Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration

Abstract Background Treatments based on stem cell-derived small extracellular vesicles (sEVs) have been explored as an alternative to stem cell transplantation-based therapies in periodontal regeneration. Dental follicle stem cells (DFSCs) have shown great potential for regenerative medicine applica...

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Main Authors: Liya Ma, Nanquan Rao, Hui Jiang, Yuzhe Dai, Songtao Yang, Hefeng Yang, Jiangtian Hu
Format: Article
Language:English
Published: BMC 2022-03-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-022-02767-6
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author Liya Ma
Nanquan Rao
Hui Jiang
Yuzhe Dai
Songtao Yang
Hefeng Yang
Jiangtian Hu
author_facet Liya Ma
Nanquan Rao
Hui Jiang
Yuzhe Dai
Songtao Yang
Hefeng Yang
Jiangtian Hu
author_sort Liya Ma
collection DOAJ
description Abstract Background Treatments based on stem cell-derived small extracellular vesicles (sEVs) have been explored as an alternative to stem cell transplantation-based therapies in periodontal regeneration. Dental follicle stem cells (DFSCs) have shown great potential for regenerative medicine applications. However, it is unclear whether sEVs derived from DFSCs (DFSCs-sEVs) could be used in periodontal regeneration. This study investigates whether DFSCs-sEVs could regenerate damaged periodontal tissue and the potential underlying mechanism. Methods DFSCs-sEVs were isolated and identified, and periodontal ligament stem cells (PDLSCs) were cocultured with the isolated sEVs. The effect of DFSCs-sEVs on the biological behaviour of PDLSCs was examined using EdU assay, CCK-8 assay, cell cycle analysis, wound healing, alizarin red staining, qRT-PCR, and western blot analysis. RNA sequencing and functional enrichment analysis were used to detect the signal pathway involved in the effect of DFSCs-sEVs on PDLSCs. PDLSCs were pretreated with ERK1/2 or p38 MAPK inhibitors to investigate the possible involvement of the ERK1/2 and p38 MAPK pathways. Additionally, DFSCs-sEVs were combined with collagen sponges and transplanted into the periodontal defects in SD rats, and then, pathological changes in periodontal tissue were examined using haematoxylin and eosin (HE) staining and micro-CT. Results PDLSCs could internalize DFSCs-sEVs, thereby enhancing the proliferation assessed using EdU assay, CCK-8 assay and cell cycle analysis. DFSCs-sEVs significantly enhanced the migration of PDLSCs. DFSCs-sEVs promoted osteogenic differentiation of PDLSCs, showing deep Alizarin red staining, upregulated osteogenic genes (RUNX2, BSP, COL1), and upregulated protein expression (RUNX2, BSP, COL1, ALP). We found that p38 MAPK signalling was activated via phosphorylation. Inhibition of this signalling pathway with a specific inhibitor (SB202190) partially weakened the enhanced proliferation. After DFSCs-sEVs transplantation, new periodontal ligament-like structures and bone formation were observed in the damaged periodontal area in rats. Labelled DFSCs-sEVs were observed in the newly formed periodontal ligament and soft tissue of the defect area. Conclusions Our study demonstrated that DFSCs-sEVs promoted periodontal tissue regeneration by promoting the proliferation, migration, and osteogenic differentiation of PDLSCs. The effect of DFSCs-sEVs in promoting PDLSCs proliferation may be partially attributed to the activation of p38 MAPK signalling pathway. DFSCs-sEVs provide us with a novel strategy for periodontal regeneration in the future.
