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      Application of dental pulp stem cells for bone regeneration

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          Abstract

          Bone defects resulting from severe trauma, tumors, inflammation, and other factors are increasingly prevalent. Stem cell-based therapies have emerged as a promising alternative. Dental pulp stem cells (DPSCs), sourced from dental pulp, have garnered significant attention owing to their ready accessibility and minimal collection-associated risks. Ongoing investigations into DPSCs have revealed their potential to undergo osteogenic differentiation and their capacity to secrete a diverse array of ontogenetic components, such as extracellular vesicles and cell lysates. This comprehensive review article aims to provide an in-depth analysis of DPSCs and their secretory components, emphasizing extraction techniques and utilization while elucidating the intricate mechanisms governing bone regeneration. Furthermore, we explore the merits and demerits of cell and cell-free therapeutic modalities, as well as discuss the potential prospects, opportunities, and inherent challenges associated with DPSC therapy and cell-free therapies in the context of bone regeneration.

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          Most cited references156

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          Extracellular vesicles: Exosomes, microvesicles, and friends

          Cells release into the extracellular environment diverse types of membrane vesicles of endosomal and plasma membrane origin called exosomes and microvesicles, respectively. These extracellular vesicles (EVs) represent an important mode of intercellular communication by serving as vehicles for transfer between cells of membrane and cytosolic proteins, lipids, and RNA. Deficiencies in our knowledge of the molecular mechanisms for EV formation and lack of methods to interfere with the packaging of cargo or with vesicle release, however, still hamper identification of their physiological relevance in vivo. In this review, we focus on the characterization of EVs and on currently proposed mechanisms for their formation, targeting, and function.
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            Overview of Extracellular Vesicles, Their Origin, Composition, Purpose, and Methods for Exosome Isolation and Analysis

            The use of extracellular vesicles, specifically exosomes, as carriers of biomarkers in extracellular spaces has been well demonstrated. Despite their promising potential, the use of exosomes in the clinical setting is restricted due to the lack of standardization in exosome isolation and analysis methods. The purpose of this review is to not only introduce the different types of extracellular vesicles but also to summarize their differences and similarities, and discuss different methods of exosome isolation and analysis currently used. A thorough understanding of the isolation and analysis methods currently being used could lead to some standardization in the field of exosomal research, allowing the use of exosomes in the clinical setting to become a reality.
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              Introduction to Extracellular Vesicles: Biogenesis, RNA Cargo Selection, Content, Release, and Uptake.

              Extracellular vesicles are a heterogeneous group of membrane-limited vesicles loaded with various proteins, lipids, and nucleic acids. Release of extracellular vesicles from its cell of origin occurs either through the outward budding of the plasma membrane or through the inward budding of the endosomal membrane, resulting in the formation of multivesicular bodies, which release vesicles upon fusion with the plasma membrane. The release of vesicles can facilitate intercellular communication by contact with or by internalization of contents, either by fusion with the plasma membrane or by endocytosis into "recipient" cells. Although the interest in extracellular vesicle research is increasing, there are still no real standards in place to separate or classify the different types of vesicles. This review provides an introduction into this expanding and complex field of research focusing on the biogenesis, nucleic acid cargo loading, content, release, and uptake of extracellular vesicles.
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                Author and article information

                Journal
                Front Med (Lausanne)
                Front Med (Lausanne)
                Front. Med.
                Frontiers in Medicine
                Frontiers Media S.A.
                2296-858X
                29 February 2024
                2024
                : 11
                : 1339573
                Affiliations
                [1] 1Center of Regenerative Medicine, Department of Stomatology Renmin Hospital of Wuhan University , Wuhan, China
                [2] 2Department of Orthopaedics, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine , Shanghai, China
                [3] 3Sydney Dental School, Faculty of Medicine and Health, University of Sydney , Sydney, NSW, Australia
                [4] 4Institute of Regenerative and Translational Medicine, Tianyou Hospital of Wuhan University of Science and Technology , Wuhan, China
                [5] 5Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Harvard Medical School , Boston, MA, United States
                Author notes

                Edited by: Chanyuan Jin, Peking University Hospital of Stomatology, China

                Reviewed by: Xiaogang Xu, Zhejiang University, China

                Na Li, Foshan University, China

                Yinghong Zhou, The University of Queensland, Australia

                *Correspondence: Qingsong Ye, qingsongye@ 123456whu.edu.cn

                These authors have contributed equally to this work

                Article
                10.3389/fmed.2024.1339573
                10938947
                38487022
                eaaf1926-e19d-495f-9705-7d51a628c840
                Copyright © 2024 Xiong, Li, Feng, Jing, Liu, Zhou, Li, Fu, Xu, He and Ye.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 16 November 2023
                : 15 January 2024
                Page count
                Figures: 5, Tables: 2, Equations: 0, References: 156, Pages: 15, Words: 13504
                Funding
                Funded by: Ministry of Science and Technology of China
                Award ID: 2022YFC2504200
                Award ID: X22020024
                Award ID: YFXM2022000264
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by the State Key Project Ministry of Science and Technology of China (2022YFC2504200 from QY) and Chu tian Researcher Project (X22020024 from YH), the key R&D Program of Hubei Province of China (YFXM2022000264 from QY).
                Categories
                Medicine
                Review
                Custom metadata
                Gene and Cell Therapy

                bone defect,cell therapy,cell-free therapy,dental pulp stem cells,bone regeneration

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