PMID- 27215800 OWN - NLM STAT- MEDLINE DCOM- 20170904 LR - 20180905 IS - 1607-8438 (Electronic) IS - 0300-8207 (Linking) VI - 57 IP - 6 DP - 2016 Nov TI - Periodontal ligament stem/progenitor cells with protein-releasing scaffolds for cementum formation and integration on dentin surface. PG - 488-495 AB - Purpose/Aim: Cementogenesis is a critical step in periodontal tissue regeneration given the essential role of cementum in anchoring teeth to the alveolar bone. This study is designed to achieve integrated cementum formation on the root surfaces of human teeth using growth factor-releasing scaffolds with periodontal ligament stem/progenitor cells (PDLSCs). MATERIALS AND METHODS: Human PDLSCs were sorted by CD146 expression, and characterized using CFU-F assay and induced multi-lineage differentiation. Polycaprolactone scaffolds were fabricated using 3D printing, embedded with poly(lactic-co-glycolic acids) (PLGA) microspheres encapsulating connective tissue growth factor (CTGF), bone morphogenetic protein-2 (BMP-2), or bone morphogenetic protein-7 (BMP-7). After removing cementum on human tooth roots, PDLSC-seeded scaffolds were placed on the exposed dentin surface. After 6-week culture with cementogenic/osteogenic medium, cementum formation and integration were evaluated by histomorphometric analysis, immunofluorescence, and qRT-PCR. RESULTS: Periodontal ligament (PDL) cells sorted by CD146 and single-cell clones show a superior clonogenecity and multipotency as compared with heterogeneous populations. After 6 weeks, all the growth factor-delivered groups showed resurfacing of dentin with a newly formed cementum-like layer as compared with control. BMP-2 and BMP-7 showed de novo formation of tissue layers significantly thicker than all the other groups, whereas CTGF and BMP-7 resulted in significantly improved integration on the dentin surface. The de novo mineralized tissue layer seen in BMP-7-treated samples expressed cementum matrix protein 1 (CEMP1). Consistently, BMP-7 showed a significant increase in CEMP1 mRNA expression. CONCLUSION: Our findings represent important progress in stem cell-based cementum regeneration as an essential part of periodontium regeneration. FAU - Cho, Hankyu AU - Cho H AD - a Regenerative Engineering Laboratory , Columbia University Medical Center , New York , NY , USA. FAU - Tarafder, Solaiman AU - Tarafder S AD - a Regenerative Engineering Laboratory , Columbia University Medical Center , New York , NY , USA. FAU - Fogge, Michael AU - Fogge M AD - a Regenerative Engineering Laboratory , Columbia University Medical Center , New York , NY , USA. FAU - Kao, Kristy AU - Kao K AD - a Regenerative Engineering Laboratory , Columbia University Medical Center , New York , NY , USA. FAU - Lee, Chang H AU - Lee CH AD - a Regenerative Engineering Laboratory , Columbia University Medical Center , New York , NY , USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160523 PL - England TA - Connect Tissue Res JT - Connective tissue research JID - 0365263 RN - 0 (Bone Morphogenetic Proteins) RN - 0 (CEMP1 protein, human) RN - 0 (Proteins) RN - 139568-91-5 (Connective Tissue Growth Factor) SB - IM MH - Adolescent MH - Adult MH - Bone Morphogenetic Proteins/*pharmacology MH - Cell Separation MH - Clone Cells MH - Connective Tissue Growth Factor/*pharmacology MH - Dental Cementum/*cytology MH - Dentin/*chemistry MH - Humans MH - Middle Aged MH - Multipotent Stem Cells/cytology/drug effects MH - Periodontal Ligament/*cytology MH - Proteins/metabolism MH - Stem Cells/*cytology/drug effects MH - Tissue Engineering MH - Tissue Scaffolds/*chemistry MH - Tooth Extraction MH - Tooth Root/cytology MH - Young Adult OTO - NOTNLM OT - 3D printing OT - cementum OT - controlled delivery OT - periodontal ligament stem cells OT - regeneration EDAT- 2016/11/02 06:00 MHDA- 2017/09/05 06:00 CRDT- 2016/05/25 06:00 PHST- 2016/11/02 06:00 [pubmed] PHST- 2017/09/05 06:00 [medline] PHST- 2016/05/25 06:00 [entrez] AID - 10.1080/03008207.2016.1191478 [doi] PST - ppublish SO - Connect Tissue Res. 2016 Nov;57(6):488-495. doi: 10.1080/03008207.2016.1191478. Epub 2016 May 23.