O USO DE CÉLULAS-TRONCO NA REGENERAÇÃO PERIODONTAL

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https://doi.org/10.47820/recima21.v5i12.6040

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Resumo

A periodontite é definida como uma doença infecto-inflamatória crônica associada a um biofilme disbiótico, levando ao desequilíbrio da homeostase, a perda dos tecidos de suporte periodontal e podendo culminar na perda dentária. A frequente presença de defeitos ósseos periodontais leva ao crescente interesse na odontologia pela regeneração periodontal, passando pela busca constante de novos biomateriais e, mais recentemente com a introdução de terapias baseadas em células-tronco. O objetivo desta revisão de literatura é analisar o potencial terapêutico das células tronco mesenquimais na regeneração periodontal, abordando os desafios associados à sua aplicação clínica. As células-tronco mesenquimais (CTMs), particularmente aquelas derivadas do ligamento periodontal, têm demonstrado potencial significativo na regeneração de tecidos periodontais danificados. Estudos indicam que essas células possuem a capacidade de diferenciação em vários tipos celulares, incluindo osteoblastos, cementoblastos e fibroblastos, essenciais para a formação de novo tecido periodontal.

Biografia do Autor

Giovanna Denuncio

Univeritas UNG.

Sandy Lima Araújo

Univeritas UNG.

Fernanda Aparecida dos Santos Colombo

Univeritas UNG.

Jose Augusto Rodrigues

Graduação em Odontologia, Mestrado e Doutorado em Clínica Odontológica - área de concentração em Dentística pela FOP UNICAMP, Proficiência em Laser pela Academy of Laser Dentistry ALD-USA. Professor Pesquisador do PPG e Graduação em Odontologia da Universidade Guarulhos - UNG. Professor do curso de Odontologia da Universidade São Judas Tadeu - USJT. Faculty Associate do departamento Dentistry/Restorative Dental Sciences, do health Science Center da University of Florida. 

Luciene Cristina de Figueiredo

Univeritas UNG.

Referências

AGGARWAL, S.; PITTENGER, M. F. Human mesenchymal stem cells modulate allogeneic immune cell responses. Blood, v. 105, p. 1815–22, 2005 DOI: https://doi.org/10.1182/blood-2004-04-1559

ARCURI, L.J.; ABUD, L. G.; DUARTE, F. P. et al. Haploidentical transplantation with post-transplant cyclophosphamide versus unrelated donor hematopoietic stem cell transplantation: A systematic review and meta-analysis. Biol Blood Marrow Transplant, v. 25, n. 12, p. 2422–30, 2019 DOI: https://doi.org/10.1016/j.bbmt.2019.08.018

CAI, X.; YANG, F.; WALBOOMERS, X. F. et al. Periodontal regeneration via chemoattractive constructs. J Clin Periodontol., v. 45, p. 851–60, 2018 DOI: https://doi.org/10.1111/jcpe.12935

CHEN, F. M.; GAO, L. N.; TIAN, B. M. et al. Treatment of periodontal intrabony defects using autologous periodontal ligament stem cells: a randomized clinical trial. Stem Cell Res Ther, v. 7, p. 33, 2016 DOI: https://doi.org/10.1186/s13287-016-0296-8

CHEN, F. M.; SUN, H. H.; LU, H. et al. Stem cell-delivery therapeutics for periodontal tissue regeneration. Biomaterials, v. 33, p. 6320–44, 2012 DOI: https://doi.org/10.1016/j.biomaterials.2012.05.048

CHEN, Y.; LIU, H. O potencial de diferenciação de células-tronco mesenquimais gengivais induzidas por meio condicionado de células germinativas dentais apicais. Mol Med Rep., v. 14, p. 3565–72, 2016 DOI: https://doi.org/10.3892/mmr.2016.5690

COSTA, L. A.; EIRO, N.; VACA, A.; VIZOSO, F. J. Towards a new concept of regenerative endodontics based on mesenchymal stem cell-derived secretome products. Bioengineering (Basel)., v. 10, n. 1, p. 4, 2022 DOI: https://doi.org/10.3390/bioengineering10010004

