Cementoblastic lineage formation in the cross-talk between stem cells of human exfoliated deciduous teeth and epithelial rests of Malassez cells

Objectives The purpose of this study was to evaluate the synergistic effect of epithelial rests of Malassez cells (ERM) and transforming growth factor-β1 (TGF-β1) on proliferation, cementogenic and osteogenic differentiation of stem cells derived from human exfoliated deciduous teeth (SHED). Mater...

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Main Authors: Farea, Manal, Husein, Adam, Halim, Ahmad Sukari, Berahim, Zurairah, Abdullah Nurul, Asma, Mokhtar@Makhtar, Khairani Idah, Mokhtar, Kasmawati
Format: Article
Language:English
Published: Springer Berlin Heidelberg 2015
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Online Access:http://irep.iium.edu.my/44845/
http://irep.iium.edu.my/44845/
http://irep.iium.edu.my/44845/
http://irep.iium.edu.my/44845/1/2015-Clin_Oral_Invest-Manal_et_al_Cementoblastic_lineage_formation_in_the_cross_talk_between___stem_cells_of_human_exfoliated_deciduous_teeth_and_epithelial_rests_of___Mal.pdf
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Summary:Objectives The purpose of this study was to evaluate the synergistic effect of epithelial rests of Malassez cells (ERM) and transforming growth factor-β1 (TGF-β1) on proliferation, cementogenic and osteogenic differentiation of stem cells derived from human exfoliated deciduous teeth (SHED). Materials and methods SHED were co-cultured with ERM with/without TGF-β1. Then, SHED proliferation, morphological appearance, alkaline phosphatase (ALP) activity, mineralization behaviour and gene/protein expression of cemento/osteoblastic phenotype were evaluated. Results TGF-β1 enhanced SHED proliferation when either cultured alone or co-cultured with ERM. ERM induced the cementoblastic differentiation of SHED which was significantly accelerated when treated with TGF-β1. This activity was demonstrated by high ALP activity, strong mineral deposition and upregulation of cementum/bone-related gene and protein expressions (i.e. ALP, collagen type I, bone sialoprotein, osteocalcin and cementum attachment protein). Conclusions ERM were able to induce SHED differentiation along the cemento/osteoblastic lineage that was triggered in the presence of TGF-β1. Clinical relevance The cemento/osteoblastic differentiation capability of SHED possesses a therapeutic potential in endodontic and periodontal tissue engineering.