Comparative Effects of Liquid and Solid Concentrated Growth Factors, and Injectable and Advanced Platelet-Rich Fibrin on Proliferation and Differentiation of Human Dental Pulp Stem Cells
DOI:
https://doi.org/10.31661/gmj.v13iSP1.3755Keywords:
Dental Pulp; Stem Cells; Platelet-Rich FibrinAbstract
Background: This study compared the effects of liquid (L-CGF) and solid (S-CGF) concentrated growth factors, and injectable (I-PRF) and advanced (A-PRF) platelet-rich fibrin on the proliferation and differentiation of human dental pulp stem cells (DPSCs). Materials and Methods: Blood samples were collected to prepare A-PRF, I-PRF, L-CGF, and S-CGF according to the standard protocols. DPSCs were exposed to the biomaterials, and their proliferation was quantified after 24 hours and 5 days using the methyl thiazolyl tetrazolium (MTT) assay. Cell differentiation was histologically assessed by Alizarin red staining. Expression of osteocalcin (OCN), osteopontin (OPN), and RUNX2 genes was assessed in non-osteogenic medium, and osteogenic medium after 7 and 14 days by real-time polymerase chain reaction (PCR). Results: The mean cell proliferation was not significantly different among the study groups (P=0.324) and did not significantly change over time (P=0.346). S-CGF, L-CGF, and A-PRF showed a significant difference in OCN expression (P<0.001). The mean expression of OCN at 7 days was significantly lower in non-osteogenic medium. The mean expression of OCN and OPN at 7 days was significantly lower than 14 days. The mean expression of OPN at different time points was significantly different in A-PRF (P<0.002), L-CGF (P<0.003), and I-PRF (P<0.003) groups. The mean expression of RUNX2 was significantly different at different times in L-CGF group, and a significant difference existed in the expression of RUNX2 in non-osteogenic medium and at 14 days. Conclusion: Within the limitations of the present study, the results showed that A-PRF, I-PRF, L-CGF, and S-CGF can increase the proliferation and differentiation of human DPSCs by regulating gene expression, and can be suitable options for osteogenesis. There was no significant difference in terms of mean cell proliferation among the study groups.
References
Giannobile WV. The potential role of growth and differentiation factors in periodontal regeneration. J Periodontol. 1996;67:545-53.
Gaßling VL, Açil Y, Springer IN, Hubert N, Wiltfang J. Platelet-rich plasma and platelet-rich fibrin in human cell culture. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2009 Jul 1;108(1):48-55.
https://doi.org/10.1016/j.tripleo.2009.02.007
PMid:19451011
Giannobile WV. Periodontal tissue engineering by growth factors. Bone. 1996 Jul 1;19(1):S23-37.
https://doi.org/10.1016/S8756-3282(96)00127-5
PMid:8830996
Marx RE, Carlson ER, Eichstaedt RM, Schimmele SR, Strauss JE, Georgeff KR. Platelet-rich plasma: Growth factor enhancement for bone grafts. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1998 Jun 1;85(6):638-46.
https://doi.org/10.1016/S1079-2104(98)90029-4
PMid:9638695
Babbush CA, Kevy SV, Jacobson MS. An in vitro and in vivo evaluation of autologous platelet concentrate in oral reconstruction. Implant dentistry. 2003 Mar 1;12(1):24-34.
https://doi.org/10.1097/01.ID.0000052020.81109.C7
PMid:12704953
Döri F, Arweiler N, Húszár T, Gera I, Miron RJ, Sculean A. Five‐year results evaluating the effects of platelet‐rich plasma on the healing of intrabony defects treated with enamel matrix derivative and natural bone mineral. Journal of Periodontology. 2013 Nov;84(11):1546-55.
https://doi.org/10.1902/jop.2013.120501
PMid:23327604
Del Corso M, Vervelle A, Simonpieri A, Jimbo R, Inchingolo F, Sammartino G, M Dohan Ehrenfest D. Current knowledge and perspectives for the use of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) in oral and maxillofacial surgery part 1: Periodontal and dentoalveolar surgery. Current pharmaceutical biotechnology. 2012 Jun 1;13(7):1207-30.
https://doi.org/10.2174/138920112800624391
PMid:21740371
Choukroun J, Adda F, Schoeffer C, Vervelle A. PRF: an opportunity in perio-implantology. Implantodontie. 2000; 42:55-62.
