Extracellular Vesicles of Stem Cells to Prevent BRONJ

Extracellular vesicles (EVs), several tens to hundreds of nanometers in size, are vesicles secreted by cells for intercellular communication. EVs released from mesenchymal stem cells (MSC-EVs) have the potential to treat multiple diseases. This study aimed to determine the effects of MSC-EVs on bisp...

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Veröffentlicht in:Journal of dental research 2020-05, Vol.99 (5), p.552-560
Hauptverfasser: Watanabe, J., Sakai, K., Urata, Y., Toyama, N., Nakamichi, E., Hibi, H.
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container_end_page 560
container_issue 5
container_start_page 552
container_title Journal of dental research
container_volume 99
creator Watanabe, J.
Sakai, K.
Urata, Y.
Toyama, N.
Nakamichi, E.
Hibi, H.
description Extracellular vesicles (EVs), several tens to hundreds of nanometers in size, are vesicles secreted by cells for intercellular communication. EVs released from mesenchymal stem cells (MSC-EVs) have the potential to treat multiple diseases. This study aimed to determine the effects of MSC-EVs on bisphosphonate-related osteonecrosis of the jaw (BRONJ), whose pathogenesis and treatment are not yet established. To this end, zoledronic acid (ZOL) was administered to bone marrow cells and fibroblasts in vitro. In vivo, a BRONJ model was produced by administering ZOL to rats and extracting teeth. Each MSC-EV-treated and nontreated group was compared histologically and molecularly. In vitro, the nontreated group showed an increased number of β-galactosidase-positive cells and expression of senescence-associated genes p21, pRB and senescence-related inflammatory cytokines. Conversely, MSC-EV administration decreased the number of senescent cells and expression levels of p21, pRB and inflammatory cytokines. In vivo, in the nontreated group, the socket was partially uncovered by the oral epithelium, leaving an exposed bone. Conversely, in the MSC-EV-treated group, the socket was healed. Besides, in the nontreated group, β-galactosidase-positive cells existed in the socket and colocalized with the CD90 and periostin-positive cells. However, there were few β-galactosidase-positive cells in the MSC-EV-treated group. Furthermore, gene expression of stem cell markers Bmi1 and Hmga2 and the vascular endothelial marker VEGF was significantly increased in the MSC-EV-treated group, compared with that in the nontreated group. These results indicate that MSC-EVs prevent ZOL-induced senescence in stem cells, osteoblasts, and fibroblasts and reduce inflammatory cytokines. Furthermore, administration of MSC-EVs prevented senescence of cells involved in wound healing and the spread of chronic inflammation around senescent cells, thereby promoting angiogenesis and bone regeneration and preventing BRONJ.
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EVs released from mesenchymal stem cells (MSC-EVs) have the potential to treat multiple diseases. This study aimed to determine the effects of MSC-EVs on bisphosphonate-related osteonecrosis of the jaw (BRONJ), whose pathogenesis and treatment are not yet established. To this end, zoledronic acid (ZOL) was administered to bone marrow cells and fibroblasts in vitro. In vivo, a BRONJ model was produced by administering ZOL to rats and extracting teeth. Each MSC-EV-treated and nontreated group was compared histologically and molecularly. In vitro, the nontreated group showed an increased number of β-galactosidase-positive cells and expression of senescence-associated genes p21, pRB and senescence-related inflammatory cytokines. Conversely, MSC-EV administration decreased the number of senescent cells and expression levels of p21, pRB and inflammatory cytokines. In vivo, in the nontreated group, the socket was partially uncovered by the oral epithelium, leaving an exposed bone. Conversely, in the MSC-EV-treated group, the socket was healed. Besides, in the nontreated group, β-galactosidase-positive cells existed in the socket and colocalized with the CD90 and periostin-positive cells. However, there were few β-galactosidase-positive cells in the MSC-EV-treated group. Furthermore, gene expression of stem cell markers Bmi1 and Hmga2 and the vascular endothelial marker VEGF was significantly increased in the MSC-EV-treated group, compared with that in the nontreated group. These results indicate that MSC-EVs prevent ZOL-induced senescence in stem cells, osteoblasts, and fibroblasts and reduce inflammatory cytokines. 