Generic placeholder image

Current Stem Cell Research & Therapy

Editor-in-Chief

ISSN (Print): 1574-888X
ISSN (Online): 2212-3946

Systematic Review Article

Periodontal Ligament Stem Cell Isolation Protocol: A Systematic Review

Author(s): Maryam Rezai Rad, Fazele Atarbashi-Moghadam*, Pouya Khodayari and Soran Sijanivandi

Volume 17, Issue 6, 2022

Published on: 24 March, 2022

Page: [537 - 563] Pages: 27

DOI: 10.2174/1574888X17666220128114825

Price: $65

conference banner
Abstract

Despite the plethora of literature regarding isolation and characterization of periodontal ligament stem cells (PDLSCs), due to the existence of controversies in the results, in this comprehensive review, we aimed to summarize and compare the effect of isolation methods on PDLSC properties, including clonogenicity, viability/proliferation, markers expression, cell morphology, differentiation, and regeneration. Moreover, the outcomes of included studies, considering various parameters, such as teeth developmental stages, donor age, periodontal ligament health status, and part of the teeth root from which PDLSCs were derived, have been systematically discussed. It has been shown that from included studies, PDLSCs can be isolated from teeth at any developmental stages, health status condition, and donor age. Furthermore, a non-enzymatic digestion method, named as an explant or outgrowth technique, is a suitable protocol for PDLSCs isolation.

Keywords: Periodontal ligament, periodontal ligament stem cell, enzymatic digestion, explant, outgrowth, clonogenicity.