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spelling doaj.art-b0c31ac982c24d53ba8c8cb206eb96f32022-12-21T19:58:43ZengBMCStem Cell Research & Therapy1757-65122022-03-0113111810.1186/s13287-022-02767-6Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regenerationLiya Ma0Nanquan Rao1Hui Jiang2Yuzhe Dai3Songtao Yang4Hefeng Yang5Jiangtian Hu6Yunnan Key Laboratory of Stomatology and Department of Dental Research, The Affiliated Stomatology Hospital of Kunming Medical UniversityYunnan Key Laboratory of Stomatology and Department of Dental Research, The Affiliated Stomatology Hospital of Kunming Medical UniversityYunnan Key Laboratory of Stomatology and Department of Dental Research, The Affiliated Stomatology Hospital of Kunming Medical UniversityYunnan Key Laboratory of Stomatology and Department of Dental Research, The Affiliated Stomatology Hospital of Kunming Medical UniversityYunnan Key Laboratory of Stomatology and Department of Dental Research, The Affiliated Stomatology Hospital of Kunming Medical UniversityYunnan Key Laboratory of Stomatology and Department of Dental Research, The Affiliated Stomatology Hospital of Kunming Medical UniversityDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical UniversityAbstract Background Treatments based on stem cell-derived small extracellular vesicles (sEVs) have been explored as an alternative to stem cell transplantation-based therapies in periodontal regeneration. Dental follicle stem cells (DFSCs) have shown great potential for regenerative medicine applications. However, it is unclear whether sEVs derived from DFSCs (DFSCs-sEVs) could be used in periodontal regeneration. This study investigates whether DFSCs-sEVs could regenerate damaged periodontal tissue and the potential underlying mechanism. Methods DFSCs-sEVs were isolated and identified, and periodontal ligament stem cells (PDLSCs) were cocultured with the isolated sEVs. The effect of DFSCs-sEVs on the biological behaviour of PDLSCs was examined using EdU assay, CCK-8 assay, cell cycle analysis, wound healing, alizarin red staining, qRT-PCR, and western blot analysis. RNA sequencing and functional enrichment analysis were used to detect the signal pathway involved in the effect of DFSCs-sEVs on PDLSCs. PDLSCs were pretreated with ERK1/2 or p38 MAPK inhibitors to investigate the possible involvement of the ERK1/2 and p38 MAPK pathways. Additionally, DFSCs-sEVs were combined with collagen sponges and transplanted into the periodontal defects in SD rats, and then, pathological changes in periodontal tissue were examined using haematoxylin and eosin (HE) staining and micro-CT. Results PDLSCs could internalize DFSCs-sEVs, thereby enhancing the proliferation assessed using EdU assay, CCK-8 assay and cell cycle analysis. DFSCs-sEVs significantly enhanced the migration of PDLSCs. DFSCs-sEVs promoted osteogenic differentiation of PDLSCs, showing deep Alizarin red staining, upregulated osteogenic genes (RUNX2, BSP, COL1), and upregulated protein expression (RUNX2, BSP, COL1, ALP). We found that p38 MAPK signalling was activated via phosphorylation. Inhibition of this signalling pathway with a specific inhibitor (SB202190) partially weakened the enhanced proliferation. After DFSCs-sEVs transplantation, new periodontal ligament-like structures and bone formation were observed in the damaged periodontal area in rats. Labelled DFSCs-sEVs were observed in the newly formed periodontal ligament and soft tissue of the defect area. Conclusions Our study demonstrated that DFSCs-sEVs promoted periodontal tissue regeneration by promoting the proliferation, migration, and osteogenic differentiation of PDLSCs. The effect of DFSCs-sEVs in promoting PDLSCs proliferation may be partially attributed to the activation of p38 MAPK signalling pathway. DFSCs-sEVs provide us with a novel strategy for periodontal regeneration in the future.https://doi.org/10.1186/s13287-022-02767-6Small extracellular vesiclesDental follicle stem cellsPeriodontal ligament stem cellsPeriodontal tissue regeneration
spellingShingle Liya Ma
Nanquan Rao
Hui Jiang
Yuzhe Dai
Songtao Yang
Hefeng Yang
Jiangtian Hu
Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
Stem Cell Research & Therapy
Small extracellular vesicles
Dental follicle stem cells
Periodontal ligament stem cells
Periodontal tissue regeneration
title Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
title_full Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
title_fullStr Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
title_full_unstemmed Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
title_short Small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
title_sort small extracellular vesicles from dental follicle stem cells provide biochemical cues for periodontal tissue regeneration
topic Small extracellular vesicles
Dental follicle stem cells
Periodontal ligament stem cells
Periodontal tissue regeneration
url https://doi.org/10.1186/s13287-022-02767-6
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