Journal of Experimental & Clinical Medicine
Volume 2, Issue 3 , Pages 111-117, June 2010

Dental Stem Cells and Tooth Banking for Regenerative Medicine

  • Yen-Hua Huang

      Affiliations

    • Department of Biochemistry, Graduate Institute of Medical Sciences, School of Medicine; Center for Reproductive, Medicine, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan
    • Center for Teeth Bank and Dental Stem Cell Technology, Taipei Medical University, Taipei, Taiwan
  • ,
  • Jen-Chang Yang

      Affiliations

    • School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
    • Center for Teeth Bank and Dental Stem Cell Technology, Taipei Medical University, Taipei, Taiwan
  • ,
  • Chin-Wei Wang

      Affiliations

    • Department of Dentistry, Wan-Fang Hospital, Taipei Medical University, Taipei, Taiwan
    • School of Dentistry, Taipei Medical University, Taipei, Taiwan
  • ,
  • Sheng-Yang Lee

      Affiliations

    • Department of Dentistry, Wan-Fang Hospital, Taipei Medical University, Taipei, Taiwan
    • School of Dentistry, Taipei Medical University, Taipei, Taiwan
    • Center for Teeth Bank and Dental Stem Cell Technology, Taipei Medical University, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. School of Dentistry, Taipei Medical University, 250 Wu-Hsing Street, Taipei 110, Taiwan

Received 23 September 2009; received in revised form 5 March 2010; accepted 12 March 2010.

Article Outline

Abstract 

Stem cell (SC) therapy has a promising future for tissue regenerative medicine. However, because SC technology is still in its infancy, interdisciplinary cooperation is needed to achieve successful clinical applications. Dental SCs have drawn attention in recent years because of their accessibility, plasticity, and high proliferative ability. Several types of dental SCs have been identified, including dental pulp SCs from adult human dental pulp, SCs from human primary exfoliated deciduous teeth, periodontal ligament SCs, and dental follicle SCs from human third molars. Similar to mesenchymal SCs, these dental SCs can undergo self-renewal and have multipotent differentiation ability, but do not have the ethical issues associated with other sources of SCs. Therefore, appropriate preservation procedures for dental SCs and teeth are now needed. Here, we discuss the opportunities for tooth-banking (as it is now clinically feasible and commercially available), the advantages and limitations of current cryopreservation techniques for dental SCs/teeth or tissues, and the current status of tooth banks.