Graphical Abstract

[1]
Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018; 89(1): S159-72.
[http://dx.doi.org/10.1002/JPER.18-0006] [PMID: 29926952]
[2]
Atarbashi-Moghadam F, Havaei SR, Havaei SA, Hosseini NS, Behdadmehr G, Atarbashi-Moghadam S. Periopathogens in atherosclerotic plaques of patients with both cardiovascular disease and chronic periodontitis. ARYA Atheroscler 2018; 14(2): 53-7.
[PMID: 30108636]
[3]
Brent AE, Schweitzer R, Tabin CJ. A somitic compartment of tendon progenitors. Cell 2003; 113(2): 235-48.
[http://dx.doi.org/10.1016/S0092-8674(03)00268-X] [PMID: 12705871]
[4]
Bartold PM, Xiao Y, Lyngstaadas SP, Paine ML, Snead ML. Principles and applications of cell delivery systems for periodontal regenera-tion. Periodontol 2000 2006; 41: 123-35.
[http://dx.doi.org/10.1111/j.1600-0757.2006.00156.x] [PMID: 16686930]
[5]
Lindskog S. Formation of intermediate cementum. I: early mineralization of aprismatic enamel and intermediate cementum in monkey. J Craniofac Genet Dev Biol 1982; 2(2): 147-60.
[PMID: 7174777]
[6]
Bosshardt DD, Zalzal S, McKee MD, Nanci A. Developmental appearance and distribution of bone sialoprotein and osteopontin in human and rat cementum. Anat Rec 1998; 250(1): 13-33.
[http://dx.doi.org/10.1002/(SICI)1097-0185(199801)250:1<13:AID-AR3>3.0.CO;2-F] [PMID: 9458064]
[7]
Slavkin HC, Bringas P Jr, Bessem C, et al. Hertwig’s epithelial root sheath differentiation and initial cementum and bone formation during long-term organ culture of mouse mandibular first molars using serumless, chemically-defined medium. J Periodontal Res 1989; 24(1): 28-40.
[http://dx.doi.org/10.1111/j.1600-0765.1989.tb00854.x] [PMID: 2524567]
[8]
Quiñones CR, Caffesse RG. Current status of guided periodontal tissue regeneration. Periodontol 2000 1995; 9: 55-68.
[http://dx.doi.org/10.1111/j.1600-0757.1995.tb00056.x] [PMID: 9580253]
[9]
Heijl L, Heden G, Svärdström G, Ostgren A. Enamel matrix derivative (EMDOGAIN) in the treatment of intrabony periodontal defects. J Clin Periodontol 1997; 24(9 Pt 2): 705-14.
[http://dx.doi.org/10.1111/j.1600-051X.1997.tb00253.x] [PMID: 9310876]
[10]
Laurell L, Gottlow J. Guided tissue regeneration update. Int Dent J 1998; 48(4): 386-98.
[http://dx.doi.org/10.1111/j.1875-595X.1998.tb00701.x] [PMID: 9779123]
[11]
Carlson NE, Roach RB Jr. Platelet-rich plasma: clinical applications in dentistry. J Am Dent Assoc 2002; 133(10): 1383-6.
[http://dx.doi.org/10.14219/jada.archive.2002.0054] [PMID: 12403541]
[12]
Seo BM, Miura M, Gronthos S, et al. Investigation of multipotent postnatal stem cells from human periodontal ligament. Lancet 2004; 364(9429): 149-55.
[http://dx.doi.org/10.1016/S0140-6736(04)16627-0] [PMID: 15246727]
[13]
Shinagawa-Ohama R, Mochizuki M, Tamaki Y, Suda N, Nakahara T. Heterogeneous human periodontal ligament-committed progenitor and stem cell populations exhibit a unique cementogenic property under in vitro and in vivo conditions. Stem Cells Dev 2017; 26(9): 632-45.
[http://dx.doi.org/10.1089/scd.2016.0330] [PMID: 28136695]
[14]
Silvério KG, Rodrigues TL, Coletta RD, et al. Mesenchymal stem cell properties of periodontal ligament cells from deciduous and perma-nent teeth. J Periodontol 2010; 81(8): 1207-15.
[http://dx.doi.org/10.1902/jop.2010.090729] [PMID: 20476882]
[15]
Singhatanadgit W, Donos N, Olsen I. Isolation and characterization of stem cell clones from adult human ligament. Tissue Eng Part A 2009; 15(9): 2625-36.
[http://dx.doi.org/10.1089/ten.tea.2008.0442] [PMID: 19207044]
[16]
Song JS, Kim SO, Kim SH, et al. In vitro and in vivo characteristics of stem cells derived from the periodontal ligament of human decidu-ous and permanent teeth. Tissue Eng Part A 2012; 18(19-20): 2040-51.
[http://dx.doi.org/10.1089/ten.tea.2011.0318] [PMID: 22571499]
[17]
Prateeptongkum E, Klingelhöffer C, Müller S, Ettl T, Morsczeck C. Characterization of progenitor cells and stem cells from the periodontal ligament tissue derived from a single person. J Periodontal Res 2016; 51(2): 265-72.
[http://dx.doi.org/10.1111/jre.12306] [PMID: 26108342]
[18]
Tran Hle B, Doan VN, Le HT, Ngo LT. Various methods for isolation of multipotent human periodontal ligament cells for regenerative medicine. In Vitro Cell Dev Biol Anim 2014; 50(7): 597-602.
[http://dx.doi.org/10.1007/s11626-014-9748-z] [PMID: 24719182]
[19]
Tanaka K, Iwasaki K, Feghali KE, Komaki M, Ishikawa I, Izumi Y. Comparison of characteristics of periodontal ligament cells obtained from outgrowth and enzyme-digested culture methods. Arch Oral Biol 2011; 56(4): 380-8.
[http://dx.doi.org/10.1016/j.archoralbio.2010.10.013] [PMID: 21144495]
[20]
Ji K, Liu Y, Lu W, et al. Periodontal tissue engineering with stem cells from the periodontal ligament of human retained deciduous teeth. J Periodontal Res 2013; 48(1): 105-16.
[http://dx.doi.org/10.1111/j.1600-0765.2012.01509.x] [PMID: 22881344]
[21]
Khoshhal M, Amiri I, Gholami L. Comparison of in vitro properties of periodontal ligament stem cells derived from permanent and decid-uous teeth. J Dent Res Dent Clin Dent Prospect 2017; 11(3): 140-8.
[http://dx.doi.org/10.15171/joddd.2017.026] [PMID: 29184628]
[22]
