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Placental-Derived Stem Cells for Dental Tissue Engineering

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Introduction

Stem cells are different from other cell types by two important characteristics. First, they are unspecialized cells which capable of renewing themselves through cell division. In addition, some cells are ‗switched-on‘ after long periods of inactivity. Secondly, under certain physiolog- ic or experimental conditions, they can be in- duced to differentiate into any tissue type in order to carry out specific tasks. In some or- gans, such as the gut and bone marrow, stem cells regularly divide to repair and replace dam- aged tissues. In other organs, however, such as the pancreas and the heart, stem cells only divide under special conditions. Stem cells re- mains pluripotent and theoretically, it can be induced to differentiate into any specialized cell type of choice [6,7]. These stem cells may be candidate sources for tissue engineering, in- cluding tooth, tissue and bone regeneration.

Human term placenta, a temporary organ with fetal contributions that is discarded postpartum, contains placenta mesenchymal stem cells (PMSCs) display typical mesenchymal charac- teristics such as great capacity for self-renewal while maintaining their multipotent differentia- tion potential and expression of common MSCs surface markers similar to those expressed by Bone marrow-MSCs. These PMSCs theoreti- cally can differentiate into dental cell lineages will be useful for transplantation therapy in tooth decay, bone remodeling and periodontal dis- eases [1,2]. Investigations of dental differentia- tion potentials for various non-dental tissue- derived cells should also offer opportunities to

advance tooth regeneration for clinical applica- tions.

Beside tooth regeneration, periodontitis is one of the most prevalent infectious diseases. It is characterized by the destruction of tissues, such as alveolar bone, cementum and the PDL, that surround and support the teeth [9].

The goal of periodontal therapy is the complete regeneration of periodontal tissues, particularly where gross periodontal destruction has com- promised the support of the tooth. In dentistry, the identification of mesenchymal stem cells (MSC)-like populations derived from placenta may lead to exciting possibilities for the appli- cation of tissue engineering as well as gene based therapies [3, 9,11].

Recent studies have demonstrated the potential placenta mesenchmal stem cells to differentiate into hepatocyte-, pancreatic-, vascular neural- like and endothelial-, cells [12]. Placenta has been reported to contain a population of mul- tipotent stem cells demonstrating some of the characteristics of pluripotent ES cells including expression of stem cell markers c-kit, Thy-1, OCT-4, SOX2, hTERT, SSEA1, SSEA3, SSEA4, TRA1-60 and TRA1-81 [7] In addition, the chorionic villi of human known as placenta mesenchymal stem cells (PMSCs) are a rich source of stem cells [2,9]. The stem cell within the chorionic villi regulates PMSCs participate in placental tissue generation, maintenance and repair. It has been demonstrated that PMSCs can be differentiated in vitro under specific stim- ulatory environments into derivatives of the mesenchymal cell lineage such as osteocytes,

Compendium of Oral Science Volume 1 | 2014

Letter To Editor

Placental- D erived S tem C ells for D ental T issue E ngineering:

Trash or T reasure

Nur Aliana Hidayah Mohamed

Center of Preclinical Science Studies, Faculty of Dentistry, Universiti Teknologi MARA, 40450 Shah Alam, Selangor, Malaysia

DOI: https://doi.org/10.24191/cos.v1i0.17534

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adipocytes, myocytes and chondrocytes [11].

Thus, placenta mesenchymal stem cells (PMSCs) offer a promising source of stem cells for dental regenerative medicine both therapeu- tic and toxicological applications. However, to the author knowledge, no definite method has been introduced to stimulate placental mes- enchmal stem cell to tooth germ cells or tooth mesenchymal cells. As the presence of stem cells have been detected in so many research- es, In vitro and in vivo experiments using PMSCs in future is aimed to provide promising results in dental tissue engineering.

References

1. Agha-Hosseini F, Jahani M-A, Jahani M, Mirzaii-Dizgah I, Ali-Moghaddam K. (2010) Bioengineered Tooth Replacement. Japa- nese Dental Science Review. 44(1), 23–

28.

2. Castrechini N.M., Murthi P., Gude N.M,. et al. (2010 Mesenchymal stem cells in hu- man placental chorionic villi reside in a vas- cular Niche. Placenta. 31, 203–212.

3. Etsuko I., Takashi T., (2008) Growing bio- engineered teeth from single cells: potential for dental regenerative medicine. Expert Opinion Biology Therapy.8 (6), 735-744.

4. Fukuchi Y, Nakajima H, Sugiyama D, Hi- rose I, Kitamura T, Tsuji K. Human. (2004) In vitro isolation of stem cells derived from human dental pulp. Clinical Transplant.

Boucher of Prosthodontic Treatment for Edentulous Patients, 11th edn.

5. Karien G. A. (2009) Dental Pulp Stem cells, a new era in tissue engineering. Smile Dental Journal. 4(2), 6-8.

6. Kehat, I., Kenyagin-Karsenti, D., Snir, M., Segev, H., Amit, M., Gepstein, A., Livne, E., Binah, O., Itskovitz-Eldor, J., Gepstein, L. (2001) Human embryonic stem cells can differentiate into myocytes with structural and functional properties of cardiomyo- cytes. Journal of Clinical Investigation.

108, 407–414.

7. Lavon, N., Bevenisty, N. (2003) Differentia-

tion and genetic manipulation of human embryonic stem cells and the analysis of the cardiovascular system. Trends Cardio- vascular Medicine. 13, 47– 52.

8. Matikainen T., Laine J. (2005) Placenta—

an alternative source of stem cells. Toxi- cology and Applied Pharmacology. 207, 544 – 549.

9. Mohd Hilmi A.B., Fazliah S.N., Siti Fadilah A., Asma H. et al. (2008) Stem cells from children‘ teeth. Archives of Orofacial Sci- ences. 3(1), 29-31.

10. Nakao K.,Tsuji T. (2004) Dental regenera- tive therapy: Stem cell transplantation and placenta-derived cells have mesenchymal stem/progenitor cell potential. Stem Cells.

22, 649–58.

11. Ni-hung Lin, Gronthos S., Bartold PM.

(2009) Stem cells and future periodontal regeneration. Periodontol .51, 239–251.

12.

Venkata, L.B., Bareiss, Petra M., Treml, Sabrina, Conrad, Sabine, Albert, Ingrid, Hojak, Sigrid, Harald, A., Bernhard, S., Lo- thar, J., Thomas, S.,( 2007) Human placen- ta and bone marrow derived MSC cultured in serum-free, b-FGF-containing medium express cell surface frizzled-9 and SSEA-4 and give rise to multilineage differentiation.

Differentiation. 75, 279-291.

Compend. Oral Sci:vol1(1);2014;44 -45

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