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"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."

"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."

"Latar Belakang: pulpa memiliki sifat low-compliance yang memengaruhi proses regenerasinya. Tujuan: menganalisis potensi Platelet- Rich Plasma (PRP) Eksosom terhadap regenerasi pulpa gigi secara in-vitro viabilitas sel, aktivitas migrasi, dan ekspresi Vascular Endothelial Growth Factor-A (VEGF-A) hDPSCs. Metodologi: hDPSC sembilan gigi molar tiga dikultur dengan metode enzyme digestion (ED) yang dipanen pada P3 dan P4. Kemudian dikultur di dalam enam media, yaitu: Dulbecco's Modified Eagle Medium (DMEM) dan 10% PRP sebagai kelompok kontrol, dan 0,5%, 1%, dan 5% eksosom dari PRP. Semua kelompok memiliki tiga rangkap biologis (Triplo). Uji viabilitas sel dievaluasi dengan MTT assay, aktivitas migrasi sel dengan Scratch Assay dan Transwell Migration Assay, dan ekspresi VEGF-A dengan Enzyme-Linked Lmmunosorbent Assay (ELISA). Analisis data dilakukan dengan uji One Way ANOVA (p <0,05) serta uji Kruskal-Wallis dan post hoc Mann-Whitney (p <0,05). Hasil: viabilitas hDPSCs tertinggi pada 24, 48 dan 72 jam observasi pada kelompok Eksosom dari PRP 5% (p <0,05). Eksosom dari PRP 5% menunjukkan aktivitas migrasi yang lebih tinggi dibandingkan dengan kelompok lain, meskipun terdapat perbedaan tidak bermakna dengan kontrol PRP 10% (p >0,05). Ekspresi VEGF-A hDPSCs tertinggi terdapat pada kelompok PRP Eksosom 5% pada 72 jam observasi. Kesimpulan: eksosom dari PRP 5% berpotensi menginduksi regenerasi pupa gigi manusia.

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Background: pulp has low-compliance properties that affect its regeneration process. Objective: to analyze the potential of Platelet-Rich Plasma (PRP) exosomes on the regeneration of dental pulp by in-vitro evaluation of cell viability, migration activity, and expression of Vascular Endothelial Growth Factor-A (VEGF-A) hDPSCs. Methodology: hDPSCs of nine third molars cultured by enzyme digestion (ED) method were harvested at P3 and P4. Then cultured in six media, Dulbecco's Modified Eagle Medium (DMEM) and 10% PRP as a control group, and 0.5%, 1%, and 5% exosomes of PRP. All groups had a biological triple (Triplo). Cell viability assay was evaluated by MTT assay, cell migration activity by Scratch Assay and Transwell Migration Assay, and VEGF-A expression by Enzyme-Linked Lmmunosorbent Assay (ELISA). Data analysis was performed using One Way ANOVA (p < 0.05) and Kruskal-Wallis and post hoc Mann-Whitney tests (p < 0.05). Results: The viability of hDPSCs was highest at 24, 48 and 72 hours of observation in the Exosomes group of 5% PRP (p < 0.05). Exosomes from 5% PRP showed higher migratory activity compared to other groups, although there was no significant difference with 10% PRP control (p > 0.05). The highest expression of VEGF-A hDPSCs was found in the 5% PRP Exosomes group at 72 hours of observation. Conclusion: exosomes of 5% PRP have the potential to induce the regeneration of human dental pulp."

"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: Konsep cell-free therapy mencakup cell homing yang melibatkan serangkaian proses fisiologis termasuk pengenalan sel, migrasi, proliferasi, dan diferensiasi, dan pada akhirnya mencapai regenerasi jaringan. Sel punca ligamen periodontal (hPDLSCs) memiliki kapasitas regenerasi periodontal yang unik. Eksosom Wharton’s Jelly (WJ-Eksosom) telah terbukti memiliki kemampuan memperbaharui diri dan diferensiasi menjadi berbagai jaringan. Namun, belum banyak yang meneliti mengenai pengaruh aktivitas migrasi dan proliferasi WJ-Eksosom terhadap hPDLSCs. Tujuan: Membuktikan WJ-Eksosom dengan konsentrasi 0,5%, 1%, dan 5% memiliki pengaruh terhadap aktivitas migrasi dan proliferasi hPDLSCsMetode: Untuk melihat aktivitas migrasi (speed rate dan wound closure), pada kultur hPDLSCs dilakukan penambahan eksosom WJ 0,5%, 1%, dan 5% dibandingkan dengan kontrol pada waktu observasi 24 jam dengan metode scratch assay.Untuk melihat proliferasi, pada kultur hPDLSCs dilakukan penambahan eksosom WJ 0,5%, 1%, dan 5% dibandingkan dengan kontrol pada waktu observasi 24 jam dan 72 jam dengan metode cell counting kit-8. Uji statistik dilakukan analisis One-Way Anova.Hasil: Terdapat peningkatan aktivitas migrasi dan proliferasi pada hPDLSCs yang dipaparkan WJ-Eksosom dengan kelompok perlakuan WJ-Eksosom dengan konsentrasi 5% memberikan hasil yang paling baik.Kesimpulan: WJ-Eksosom memiliki pengaruh terhadap aktivitas migrasi dan proliferasi sel punca ligamen periodontal.