CROSSMAN, J.; ELYASI, M.; EL-BIALY, T.; FLORES-MIR, C. Cementum regeneration using stem cells in the dog model: A systematic review. Arch Oral Biol., v. 91, p. 78–90, 2018 DOI: https://doi.org/10.1016/j.archoralbio.2018.03.015

DE WERT, G.; MUMMERY, C. Human embryonic stem cells: Research, ethics and policy. Hum Reprod., v. 18, p. 672–82, 2003 DOI: https://doi.org/10.1093/humrep/deg143

DHOTE, R.; CHARDE, P.; BHONGADE, M.; RAO, J. Stem cells cultured on beta tricalcium phosphate (β-TCP) in combination with recombinant human platelet-derived growth factor-BB (rh-PDGF-BB) for the treatment of human infrabony defects. J Stem Cells., v. 10, p. 243–54, 2015.

DOGAN, A.; OZDEMIR, A.; KUBAR, A.; OYGUR, T. Assessment of periodontal healing by seeding of fibroblast-like cells derived from regenerated periodontal ligament in artificial furcation defects in a dog: a pilot study. Tissue Eng., v. 8, p. 273–82, 2002 DOI: https://doi.org/10.1089/107632702753725004

DOSS, M. X.; SACHINIDIS, A. Current challenges of iPSC-based disease modeling and therapeutic implications. Cells, v. 8, 2019 DOI: https://doi.org/10.3390/cells8050403

FEI, X.; JIANG, S.; ZHANG, S. et al. Isolation, culture, and identification of amniotic fluid-derived mesenchymal stem cells. Cell Biochem Biophys, 67, p. 689–94, 2013 DOI: https://doi.org/10.1007/s12013-013-9564-5

FERRAROTTI, F.; ROMANO, F.; GAMBA, M. N. et al. Human intrabony defect regeneration with micrografts containing dental pulp stem cells: A randomized controlled clinical trial. J Clin Periodontol., v. 45, p. 841–50, 2018 DOI: https://doi.org/10.1111/jcpe.12934

FU, X.; XU, Y. Challenges to the clinical application of pluripotent stem cells: Towards genomic and functional stability. Genome Med., v. 4, p. 55, 2012 DOI: https://doi.org/10.1186/gm367

GARTNER, S.; KAPLAN, H. S. Long-term culture of human bone marrow cells. Proc Natl Acad Sci U S A., v. 77, p. 4756–9, 1980 DOI: https://doi.org/10.1073/pnas.77.8.4756

GOULD, T. R.; MELCHER, A. H.; BRUNETTE, D. M. Migration and division of progenitor cell populations in periodontal ligament after wounding. J Periodont Res., v. 15, p. 20–42, 1980 DOI: https://doi.org/10.1111/j.1600-0765.1980.tb00297.x

GRONTHOS, S.; MANKANI, M.; BRAHIM, J.; ROBEY, P. G.; SHI, S. Postnatal human dental pulp stem cells (DPSCs) in vitro and in vivo. Proc Natl Acad Sci U S A., v. 97, p. 13625–30, 2000 DOI: https://doi.org/10.1073/pnas.240309797

HA, D. H.; KIM, H.; LEE, J. et al. Mesenchymal stem/stromal cell-derived exosomes for immunomodulatory therapeutics and skin regeneration. Cells, v. 9, 2020 DOI: https://doi.org/10.3390/cells9112240

HAN, J.; MENICANIN, D.; GRONTHOS, S. et al. Stem cells, tissue engineering and periodontal regeneration. Aust Dent J., v. 59, p. 117–30, 2014 DOI: https://doi.org/10.1111/adj.12114

HE, W.; GOODKIND, A. L.; KOWALECZKO, M. et al. Cancer treatment evolution from traditional methods to stem cells and gene therapy. Curr Gene Ther., v. 22, n. 5, p. 368–85, 2022 DOI: https://doi.org/10.2174/1566523222666220420124039

