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Neural crest cells give rise to multiple cell types and demonstrate the origin and differentiation potentials of dental stem cells. 1 -5: The formation of neural crest cells; 6: Dental stem cells; the dotted arrow shows the differentiation potential of dental stem cells; 7: Adipocytes; 8: Osteoblasts and chondrocytes; 9: Neurons.

Neural crest cells give rise to multiple cell types and demonstrate the origin and differentiation potentials of dental stem cells. 1 -5: The formation of neural crest cells; 6: Dental stem cells; the dotted arrow shows the differentiation potential of dental stem cells; 7: Adipocytes; 8: Osteoblasts and chondrocytes; 9: Neurons.

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Over the past few decades, scientific research into neural crest-derived stem cells has progressed rapidly. The migration and differentiation of neural crest-derived stem cells has been an interesting area of research. Stem cells within teeth originating from the embryonic neural crest have attracted increasing attention in clinical and scientific...

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... crest cells undergo an epithelial-to-mesenchymal transformation (EMT), after which they migrate to different locations and differentiate into different cells and tissues. In vivo and in vitro experiments revealed that neural crest cells give rise to multiple cell types (Fig 3), including adipocytes 12 , neurons 13 , glias 14,15 , smooth muscle, chondrocytes, osteoblasts 16 , dentine (odontoblasts) 8 , and melanocytes 17 . Neural crest cells are defined because of their origin; they are multipotent and self-renewable [18][19][20][21][22][23] . ...

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... DPSCs share similarities with bone marrow MSCs and express markers related to mineralization and osteogenesis (Chen et al., 2005;Ching et al., 2017). With proper induction, dental pulp stem cells can differentiate into osteoblasts, chondrocytes, adipocytes, and neural-like cells (Zhu et al., 2018) (Figure 2). In a study conducted by Alge et al. (2010), DPSCs demonstrated a higher proliferation rate and greater clonal potential compared to bone marrow MSCs. ...
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... ability and differentiation potential, be able to establish stable cell lines, and have the lowest possible antigenicity [9][10][11]. MSCs have been widely applied in regenerative medicine research because of their abundance, strong proliferation ability and immunomodulatory function [12][13][14][15][16]. ...
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Background In tissue engineering, mesenchymal stem cells (MSCs) are common seed cells because of abundant sources, strong proliferation ability and immunomodulatory function. Numerous researches have demonstrated that MSC-macrophage crosstalk played a key role in the tissue engineering. Macrophages could regulate the differentiation of MSCs via different molecular mechanisms, including extracellular vesicles. Apoptotic macrophages could generate large amounts of apoptotic vesicles (apoVs). ApoVs are rich in proteins, RNA (microRNAs, mRNAs, ncRNAs, etc.) and lipids, and are a key intercellular communication mediator that can exert different regulatory effects on recipient cells. MiRNAs account for about half of the total RNAs of extracellular vesicles, and play important roles in biological processes such as cell proliferation and differentiation, whereas the functions of macrophage-derived apoVs remain largely unknown. There was no research to clarify the role of macrophage-derived apoVs in MSC fate choices. In this study, we aimed to characterize macrophage-derived apoVs, and investigate the roles of macrophage-derived apoVs in the fate commitment of MSCs. Methods We characterized macrophage-derived apoVs, and investigated their role in MSC osteogenesis and adipogenesis in vitro and in vivo. Furthermore, we performed microRNA loss- and gain-of-function experiments and western blot to determine the molecular mechanism. Results Macrophages could produce a large number of apoVs after apoptosis. MSCs could uptake apoVs. Then, we found that macrophage-derived apoVs inhibited osteogenesis and promoted adipogenesis of MSCs in vitro and in vivo. In mechanism, apoVs were enriched for microRNA155 (miR155), and apoVs regulated osteogenesis and adipogenesis of MSCs by delivering miR155. Besides, miR155 regulated osteogenesis and adipogenesis of MSCs cultured with macrophage-derived apoVs via the SMAD2 signaling pathway. Conclusions Macrophage-derived apoVs could regulate the osteogenesis and adipogenesis of MSCs through delivering miR155, which provided novel insights for MSC-mediated tissue engineering.
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... DFPCs were first isolated from the dental follicle surrounding the impacted third molar tooth germ and identified by Morsczeck et al. (2005). DFPCs not only have better immunomodulatory and anti-apoptotic effects on the immune system than DPSCs and SHED, but also exhibit greater osteogenic properties than SHED and DPSCs as the osteogenic-related markers such as Runx2 and DSPP are highly expressed in DFPCs (Zhu et al., 2018). In addition, DFPCs were able to differentiate into cementoblasts in vivo (Handa et al., 2002). ...
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Mesenchymal stem cells (MSCs) are promising seed cells in tissue repair and regeneration due to their featured properties of self-renewal and multipotency. However, a growing body of evidence has demonstrated that MSCs exert biological functions mainly through secreting exosomes. Exosomes, which contain RNA, proteins, lipids, and metabolites, are new players in regulating many fundamental processes and play important roles in regenerative medicine. Exosomes not only mimic the effects of their parent cells but also possess many advantages such as high drug loading capacity, low immunogenicity, excellent biocompatibility, and low side effects. Currently, a total of 6 different dental stem cells (DSCs) including dental pulp stem cells (DPSCs), stem cells from exfoliated deciduous teeth (SHEDs), periodontal ligament stem cells (PDLSCs), dental follicle progenitor cells (DFPCs), stem cells from apical papilla (SCAPs) and gingival mesenchymal stem cells (GMSCs) have been isolated and identified. DSC-derived exosomes (DSC-Exos) are actively involved in intercellular communication, anti-inflammation, osteogenesis, angiogenesis, immunomodulation, nurturing neurons, and promoting tumor cell apoptosis. In this review, we will critically review the emerging role and clinical application potential of DSC-Exos.