoot BP Plus-conditioned medium (BP-CM). The proliferation ability was evaluated by cell counting kit 8 and flow cytometry. Complete medium was used as a blank control, and 2 mg/ml MTA-conditioned medium was served as a positive control. Alkaline phosphatase (ALP) activity assay, ALP staining, western blot, real-time RT-PCR, Alizarin Red S staining, and immunofluorescence staining were performed to explore the osteo/odontogenic potential and the involvement of MAPK pathways. Besides, autophagy was investigated by western blot, immunofluorescence staining, and transmission electron microscopy.

          Results

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          Most cited references48

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          Autophagy in osteoblasts is involved in mineralization and bone homeostasis.

          Bone remodeling is a tightly controlled mechanism in which osteoblasts (OB), the cells responsible for bone formation, osteoclasts (OC), the cells specialized for bone resorption, and osteocytes, the multifunctional mechanosensing cells embedded in the bone matrix, are the main actors. Increased oxidative stress in OB, the cells producing and mineralizing bone matrix, has been associated with osteoporosis development but the role of autophagy in OB has not yet been addressed. This is the goal of the present study. We first show that the autophagic process is induced in OB during mineralization. Then, using knockdown of autophagy-essential genes and OB-specific autophagy-deficient mice, we demonstrate that autophagy deficiency reduces mineralization capacity. Moreover, our data suggest that autophagic vacuoles could be used as vehicles in OB to secrete apatite crystals. In addition, autophagy-deficient OB exhibit increased oxidative stress and secretion of the receptor activator of NFKB1 (TNFSF11/RANKL), favoring generation of OC, the cells specialized in bone resorption. In vivo, we observed a 50% reduction in trabecular bone mass in OB-specific autophagy-deficient mice. Taken together, our results show for the first time that autophagy in OB is involved both in the mineralization process and in bone homeostasis. These findings are of importance for mineralized tissues which extend from corals to vertebrates and uncover new therapeutic targets for calcified tissue-related metabolic pathologies.
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            Autophagy controls mesenchymal stem cell properties and senescence during bone aging

            Summary Bone marrow‐derived mesenchymal stem cells (BMMSCs) exhibit degenerative changes, including imbalanced differentiation and reduced proliferation during aging, that contribute to age‐related bone loss. We demonstrate here that autophagy is significantly reduced in aged BMMSCs compared with young BMMSCs. The autophagy inhibitor 3‐methyladenine (3‐MA) could turn young BMMSCs into a relatively aged state by reducing their osteogenic differentiation and proliferation capacity and enhancing their adipogenic differentiation capacity. Accordingly, the autophagy activator rapamycin could restore the biological properties of aged BMMSCs by increasing osteogenic differentiation and proliferation capacity and decreasing adipogenic differentiation capacity. Possible underlying mechanisms were explored, and the analysis revealed that autophagy could affect reactive oxygen species and p53 levels, thus regulating biological properties of BMMSCs. In an in vivo study, we found that activation of autophagy restored bone loss in aged mice. In conclusion, our results suggest that autophagy plays a pivotal role in the aging of BMMSCs, and activation of autophagy could partially reverse this aging and may represent a potential therapeutic avenue to clinically treat age‐related bone loss.
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              Runx2: Structure, function, and phosphorylation in osteoblast differentiation.

              Runx2 is a master transcription factor for osteogenesis. The most important phenomenon that makes this protein a master regulator for osteogenesis is its structural integrity. In response to various stimuli, the domains in Runx2 interact with several proteins and regulate a number of cellular events via posttranslational modifications. Hence, in this review we summarized the structural integrity of Runx2 and its posttranslational modifications, especially the phosphorylation responsible for either stimulation or inhibition of its regulatory role in osteogenesis.
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                Author and article information

                Contributors
                86-25-86862843 , yujinhua@njmu.edu.cn
                Journal
                Stem Cell Res Ther
                Stem Cell Res Ther
                Stem Cell Research & Therapy
                BioMed Central (London )
                1757-6512
                29 July 2019
                29 July 2019
                2019
                : 10
                : 222
                Affiliations
                [1 ]ISNI 0000 0000 9255 8984, GRID grid.89957.3a, Key Laboratory of Oral Diseases of Jiangsu Province, Institute of Stomatology, , Nanjing Medical University, ; 136 Hanzhong Road, Nanjing, 210029 Jiangsu China
                [2 ]ISNI 0000 0000 9255 8984, GRID grid.89957.3a, Endodontic Department, School of Stomatology, , Nanjing Medical University, ; 136 Hanzhong Road, Nanjing, 210029 Jiangsu China
                [3 ]ISNI 0000 0001 2314 964X, GRID grid.41156.37, Nanjing Stomatological Hospital, , Medical School of Nanjing University, ; 30 Zhongyang Road, Nanjing, 210008 Jiangsu China
                Article
                1345
                10.1186/s13287-019-1345-3
                6664598
                31358050
                f6b26614-cb77-4a17-9048-695a9d9e45ea
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 17 May 2019
                : 30 June 2019
                : 15 July 2019
                Funding
                Funded by: National Natural Science Foundation of China
                Award ID: 81873707
                Award Recipient :
                Funded by: Medical Talent Project of Jiangsu Province
                Award ID: ZDRCA2016086
                Award Recipient :
                Funded by: The Priority Academic Program Development of Jiangsu Higher Education Institutions
                Award ID: PAPD, 2018-87
                Award Recipient :
                Funded by: Science and Technology Development Project of Jiangsu Province
                Award ID: BE2017731
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2019

                Molecular medicine
                iroot bp plus,bmmscs,osteo/odontogenic differentiation,autophagy,mapk pathways
                Molecular medicine
                iroot bp plus, bmmscs, osteo/odontogenic differentiation, autophagy, mapk pathways

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