Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration

Rapid vascularization is required for the regeneration of dental pulp due to the spatially restricted tooth environment. Extracellular vesicles (EVs) released from mesenchymal stromal cells show potent proangiogenic effects. Since EVs suffer from rapid clearance and low accumulation in target tissue...

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Main Authors: Siyuan Zhang, Anja Lena Thiebes, Franziska Kreimendahl, Stephan Ruetten, Eva Miriam Buhl, Michael Wolf, Stefan Jockenhoevel, Christian Apel
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/12/4226
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author Siyuan Zhang
Anja Lena Thiebes
Franziska Kreimendahl
Stephan Ruetten
Eva Miriam Buhl
Michael Wolf
Stefan Jockenhoevel
Christian Apel
author_facet Siyuan Zhang
Anja Lena Thiebes
Franziska Kreimendahl
Stephan Ruetten
Eva Miriam Buhl
Michael Wolf
Stefan Jockenhoevel
Christian Apel
author_sort Siyuan Zhang
collection DOAJ
description Rapid vascularization is required for the regeneration of dental pulp due to the spatially restricted tooth environment. Extracellular vesicles (EVs) released from mesenchymal stromal cells show potent proangiogenic effects. Since EVs suffer from rapid clearance and low accumulation in target tissues, an injectable delivery system capable of maintaining a therapeutic dose of EVs over a longer period would be desirable. We fabricated an EV-fibrin gel composite as an in situ forming delivery system. EVs were isolated from dental pulp stem cells (DPSCs). Their effects on cell proliferation and migration were monitored in monolayers and hydrogels. Thereafter, endothelial cells and DPSCs were co-cultured in EV-fibrin gels and angiogenesis as well as collagen deposition were analyzed by two-photon laser microscopy. Our results showed that EVs enhanced cell growth and migration in 2D and 3D cultures. EV-fibrin gels facilitated vascular-like structure formation in less than seven days by increasing the release of VEGF. The EV-fibrin gel promoted the deposition of collagen I, III, and IV, and readily induced apoptosis during the initial stage of angiogenesis. In conclusion, we confirmed that EVs from DPSCs can promote angiogenesis in an injectable hydrogel in vitro, offering a novel and minimally invasive strategy for regenerative endodontic therapy.
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spelling doaj.art-2105f048ae2048688b70e75a1db30de82023-11-20T03:44:35ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-06-012112422610.3390/ijms21124226Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp RegenerationSiyuan Zhang0Anja Lena Thiebes1Franziska Kreimendahl2Stephan Ruetten3Eva Miriam Buhl4Michael Wolf5Stefan Jockenhoevel6Christian Apel7Department of Biohybrid and Medical Textiles (BioTex), AME - Institute of Applied Medical Engineering, Helmholtz Institute of RWTH Aachen University & Hospital, 52074 Aachen, GermanyDepartment of Biohybrid and Medical Textiles (BioTex), AME - Institute of Applied Medical Engineering, Helmholtz Institute of RWTH Aachen University & Hospital, 52074 Aachen, GermanyDepartment of Biohybrid and Medical Textiles (BioTex), AME - Institute of Applied Medical Engineering, Helmholtz Institute of RWTH Aachen University & Hospital, 52074 Aachen, GermanyElectron Microscopy Facility, Institute of Pathology, RWTH Aachen University Hospital, 52074 Aachen, GermanyElectron Microscopy Facility, Institute of Pathology, RWTH Aachen University Hospital, 52074 Aachen, GermanyDepartment of Orthodontics, RWTH Aachen University Hospital, 52074 Aachen, GermanyDepartment of Biohybrid and Medical Textiles (BioTex), AME - Institute of Applied Medical Engineering, Helmholtz Institute of RWTH Aachen University & Hospital, 52074 Aachen, GermanyDepartment of Biohybrid and Medical Textiles (BioTex), AME - Institute of Applied Medical Engineering, Helmholtz Institute of RWTH Aachen University & Hospital, 52074 Aachen, GermanyRapid vascularization is required for the regeneration of dental pulp due to the spatially restricted tooth environment. Extracellular vesicles (EVs) released from mesenchymal stromal cells show potent proangiogenic effects. Since EVs suffer from rapid clearance and low accumulation in target tissues, an injectable delivery system capable of maintaining a therapeutic dose of EVs over a longer period would be desirable. We fabricated an EV-fibrin gel composite as an in situ forming delivery system. EVs were isolated from dental pulp stem cells (DPSCs). Their effects on cell proliferation and migration were monitored in monolayers and hydrogels. Thereafter, endothelial cells and DPSCs were co-cultured in EV-fibrin gels and angiogenesis as well as collagen deposition were analyzed by two-photon laser microscopy. Our results showed that EVs enhanced cell growth and migration in 2D and 3D cultures. EV-fibrin gels facilitated vascular-like structure formation in less than seven days by increasing the release of VEGF. The EV-fibrin gel promoted the deposition of collagen I, III, and IV, and readily induced apoptosis during the initial stage of angiogenesis. In conclusion, we confirmed that EVs from DPSCs can promote angiogenesis in an injectable hydrogel in vitro, offering a novel and minimally invasive strategy for regenerative endodontic therapy.https://www.mdpi.com/1422-0067/21/12/4226extracellular vesicles (EVs)dental pulp regenerationhydrogelangiogenesisrapid vascularizationVEGF
spellingShingle Siyuan Zhang
Anja Lena Thiebes
Franziska Kreimendahl
Stephan Ruetten
Eva Miriam Buhl
Michael Wolf
Stefan Jockenhoevel
Christian Apel
Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration
International Journal of Molecular Sciences
extracellular vesicles (EVs)
dental pulp regeneration
hydrogel
angiogenesis
rapid vascularization
VEGF
title Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration
title_full Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration
title_fullStr Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration
title_full_unstemmed Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration
title_short Extracellular Vesicles-Loaded Fibrin Gel Supports Rapid Neovascularization for Dental Pulp Regeneration
title_sort extracellular vesicles loaded fibrin gel supports rapid neovascularization for dental pulp regeneration
topic extracellular vesicles (EVs)
dental pulp regeneration
hydrogel
angiogenesis
rapid vascularization
VEGF
url https://www.mdpi.com/1422-0067/21/12/4226
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AT franziskakreimendahl extracellularvesiclesloadedfibringelsupportsrapidneovascularizationfordentalpulpregeneration
AT stephanruetten extracellularvesiclesloadedfibringelsupportsrapidneovascularizationfordentalpulpregeneration
AT evamiriambuhl extracellularvesiclesloadedfibringelsupportsrapidneovascularizationfordentalpulpregeneration
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