Periodontal regeneration employing gingival margin-derived stem/progenitor cells in conjunction with IL-1ra-hydrogel synthetic extracellular matrix

Aim This study investigated the periodontal regenerative potential of gingival margin‐derived stem/progenitor cells (G‐MSCs) in conjunction with IL‐1ra‐releasing hyaluronic acid synthetic extracellular matrix (HA‐sECM). Materials and Methods Periodontal defects were induced at four sites in eight mi...

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Veröffentlicht in:Journal of clinical periodontology 2015-05, Vol.42 (5), p.448-457
Hauptverfasser: Fawzy El-Sayed, Karim M., Mekhemar, Mohamed K., Beck-Broichsitter, Benedicta E., Bähr, Telse, Hegab, Marwa, Receveur, Jan, Heneweer, Carola, Becker, Stephan T., Wiltfang, Joerg, Dörfer, Christof E.
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container_end_page 457
container_issue 5
container_start_page 448
container_title Journal of clinical periodontology
container_volume 42
creator Fawzy El-Sayed, Karim M.
Mekhemar, Mohamed K.
Beck-Broichsitter, Benedicta E.
Bähr, Telse
Hegab, Marwa
Receveur, Jan
Heneweer, Carola
Becker, Stephan T.
Wiltfang, Joerg
Dörfer, Christof E.
description Aim This study investigated the periodontal regenerative potential of gingival margin‐derived stem/progenitor cells (G‐MSCs) in conjunction with IL‐1ra‐releasing hyaluronic acid synthetic extracellular matrix (HA‐sECM). Materials and Methods Periodontal defects were induced at four sites in eight miniature pigs in the premolar/molar area (−4 weeks). Autologus G‐MSCs were isolated from the free gingival margin and magnetically sorted, using anti‐STRO‐1 antibodies. Colony formation and multilineage differentiation potential were tested. The G‐MSCs were expanded and incorporated into IL‐1ra‐loaded/unloaded HA‐sECM. Within every miniature pig, four periodontal defects were randomly treated with IL‐1ra/G‐MSCs/HA‐sECM (test group), G‐MSCs/HA‐sECM (positive‐control), scaling and root planing (SRP; negative control‐1) or left untreated (no‐treatment group; negative control 2). Differences in clinical attachment level (ΔCAL), probing depth (ΔPD), gingival recession (ΔGR), radiographic defect volume (ΔRDV), and changes in bleeding on probing (BOP) between baseline and 16 weeks post‐transplantation, as well as periodontal attachment level (PAL), junctional epithelium length (JE), connective tissue adhesion (CTA), cementum regeneration (CR) and bone regeneration (BR) at 16 weeks post‐transplantation were evaluated. Results Isolated G‐MSCs showed stem/progenitor cell characteristics. IL‐1ra loaded and unloaded G‐MSCs/HA‐sECM showed higher ΔCAL, ΔPD, ΔGR, PAL, CR and BR as well as a lower JE compared to their negative controls and improved BOP. Conclusion G‐MSCs in conjunction with IL‐1ra‐loaded/unloaded HA‐sECM show a significant periodontal regenerative potential.
doi_str_mv 10.1111/jcpe.12401
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Materials and Methods Periodontal defects were induced at four sites in eight miniature pigs in the premolar/molar area (−4 weeks). Autologus G‐MSCs were isolated from the free gingival margin and magnetically sorted, using anti‐STRO‐1 antibodies. Colony formation and multilineage differentiation potential were tested. The G‐MSCs were expanded and incorporated into IL‐1ra‐loaded/unloaded HA‐sECM. Within every miniature pig, four periodontal defects were randomly treated with IL‐1ra/G‐MSCs/HA‐sECM (test group), G‐MSCs/HA‐sECM (positive‐control), scaling and root planing (SRP; negative control‐1) or left untreated (no‐treatment group; negative control 2). Differences in clinical attachment level (ΔCAL), probing depth (ΔPD), gingival recession (ΔGR), radiographic defect volume (ΔRDV), and changes in bleeding on probing (BOP) between baseline and 16 weeks post‐transplantation, as well as periodontal attachment level (PAL), junctional epithelium length (JE), connective tissue adhesion (CTA), cementum regeneration (CR) and bone regeneration (BR) at 16 weeks post‐transplantation were evaluated. Results Isolated G‐MSCs showed stem/progenitor cell characteristics. IL‐1ra loaded and unloaded G‐MSCs/HA‐sECM showed higher ΔCAL, ΔPD, ΔGR, PAL, CR and BR as well as a lower JE compared to their negative controls and improved BOP. Conclusion G‐MSCs in conjunction with IL‐1ra‐loaded/unloaded HA‐sECM show a significant periodontal regenerative potential.