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"Dental stem cells, especially dental follicle cells (DFCs) as precursor cells for the periodontium have interesting prospects for regenerative dentistry. During periodontitis, butyrate as a bacterial metabolite and inflammatory agent is often found in milimolar concentrations in periodontal pockets. This study evaluates the effects of butyrate on the proliferation and osteogonic differentation of DFCs. We assessed cell viability/proliferation (BCA assay) and osteogonic differentation (ALP activity, alizarin staining and RT PCR) of DFCs in vitro after butyrate supplementation. Butyrate concentrations of 20 mM or higher are toxic for DFCs. At a non-toxic concentration, butyrate promotes the expression of alkaline phosphatase and collagen type-1 but inhibits the information of calcified nodules and the induction of RUNX2 and osteocalcin under osteogenic differentation conditions.In conclusion, DFCs are resistant to physological high concentrations of butyrate. Butyrate facilitates the osteogenic differentation of DFCs in early stages but inhibites calcification at later stages of the differentation process."

"Tujuan dari penelitian ini adalah untuk menginvestigasi efektivitas dental pulp stem cells DPSCs dalam menginduksi proses regenerasi jaringan pada defek tulang kelinci New Zealand dengan menilai kadar alkaline phosphatase ALP dan gambaran histologis. Defek kritis dibuat pada tulang femur kelinci dan transplantasi DPSCs dilakukan terhadap kelompok perlakuan, sedangkan defek pada kelompok kontrol dibiarkan kosong. Pada minggu ke-2 dan ke-4 pasca tindakan operatif, dilakukan pengukuran kadar ALP dalam serum menggunakan colorimetric assay. Setelah 4 minggu, kelinci dikorbankan dan dilakukan analisis terhadap gambaran histologis. Hasil penelitian menunjukkan bahwa pada minggu ke-2, kelompok kelinci yang diberi perawatan dengan DPSCs memiliki kadar ALP yang lebih tinggi 157,925 ?U daripada kelompok kontrol 155,361 ?U dan peningkatan terjadi di minggu ke-4 dengan nilai yang lebih besar pada kelompok DPSCs 169.750 ?U dibandingkan dengan kelompok kontrol 160.406 . Evaluasi histologis menunjukkan bahwa sejumlah lamela tulang dan osteosit mengisi area defek dari kelompok DPSCs. Dengan demikian, dapat disimpulkan bahwa transplantasi DPSCs efektif dalam menginduksi dan mempercepat progresivitas regenerasi jaringan.

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This study was aimed to investigate the effectiveness of dental pulp stem cells DPSCs to induce bone regeneration in New Zealand rabbits by assessing the level of alkaline phosphatase ALP and histological view. The critical defect was created in the left femoral bone of the rabbits and transplantation of DPSCs was conducted to the treated group while the defect in the control group was left empty. In 2nd week and 4th week postoperative, ALP level in rabbits serum were measured using colorimetric assay. After 4 weeks, the rabbits were sacrificed and analyzing of histological views were conducted.

The results showed that in the 2nd week, rabbit treated DPSCs group had higher level of ALP 157,925 U than the control group 155,361 U and increasing occured in the 4th week with greater score in DPSCs group 169.750 U compared to the control group 160.406 U . Histological evaluation revealed that the amount of bone lamellae and osteocytes filled the defect area of DPSCs group. Therefore, transplantation of DPSCs are effective to induce and accelerate bone regeneration by raising ALP level and forming new bone tissue."

"Latar belakang: Tujuan dari perawatan pulpa gigi adalah terjadinya regenerasi. Sel punca mampu menghasilkan sekretom yang mengandung growth factor bila dibiakkan pada suatu medium. Hal ini membawa perubahan pada terapi berbasis sel menjadi terapi dengan menggunakan sekretom dari sel punca. Tujuan: Menganalisis potensi CMWJ terhadap proliferasi sel fibroblas dalam berbagai konsentrasi. Metode: Sel fibroblas setelah starvasi dibiakkan dalam CMWJ konsentrasi 12,5; 25 dan 50 . Setelah 2 hari sel fibroblas dihitung menggunakan alat hitung sel otomatis. Hasil: Terdapat perbedaan bermakna p le;0,05 jumlah sel pada kelompok 12,5 dan 50. Kesimpulan: konsentrasi 12,5 CMWJ memiliki potensi terbesar terhadap proliferasi sel fibroblas.

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Background: The goal of dental pulp treatment is regeneration instead of repair. Stem cells from Wharton's Jelly umbilical cord can secrete growth factors in cultured medium. These secretome may open future therapeutic options for cell free based therapies.