HERNÁNDEZ-MONJARAZ, B.; SANTIAGO-OSORIO, E.; LEDESMA-MARTÍNEZ, E. et al. Retrieval of a periodontally compromised tooth by allogeneic grafting of mesenchymal stem cells from dental pulp: A case report. J Int Med Res., v. 46, p. 2983–93, 2018 DOI: https://doi.org/10.1177/0300060518779070

HUANG, G. T. J.; GRONTHOS, S.; SHI, S. Mesenchymal stem cells derived from dental tissues vs. those from other sources: Their biology and role in regenerative medicine. J Dent Res., v. 88, p. 792–806, 2009 DOI: https://doi.org/10.1177/0022034509340867

IVANOVSKI, S.; VAQUETTE, C.; GRONTHOS, S. et al. Multiphasic scaffolds for periodontal tissue engineering. J Dent Res., v. 93, p. 1212–21, 2014 DOI: https://doi.org/10.1177/0022034514547278

JIANG, J.; WU, X.; LIN, M. et al. Application of autologous periosteal cells for the regeneration of class III furcation defects in Beagle dogs. Cytotechnology., v. 62, p. 235–43, 2010 DOI: https://doi.org/10.1007/s10616-010-9262-y

KIM, S. G. A cell-based approach to dental pulp regeneration using mesenchymal stem cells: A scoping review. Int J Mol Sci., v. 22, n. 9, p. 4357, 2021 DOI: https://doi.org/10.3390/ijms22094357

LEITE SEGUNDO, A. V.; VASCONCELOS, B. C. do E. Células-tronco e engenharia tecidual: perspectivas de aplicação em odontologia. Rev Ciências Médicas., v. 16, 2007.

LI, X.; HE, X. T.; YIN, Y. et al. Administration of signalling molecules dictates stem cell homing for in situ regeneration. J Cell Mol Med., v. 21, p. 3162–77, 2017 DOI: https://doi.org/10.1111/jcmm.13223

LØVSCHALL, H.; ARENHOLT-BINDSLEV, D.; CLAUSEN, P. P.; KARRING, T. Activation of the Notch signaling pathway in response to pulp capping of rat molars. Eur J Oral Sci, v. 113, n. 4, p. 312–7, 2005 DOI: https://doi.org/10.1111/j.1600-0722.2005.00221.x

MIURA, M.; GRONTHOS, S.; ZHAO, M.; LU, B.; FISHER, L. W.; ROBEY, P. G.; SHI, S. SHED: Stem cells from human exfoliated deciduous teeth. Proc Natl Acad Sci USA., v. 100, n. 10, p. 5807–12, 2003 DOI: https://doi.org/10.1073/pnas.0937635100

MROZIK, K. M.; WADA, N.; MARINO, V.; RICHTER, W.; SHI, S.; WHEELER, D. L.; GRONTHOS, S.; BARTOLD, P. M. Regeneration of periodontal tissues using allogeneic periodontal ligament stem cells in an ovine model. Regen Med., v. 8, n. 6, p. 711–23, 2013 DOI: https://doi.org/10.2217/rme.13.69

NAGATA, M.; AKAMINE, Y.; KURASHINA, K. Meio condicionado de células-tronco do ligamento periodontal melhora a regeneração periodontal. Tissue Eng Part A., v. 23, n. 9–10, p. 367–77, 2017 DOI: https://doi.org/10.1089/ten.TEA.2016.0252

NÚÑEZ, J.; SANZ-BLASCO, S.; VIGNOLETTI, F.; VALLÉS, C.; FIGUERO, E.; SANZ, M. Periodontal regeneration: stem cells and platelet-rich plasma: from basic research to the clinic and future development of cell transplantation therapy for tissue regeneration. Int J Dent., v. 2012, p. 307024, 2012 DOI: https://doi.org/10.1155/2012/307024

PAPAPANOU, P. N.; SANZ, M.; BUDUNELI, N.; DIETRICH, T.; FERES, M.; FINE, D. H. et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol., v. 45, Suppl 20, S170, 2018 DOI: https://doi.org/10.1111/jcpe.12946

PARK, C. H.; KIM, K. H.; LEE, Y. M.; SEOL, Y. J. Advanced engineering strategies for periodontal complex regeneration. Materials (Basel), v. 9, n. 7, p. 57, 2016 DOI: https://doi.org/10.3390/ma907057

