Stem Cells from Human Exfoliated Deciduous Teeth (SHED) Differentiate in vivo and Promote Facial Nerve Regeneration

Carregando...
Imagem de Miniatura
Citações na Scopus
41
Tipo de produção
article
Data de publicação
2019
Título da Revista
ISSN da Revista
Título do Volume
Editora
SAGE PUBLICATIONS INC
Citação
CELL TRANSPLANTATION, v.28, n.1, p.55-64, 2019
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Post-traumatic lesions with transection of the facial nerve present limited functional outcome even after repair by gold-standard microsurgical techniques. Stem cell engraftment combined with surgical repair has been reported as a beneficial alternative. However, the best association between the source of stem cell and the nature of conduit, as well as the long-term postoperative cell viability are still matters of debate. We aimed to assess the functional and morphological effects of stem cells from human exfoliated deciduous teeth (SHED) in polyglycolic acid tube (PGAt) combined with autografting of rat facial nerve on repair after neurotmesis. The mandibular branch of rat facial nerve submitted to neurotmesis was repaired by autograft and PGAt filled with purified basement membrane matrix with or without SHED. Outcome variables were compound muscle action potential (CMAP) and axon morphometric. Animals from the SHED group had mean CMAP amplitudes and mean axonal diameters significantly higher than the control group (p < 0.001). Mean axonal densities were significantly higher in the control group (p = 0.004). The engrafted nerve segment resected 6 weeks after surgery presented cells of human origin that were positive for the Schwann cell marker (S100), indicating viability of transplanted SHED and a Schwann cell-like phenotype. We conclude that regeneration of the mandibular branch of the rat facial nerve was improved by SHED within PGAt. The stem cells integrated and remained viable in the neural tissue for 6 weeks since transplantation, and positive labeling for S100 Schwann-cell marker suggests cells initiated in vivo differentiation.
Palavras-chave
facial nerve, facial nerve regeneration, human exfoliated deciduous teeth stem cell (SHED), autograft, nerve repair, polyglycolic acid tube
Referências
  1. Bento R F, 1993, Ear Nose Throat J, V72, P663
  2. Bento RF, 1985, P 5 FAC NERV S BORD, P299
  3. CAPLAN AI, 1991, J ORTHOP RES, V9, P641, DOI 10.1002/jor.1100090504
  4. Costa Heloisa Juliana Zabeu Rossi, 2006, Rev. Bras. Otorrinolaringol., V72, P786, DOI 10.1590/S0034-72992006000600009
  5. Costa HJZR, 2003, EST EXPT REG POS TRA
  6. Dai LG, 2013, CELL TRANSPLANT, V22, P2029, DOI 10.3727/096368912X658953
  7. Darrouzet V, 2001, OTOLARYNG HEAD NECK, V125, P77, DOI 10.1067/mhn.2001.116182
  8. Dezawa M, 2001, EUR J NEUROSCI, V14, P1771, DOI 10.1046/j.0953-816x.2001.01814.x
  9. Dezawa Mari, 2002, Anatomical Science International, V77, P12, DOI 10.1046/j.0022-7722.2002.00012.x
  10. Didilescu AC, 2013, ROM J MORPHOL EMBRYO, V54, P473
  11. Jarmalaviciute A, 2013, J MOL NEUROSCI, V51, P307, DOI 10.1007/s12031-013-0046-0
  12. Keilhoff G, 2011, EXP NEUROL, V232, P110, DOI 10.1016/j.expneurol.2011.09.007
  13. Kerkis I, 2012, TISSUE ENG PART B-RE, V18, P129, DOI [10.1089/ten.teb.2011.0327, 10.1089/ten.TEB.2011.0327]
  14. Nakamura S, 2009, J ENDODONT, V35, P1536, DOI 10.1016/j.joen.2009.07.024
  15. Oiticica J, 2010, J TRANSL MED, V8, DOI 10.1186/1479-5876-8-119
  16. Salomone R, 2013, MUSCLE NERVE, V48, P423, DOI 10.1002/mus.23768
  17. Salomone R, 2012, ANN OTO RHINOL LARYN, V121, P179, DOI 10.1177/000348941212100307
  18. Sasaki R, 2008, TISSUE ENG PT A, V14, P1141, DOI 10.1089/ten.tea.2007.0157
  19. Sasaki R, 2011, J TISSUE ENG REGEN M, V5, P823, DOI 10.1002/term.387
  20. Satar B, 2009, LARYNGOSCOPE, V119, P2221, DOI 10.1002/lary.20610
  21. SCHMALBRUCH H, 1986, ANAT REC, V215, P71, DOI 10.1002/ar.1092150111
  22. Spector JG, 2000, LARYNGOSCOPE, V110, P660, DOI 10.1097/00005537-200004000-00023
  23. TITMUS MJ, 1990, PROG NEUROBIOL, V35, P1, DOI 10.1016/0301-0082(90)90039-J
  24. Costa HJR, 2007, ACTA OTO-LARYNGOL, V127, P1222, DOI 10.1080/00016480701203982
  25. Costa HJZR, 2013, BRAIN RES, V1510, P10, DOI 10.1016/j.brainres.2013.03.025
  26. Costa HJZR, 2012, ACTA CIR BRAS, V27, P747, DOI 10.1590/S0102-86502012001100001