Objectives: This study was performed to evaluate potency of CMWJ in improving serum starved fibroblast.

Methods: A quasi experimental design was done in serum starved fibroblasts. After cultured in 12.5 25 and 50 concentration of CMWJ for 48 hours, the proliferation was measured by using automatic cell count machine.

Result: Cultivation of serum starved fibroblasts showed elevation of proliferation in 12,5 concentration of WJMSCs CM compared with 50 concentration, in significant result were shown p le 0,05."

"Latar belakang: Inflamasi adalah respon imun untuk mempertahankan inang terhadap patogen atau kerusakan. Namun, inflamasi yang tidak diatur dapat menyebabkan banyak penyakit. Peradangan terutama dimediasi oleh faktor kekebalan bawaan, termasuk sitokin, kemokin, dan sel kekebalan bawaan. Sitokin adalah mediator peradangan. Lipopolisakarida (LPS) adalah stimulator pulpitis yang kuat yang telah ditemukan pada jaringan pulpa yang meradang, menyebabkan pelepasan sitokin inflamasi termasuk IL-6, TNF-α dan IL-1β. Eksosom muncul sebagai strategi terapi mutakhir untuk mengobati sistem kekebalan tubuh akibat inflamasi. Sebagian besar sel mengeluarkan eksosom, yang dapat memiliki aktivitas imunomodulator yang kuat, tergantung pada jenis sel tempat mereka berasal. Sel punca mesenkim Wharton’s Jelly (hWJ-MSC) yang berasal dari tali pusar telah disarankan untuk mengurangi peradangan, sebagian melalui pelepasan eksosom.Tujuan: Untuk menyelidiki efek eksosom Wharton's Jelly pada konsentrasi 0,5%, 1% dan 5% pada sel punca pulpa gigi manusia yang terpapar LPS (hDPSC) pada waktu pengamatan 24, 48 dan 72 jam (analisis ekspresi IL-6)Metode: Menghitung jumlah ekspresi IL-6 pada human dental pulp stem cell (hDPSCs) yang terpapar LPS yang telah dikultur terlebih dahulu kemudian diberikan eksosom Wharton’s jelly dengan masing-masing konsentrasi 0,5%, 1%, 5% dan dibandingkan dengan kelompok kontrol tanpa pemberian eksosom pada waktu pengamatan 24 jam, 48 jam, dan 72 jam dengan analisis ELISA. Data dianalisis menggunakan analisis varian (ANOVA) satu arah dengan uji lanjut LSD.Hasil : Terdapat penurunan ekspresi IL-6 pada human dental pulp stem cells (hDPSCs) yang dipapar LPS menggunakan eksosom Wharton's Jelly dengan konsentrasi 1% dan 5% pada waktu pengamatan 48 jam.Kesimpulan: Eksosom Wharton's Jelly dapat menurunkan ekspresi IL-6 pada HDPSC yang terpapar LPS

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Background: Inflammation is an immune response that defends the host against pathogens or damage. However, unregulated inflammation can cause many diseases. Inflammation is primarily mediated by innate immune factors, including cytokines, chemokines, and innate immune cells. Cytokines are the mediators of inflammation. Lipopolysaccharide (LPS) is a potent stimulator of pulpitis that has been found in inflamed pulp tissue, causing the release of inflammatory cytokines including IL-6, TNF-α dan IL-1β. Exosomes are emerging as a state-of-the-art therapeutic strategy for treating an overactive immune system. Most cells secrete exosomes, which can have a potent immunomodulatory activity, depending on the type of cell from which they originate. Human Wharton’s jelly mesenchymal stem cells (hWJ-MSC) derived from the umbilical cord have been suggested to reduce inflamation, in part through the release of extracellular vesicle-like exosomes.

Objective: To Investigate the effect of Wharton's Jelly exosomes at concentrations of 0.5%, 1% and 5% on LPS exposed human dental pulp stem cell (hDPSCs) at observation times of 24, 48 and 72 hours (IL-6 expresion analysis)

Methods: Calculating the amount of IL-6 expression in lps exposed human dental pulp stem cells that have been cultured first and then given wharton jelly exosomes with each concentration of 0.5%, 1%, 5% and compared with the control group without exosome administration at observation time 24 hours 28 hours and 72 hours using ELISA analysis. Data were analyzed using a one‐way analysis of variance (ANOVA) with LSD’S post‐test.

Result : There is a decrease in IL-6 expression in lps exposed human dental pulp stem cells (hDPSCs) using Wharton's Jelly exosomes with a concentration of 1% and 5% at 48 hours observation time.