</description><identifier>ISSN: 0303-6979</identifier><identifier>EISSN: 1600-051X</identifier><identifier>DOI: 10.1111/jcpe.12401</identifier><identifier>PMID: 25875208</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Alveolar Bone Loss - therapy ; Animals ; Bone Regeneration - physiology ; Cell Differentiation - physiology ; Cementogenesis - physiology ; Connective Tissue - pathology ; Dental Scaling - methods ; Dentistry ; Epithelial Attachment - pathology ; Female ; gingiva ; Gingiva - cytology ; Gingival Recession - therapy ; Guided Tissue Regeneration, Periodontal - methods ; Gum disease ; Hyaluronic Acid - chemistry ; hydrogel ; Hydrogels - chemistry ; IL-1ra ; Interleukin 1 Receptor Antagonist Protein - therapeutic use ; Male ; Periodontal Attachment Loss - therapy ; Periodontal Index ; Periodontal Pocket - therapy ; periodontitis ; Periodontitis - therapy ; Random Allocation ; regeneration ; Root Planing - methods ; Stem Cell Transplantation - methods ; stem cells ; Stem Cells - physiology ; Swine ; Swine, Miniature ; Tissue Scaffolds - chemistry</subject><ispartof>Journal of clinical periodontology, 2015-05, Vol.42 (5), p.448-457</ispartof><rights>2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2015 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2015 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3951-dc62bf60eda727ab61f52472a6fd8db744e8ff89983023360f78203c70f6409e3</citedby><cites>FETCH-LOGICAL-c3951-dc62bf60eda727ab61f52472a6fd8db744e8ff89983023360f78203c70f6409e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjcpe.12401$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjcpe.12401$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25875208$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fawzy El-Sayed, Karim M.</creatorcontrib><creatorcontrib>Mekhemar, Mohamed K.</creatorcontrib><creatorcontrib>Beck-Broichsitter, Benedicta E.</creatorcontrib><creatorcontrib>Bähr, Telse</creatorcontrib><creatorcontrib>Hegab, Marwa</creatorcontrib><creatorcontrib>Receveur, Jan</creatorcontrib><creatorcontrib>Heneweer, Carola</creatorcontrib><creatorcontrib>Becker, Stephan T.</creatorcontrib><creatorcontrib>Wiltfang, Joerg</creatorcontrib><creatorcontrib>Dörfer, Christof E.</creatorcontrib><title>Periodontal regeneration employing gingival margin-derived stem/progenitor cells in conjunction with IL-1ra-hydrogel synthetic extracellular matrix</title><title>Journal of clinical periodontology</title><addtitle>J Clin Periodontol</addtitle><description>Aim This study investigated the periodontal regenerative potential of gingival margin‐derived stem/progenitor cells (G‐MSCs) in conjunction with IL‐1ra‐releasing hyaluronic acid synthetic extracellular matrix (HA‐sECM). Materials and Methods Periodontal defects were induced at four sites in eight miniature pigs in the premolar/molar area (−4 weeks). Autologus G‐MSCs were isolated from the free gingival margin and magnetically sorted, using anti‐STRO‐1 antibodies. Colony formation and multilineage differentiation potential were tested. The G‐MSCs were expanded and incorporated into IL‐1ra‐loaded/unloaded HA‐sECM. Within every miniature pig, four periodontal defects were randomly treated with IL‐1ra/G‐MSCs/HA‐sECM (test group), G‐MSCs/HA‐sECM (positive‐control), scaling and root planing (SRP; negative control‐1) or left untreated (no‐treatment group; negative control 2). Differences in clinical attachment level (ΔCAL), probing depth (ΔPD), gingival recession (ΔGR), radiographic defect volume (ΔRDV), and changes in bleeding on probing (BOP) between baseline and 16 weeks post‐transplantation, as well as periodontal attachment level (PAL), junctional epithelium length (JE), connective tissue adhesion (CTA), cementum regeneration (CR) and bone regeneration (BR) at 16 weeks post‐transplantation were evaluated. Results Isolated G‐MSCs showed stem/progenitor cell characteristics. IL‐1ra loaded and unloaded G‐MSCs/HA‐sECM showed higher ΔCAL, ΔPD, ΔGR, PAL, CR and BR as well as a lower JE compared to their negative controls and improved BOP. Conclusion G‐MSCs in conjunction with IL‐1ra‐loaded/unloaded HA‐sECM show a significant periodontal regenerative potential.