Ghanaati S, Booms P, Orlowska A, Kubesch A, Lorenz J, Rutkowski J, Landes C, Sader R, Kirkpatrick CJ, Choukroun J. Advanced platelet-rich fibrin: a new concept for cell-based tissue engineering by means of inflammatory cells. Journal of Oral Implantology. 2014 Dec;40(6):679-89.
https://doi.org/10.1563/aaid-joi-D-14-00138
PMid:24945603
Mourão CF, Valiense H, Melo ER, Mourão NB, Maia MD. Obtention of injectable platelets rich-fibrin (i-PRF) and its polymerization with bone graft. Revista do Colegio Brasileiro de Cirurgioes. 2015;42(6):421-3.
https://doi.org/10.1590/0100-69912015006013
PMid:26814997
Sacco 2006
Nielsen JS, McNagny KM. Novel functions of the CD34 family. Journal of cell science. 2008 Nov 15;121(22):3683-92.
https://doi.org/10.1242/jcs.037507
PMid:18987355
Sidney LE, Branch MJ, Dunphy SE, Dua HS, Hopkinson A. Concise review: evidence for CD34 as a common marker for diverse progenitors. Stem cells. 2014 Jun;32(6):1380-9.
https://doi.org/10.1002/stem.1661
PMid:24497003 PMCid:PMC4260088
LaRosa JC, Grundy SM, Kastelein JJ, Kostis JB, Greten H. Safety and efficacy of atorvastatin-induced very low-density lipoprotein cholesterol levels in patients with coronary heart disease (a post hoc analysis of the treating to new targets [TNT] study). The American journal of cardiology. 2007 Sep 1;100(5):747-52.
https://doi.org/10.1016/j.amjcard.2007.03.102
PMid:17719314
Jin R, Song G, Chai J, Gou X, Yuan G, Chen Z. Effects of Concentrated Growth Factor on Proliferation, Migration, and Differentiation of Human Dental Pulp Stem Cells in Vitro. Journal of tissue engineering. 2018 Dec 21;9:2041731418817505.
https://doi.org/10.1177/2041731418817505
PMid:30622693 PMCid:PMC6304703
Stanca E, Calabriso N, Giannotti L, Nitti P, Damiano F, Stanca BD, Carluccio MA, De Benedetto GE, Demitri C, Palermo A, Ferrante F. Analysis of CGF Biomolecules, Structure and Cell Population: Characterization of the Stemness Features of CGF Cells and Osteogenic Potential. International Journal of Molecular Sciences. 2021 Jan;22(16):8867.
https://doi.org/10.3390/ijms22168867
PMid:34445573 PMCid:PMC8396261
Rochira A, Siculella L, Damiano F, Palermo A, Ferrante F, Carluccio MA, Calabriso N, Giannotti L, Stanca E. Concentrated Growth Factors (CGF) Induce Osteogenic Differentiation in Human Bone Marrow Stem Cells. Biology. 2020 Oct 30;9(11):E370.
https://doi.org/10.3390/biology9110370
PMid:33143015 PMCid:PMC7693660
Barrientos S, Stojadinovic O, Golinko MS, Brem H, Tomic‐Canic M. Growth factors and cytokines in wound healing. Wound repair and regeneration. 2008 Sep;16(5):585-601.
https://doi.org/10.1111/j.1524-475X.2008.00410.x
PMid:19128254
Tykhomyrova A. I-PRF and A-PRF as a biological method of treatment and regeneration in dentistry and cosmetology. 24th American Dental Research & Future Dentistry & Pedodontics and Geriatric Dentistry. 2018; 8: 38.
https://doi.org/10.4172/2161-1122-C3-035
Cochran DL. Inflammation and bone loss in periodontal disease. Journal of periodontology. 2008 Aug;79:1569-76.
https://doi.org/10.1902/jop.2008.080233
PMid:18673012
Iozon S, Caracostea GV, Páll E, Şoriţău O, Mănăloiu ID, Bulboacă AE, Lupşe M, Mihu CM, Roman AL. Injectable platelet-rich fibrin influences the behavior of gingival mesenchymal stem cells. Romanian journal of morphology and embryology= Revue roumaine de morphologie et embryologie. 2020;61(1):189-98.
https://doi.org/10.47162/RJME.61.1.21
PMid:32747910 PMCid:PMC7728122
Graziani F, Ivanovski S, Cei S, Ducci F, Tonetti M, Gabriele M. The in vitro effect of different PRP concentrations on osteoblasts and fibroblasts. Clinical oral implants research. 2006; 17(2): 212-219.
https://doi.org/10.1111/j.1600-0501.2005.01203.x
PMid:16584418

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