Conclusions: Wharton's Jelly Exosome decrese IL-6 expresion on LPS‐exposed HDPSCs."

"Human dental pulp of exfoliated deciduous teeth contains the population of cells that exhibited mesenchymal stem cell (MSC) characters. Though, a cell amplification process is indeed required to secure and adequate cell number for such a potential employment. Several publications suggested the alteration of MSCs upon in vitro culture, for example, the decrease in proliferation and the loss of stem cell characters. Here, we investigated an influence of basic fibroblast growth factor (bFGF) on stem cells isolated from human exfoliated deciduous teeth (SHEDs) with respect to cell proliferation, colony forming unit efficiency and stem cell marker expression in both short- and long-term cultures. For short-term bFGF treatment, SHEDs were treated with bFGF for 48h. While, in long-term bFGF supplementation, SHEDs were maintained in culture and continuous passage upon confluence in medium supplemented witg bFGF. Cells at passage (P) 5 and 10 were employed for characterization. Our result showed that short-term bFGF treatment enhanced OCT4, REX1, and NANOG mRNA expression as well as colony forming unit ability. The FGFR inhibitor pretreatment was able to attenuate the influence of bFGF on pluripotent stem cell marker expression, confirming bFGF function. In addition, cells cultured in high passage number had decreased in cell proliferation, colony forming unit capacity, and pluripotent stem cell marker mRNA expression. However, bFGF supplementation in culture medium enhanced both pluripotent stem cell marker expression and colony forming unit capacity in later passage, though the effect was not robust. Together, these results indicate that high passage number may attenuate pluripotent properties of SHEDs and bFGF supplementation could be the beneficial approach to maintain SHEDs' stemness properties. "

"Latar Belakang: Sumber sel stromal yang paling ideal digunakan dalam rekayasa jaringan adalah sel stromal pulpa gigi permanen (DPSC) dan sel stromal pulpa gigi sulung (SHED) dikarenakan sifat proliferasinya yang tinggi. Pada penelitian sebelumnya, dinyatakan bahwa terdapat peningkatan ekspresi gen homeobox salah satunya yaitu gen ALX4 sebagai pada pasien celah bibir dan palatum dengan subjek normal. Gen ALX4 adalah gen homeobox dibawah famili Alx dan memiliki peran langsung dalam perkembangan dan pembentukan kepala serta wajah serta mentranslasi protein yang meregulasi perkembangan dan proliferasi sel, pendewasaan dan diferensiasi sel, pergerakan sel, dan pertahanan sel. Namun, karakteristik DPSC dan SHED dilihat dari ekspresi gen ALX4 pada subjek normal dan pasien celah bibir dan palatum belum diketahui. Tujuan: Mengevaluasi karakteristik DPSC dan SHED subjek normal dan pasien CLP berdasarkan ekspresi gen ALX4. Metode: DPSC subjek normal, DPSC pasien celah bibir dan palatum, dan SHED pasien celah bibir dan palatum diperoleh dari bahan biologis tersimpan Laboratorium Oral Biologi Fakultas Kedokteran Gigi Universitas Indonesia. Selanjutnya ekspresi gen ALX4 dan housekeeping gene GAPDH diuji dengan two step quantitative RT-PCR (RT-PCR). Hasil: Tidak terdapat perbedaan ekspresi gen ALX4 baik diantara DPSC subjek normal dengan DPSC CLP (p=0,407) maupun DPSC CLP dengan SHED CLP (p=0,145). Kesimpulan: Tidak terdapat perbedaan karakteristik sel stromal pulpa gigi permanen dan sel stromal pulpa gigi sulung pada subjek normal dengan pasien celah bibir dan palatum berdasarkan ekspresi gen ALX4

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Background: The most ideal sources of stromal cells used in tissue engineering are dental pulp stem cells (DPSC) and stem cells from human exfoliated deciduous teeth (SHED) due to their high proliferative properties. In previous studies, it was stated that there was an increase in the expression of homeobox genes (differentially expressed genes (DEGs), one of which was the ALX4 gene as in cleft lip and palate patients with normal subjects. The ALX4 gene is a homeobox gene under the Alx family and has a direct role in the development and formation of the skull and human face, along with the ALX4 proteins that regulate cell development and proliferation, cell maturation and differentiation, cell movement, and cell defence. However, the characteristics of ALX4 gene expression in DPSC and SHED in normal and cleft lip and palate patients are not known. Objective: To evaluate and compare the characteristics of Dental Pulp Stromal Cells (DPSC) and Stromal Cells from Human Exfoliated deciduous teeth (SHED) in cleft lip and palate and normal subjects by the expression of the ALX4 homeobox gene. Methods: DPSC of normal subjects, DPSC of CLP patients, SHED of CLP patients were obtained from stored biological material in the Oral Biology Laboratory, Faculty of Dentistry, University of Indonesia. Then, the examination of ALX4 gene expression was tested by Real-Time Polymerase Chain Reaction (RT-PCR) Results: There was no difference in ALX4 gene expression between DPSC in normal subjects and DPSC in cleft lip and palate subjects (p=0,407) and between DPSC in cleft lip and palate subjects and SHED in cleft lip and palate subjects (p=0,145). Conclusion: There were no differences in the characteristics of the pulp stromal cells of permanent and primary teeth in normal subjects with cleft lip and palate subjects through the expression of the ALX4 gene."