Key Words:  cryopreservation , dental stem cell , stem cell therapy , tooth bank

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Potten CS , Loeffler M . Stem cells: attributes, cycles, spirals, pitfalls and uncertainties. Lessons for and from the crypt . Development . 1990;110:1001–1020
  2. Weissman IL . Stem cells: units of development, units of regeneration, and units in evolution . Cell . 2000;100:157–168
  3. Weissman IL . Translating stem and progenitor cell biology to the clinic: barriers and opportunities . Science . 2000;287:1442–1446
  4. Gronthos S , Mankani M , Brahim J , Robey PG , Shi S . Postnatal human dental pulp stem cells (DPSCs) in vitro and in vivo . Proc Natl Acad Sci USA . 2000;97:13625–13630
  5. Mazur P . Freezing of living cells: mechanisms and implications . Am J Physiol . 1984;247:C125–C142
  6. Masato K, Hiroko K, Toshitsugu K, Masako T, Shinya K, Masahide M, et al  Cryopreservation of PDL cells by use of program freezer with magnetic field for teeth banking . Dent Jpn . 2007;43:82–86
  7. Temmerman L , Beele H , Dermaut LR , Van Maele G , De Pauw GA . Influence of cryopreservation on the pulpal tissue of immature third molars in vitro . Cell Tissue Bank . 2009 Aug 14; [Epub ahead of print]
  8. Duailibi MT , Duailibi SE , Young CS , Bartlett JD , Vacanti JP , Yelick PC . Bioengineered teeth from cultured rat tooth bud cells . J Dent Res . 2004;83:523–528
  9. Batouli S, Miura M, Brahim J, Tsutsui TW, Fisher LW, Gronthos S, et al  Comparison of stem-cell-mediated osteogenesis and dentinogenesis . J Dent Res . 2003;82:976–981
  10. Gronthos S, Brahim J, Li W, Fisher LW, Cherman N, Boyde A, et al  Stem cell properties of human dental pulp stem cells . J Dent Res . 2002;81:531–535
  11. Miura M, Gronthos S, Zhao M, Lu B, Fisher LW, Robey PG, et al. SHED: Stem cells from human exfoliated deciduous teeth . Proc Natl Acad Sci USA . 2003;100:5807–5812
  12. Melcher AH . Repair of wounds in the periodontium of the rat. Influence of periodontal ligament on osteogenesis . Arch Oral Biol . 1970;15:1183–1204
  13. Seo BM, Miura M, Gronthos S, Bartold PM, Batouli S, Brahim J, et al  Investigation of multipotent postnatal stem cells from human periodontal ligament . Lancet . 2004;364:149–155
  14. Sonoyama W, Liu Y, Fang D, Yamaza T, Seo BM, Zhang C, et al  Mesenchymal stem cell-mediated functional tooth regeneration in swine . PLoS One . 2006;1:e79
  15. Techawattanawisal W , Nakahama K , Komaki M , Abe M , Takagi Y , Morita I . Isolation of multipotent stem cells from adult rat perio-dontal ligament by neurosphere-forming culture system . Biochem Biophys Res Commun . 2007;357:917–923
  16. Gronthos S , Mrozik K , Shi S , Bartold PM . Ovine periodontal ligament stem cells: isolation, characterization, and differentiation potential . Calcif Tissue Int . 2006;79:310–317
  17. Völlner F , Driemel O , Reichert TE , Morsczeck C . Differentiation and characterization of dental follicle precursor cells (PCs) . Eur Cell Mater . 2007;14(Suppl 2):S111
  18. Yao S , Pan F , Prpic V , Wise GE . Differentiation of stem cells in the dental follicle . J Dent Res . 2008;87:767–771
  19. Luan X , Ito Y , Dangaria S , Diekwisch TG . Dental follicle progenitor cell heterogeneity in the developing mouse periodontium . Stem Cells Dev . 2006;15:595–608
  20. Harada H , Kettunen P , Jung HS , Mustonen T , Wang YA , Thesleff I . Localization of putative stem cells in dental epithelium and their association with Notch and FGF signaling . J Cell Biol . 1999;147:105–120
  21. Morotomi T, Kawano S, Toyono T, Kitamura C, Terashita M, Uchida T, et al  In vitro differentiation of dental epithelial progenitor cells through epithelial-mesenchymal interactions . Arch Oral Biol . 2005;50:695–705
  22. Nam H , Lee G . Identification of novel epithelial stem cell-like cells in human deciduous dental pulp . Biochem Biophys Res Commun . 2009;386:135–139
  23. Huang GT , Sonoyama W , Liu Y , Liu H , Wang S , Shi S . The hidden treasure in apical papilla: the potential role in pulp/dentin regeneration and bioroot engineering . J Endod . 2008;34:645–651
  24. Seo BM , Miura M , Sonoyama W , Coppe C , Stanyon R , Shi S . Recovery of stem cells from cryopreserved periodontal ligament . J Dent Res . 2005;84:907–912
