PMID- 27484405 OWN - NLM STAT- MEDLINE DCOM- 20170406 LR - 20181113 IS - 1791-3004 (Electronic) IS - 1791-2997 (Print) IS - 1791-2997 (Linking) VI - 14 IP - 3 DP - 2016 Sep TI - Semaphorin 3A-modified adipose-derived stem cell sheet may improve osseointegration in a type 2 diabetes mellitus rat model. PG - 2449-56 LID - 10.3892/mmr.2016.5568 [doi] AB - Although titanium (Ti) implants are considered to be an optimal choice for the replacement of missing teeth, it remains difficult to obtain sufficient osseointegration in patients with type 2 diabetes mellitus (T2DM). The present study aimed to investigate whether adipose-derived stem cells (ASCs) may be used to improve Ti implant osseointegration in T2DM conditions with the addition of semaphorin 3A (Sema3A), a recently identified osteoprotective protein. Cell morphology was observed using a scanning electron microscope. Cell proliferation was determined using Cell Counting Kit‑8. Osteogenic differentiation was confirmed by the staining of alkaline phosphatase, collagen secretion and calcium deposition. An in vivo evaluation was performed in the T2DM rat model, which was induced by a high‑fat diet and a low‑dose streptozotocin intraperitoneal injection. A Sema3A‑modified ASC sheet was wrapped around the Ti implant, which was subsequently inserted into the tibia. The rats were then exposed to Sema3A stimulation. The morphology and proliferation ability of ASCs remained unchanged; however, their osteogenic differentiation ability was increased. Micro‑computed tomography scanning and histological observations confirmed that formation of new bone was improved with the use of the Sema3A-modified ASCs sheet. The present study indicated that the Sema3A‑modified ASCs sheet may be used to improve osseointegration under T2DM conditions. FAU - Fang, Kaixiu AU - Fang K AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Song, Wen AU - Song W AD - Department of Prosthodontics, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Wang, Lifeng AU - Wang L AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Xu, Xiaoru AU - Xu X AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Tan, Naiwen AU - Tan N AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Zhang, Sijia AU - Zhang S AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Wei, Hongbo AU - Wei H AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. FAU - Song, Yingliang AU - Song Y AD - Department of Oral Implants, School of Stomatology, State Key Laboratory of Military Stomatology, Fourth Military Medical University, Xi'an, Shaanxi 710032, P.R. China. LA - eng PT - Journal Article DEP - 20160728 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Dental Implants) RN - 0 (Semaphorin-3A) SB - IM MH - Adipose Tissue/*cytology MH - Animals MH - Cell Proliferation/drug effects MH - Dental Implants MH - Diabetes Mellitus, Type 2/genetics/*metabolism MH - Disease Models, Animal MH - Gene Expression Regulation/drug effects MH - Male MH - Osseointegration/*drug effects/genetics MH - Osteogenesis/genetics MH - Rats MH - Semaphorin-3A/*pharmacology MH - Stem Cells/cytology/*drug effects/*metabolism PMC - PMC4991673 EDAT- 2016/08/04 06:00 MHDA- 2017/04/07 06:00 PMCR- 2016/07/28 CRDT- 2016/08/04 06:00 PHST- 2015/08/25 00:00 [received] PHST- 2016/07/04 00:00 [accepted] PHST- 2016/08/04 06:00 [entrez] PHST- 2016/08/04 06:00 [pubmed] PHST- 2017/04/07 06:00 [medline] PHST- 2016/07/28 00:00 [pmc-release] AID - mmr-14-03-2449 [pii] AID - 10.3892/mmr.2016.5568 [doi] PST - ppublish SO - Mol Med Rep. 2016 Sep;14(3):2449-56. doi: 10.3892/mmr.2016.5568. Epub 2016 Jul 28.