Hilkens Petra, Driesen Ronald B, Wolfs Esther, Gervois Pascal, Vangansewinkel Tim, Ratajczak Jessica, Dillen Yörg, Bronckaers Annelies, Lambrichts Ivo
Laboratory of Morphology, Biomedical Research Institute (BIOMED), Hasselt University, Agoralaan, Building C, 3590, Diepenbeek, Belgium.
Adv Exp Med Biol. 2016;951:199-235. doi: 10.1007/978-3-319-45457-3_17.
Over the past decade, dental tissues have become an attractive source of mesenchymal stem cells (MSCs). Dental stem cells (DSCs) are not only able to differentiate into adipogenic, chondrogenic and osteogenic lineanges, but an increasing amount of research also pointed out their potential applicability in numerous clinical disorders, such as myocardial infarction, neurodegenerative diseases and diabetes. Together with their multilineage differentiation capacity, their easy availability from extracted third molars makes these stem cells a suitable alternative for bone marrow-derived MSCs. More importantly, DSCs appear to retain their stem cell properties following cryopreservation, a key aspect in their long-term preservation and upscale production. However, the vast number of different cryopreservation protocols makes it difficult to draw definite conclusions regarding the behavior of these stem cells. The routine application and banking of DSCs is also associated with some other pitfalls, such as interdonor variability, cell culture-induced changes and the use of animal-derived culture medium additives. Only thorough assessment of these challenges and the implementation of standardized, GMP procedures will successfully lead to better treatment options for patients who no longer benefit from current stem cell therapies.
在过去十年中,牙组织已成为间充质干细胞(MSC)的一个有吸引力的来源。牙干细胞(DSC)不仅能够分化为脂肪细胞、软骨细胞和成骨细胞系,而且越来越多的研究还指出它们在许多临床疾病中的潜在适用性,如心肌梗死、神经退行性疾病和糖尿病。连同它们的多系分化能力,从拔除的第三磨牙中容易获得这些干细胞使得它们成为骨髓来源的MSC的合适替代品。更重要的是,DSC在冷冻保存后似乎保留了它们的干细胞特性,这是它们长期保存和大规模生产的一个关键方面。然而,大量不同的冷冻保存方案使得很难就这些干细胞的行为得出明确结论。DSC的常规应用和储存还与一些其他问题相关,如供体间变异性、细胞培养诱导的变化以及使用动物来源的培养基添加剂。只有对这些挑战进行全面评估并实施标准化的GMP程序,才能成功地为那些不再从当前干细胞疗法中受益的患者带来更好的治疗选择。