The periodontal stem/progenitor cell inflammatory-regenerative cross talk: A new perspective

J Periodontal Res. 2019 Apr;54(2):81-94. doi: 10.1111/jre.12616. Epub 2018 Oct 8.

Abstract

Adult multipotent stem/progenitor cells, with remarkable regenerative potential, have been isolated from various components of the human periodontium. These multipotent stem/progenitor cells include the periodontal ligament stem/progenitor cells (PDLSCs), stem cells from the apical papilla (SCAP), the gingival mesenchymal stem/progenitor cells (G-MSCs), and the alveolar bone proper stem/progenitor cells (AB-MSCs). Whereas inflammation is regarded as the reason for tissue damage, it also remains a fundamental step of any early healing process. In performing their periodontal tissue regenerative/reparative activity, periodontal stem/progenitor cells interact with their surrounding inflammatory micro-environmental, through their expressed receptors, which could influence their fate and the outcome of any periodontal stem/progenitor cell-mediated reparative/regenerative activity. The present review discusses the current understanding about the interaction of periodontal stem/progenitor cells with their surrounding inflammatory micro-environment, elaborates on the inflammatory factors influencing their stemness, proliferation, migration/homing, differentiation, and immunomodulatory attributes, the possible underlying intracellular mechanisms, as well as their proposed relationship to the canonical and noncanonical Wnt pathways.

Keywords: inflammation; periodontium; regeneration; stem cells.

Publication types

  • Review

MeSH terms

  • Alveolar Process / cytology
  • Cell Differentiation
  • Cell Movement
  • Cell Proliferation
  • Gingiva / cytology
  • Humans
  • Immunomodulation
  • Inflammation / pathology*
  • Inflammation / physiopathology*
  • Multipotent Stem Cells* / pathology
  • Multipotent Stem Cells* / physiology
  • Periodontal Ligament / cytology
  • Periodontium / cytology*
  • Periodontium / pathology
  • Periodontium / physiology*
  • Regeneration*
  • Stem Cells* / pathology
  • Stem Cells* / physiology
  • Tooth Apex / cytology
  • Wnt Signaling Pathway / physiology