"Latar belakang : Pada tahap inflamasi awal pulpa, sitokin dan mediator inflamasi akan disintesis dan disekresikan oleh sel-sel kompleks dentin pulpa. TNF-α adalah sejenis sitokin yang memiliki efek pleiotropik pada berbagai jenis sel dan sebagai pengatur utama respon inflamasi. LPS terhadap pulpa adalah sebagai stimulator poten pada pulpitis yang dapat ditemukan pada jaringan pulpa yang terinflamasi yang menyebabkan pelepasan sitokin inflamasi. Sekretom WJ memiliki potensi dalam regenerasi dan modulasi sistem imun tubuh serta melalui sekresi faktor spesifik. Tujuan : membuktikan Potensi Sekretom Wharton Jelly Terhadap Ekspresi TNF-α Pada hDPSC Yang Terekspos LPS. Metode : Sel punca pulpa (hDPSC) merupakan hasil kultur primer yang telah 80% confluent (telah melalui uji stem cell marker CD90 98%, CD105 99,7% , CD73 94% dan LinNeg 0,5%) dan mencapai P2-3 dilakukan serum starvation 24 jam. Kelompok penelitian ini terdiri dari 5 kelompok, yaitu : DMEM ; DMEM + LPS; DMEM + LPS + USEPro 12,5 % ; DMEM + LPS + USEPro 25 % ; DMEM + LPS + USEPro 50 %. Kemudian dilakukan uji ELISA untuk melihat potensi sekretom WJ dalam menurunkan ekspresi TNF-α pada observasi waktu 24 dan 72 jam. Hasil : Tidak Terdapat perbedaan ekspresi TNF-α (p > 0,05) antara kelompok uji dan kelompok kontrol. Kesimpulan : Walaupun tidak terdapat perbedaan yang bermakna, namun secara substansi sekretom WJ 25% yang paling berpotensi dalam menurunkan ekspresi TNF-α sel punca pulpa yang terekspos LPS.

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Background: In the early inflammatory stages of the pulp, cytokines and inflammatory mediators will be synthesized and secreted by cells of the pulp dentin complex. TNF-α is a type of cytokine that has pleiotropic effects on various cell types and is a major regulator of inflammatory responses. LPS is a potent stimulator of pulpitis which can be found in inflamed pulp tissue which causes the release of inflammatory cytokines. The WJ secretome has the potential to regenerate and modulate the body's immune system as well as through the secretion of specific factors. Objective: to prove the potential of the Wharton Jelly Secretome on TNF-α Expression in hDPSCs Exposed to LPS. Method: : Human Dental Pulp stem cells (hDPSC) are the result of primary culture which are 80% confluent (have gone through the stem cell marker test CD90 98%, CD105 99.7%, CD73 94% and LinNeg 0.5%) and reached P2-3 by serum 24 hour starvation. This research group consists of 5 groups, namely: DMEM; DMEM + LPS; DMEM + LPS + USEPro 12.5 % ; DMEM + LPS + USEPro 25 % ; DMEM + LPS + USEPro 50 %. Then an ELISA test was carried out to see the potential of the WJ secretome in reducing TNF-α expression at 24 and 72 hours of observation. Results: There was no difference in TNF-α expression (p > 0.05) between the test group and the control group. Conclusion: Although there was no significant difference, substantially the 25% WJ secretome had the greatest potential in reducing the expression of TNF-α in pulp stem cells exposed to LPS."