  25. Handa K, Saito M, Tsunoda A, Yamauchi M, Hattori S, Sato S, et al  Progenitor cells from dental follicle are able to form cementum matrix in vivo . Connect Tissue Res . 2002;43:406–408
  26. Handa K, Saito M, Yamauchi M, Kiyono T, Sato S, Teranaka T, et al. Cementum matrix formation in vivo by cultured dental follicle cells . Bone . 2002;31:606–611
  27. Hong YC . Epidemiological Investigation of the Prevalence of Periodontal Disease in Taiwan . Tokyo: The Japanese Division of the International Association for Dental Research; 1970; The First Pan-Pacific Congress of Dental Research, April 14-16, 1969
  28. Filshie RJ, Zannettino AC, Makrynikola V, Gronthos S, Henniker AJ, Bendall LJ, et al  Muc18, a member of the immunoglobulin superfamily, is expressed on bone marrow fibroblasts and a subset of hematological malignancies . Leukemia . 1998;12:414–421
  29. Morsczeck C, Gotz W, Schierholz J, Zeilhofer F, Kuhn U, Mohl C, et al  Isolation of precursor cells (PCs) from human dental follicle of wisdom teeth . Matrix Biol . 2005;24:155–165
  30. Wise GE , Yao S , Odgren PR , Pan F . CSF-1 regulation of osteoclastogenesis for tooth eruption . J Dent Res . 2005;84:837–841
  31. Wise GE , Yao S . Regional differences of expression of bone morphogenetic protein-2 and RANKL in the rat dental follicle . Eur J Oral Sci . 2006;114:512–516
  32. Kémoun P, Laurencin-Dalicieux S, Rue J, Farges JC, Gennero I, Conte-Auriol F, et al  Human dental follicle cells acquire cementoblast features under stimulation by BMP-2/-7 and enamel matrix derivatives (EMD) in vitro . Cell Tissue Res . 2007;329:283–294
  33. Wise GE , Frazier-Bowers S , D'Souza RN . Cellular, molecular, and genetic determinants of tooth eruption . Crit Rev Oral Biol Med . 2002;13:323–334
  34. Saito M, Handa K, Kiyono T, Hattori S, Yokoi T, Tsubakimoto T, et al  Immortalization of cementoblast progenitor cells with Bmi-1 and TERT . J Bone Miner Res . 2005;20:50–57
  35. Ten Cate AR . In: Oral Histology: Development, Structure, and Function . St. Louis: Mosby; 1998;p. 197
  36. Ross MH , Kaye GI , Pawlina W . In: Histology: A Text and Atlas . Philadelphia: Lippincott Williams & Wilkins; 2003;p. 412
  37. Smith CE . Cell turnover in the odontogenic organ of the rat incisor as visualized by graphic reconstructions following a single injection of 3H-thymidine . Am J Anat . 1980;158:321–343
  38. Frandson RD , Spurgeon TL . In: Anatomy and Physiology of Farm Animals . Ames: Wiley-Blackwell; 2007;p. 340
  39. Ohshima H , Kenmotsu S , Harada H . Use of the term apical bud to refer to the apical end of the continuously growing tooth . Arch Comp Biol Tooth Enamel . 2003;8:45–49
  40. Yu J, Wang Y, Deng Z, Tang L, Li Y, Shi J, et al. Odontogenic capability: bone marrow stromal stem cells versus dental pulp stem cells . Biol Cell . 2007;99:465–474
  41. Almushayt A , Narayanan K , Zaki AE , George A . Dentin matrix protein 1 induces cytodifferentiation of dental pulp stem cells into odontoblasts . Gene Ther . 2006;13:611–620
  42. Iohara K , Nakashima M , Ito M , Ishikawa M , Nakasima A , Akamine A . Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein 2 . J Dent Res . 2004;83:590–595
  43. Arthur A , Rychkov G , Shi S , Koblar SA , Gronthos S . Adult human dental pulp stem cells differentiate toward functionally active neurons under appropriate environmental cues . Stem Cells . 2008;26:1787–1795
  44. Huang AH , Snyder BR , Cheng PH , Chan AW . Putative dental pulp-derived stem/stromal cells promote proliferation and differentiation of endogenous neural cells in the hippocampus of mice . Stem Cells . 2008;26:2654–2663
  45. Gandia C, Armiñan A, García-Verdugo JM, Lledó E, Ruiz A, Miñana MD, et al  Human dental pulp stem cells improve left ventricular function, induce angiogenesis, and reduce infarct size in rats with acute myocardial infarction . Stem Cells . 2008;26:638–645
  46. Ikeda E, Yagi K, Kojima M, Yagyuu T, Ohshima A, Sobajima S, et al  Multipotent cells from the human third molar: feasibility of cell-based therapy for liver disease . Differentiation . 2008;76:495–505
  47. Chang PC. Influences of Magnetic Cryopreservation on the Dental Pulp Stem Cells. MSD thesis, Taipei Medical University, Taipei, 2010.
  48. Chang PC , Huang HM , Lee SY . Influences of Magnetic Cryopreservation on the Dental Pulp Stem Cells . Hiroshima, Japan, Hiroshima: Hiroshima University Faculty of Dentistry; 2009; 3rd Hiroshima Conference on Education and Science in Dentistry, November 7-8, 2009
