PMID- 32476103 OWN - NLM STAT- MEDLINE DCOM- 20200924 LR - 20200924 IS - 1447-073X (Electronic) IS - 1447-073X (Linking) VI - 95 IP - 4 DP - 2020 Sep TI - Transplantation of human dental pulp stem cells in streptozotocin-induced diabetic rats. PG - 523-539 LID - 10.1007/s12565-020-00550-2 [doi] AB - Type 1 diabetes mellitus (T1DM) is a chronic metabolic disease caused by the destruction of pancreatic beta-cells. Human dental pulp stem cells represent a promising source for cell-based therapies, owing to their easy, minimally invasive surgical access, and high proliferative capacity. It was reported that human dental pulp stem cells can differentiate into a pancreatic cell lineage in vitro; however, few studies have investigated their effects on diabetes. Our study aimed to investigate the therapeutic potential of intravenous and intrapancreatic transplantation of human dental pulp stem cells in a rat model of streptozotocin-induced type 1 diabetes. Forty Sprague Dawley male rats were randomly categorized into four groups: control, diabetic (STZ), intravenous treatment group (IV), and intrapancreatic treatment group (IP). Human dental pulp stem cells (1 x 10(6) cells) or vehicle were injected into the pancreas or tail vein 7 days after streptozotocin injection. Fasting blood glucose levels were monitored weekly. Glucose tolerance test, rat and human serum insulin and C-peptide, pancreas histology, and caspase-3, vascular endothelial growth factor, and Ki67 expression in pancreatic tissues were assessed 28 days post-transplantation. We found that both IV and IP transplantation of human dental pulp stem cells reduced blood glucose and increased levels of rat and human serum insulin and C-peptide. The cells engrafted and survived in the streptozotocin-injured pancreas. Islet-like clusters and scattered human dental pulp stem cells expressing insulin were observed in the pancreas of diabetic rats with some difference in the distribution pattern between the two injection routes. RT-PCR analyses revealed the expression of the human-specific pancreatic beta-cell genes neurogenin 3 (NGN3), paired box 4 (PAX4), glucose transporter 2 (GLUT2), and insulin in the pancreatic tissues of both the IP and IV groups. In addition, the transplanted cells downregulated the expression of caspase-3 and upregulated the expression of vascular endothelial growth factor and Ki67, suggesting that the injected cells exerted pro-angiogenetic and antiapoptotic effects, and promoted endogenous beta-cell replication. Our study is the first to show that human dental pulp stem cells can migrate and survive within streptozotocin-injured pancreas, and induce antidiabetic effects through the differentiation and replacement of lost beta-cells and paracrine-mediated pancreatic regeneration. Thus, human dental pulp stem cells may have therapeutic potential to treat patients with long term T1DM. FAU - El-Kersh, Ahmed Othman Fathy Othman AU - El-Kersh AOFO AD - Faculty of Dentistry, Kafrelsheikh University, Kafrelsheikh, Egypt. FAU - El-Akabawy, Gehan AU - El-Akabawy G AD - Department of Basic Sciences, College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia. gfelakabawy@pnu.edu.sa. AD - Department of Anatomy and Embryology, Faculty of Medicine, Menoufia University, Menoufia, Egypt. gfelakabawy@pnu.edu.sa. FAU - Al-Serwi, Rasha H AU - Al-Serwi RH AD - Basic Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia. AD - Oral Biology Department, Faculty of Dentistry, Mansoura University, Mansoura, Egypt. LA - eng GR - Fast track program/Princess Nourah Bint Abdulrahman University/ PT - Journal Article DEP - 20200531 PL - Japan TA - Anat Sci Int JT - Anatomical science international JID - 101154140 RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Glucose Transporter Type 2) RN - 0 (Homeodomain Proteins) RN - 0 (Ki-67 Antigen) RN - 0 (Nerve Tissue Proteins) RN - 0 (Neurog3 protein, rat) RN - 0 (Paired Box Transcription Factors) RN - 0 (Pax4 protein, rat) RN - 0 (Slc2a2 protein, rat) RN - 5W494URQ81 (Streptozocin) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Animals MH - Basic Helix-Loop-Helix Transcription Factors/metabolism MH - Caspase 3/metabolism MH - Cell Differentiation MH - Cell Movement MH - Cell Survival MH - Dental Pulp/*cytology MH - Diabetes Mellitus, Experimental/*therapy MH - Diabetes Mellitus, Type 1/*therapy MH - Disease Models, Animal MH - Glucose Transporter Type 2/metabolism MH - Homeodomain Proteins/metabolism MH - Humans MH - Ki-67 Antigen/metabolism MH - Male MH - Nerve Tissue Proteins/metabolism MH - Paired Box Transcription Factors/metabolism MH - Pancreas/cytology/metabolism/*physiology MH - Rats MH - Rats, Sprague-Dawley MH - Regeneration MH - *Stem Cell Transplantation MH - Stem Cells/*physiology MH - Streptozocin OTO - NOTNLM OT - Human dental pulp stem cells OT - Rat OT - Streptozotocin OT - Transplantation OT - Type 1 diabetes mellitus EDAT- 2020/06/02 06:00 MHDA- 2020/09/25 06:00 CRDT- 2020/06/02 06:00 PHST- 2020/01/09 00:00 [received] PHST- 2020/05/20 00:00 [accepted] PHST- 2020/06/02 06:00 [pubmed] PHST- 2020/09/25 06:00 [medline] PHST- 2020/06/02 06:00 [entrez] AID - 10.1007/s12565-020-00550-2 [pii] AID - 10.1007/s12565-020-00550-2 [doi] PST - ppublish SO - Anat Sci Int. 2020 Sep;95(4):523-539. doi: 10.1007/s12565-020-00550-2. Epub 2020 May 31.