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. 2021 Nov 26;13(11):1625–1646. doi: 10.4252/wjsc.v13.i11.1625

Table 1.

Priming strategies for controlling mesenchymal stromal cell fate

Priming strategies
Cell type
Benefits
Mechanisms
Reference
Hypoxia:
1%–3% O2 DPSCs; PDLSCs Improve survival Upregulation of stem cell markers; Regulation of metabolic activities; Activation of the p38/MAPK and ERK/MAPK pathways [66,67,70]
DPSCs; SHEDs; SCAPs Promote angiogenesis Increase proangiogenic factors releasing [60,62,63]
Culture conditions DPSCs; SCAPs; PDLSCs Enhance differentiation potential Upregulation of odontoblastic markers [68,69,71,72]
PDLSCs Enhance anti-inflammation effect Upregulation of IL-37 [73]
Pharmacological stimulation DPSCs Promote angiogenesis Increase intracellular levels of HIF-1α [51,64,65]
PDLSCs Improve survival but inhibit differentiation potential [49]
3D culture:
Single cell type DPSCs; PDLSCs Enhance differentiation potential Upregulation of odontoblastic markers [83,84,87]
Coculture DPSCs and ECs Promote angiogenesis [86]
Mechanical and physical stimuli:
LIPUS DPSCs; PDLSCs Increase proliferation Activation of MAPK pathway [94,95]
Cyclic mechanical tension DPSCs Promote osteogenic differentiation; Increase cytokines release Upregulation of osteoblastic markers [98,99]
Uniaxial stretch DPSCs Increase proliferation but inhibit osteo/odontogenic differentiation [96,97]
Cytokines
SDF-1 DPSCs; PDLSCs Promote cell migration Activation of SDF-1/CXCR4 axis; Autophagy; Activation of AKT and GSK3β/β-catenin pathways [104,107,109,110]
PDLSCs Anti-apoptosis Activation of ERK pathway [105]
DPSCs; PDLSCs Enhance differentiation potential Upregulation of odontoblastic markers; Upregulation of osteoblastic markers [106,108,111]
TNF-α Enhance immunomodulatory effects Mediated by TNF/TNFR2 signaling [124-126]
Enhance osteogenic differentiation Activation of p38 pathway; Activation of miR-21/STAT3 and NF-κB pathway [127-129]
Inhibit differentiation potential (50-100 ng/mL) Activation Wnt/β-catenin pathway [132]
G-CSF; IFN-γ DPSCs Promote cell migration [114,121,122]
DPSCs Enhance or inhibit differentiation potential depend on cytokines concentration [116,120,121]
Preconditioning mediators growth factors
bFGF DPSCs Promote angiogenesis [136,139-141]
DPSCs; PDLSCs Enhance differentiation potential on dose dependent (20-50 ng/mL in vitro; 15 μg/mL-5 mg/mL in vivo) Upregulation of odontoblastic markers; Upregulation of osteoblastic markers; Upregulation of neural markers; Activation of FGFR/MEK/ERK1/2 and BMP/BMPR signaling pathways [137,138,141,144,149-151]
DPSCs Promote anti-inflammation effect Altered cytokines expression; [146-148]
IGF-1 PDLSCs Promote cell survival [165]
DPSCs Anti-apoptosis [164]
DPSCs; PDLSCs Enhance differentiation potential Upregulation of osteoblastic markers; Upregulation of odontoblastic markers; Activation of mTOR pathway; Target of EphrinB1 [160-162,166]
Sox-2 DPSCs Improve cell migration [171]
Bcl-2; Oct-4 DPSCs Improve cell survival Upregulation of stemness-rated genes; [168,169]
Genetic modification Foxo-1 PDLSCs Promote anti-inflammation effect Resistance to oxidative stress [175]
BMP family; Runx2 DPSCs; SCAP; DFCs Enhanced differentiation potential Upregulation of osteoblastic markers; Upregulation of odontoblastic markers [178-184]

DPSCs: Dental pulp stem cells; PDLSCs: Periodontal ligament stem cells; SHED: Stem cells from human exfoliated deciduous teeth; SCAP: Stem cells from the apical papilla; LIPUS: Low-intensity pulsed ultrasound; SDF-1: Stromal cell-derived factor-1; TNF-α: Tumor necrosis factor-α; G-CSF: Granulocyte-colony stimulating factor; IFN-γ: Interferon-γ; bFGF: Basic fibroblast growth factor; IGF-1: Insulin-like growth factor-1; Bcl-2: B-cell lymphoma 2.