PARK, J. M.; KIM, J.; KIM, M. Y.; KIM, S. W. Effects of mesenchymal stem cell on dopaminergic neurons, motor and memory functions in animal models of Parkinson's disease: a systematic review and meta-analysis. Neural Regen Res., v. 19, n. 7, p. 1584–92, 2024 DOI: https://doi.org/10.4103/1673-5374.371482

PENG, Y.; KE, M.; XUE, W.; NI, Y.; HE, C.; DENG, Z. Donor-derived mesenchymal stem cells combined with low-dose tacrolimus prevent acute rejection after renal transplantation: A clinical pilot study. Transplantation., v. 95, n. 2, p. 161–8, 2013 DOI: https://doi.org/10.1097/TP.0b013e318271caa2

PIRES, I. G.; BATISTA, N. F.; RODRIGUES, R. C.; DE SOUZA, A. G.; MARTINS, A. V.; RODRIGUES, L. G. Clinical efficacy of stem-cell therapy on diabetes mellitus: A systematic review and meta-analysis. Transpl Immunol., v. 75, p. 101740, 2022 DOI: https://doi.org/10.1016/j.trim.2022.101740

PREISIG, E.; SCHROEDER, H. E. Long‐term culture of human periodontal ligament cells with autologous root discs. J Periodontal Res., v. 23, n. 3, p. 211–6, 1988 DOI: https://doi.org/10.1111/j.1600-0765.1988.tb01547.x

QIU, J.; ZHOU, J.; WANG, J.; CHEN, L.; TAN, J.; ZHENG, L. et al. Improvement of periodontal tissue regeneration by conditioned medium of mesenchymal stem cells derived from gingiva or periodontal ligament: a comparative study in rats. Stem Cell Res Ther., v. 11, n. 1, p. 42, 2020 DOI: https://doi.org/10.1186/s13287-020-1551-0

QUINLAN, A. R.; BOLAND, M. J.; BALL, M. P.; MELTON, C.; VANDENBERG, D. J.; ILIFF, B. W. et al. Genome sequencing of mouse induced pluripotent stem cells reveals retroelement stability and infrequent DNA rearrangement during reprogramming. Cell Stem Cell., v. 9, n. 4, p. 366–73, 2011 DOI: https://doi.org/10.1016/j.stem.2011.09.008

ROMANOV, Y. A.; SVINTSITSKAYA, V. A.; SMIRNOV, V. N. Searching for alternative sources of postnatal human mesenchymal stem cells: Candidate MSC-like cells from umbilical cord. Stem Cells., v. 21, n. 1, p. 105–10, 2003 DOI: https://doi.org/10.1634/stemcells.21-1-105

SALARI SEDIGH, H.; SAFFARPOUR, A.; JAMSHIDI, S.; ASHOURI, M.; NASSIRI, S. M.; DEHGHAN, M. M.; RANJBAR, E.; SHAFIEIAN, R. In vitro investigation of canine periodontal ligament-derived mesenchymal stem cells: A possibility of promising tool for periodontal regeneration. J Oral Biol Craniofac Res., v. 13, p. 403–411, 2023 DOI: https://doi.org/10.1016/j.jobcr.2023.02.005

SÁNCHEZ, N.; MATOS, S.; NUNES, R.; CARDOSO, J.; RIBEIRO, F.; MARTINS, T. Periodontal regeneration using a xenogeneic bone substitute seeded with autologous periodontal ligament-derived mesenchymal stem cells: A 12-month quasi-randomized controlled pilot clinical trial. J Clin Periodontol., v. 47, p. 1391–1402, 2020 DOI: https://doi.org/10.1111/jcpe.13382

SANTOS, N. C. C. D.; COTRIM, K. C.; ACHÔA, G. L.; KALIL, E. C.; KANTARCI, A.; BUENO, D. F. The use of mesenchymal stromal/stem cells (MSC) for periodontal and peri-implant regeneration: Scoping review. Braz Dent J., v. 25, p. 35, 2024.

