中国组织工程研究 ›› 2021, Vol. 25 ›› Issue (31): 5079-5084.doi: 10.12307/2021.154

• 干细胞综述 stem cell review • 上一篇    

诱导调控牙本质-牙髓再生的牙髓成纤维细胞

韦小玲,胡伟平,刘明月,史  欣,刘  杰,高  丽,王思然,段亚君    

  1. 哈尔滨医科大学附属第二医院口腔修复科,黑龙江省哈尔滨市  150086
  • 收稿日期:2020-07-20 修回日期:2020-07-22 接受日期:2020-09-01 出版日期:2021-11-08 发布日期:2021-04-25
  • 通讯作者: 胡伟平,硕士,主任医师,哈尔滨医科大学附属第二医院口腔修复科,黑龙江省哈尔滨市 150086
  • 作者简介:韦小玲,女,1994年生,海南省海口市人,汉族,2018年哈尔滨医科大学毕业,主要从事口腔修复方面的研究。
  • 基金资助:
    黑龙江省医学科学院基金(201801),项目负责人:胡伟平

Dental pulp fibroblasts inducing and regulating dentin-pulp regeneration

Wei Xiaoling, Hu Weiping, Liu Mingyue, Shi Xin, Liu Jie, Gao Li, Wang Siran, Duan Yajun   

  1. Department of Prosthodontics, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
  • Received:2020-07-20 Revised:2020-07-22 Accepted:2020-09-01 Online:2021-11-08 Published:2021-04-25
  • Contact: Hu Weiping, Master, Chief physician, Department of Prosthodontics, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
  • About author:Wei Xiaoling, Department of Prosthodontics, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
  • Supported by:
    the Academy of Medical Sciences Foundation of Heilongjiang Province, No. 201801 (to HWP)

摘要:

文题释义

牙髓成纤维细胞:是一类特别的细胞群,它们是唯一的非肝脏、非免疫来源但却能合成补体蛋白的细胞种类,这类细胞可以使补体蛋白产生具有生物活性的片段,如C3a、C5a和膜攻击复合物,在牙髓再生过程中起到重要的作用。
牙本质-牙髓再生:牙髓组织位于闭锁的牙本质壁内,牙髓腔内循环极差,当受到外界刺激时牙髓易产生水肿,引发炎症,从而导致牙髓坏死。牙本质-牙髓再生是指牙髓受到外界刺激时可分泌相关蛋白产生局部调节作用,有一定的修复再生功能。
背景:在牙髓-牙本质再生过程中,牙髓内其他类型的细胞如成牙本质细胞和干细胞一直广受学者关注和研究,对于成纤维细胞的研究甚少,对牙髓成纤维细胞的研究可为今后牙髓治疗提供新的细胞来源。
目的:综述牙髓成纤维细胞在牙髓-牙本质再生过程中的作用。
方法:应用计算机在PubMed数据库、中国知网数据库,检索2000至2020年间关于牙髓成纤维细胞和牙髓-牙本质再生的相关文献,英文检索词为“pulp、fibroblast、dentin-pulp、regeneration、complement、C5a、C3a”,中文检索词为“牙髓、成纤维细胞、牙本质-牙髓、补体、C3a、C5a”,最终对56篇文献进行归纳总结。
结果与结论:成纤维细胞是牙髓中数量最多的一种细胞,该细胞在正常及病理状态下对牙髓免疫反应及功能起着重要的调节作用。它们可以使补体蛋白产生具有生物活性的片段,如C3a、C5a和膜攻击复合物,同时通过分泌生长因子对修复性牙本质的合成、血管再生和神经的生长分布进行精细调控,这在牙髓-牙本质再生过程中发挥着重要作用。因此,除了成牙本质细胞和牙髓干细胞外,牙髓成纤维细胞也应该被视为诱导牙本质-牙髓再生策略中的一种重要细胞。
https://orcid.org/0000-0002-3441-4565(韦小玲)

中国组织工程研究杂志出版内容重点:干细胞;骨髓干细胞;造血干细胞;脂肪干细胞;肿瘤干细胞;胚胎干细胞;脐带脐血干细胞;干细胞诱导;干细胞分化;组织工程

关键词: 成纤维细胞, 牙髓, 牙本质, 补体, 生长因子, 牙髓再生, C5a, C3a, MAC, 综述

Abstract:

BACKGROUND: During pulp-dentin regeneration, other types of cells in dental pulp, such as dentin cells and stem cells, have been widely concerned and studied by scholars, while fibroblasts have been rarely studied. The study on dental pulp fibroblasts may provide a new source of cells for future pulp treatment.
OBJECTIVE: To review the role of dental pulp fibroblasts in pulp-dentin regeneration.
METHODS: The computer was applied to search articles on dental pulp fibroblasts and dental pulp dentine regeneration published from 2000 to 2020 inPubMed and CNKI databases. The English search terms were “pulp, fibroblast, dentin-pulp, regeneration, complement, C5a, C3a”. The Chinese search terms were “dental pulp, fibroblasts, dentin-pulp, complement, C3a, C5a”. Finally, 56 articles were summarized. 
RESULTS AND CONCLUSION: Fibroblasts are the most abundant cells in dental pulp. Fibroblasts play an important role in regulating the immune response and function of dental pulp under normal and pathological conditions. They enable complement proteins to produce bioactive fragments, such as C3a, C5a and membrane-attack complexes, and simultaneously, through the secretion of growth factors, fine-regulate the synthesis of restorative dentin, angiogenesis and the distribution of nerve growth, which play an important role in the pulp and dentin regeneration. Therefore, in addition to odontoblasts and pulp stem cells, dental pulp fibroblasts should also be considered as an important cell in the strategy of inducing dentin-pulp regeneration.

Key words: fibroblast, dental pulp, dentin, complement, growth factor, regeneration of dental pulp, C5a, C3a, MAC, review

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