Abstract
Objective
The objectives of this study are to isolate, cultivate, and characterize stem cells from the pulp of carious deciduous teeth (SCCD) and compare them to those retrieved from sound deciduous teeth (SHED—stem cells from human exfoliated deciduous teeth).
Material and methods
Cells were obtained of dental pulp collected from sound (n = 10) and carious (n = 10) deciduous human teeth. Rate of isolation, proliferation assay (0, 1, 3, 5, and 7 days), STRO-1, mesenchymal (CD29, CD73, and CD90) and hematopoietic surface marker expression (CD14, CD34, CD45, HLA-DR), and differentiation capacity were evaluated.
Results
Isolation success rates were 70 and 80 % from the carious and sound groups, respectively. SCCD and SHED presented similar proliferation rate. There were no statistical differences between the groups for the tested surface markers. The cells from sound and carious deciduous teeth were positive for CD29, CD73, and CD90 and negative for CD14, CD34, CD45, and HLA-DR and were capable of differentiating into osteogenic, chondrogenic, and adipogenic lineages.
Conclusion
SCCD demonstrated a similar pattern of proliferation, immunophenotypical characteristics, and differentiation ability as those obtained from sound deciduous teeth. These SCCD represent a feasible source of stem cells.
Clinical relevance
Decayed deciduous teeth have been usually discarded once the pulp tissue could be damaged and the activity of stem cells compromised. These findings show that stem cells from carious deciduous teeth can be applicable source for cell-based therapies in tissue regeneration.
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References
Gronthos S, Mankani M, Brahim J, Robey PG, Shi S (2000) Post-natal human dental pulp stem cells (DPSCs) in vitro and in vivo. Proc Natl Acad Sci U S A 97:13625–13630. doi:10.1073/pnas.240309797
Miura M, Gronthos S, Zhao M, Lu B, Fisher LW, Robey PG et al (2003) SHED: stem cells from human exfoliated deciduous teeth. Proc Natl Acad Sci U S A 100:5807–5812. doi:10.1073/pnas.0937635100
Wang X, Sha XJ, Li GH, Yang FS, Ji K, Wen LY et al (2012) Comparative characterization of stem cells from human exfoliated deciduous teeth and dental pulp stem cells. Arch Oral Biol 57:1231–1240. doi:10.1016/j.archoralbio.2012.02.014
Arora V, Arora P, Munshi AK (2009) Banking stem cells from human exfoliated deciduous teeth (SHED): saving for the future. J Clin Pediatr Dent 33:289–294
Rosa V, Botero TM, Nör JE (2011) Regenerative endodontics in light of the stem cell paradigm. Int Dent J 61:23–28. doi:10.1111/j.1875-595X.2011.00026.x
Bernardi L, Luisi SB, Fernandes R, Dalberto TP, Valentim L, Bogo Chies JA et al (2011) The isolation of stem cells from human deciduous teeth pulp is related to the physiological process of resorption. J Endod 37:973–979. doi:10.1016/j.joen.2011.04.010
Yang R, Chen M, Lee CH, Yoon R, Lal S, Mao JJ (2010) Clones of ectopic stem cells in the regeneration of muscle defects in vivo. PLoS One 5:e13547. doi:10.1371/journal.pone.0013547
Gomes JA, Geraldes Monteiro B, Melo GB, Smith RL, Cavenaghi Pereira da Silva M, Lizier NF et al (2010) Corneal reconstruction with tissue-engineered cell sheets composed of human immature dental pulp stem cells. Invest Ophthalmol Vis Sci 51:1408–1414. doi:10.1167/iovs.09-4029
Young F, Sloan A, Song B (2013) Dental pulp stem cells and their potential roles in central nervous system regeneration and repair. J Neurosci Res 91:1383–1393. doi:10.1002/jnr.23250
Rosa V, Zhang Z, Grande RH, Nör JE (2013) Dental pulp tissue engineering in full-length human root canals. J Dent Res 92:970–975. doi:10.1177/0022034513505772
Prescott RS, Alsanea R, Fayad MI, Johnson BR, Wenckus CS, Hao J et al (2008) In vivo generation of dental pulp-like tissue by using dental pulp stem cells, a collagen scaffold, and dentin matrix protein 1 after subcutaneous transplantation in mice. J Endod 34:421–426. doi:10.1016/j.joen.2008.02.005