</description><subject>Alveolar Bone Loss - therapy</subject><subject>Animals</subject><subject>Bone Regeneration - physiology</subject><subject>Cell Differentiation - physiology</subject><subject>Cementogenesis - physiology</subject><subject>Connective Tissue - pathology</subject><subject>Dental Scaling - methods</subject><subject>Dentistry</subject><subject>Epithelial Attachment - pathology</subject><subject>Female</subject><subject>gingiva</subject><subject>Gingiva - cytology</subject><subject>Gingival Recession - therapy</subject><subject>Guided Tissue Regeneration, Periodontal - methods</subject><subject>Gum disease</subject><subject>Hyaluronic Acid - chemistry</subject><subject>hydrogel</subject><subject>Hydrogels - chemistry</subject><subject>IL-1ra</subject><subject>Interleukin 1 Receptor Antagonist Protein - therapeutic use</subject><subject>Male</subject><subject>Periodontal Attachment Loss - therapy</subject><subject>Periodontal Index</subject><subject>Periodontal Pocket - therapy</subject><subject>periodontitis</subject><subject>Periodontitis - therapy</subject><subject>Random Allocation</subject><subject>regeneration</subject><subject>Root Planing - methods</subject><subject>Stem Cell Transplantation - methods</subject><subject>stem cells</subject><subject>Stem Cells - physiology</subject><subject>Swine</subject><subject>Swine, Miniature</subject><subject>Tissue Scaffolds - chemistry</subject><issn>0303-6979</issn><issn>1600-051X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAURSMEokNhwwcgS2wQUtpnO7GdJQxtKRqVLopAbCxP4sx4SOzBdtrJd_SH63TaLljghW3pnXv9nm-WvcVwhNM63tRbfYRJAfhZNsMMIIcS_3qezYACzVnFq4PsVQgbAMwppS-zA1IKXhIQs-z2UnvjGmej6pDXK221V9E4i3S_7dxo7Aqt0mauU71XPt3zJkmudYNC1P3x1rskMtF5VOuuC8hYVDu7GWx9b3Nj4hqdL3LsVb4em4nuUBhtXOtoaqR30atJOHTKpweiN7vX2YtWdUG_eTgPsx-nJ1fzr_ni-9n5_NMir2lV4rypGVm2DHSjOOFqyXBbkoITxdpGNEteFFq0ragqQYFQyqDlggCtObSsgErTw-zD3jfN8HfQIcrehKkXZbUbgsRMYMKgYJDQ9_-gGzd4m7qbKGAlpaJK1Mc9VXsXgtet3HqTPm2UGOQUlZyikvdRJfjdg-Ww7HXzhD5mkwC8B25Mp8f_WMlv88uTR9N8rzEpnN2TRvk_knHKS_nz4kxeVb9PL8SXz3JB7wC1ZrCn</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Fawzy El-Sayed, Karim M.</creator><creator>Mekhemar, Mohamed K.</creator><creator>Beck-Broichsitter, Benedicta E.</creator><creator>Bähr, Telse</creator><creator>Hegab, Marwa</creator><creator>Receveur, Jan</creator><creator>Heneweer, Carola</creator><creator>Becker, Stephan T.</creator><creator>Wiltfang, Joerg</creator><creator>Dörfer, Christof E.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201505</creationdate><title>Periodontal regeneration employing gingival margin-derived stem/progenitor cells in conjunction with IL-1ra-hydrogel synthetic extracellular matrix</title><author>Fawzy El-Sayed, Karim M. ; Mekhemar, Mohamed K. ; Beck-Broichsitter, Benedicta E. ; Bähr, Telse ; Hegab, Marwa ; Receveur, Jan ; Heneweer, Carola ; Becker, Stephan T. ; Wiltfang, Joerg ; Dörfer, Christof E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3951-dc62bf60eda727ab61f52472a6fd8db744e8ff89983023360f78203c70f6409e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Alveolar Bone Loss - therapy</topic><topic>Animals</topic><topic>Bone Regeneration - physiology</topic><topic>Cell Differentiation - physiology</topic><topic>Cementogenesis - physiology</topic><topic>Connective Tissue - pathology</topic><topic>Dental Scaling - methods</topic><topic>Dentistry</topic><topic>Epithelial Attachment - pathology</topic><topic>Female</topic><topic>gingiva</topic><topic>Gingiva - cytology</topic><topic>Gingival Recession - therapy</topic><topic>Guided Tissue Regeneration, Periodontal - methods</topic><topic>Gum disease</topic><topic>Hyaluronic Acid - chemistry</topic><topic>hydrogel</topic><topic>Hydrogels - chemistry</topic><topic>IL-1ra</topic><topic>Interleukin 1 Receptor Antagonist Protein - therapeutic use</topic><topic>Male</topic><topic>Periodontal Attachment Loss - therapy</topic><topic>Periodontal Index</topic><topic>Periodontal Pocket - therapy</topic><topic>periodontitis</topic><topic>Periodontitis - therapy</topic><topic>Random Allocation</topic><topic>regeneration</topic><topic>Root Planing - methods</topic><topic>Stem Cell Transplantation - methods</topic><topic>stem cells</topic><topic>Stem Cells - physiology</topic><topic>Swine</topic><topic>Swine, Miniature</topic><topic>Tissue Scaffolds - chemistry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fawzy El-Sayed, Karim M.