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EVs released from mesenchymal stem cells (MSC-EVs) have the potential to treat multiple diseases. This study aimed to determine the effects of MSC-EVs on bisphosphonate-related osteonecrosis of the jaw (BRONJ), whose pathogenesis and treatment are not yet established. To this end, zoledronic acid (ZOL) was administered to bone marrow cells and fibroblasts in vitro. In vivo, a BRONJ model was produced by administering ZOL to rats and extracting teeth. Each MSC-EV-treated and nontreated group was compared histologically and molecularly. In vitro, the nontreated group showed an increased number of β-galactosidase-positive cells and expression of senescence-associated genes p21, pRB and senescence-related inflammatory cytokines. Conversely, MSC-EV administration decreased the number of senescent cells and expression levels of p21, pRB and inflammatory cytokines. In vivo, in the nontreated group, the socket was partially uncovered by the oral epithelium, leaving an exposed bone. Conversely, in the MSC-EV-treated group, the socket was healed. Besides, in the nontreated group, β-galactosidase-positive cells existed in the socket and colocalized with the CD90 and periostin-positive cells. However, there were few β-galactosidase-positive cells in the MSC-EV-treated group. Furthermore, gene expression of stem cell markers Bmi1 and Hmga2 and the vascular endothelial marker VEGF was significantly increased in the MSC-EV-treated group, compared with that in the nontreated group. These results indicate that MSC-EVs prevent ZOL-induced senescence in stem cells, osteoblasts, and fibroblasts and reduce inflammatory cytokines. 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Sakai, K. ; Urata, Y. ; Toyama, N. ; Nakamichi, E. ; Hibi, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-8ea6c04a7438b8503c8b528864e94c6e7c61eee36ed874f88d49130027fc2b983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Angiogenesis</topic><topic>Animals</topic><topic>Bisphosphonate-Associated Osteonecrosis of the Jaw</topic><topic>Bone growth</topic><topic>Bone marrow</topic><topic>CD90 antigen</topic><topic>Cell interactions</topic><topic>Cell signaling</topic><topic>Cyclin-dependent kinase inhibitor p21</topic><topic>Cytokines</topic><topic>Dentistry</topic><topic>Disease Models, Animal</topic><topic>Epithelium</topic><topic>Extracellular Vesicles</topic><topic>Fibroblasts</topic><topic>Gene expression</topic><topic>Inflammation</topic><topic>Jaw</topic><topic>Mesenchymal Stem Cells</topic><topic>Mesenchyme</topic><topic>Osteoblasts</topic><topic>Osteonecrosis</topic><topic>Rats</topic><topic>Regeneration</topic><topic>Senescence</topic><topic>Stem cell transplantation</topic><topic>Stem cells</topic><topic>Vascular endothelial growth factor</topic><topic>Wound healing</topic><topic>Zoledronic Acid</topic><topic>β-Galactosidase</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watanabe, J.</creatorcontrib><creatorcontrib>Sakai, K.</creatorcontrib><creatorcontrib>Urata, Y.</creatorcontrib><creatorcontrib>Toyama, N.</creatorcontrib><creatorcontrib>Nakamichi, E.</creatorcontrib><creatorcontrib>Hibi, H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; 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Conversely, in the MSC-EV-treated group, the socket was healed. Besides, in the nontreated group, β-galactosidase-positive cells existed in the socket and colocalized with the CD90 and periostin-positive cells. However, there were few β-galactosidase-positive cells in the MSC-EV-treated group. Furthermore, gene expression of stem cell markers Bmi1 and Hmga2 and the vascular endothelial marker VEGF was significantly increased in the MSC-EV-treated group, compared with that in the nontreated group. These results indicate that MSC-EVs prevent ZOL-induced senescence in stem cells, osteoblasts, and fibroblasts and reduce inflammatory cytokines. 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subjects Angiogenesis
Animals
Bisphosphonate-Associated Osteonecrosis of the Jaw
Bone growth
Bone marrow
CD90 antigen
Cell interactions
Cell signaling
Cyclin-dependent kinase inhibitor p21
Cytokines
Dentistry
Disease Models, Animal
Epithelium
Extracellular Vesicles
Fibroblasts
Gene expression
Inflammation
Jaw
Mesenchymal Stem Cells
Mesenchyme
Osteoblasts
Osteonecrosis
Rats
Regeneration
Senescence
Stem cell transplantation
Stem cells
Vascular endothelial growth factor
Wound healing
Zoledronic Acid
β-Galactosidase
title Extracellular Vesicles of Stem Cells to Prevent BRONJ
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