SEO, B. M.; MIURA, M.; GRONTHOS, S.; BARTOLD, P. M.; BATOULI, S.; BRAHIM, J.; YOUNG, M.; GEHRON, R. P.; SHI, S. Investigation of multipotent postnatal stem cells from human periodontal ligament. Lancet., v. 364, p. 149–155, 2004 DOI: https://doi.org/10.1016/S0140-6736(04)16627-0

SHARKIS, S. J.; JONES, R. J.; CIVIN, C.; JANG, Y. Y. Pluripotent stem cell-based cancer therapy: Promise and challenges. Sci Transl Med, v. 4, p. 127ps9, 2012 DOI: https://doi.org/10.1126/scitranslmed.3003623

TAKAHASHI, K.; TANABE, K.; OHNUKI, M.; NARITA, M.; ICHISAKA, T.; TOMODA, K.; YAMANAKA, S. Induction of pluripotent stem cells from adult human fibroblasts by defined factors. Cell., v. 131, p. 861–872, 2007 DOI: https://doi.org/10.1016/j.cell.2007.11.019

TAKAHASHI, K.; YAMANAKA, S. Induction of pluripotent stem cells from mouse embryonic and adult fibroblast cultures by defined factors. Cell., v. 126, p. 663–676, 2006 DOI: https://doi.org/10.1016/j.cell.2006.07.024

THESLEFF, I.; NIEMINEN, P. Tooth morphogenesis and cell differentiation. Curr Opin Cell Biol., v. 8, p. 844–850, 1996 DOI: https://doi.org/10.1016/S0955-0674(96)80133-3

TSUMANUMA, Y, IWATA, T, WASHIO, K, YOSHIDA, T, YAMADA, A, TAKAYAMA, S, TSUJI, Y.; SHIBATA, Y.; BABA, S.; ANDO, T.; YAMATO, M.; OKANO, T.; IZUMI, Y. Comparison of different tissue-derived stem cell sheets for periodontal regeneration in a canine 1-wall defect model. Biomaterials, v. 32, p. 5819–5825, 2011 DOI: https://doi.org/10.1016/j.biomaterials.2011.04.056

UCCELLI, A.; MORETTA, L.; PISTOIA, V. Mesenchymal stem cells in health and disease. Nat Rev Immunol., v. 8, p. 726–736, 2008 DOI: https://doi.org/10.1038/nri2395

WAGNER, J.; KEAN, T. J.; YOUNG, R. G.; DENNIS, J. E.; CAPLAN, A. I. Optimizing mesenchymal stem cell-based therapeutics. Curr Opin Biotechnol., v. 20, p. 531–536, 2009 DOI: https://doi.org/10.1016/j.copbio.2009.08.009

WANG, W.; YUAN, C.; LIU, Z.; GENG, T.; LI, X.; WEI, L.; NIU, W.; WANG, P. Characteristic comparison between canine and human dental mesenchymal stem cells for periodontal regeneration research in preclinical animal studies. Tissue Cell., v. 67, p. 101405, 2020 DOI: https://doi.org/10.1016/j.tice.2020.101405

YAMANAKA, S. Pluripotent stem cell-based cell therapy: Promise and challenges. Cell Stem Cell, v. 27, p. 523–531, 2020 DOI: https://doi.org/10.1016/j.stem.2020.09.011

ZUK, P. A.; ZHU, M.; ASHJIAN, P.; DE UGARTE, D. A.; HUANG, J. I.; MIZUNO, H.; ALFONSO, Z. C.; FRASER, J. K.; BENHAIM, P.; HEDRICK, M. H. Multilineage cells from human adipose tissue: Implications for cell-based therapies. Tissue Eng., v. 7, p. 211–228, 2001 DOI: https://doi.org/10.1089/107632701300062859

Como Citar

Denuncio, G. ., Araújo, S. L., Colombo, F. A. dos S. ., Rodrigues, J. A., & Figueiredo, L. C. de . (2024). O USO DE CÉLULAS-TRONCO NA REGENERAÇÃO PERIODONTAL. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 5(12), e5126040. https://doi.org/10.47820/recima21.v5i12.6040