Du T, Liu N, Gu B, et al. Effects of aging on the proliferation and differentiation capacity of human periodontal ligament stem cells. Chin Med Sci J 2017; 32(2): 83-1.
[PMID: 28693688]
[23]
Zheng W, Wang S, Ma D, Tang L, Duan Y, Jin Y. Loss of proliferation and differentiation capacity of aged human periodontal ligament stem cells and rejuvenation by exposure to the young extrinsic environment. Tissue Eng Part A 2009; 15(9): 2363-71.
[http://dx.doi.org/10.1089/ten.tea.2008.0562] [PMID: 19239403]
[24]
Park JC, Kim JM, Jung IH, et al. Isolation and characterization of human periodontal ligament (PDL) stem cells (PDLSCs) from the in-flamed PDL tissue: in vitro and in vivo evaluations. J Clin Periodontol 2011; 38(8): 721-31.
[http://dx.doi.org/10.1111/j.1600-051X.2011.01716.x] [PMID: 21449989]
[25]
Soheilifar S, Amiri I, Bidgoli M, Hedayatipanah M. Comparison of periodontal ligament stem cells isolated from the periodontium of healthy teeth and periodontitis-affected teeth. J Dent (Tehran) 2016; 13(4): 271-8.
[PMID: 28127319]
[26]
Tang HN, Xia Y, Yu Y, Wu RX, Gao LN, Chen FM. Stem cells derived from “inflamed” and healthy periodontal ligament tissues and their sheet functionalities: a patient-matched comparison. J Clin Periodontol 2016; 43(1): 72-84.
[http://dx.doi.org/10.1111/jcpe.12501] [PMID: 26719165]
[27]
Kaneda T, Miyauchi M, Takekoshi T, et al. Characteristics of periodontal ligament subpopulations obtained by sequential enzymatic di-gestion of rat molar periodontal ligament. Bone 2006; 38(3): 420-6.
[http://dx.doi.org/10.1016/j.bone.2005.08.021] [PMID: 16243014]
[28]
Wang L, Shen H, Zheng W, et al. Characterization of stem cells from alveolar periodontal ligament. Tissue Eng Part A 2011; 17(7-8): 1015-26.
[http://dx.doi.org/10.1089/ten.tea.2010.0140] [PMID: 21186958]
[29]
Alvarez R, Lee HL, Wang CY, Hong C. Characterization of the osteogenic potential of mesenchymal stem cells from human periodontal ligament based on cell surface markers. Int J Oral Sci 2015; 7(4): 213-9.
[http://dx.doi.org/10.1038/ijos.2015.42] [PMID: 26674423]
[30]
Gronthos S, Mrozik K, Shi S, Bartold PM. Ovine periodontal ligament stem cells: isolation, characterization, and differentiation potential. Calcif Tissue Int 2006; 79(5): 310-7.
[http://dx.doi.org/10.1007/s00223-006-0040-4] [PMID: 17033723]
[31]
Kawanabe N, Murata S, Murakami K, et al. Isolation of multipotent stem cells in human periodontal ligament using stage-specific embry-onic antigen-4. Differentiation 2010; 79(2): 74-83.
[http://dx.doi.org/10.1016/j.diff.2009.10.005] [PMID: 19945209]
[32]
Xu J, Wang W, Kapila Y, Lotz J, Kapila S. Multiple differentiation capacity of STRO-1+/CD146+ PDL mesenchymal progenitor cells. Stem Cells Dev 2009; 18(3): 487-96.
[http://dx.doi.org/10.1089/scd.2008.0113] [PMID: 18593336]
[33]
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev 2021; 10(1): 89.
[http://dx.doi.org/10.1186/s13643-021-01626-4] [PMID: 33781348]
[34]
Kim K, Yi T, Yun JH. Maintained stemness of human periodontal ligament stem cells isolated after prolonged storage of extracted teeth. J Periodontol 2016; 87(7): e148-58.
[http://dx.doi.org/10.1902/jop.2016.150693] [PMID: 26889590]
[35]
Mensing N, Gasse H, Hambruch N, Haeger J-D, Pfarrer C, Staszyk C. Isolation and characterization of multipotent mesenchymal stromal cells from the gingiva and the periodontal ligament of the horse. BMC Vet Res 2011; 7: 42.
[http://dx.doi.org/10.1186/1746-6148-7-42] [PMID: 21810270]
[36]
Wang WJ, Zhao YM, Lin BC, Yang J, Ge LH. Identification of multipotent stem cells from adult dog periodontal ligament. Eur J Oral Sci 2012; 120(4): 303-10.
[http://dx.doi.org/10.1111/j.1600-0722.2012.00975.x] [PMID: 22813220]
[37]
Wang W, Yuan C, Liu Z, et al. Characteristic comparison between canine and human dental mesenchymal stem cells for periodontal re-generation research in preclinical animal studies. Tissue Cell 2020; 67: 101405.
[http://dx.doi.org/10.1016/j.tice.2020.101405] [PMID: 32835938]
[38]
Gay IC, Chen S, MacDougall M. Isolation and characterization of multipotent human periodontal ligament stem cells. Orthod Craniofac Res 2007; 10(3): 149-60.
[http://dx.doi.org/10.1111/j.1601-6343.2007.00399.x] [PMID: 17651131]
[39]
Simmons PJ, Torok-Storb B. Identification of stromal cell precursors in human bone marrow by a novel monoclonal antibody, STRO-1. Blood 1991; 78(1): 55-62.
[http://dx.doi.org/10.1182/blood.V78.1.55.55] [PMID: 2070060]
[40]
Gronthos S, Zannettino AC, Hay SJ, et al. Molecular and cellular characterisation of highly purified stromal stem cells derived from hu-man bone marrow. J Cell Sci 2003; 116(Pt 9): 1827-35.
[http://dx.doi.org/10.1242/jcs.00369] [PMID: 12665563]
[41]
Chen SC, Marino V, Gronthos S, Bartold PM. Location of putative stem cells in human periodontal ligament. J Periodontal Res 2006; 41(6): 547-53.
[http://dx.doi.org/10.1111/j.1600-0765.2006.00904.x] [PMID: 17076780]
[42]
Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim) 2017; 11(2): 72-80.
[PMID: 28539867]
[43]
Albandar JM, Brunelle JA, Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol 1999; 70(1): 13-29.
[http://dx.doi.org/10.1902/jop.1999.70.1.13] [PMID: 10052767]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy