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. 2022 Aug 8;28(4):789–812. doi: 10.1089/ten.teb.2021.0094

Table 4.

Role of Estrogens on Connective Tissue Derived Stem Cell Stemness

Cell type PDLSCs
Sex Animal model, age In vitro, in vivo Hormone treatment Response Study
Rat cells
 PDLSCs F Sprague-Dawley rats, 3-month old In vitro 10−7 M E2 E2 treatment: increased osteogenic potential through both ERα and ERβ. Zhang et al.77
 PDLSCs F Sprague-Dawley rats, 3-month old In vitro 10−7 M E2; ovx Cells from ovx rats: higher proliferation rates and lower osteogenic potential than cells from sham or ovx cells treated with E2; cells from all groups grew well on nHAC/PLA scaffold, although cells from ovx rats had lower osteogenic potential. Ling-Ling et al.52
Human cells
 PDLSCs F Human, 18, 19, and 22-year old In vitro 10−7, 10−8, 10−9 M E2 E2 treatment: increased osteogenic potential in a dose-dependent manner; both ERα and ERβ were important for osteogenic differentiation. Pan et al.79
 PDLSCs F and M Human, 18–20-year old In vitro 10−6, 10−7, 10−8 M E2 Treatment with 10−7 M E2: increased proliferation rates, proportion of cells in G2/M+S phase of the cell cycle, and expression of stemness-related genes; the PI3K/AKT pathway was involved
E2 treatment in general: improved the proliferation, stemness, and differentiation potential of cells in long-term culture.
Ou et al.78
 PDLSCs N/A Human, 12–16-year old In vitro 10−7 M E2 E2 treatment: increased osteogenesis through activation of the Wnt/β-catenin pathway Jiang et al.80
Rats
 PDLSCs F Sprague-Dawley rats, 3-month old In vivo ovx ovx animals: contain more PDLSCs; proliferate faster but decrease sooner Zhang et al.77
 PDLSCs F Sprague-Dawley rats, 3-month old In vivo 10−7 M E2; ovx In seeded nHAC/PLA scaffolds implanted into SCID mice, all cell types led to new bone growth, with cells from ovx rats generating the least Ling-Ling et al.52
TDSCs
 TDSCs M C57BL/6J mice, 6-month old In vivo None, but ERβ−/− mice compared to WT Achilles tendon injury model:
WT: more ERβ+ cells found in injured than noninjured animals
ERβ−/−: lower cell density and higher adipocyte and blood vessel accumulation in scar site than WT
Bian et al.81
 TDSCs M Sprague-Dawley rats, 6-week old In vitro 10−5, 10−7, 10−9 M LY3201 (ERβ agonist) Treatment with 10−7 M LY3201: promoted cell proliferation; inhibited adipogenesis; other concentrations had no effect. Bian et al.81
CPCs
 CPCs F and M Human, with OA In vitro 0.02 or 0.15 ng/mL E2 F: greater percentage of cells expressed ERz and ERβ
E2 treatment:
F and M: increased ERα and decreased ERβ expression
F: increased chondrogenesis
Koelling and Miosge82
FCSC
 FCSCs M New Zealand White rabbits, 12-week old In vivo 0.1 mL of 100 ng/mL Sost once weekly for 7 weeks Sclerostin (Wnt pathway inhibitor) treatment after post-traumatic OA induction: increased FCSC number in TMJ superficial zone; decreased joint damage; reduced joint swelling Embree et al.83
 FCSCs F C57BL/6 mice, 3- or 13-week old In vivo 0.01 mg/60 days E2 pellet; ovx E2 treatment in:
Young mice: promoted chondrogenesis through ERα through upregulation of Sost
Mature mice: promoted chondrogenesis and anabolic gene expression through ERα
Robinson et al.84

CPC, chondrogenic progenitor cell; FCSC, fibrocartilage stem cell; nHAC/PLA, nano-hydroxyapatite/collagen/poly(L-lactide); OA, osteoarthritis; PDLSCs, periodontal ligament stem cells; SCID, severe combined immunodeficient; Sost, sclerostin; TDSC, tendon-derived stem cell; TMJ, temporomandibular joint.