Zheng Y, Liu Y, Zhang CM, Zhang HY, Li WH, Shi S et al (2009) Stem cells from deciduous tooth repair mandibular defect in swine. J Dent Res 88:249–254. doi:10.1177/0022034509333804
d’Aquino R, De Rosa A, Lanza V, Tirino V, Laino L, Graziano A et al (2009) Human mandible bone defect repair by the grafting of dental pulp stem/progenitor cells and collagen sponge biocomplexes. Eur Cell Mater 12:75–83
Alongi DJ, Yamaza T, Song Y, Fouad AF, Romberg EE, Shi S et al (2010) Stem/progenitor cells from inflamed human dental pulp retain tissue regeneration potential. Regen Med 5:617–631. doi:10.2217/rme.10.30
Wang Z, Pan J, Wright JT, Bencharit S, Zhang S, Everett ET et al (2010) Putative stem cells in human dental pulp with irreversible pulpitis: an exploratory study. J Endod 36:820–825. doi:10.1016/j.joen.2010.02.003
Ma D, Gao J, Yue J, Yan W, Fang F, Wu B (2012) Changes in proliferation and osteogenic differentiation of stem cells from deep caries in vitro. J Endod 38:796–802. doi:10.1016/j.joen.2012.02.014
Pereira LO, Rubini MR, Silva JR, Oliveira DM, Silva IC, Poças-Fonseca MJ et al (2012) Comparison of stem cell properties of cells isolated from normal and inflamed dental pulps. Int Endod J 45:1080–1090. doi:10.1111/j.1365-2591.2012.02068.x
Horst OV, Horst JA, Samudrala R, Dale BA (2011) Caries induced cytokine network in the odontoblast layer of human teeth. BMC Immunol 12:9. doi:10.1186/1471-2172-12-9
Goldberg M (2011) Pulp healing and regeneration: more questions than answers. Adv Dent Res 23:270–274. doi:10.1177/0022034511405385
Bagramian RA, Garcia-Godoy F, Volpe AR (2009) The global increase in dental caries. A pending public health crisis. Am J Dent 22:3–8
Padilha ARS, Júnior HMM, Barbosa J, Pinto HA, Pucca Jr GA (2011) Ministry of Health. Project SB Brasil 2010: National survey of oral health—key results. Brasilia-DF
Yu S, Diao S, Wang J, Ding G, Yang D, Fan Z (2014) Comparative analysis of proliferation and differentiation potentials of stem cells from inflamed pulp of deciduous teeth and stem cells from exfoliated deciduous teeth. Biomed Res Int 2014:930907. doi:10.1155/2014/930907
Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini F, Krause D et al (2006) Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy 8:315–317
Kawashima N (2012) Characterisation of dental pulp stem cells: a new horizon for tissue regeneration? Arch Oral Biol 57:1439–1458. doi:10.1016/j.archoralbio.2012.08.010
Cordeiro MM, Dong Z, Kaneko T, Zhang Z, Miyazawa M, Shi S et al (2008) Dental pulp tissue engineering with stem cells from exfoliated deciduous teeth. J Endod 34:962–969. doi:10.1016/j.joen.2008.04.009
Sakai VT, Zhang Z, Dong Z, Neiva KG, Machado MA, Shi S et al (2010) SHED differentiate into functional odontoblasts and endothelium. J Dent Res 89:791–796. doi:10.1177/0022034510368647
Demarco FF, Conde MC, Cavalcanti BN, Casagrande L, Sakai VT, Nör JE (2011) Dental pulp tissue engineering. Braz Dent J 22:3–13
Acknowledgments
The authors wish to thank Andrea Galuppo and Pedro Chagastelles for their assistance in the flow cytometry procedures.
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Funding
This study was funded by the National Council for Scientific and Technological Development—CNPq (process no. 478778/2011-2).
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in the present research were in accordance with the ethical standards of the Resolution of the National Council on Ethics in Research (no. 466, /2012) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study. The protocol of this research was submitted and approved by the Research Committee (no. 22972) and the Ethics Committee (no. 04317812.8.0000.5347) of Federal University of Rio Grande do Sul, Porto Alegre, RS—Brazil.
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Werle, S.B., Lindemann, D., Steffens, D. et al. Carious deciduous teeth are a potential source for dental pulp stem cells. Clin Oral Invest 20, 75–81 (2016). https://doi.org/10.1007/s00784-015-1477-5
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DOI: https://doi.org/10.1007/s00784-015-1477-5