Modern Approaches to Acellular Therapy in Bone and Dental Regeneration

Int J Mol Sci. 2021 Dec 15;22(24):13454. doi: 10.3390/ijms222413454.

Abstract

An approach called cell-free therapy has rapidly developed in regenerative medicine over the past decade. Understanding the molecular mechanisms and signaling pathways involved in the internal potential of tissue repair inspires the development of new strategies aimed at controlling and enhancing these processes during regeneration. The use of stem cell mobilization, or homing for regeneration based on endogenous healing mechanisms, prompted a new concept in regenerative medicine: endogenous regenerative medicine. The application of cell-free therapeutic agents leading to the recruitment/homing of endogenous stem cells has advantages in overcoming the limitations and risks associated with cell therapy. In this review, we discuss the potential of cell-free products such as the decellularized extracellular matrix, growth factors, extracellular vesicles and miRNAs in endogenous bone and dental regeneration.

Keywords: bone regeneration; decellularized extracellular matrix; dental regeneration; endogenous regenerative medicine; extracellular vesicles; growth factors; miRNAs.

Publication types

  • Review

MeSH terms

  • Animals
  • Bone Regeneration / physiology
  • Bone and Bones / physiology
  • Cell- and Tissue-Based Therapy / methods
  • Cell- and Tissue-Based Therapy / trends
  • Decellularized Extracellular Matrix / pharmacology
  • Extracellular Vesicles / physiology
  • Guided Tissue Regeneration / methods
  • Guided Tissue Regeneration / trends*
  • Humans
  • Intercellular Signaling Peptides and Proteins / pharmacology
  • MicroRNAs / therapeutic use
  • Regenerative Medicine / methods*
  • Regenerative Medicine / trends*
  • Stem Cells
  • Tissue Engineering
  • Tooth / physiology
  • Wound Healing

Substances

  • Decellularized Extracellular Matrix
  • Intercellular Signaling Peptides and Proteins
  • MicroRNAs