"Pendahuluan: Penelitian in vitro menggambarkan inferioritas osteogenesis SPM adiposa dibandingkan dengan SPM sumsum tulang. Sebaliknya, penelitian in vivo menunjukkan kemiripan potensi osteogenik keduanya. penelitian ini mencoba mengetahui perbedaan kapasitas osteogenik antara keduanya dengan mengukur ekspresi Bone Morphogenetic Protein (BMP)-2 dan BMP Reseptor II, juga proses penyembuhan tulang dengan pengukuran histomorfometri.Metode: Delapan belas tikus Sprague dawley (SD) dilakukan defek tulang femur 5mm. Tikus dibagi tiga kelompok yang terdiri dari kontrol, implantasi SPM sumsum tulang + Hydroxypatite, dan implantasi SPM adiposa + Hydroxypatite. Tikus dikorbankan pada minggu kedua kemudian penilaian histomorfometri kuantitatif dilakukan dengan Image-J. Paramater yang diukur adalah luas total kalus, % area penulangan, % area kartilago, dan % area fibrosis. Dilakukan penilaian imunohistokimia menggunakan intensitas pewarnaan dan skor Imunoreaktivitas (IRS).Hasil: Kelompok SPM sumsum tulang menunjukkan ekspresi BMPR II lebih tinggi dibandingkan kelompok lainnya. Ekspresi BMPR II dianalisis dan didapatkan hasil yang signifikan (p= 0,04) dengan median 4.00 ± 2.75. Kelompok SPM sumsum tulang dan adiposa juga menunjukkan proses penyembuhan tulang yang lebih baik dibandingkan kelompok kontrol (p = 0,001). Tidak ada perbedaan yang signifikan antara SPM sumsum tulang dan SPM adiposa yang diukur pada % total area kalus (p = 1.000),% area penulangan (p = 1.000),% kartilago (p = 0,493) dan % fibrosis (p = 0,128).Diskusi: SPM adiposa memiliki kemampuan penyembuhan tulang yang serupa dengan SPM sumsum tulang. Growth factor dan reseptornya penting namun bukan satu-satunya faktor penyembuhan tulang.

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Introduction: In vitro studies describe inferior osteogenesis of Adiposes to Bone Marrow Mesenchymal Stem Cell (MSC). Contrary, in vivo studies showing the resemblance of osteogenic potential between both groups. This study tries to investigate the difference of osteogenic capacity between BMSCs and ASCs by quantifying the expression of Bone Morphogenetic Protein (BMP)-2 and BMP receptor (BMPR) II also the bone healing process by histomorphometry measurement.Methods: Eighteen Sprague dawley (SD) rats were induced with 5mm femoral bone defect, then divided into three groups that consist of Control, Implementation of BMSC+Hydroxypatite, and Implementation of ASC+Hydroxypatite. They were sacrificed after 2 weeks, then performed histomorphometry assessment with Image-J. The measured paramater were total area of callus, % of osseous area, % of cartilage area, and % of fibrotic area. The immunohistochemistry measurement performed by staining intensity and immunoreactivity score (IRS).Results: The BMSC group showed higher expression of BMPR II compare to others. The expression of BMPR II was analyzed statistically and showed significant result (p=0.04) with median 4.00 ± 2.75. Both BMSC and ASC group have significantly better bone healing process compared with control group (p=0,001). There are no significant differences between ASC and BMSC measured in %total callus area (p=1.000), %Osseous area (p=1.000), %Cartilage area (p=0.493) and % Fibrous area (p=0.180). Discussions: ASC bone healing ability are similar to BMSC. Growth factor and its receptor are important but not sole contributing factor for bone healing."

"Sel induk(Stem Cell) adalah sel pembangun setiap organ dan jaringan tubtih kita. Dia adalah sel yang belum berdiferensiasi, tapi dengan kondisi tepat mampu berkembang inenjadi jaringan khusus dan organ tertentu. Sebdgian besar dari sel-sel jaringan tidak dapat beregenerasi jika rusak berat atau sakit, seperti pada kasus Infark Miokard. Penelitian terbaru mulai berfokus pada sel induk, yang dapat berproliferasi, dan berdiferensiasi menjadi sel otot jantung. Artikel ini bertujuan untuk ineiierangkan transplantasi sel induk pada infark miokard, keniajuan dan kendala yang terdapat dalam btdang kardiotnioplasti selular. (Med J Indones 2005; 15:3-8).

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Stem cells are the foundation cells for every organ and tissue in the body. They are undifferenciated cells that under proper conditions begin to develop into specialized tissues and organs. Most of the body's specialized cells cannot be replaced by natural processes if they are seriously damaged or diseased, such as in Myocardial Infarction. Recent interest has focused on stem cells, which can proliferate, and differentiate into cardiomyocytes.This paper aim to provide overview of stem cell transplantation in myocardial infarction, milestones and setbacks in the study of cellular cardiomyoplasty. (Med J Indones 2005; 15:3-8)."