</creatorcontrib><creatorcontrib>Mekhemar, Mohamed K.</creatorcontrib><creatorcontrib>Beck-Broichsitter, Benedicta E.</creatorcontrib><creatorcontrib>Bähr, Telse</creatorcontrib><creatorcontrib>Hegab, Marwa</creatorcontrib><creatorcontrib>Receveur, Jan</creatorcontrib><creatorcontrib>Heneweer, Carola</creatorcontrib><creatorcontrib>Becker, Stephan T.</creatorcontrib><creatorcontrib>Wiltfang, Joerg</creatorcontrib><creatorcontrib>Dörfer, Christof E.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical periodontology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fawzy El-Sayed, Karim M.</au><au>Mekhemar, Mohamed K.</au><au>Beck-Broichsitter, Benedicta E.</au><au>Bähr, Telse</au><au>Hegab, Marwa</au><au>Receveur, Jan</au><au>Heneweer, Carola</au><au>Becker, Stephan T.</au><au>Wiltfang, Joerg</au><au>Dörfer, Christof E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Periodontal regeneration employing gingival margin-derived stem/progenitor cells in conjunction with IL-1ra-hydrogel synthetic extracellular matrix</atitle><jtitle>Journal of clinical periodontology</jtitle><addtitle>J Clin Periodontol</addtitle><date>2015-05</date><risdate>2015</risdate><volume>42</volume><issue>5</issue><spage>448</spage><epage>457</epage><pages>448-457</pages><issn>0303-6979</issn><eissn>1600-051X</eissn><abstract>Aim This study investigated the periodontal regenerative potential of gingival margin‐derived stem/progenitor cells (G‐MSCs) in conjunction with IL‐1ra‐releasing hyaluronic acid synthetic extracellular matrix (HA‐sECM). Materials and Methods Periodontal defects were induced at four sites in eight miniature pigs in the premolar/molar area (−4 weeks). Autologus G‐MSCs were isolated from the free gingival margin and magnetically sorted, using anti‐STRO‐1 antibodies. Colony formation and multilineage differentiation potential were tested. The G‐MSCs were expanded and incorporated into IL‐1ra‐loaded/unloaded HA‐sECM. Within every miniature pig, four periodontal defects were randomly treated with IL‐1ra/G‐MSCs/HA‐sECM (test group), G‐MSCs/HA‐sECM (positive‐control), scaling and root planing (SRP; negative control‐1) or left untreated (no‐treatment group; negative control 2). Differences in clinical attachment level (ΔCAL), probing depth (ΔPD), gingival recession (ΔGR), radiographic defect volume (ΔRDV), and changes in bleeding on probing (BOP) between baseline and 16 weeks post‐transplantation, as well as periodontal attachment level (PAL), junctional epithelium length (JE), connective tissue adhesion (CTA), cementum regeneration (CR) and bone regeneration (BR) at 16 weeks post‐transplantation were evaluated. Results Isolated G‐MSCs showed stem/progenitor cell characteristics. IL‐1ra loaded and unloaded G‐MSCs/HA‐sECM showed higher ΔCAL, ΔPD, ΔGR, PAL, CR and BR as well as a lower JE compared to their negative controls and improved BOP. Conclusion G‐MSCs in conjunction with IL‐1ra‐loaded/unloaded HA‐sECM show a significant periodontal regenerative potential.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25875208</pmid><doi>10.1111/jcpe.12401</doi><tpages>10</tpages></addata></record>
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subjects Alveolar Bone Loss - therapy
Animals
Bone Regeneration - physiology
Cell Differentiation - physiology
Cementogenesis - physiology
Connective Tissue - pathology
Dental Scaling - methods
Dentistry
Epithelial Attachment - pathology
Female
gingiva
Gingiva - cytology
Gingival Recession - therapy
Guided Tissue Regeneration, Periodontal - methods
Gum disease
Hyaluronic Acid - chemistry
hydrogel
Hydrogels - chemistry
IL-1ra
Interleukin 1 Receptor Antagonist Protein - therapeutic use
Male
Periodontal Attachment Loss - therapy
Periodontal Index
Periodontal Pocket - therapy
periodontitis
Periodontitis - therapy
Random Allocation
regeneration
Root Planing - methods
Stem Cell Transplantation - methods
stem cells
Stem Cells - physiology
Swine
Swine, Miniature
Tissue Scaffolds - chemistry
title Periodontal regeneration employing gingival margin-derived stem/progenitor cells in conjunction with IL-1ra-hydrogel synthetic extracellular matrix
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