  49. Pierdomenico L, Bonsi L, Calvitti M, Rondelli D, Arpinati M, Chirumbolo G, et al  Multipotent mesenchymal stem cells with immunosuppressive activity can be easily isolated from dental pulp . Transplantation . 2005;80:836–842
  50. Ohazama A , Modino SA , Miletich I , Sharpe PT . Stem-cell-based tissue engineering of murine teeth . J Dent Res . 2004;83:518–522
  51. Liu Y, Zheng Y, Ding G, Fang D, Zhang C, Bartold PM, et al  Periodontal ligament stem cell-mediated treatment for periodontitis in miniature swine . Stem Cells . 2008;26:1065–1073
  52. d'Aquino R, De Rosa A, Lanza V, Tirino V, Laino L, Graziano A, et al  Human mandible bone defect repair by the grafting of dental pulp stem/progenitor cells and collagen sponge biocomplexes . Eur Cell Mater . 2009;18:75–83
  53. Yang KL , Chen MF , Liao CH , Pang CY , Lin PY . A simple and efficient method for generating Nurr1-positive neuronal stem cells from human wisdom teeth (tNSC) and the potential of tNSC for stroke therapy . Cytotherapy . 2009;11:606–617
  54. Coburn RJ , Henriques BL , Francis LE . The development of an experimental tooth bank using deep freeze and tissue culture techniques . J Oral Ther Pharmacol . 1966;2:445–450
  55. Schwartz O . Cryopreservation as long-term storage of teeth for transplantation or replantation . Int J Oral Maxillofac Surg . 1986;15:30–32
  56. Oh YH , Che ZM , Hong JC , Lee EJ , Lee SJ , Kim J . Cryopreservation of human teeth for future organization of a tooth bank-a preliminary study . Cryobiology . 2005;51:322–329
  57. Yen AH , Sharpe PT . Stem cells and tooth tissue engineering . Cell Tissue Res . 2008;331:359–372
  58. Polge C , Smith AU , Parkes AS . Revival of spermatozoa after vitrification and dehydration at low temperatures . Nature . 1949;164:666
  59. Jackson M , Richardson D . The use of fresh and frozen semen in human artificial insemination . J Biosoc Sci . 1977;9:251–262
  60. Smith AU . Prevention of haemolysis during freezing and thawing of red blood-cells . Lancet . 1950;2:910–911
  61. Voronoi L , Rudykh O , Livshits V . Preservation of skin by deep freezing (preliminary report) . Probl Gematol Pereliv Krovi . 1963;8:30–32 [In Russian]
  62. Rall WF , Fahy GM . Ice-free cryopreservation of mouse embryos at −196 degrees C by vitrification . Nature . 1985;313:573–575
  63. Kuleshova L , Gianaroli L , Magli C , Ferraretti A , Trounson A . Birth following vitrification of a small number of human oocytes: case report . Hum Reprod . 1999;14:3077–3079
  64. Sumida S . Transfusion and transplantation of cryopreserved cells and tissues . Cell Tissue Bank . 2006;7:265–305
  65. Liebermann J , Nawroth F , Isachenko V , Isachenko E , Rahimi G , Tucker MJ . Potential importance of vitrification in reproductive medicine . Biol Reprod . 2002;67:1671–1680
  66. Isachenko V , Alabart JL , Nawroth F , Isachenko E , Vajta G , Folch J . The open pulled straw vitrification of ovine GV-oocytes: positive effect of rapid cooling or rapid thawing or both? . Cryo Letters . 2001;22:157–162
  67. Pegg DE . The history and principles of cryopreservation . Semin Reprod Med . 2002;20:5–13
  68. Cordeiro MM, Dong Z, Kaneko T, Zhang Z, Miyazawa M, Shi S, et al  Dental pulp tissue engineering with stem cells from exfoliated deciduous teeth . J Endod . 2008;34:962–969
  69. Huang AH , Chen YK , Lin LM , Shieh TY , Chan AW . Isolation and characterization of dental pulp stem cells from a supernumerary tooth . J Oral Pathol Med . 2008;37:571–574
  70. Price PJ , Cserepfalvi M . Pulp viability and the homotransplantation of frozen teeth . J Dent Res . 1972;51:39–43
  71. Schwartz O , Andreasen JO . Cryopreservation of mature teeth before replantation in monkeys (I). Effect of different cryopro-tective agents and freezing devices . Int J Oral Surg . 1983;12:425–436
  72. Temmerman L , De Pauw GA , Beele H , Dermaut LR . Tooth transplantation and cryopreservation: state of the art . Am J Orthod Dentofacial Orthop . 2006;129:691–695
  73. Lovell-Badge R . The future for stem cell research . Nature . 2001;414:88–91

PII: S1878-3317(10)60018-6

doi:10.1016/S1878-3317(10)60018-6

Journal of Experimental & Clinical Medicine
Volume 2, Issue 3 , Pages 111-117, June 2010