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Background: The concept of cell-free therapy includes cell homing which involves a series of physiological processes including cell recognition, migration, proliferation, and differentiation, and ultimately achieving tissue regeneration. Periodontal ligament stem cells (hPDLSCs) have a unique periodontal regeneration capacity. Wharton's Jelly exosomes (WJ-Exosomes) have been shown to have the ability to self-renew and differentiate into various tissues. However, there has not been much research on the effect of WJ-Exosomes migration activity and proliferation rate on hPDLSCs.

Objective: To investigate the effect of WJ-Exosomes with 0,5%, 1% and 5% concentration on migration activity and proliferation rate of hPDLSCs

Methods: To determine the migration activity (speed rate and wound closure) on primary culture of hPDLSCs, WJ-Exosomes (0,5%,1% and 5%) is added and compared to control group at 24 hours examination with scratch assay. To determine the proliferation rate on primary culture of hPDLSCs, WJ-Exosomes (0,5%,1% and 5%) is added and compared to control group at 24 hours and 72 hours examination with cell counting kit-8 assay. Result then analayzed statistically with One-Way Anova.

Results: There was an increase in migration activity and proliferation rate of hPDLSCs with the highest result found in WJ-Exosomes 5%

Conclusion: WJ-Exosomes have effect on migration activity and proliferation rate of hPDLSCs"

"Latar Belakang: Fokus disinfeksi saluran akar telah berubah dari disinfeksi agresif menjadi seleksi protektif dalam prosedur regeneratif endodontik. Larutan irigasi sintetik yang digunakan hingga saat ini toksik terhadap sel punca pulpa, salah satunya yang memiliki kemampuan proliferasi dan transdiferensiasi tinggi adalah hDPSCs. Oleh sebab itu, penelitian terkait disinfeksi berbahan alami yang mampu mempertahankan viabilitas sel punca terus berkembang pesat. Salah satu larutan irigasi alami yang bersifat antimikrobial dan agen kelator adalah larutan cuka apel. Untuk menjadikannya obat herbal terstandar hingga fitofarmaka, perlu diidentifikasi kelompok senyawa kimia dan uji viabilitas hDPSCs.Tujuan: Menganalisis pengaruh larutan cuka apel berbagai konsentrasi terhadap viabilitas hDPSCsMetode: hDPSCs ditambahkan DMEM+FBS10% (kontrol negatif), EDTA 17% (kontrol positif), larutan cuka apel dengan konsentrasi 2,5%, 5%, dan 10% dengan enam kali pengulangan. Selanjutnya, persentase viabilitas hDPSCs didapat dari MTT assays melalui microplate reader dalam nilai absorbansi. Data kemudian diolah statistik melalui uji parametrik One-way ANOVA.Hasil: Nilai rerata viabilitas sel hDPSC pada semua kelompok perlakuan bernilai diatas 70% sehingga tidak toksik menurut standar ISO dengan rerata viabilitas tertinggi pada kelompok 2,5% dan terendah pada kelompok EDTA 17% diikuti kelompok 10%.Kesimpulan: Larutan cuka apel dapat diidentifikasi kelompok senyawa kimia dan nilai viabilitas sel paling tinggi pada konsentrasi 2,5%.

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Background: Focus on root canals disinfection have shift from aggressive to protective selection in regenerative endodontic procedures. Synthetic root canals irrigation that had been used until now are toxic toward pulp stem cells, one of them, hDPSCs which have higher proliferation and transdifferentiation ability. Therefore, research on natural disinfection which maintain stem cell viability keep developing rapidly. One of the natural disinfection that has antimicrobial effect and chelating agent is apple cider vinegar. To standardized it as modern medicine, need to identify group of chemical compounds and analyzing the viability percentage of hDPSCs.

Objective: Analyze the impact of apple cider vinegar solution in various concentrations on viability of hDPSCs.

Methods: hDPSCs were given DMEM+FBS10% (negative control), 17% EDTA (positive control), apple cider vinegar solution in 2.5%, 5% and 10% concentrations with six repetitions. Percentage viability of hDPSCs were analyze from MTT assays with microplate reader in absorbance value. Then, data were proccessed statictically with parametric One-way ANOVA.

Results: The average viability of hDPSCs were above 70% which considered non-toxic according to ISO, with the highest cells viability in 2.5% and the lowest cells viability in 17% EDTA followed by 10% groups.

Conclusion: Apple cider vinegar solution’s chemical compounds can be identified with the highest cells viability were at 2.5%."

"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: 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."

"ABSTRAKSel punca mesenkimal SPM sangat menjanjikan untuk pengobatan penyakit degeneratif. Keterbatasan penggunaan sel punca dari jaringan embrionik dan dewasa menyebabkan peneliti mencari alternatif lain sumber sel punca, salah satunya wharton rsquo;s jelly tali pusat. Wharton rsquo;s jelly WJ dari persalinan aterm cukup bulan telah berhasil diisolasi dan didiferensiasikan, sedangkan WJ dari persalinan preterm kurang bulan belum banyak dilakukan. Penelitian ini bertujuan untuk melihat kemampuan WJ sebagai sumber sel punca dan membandingkan proliferasi dan diferensiasi WJ dari persalinan preterm dan aterm menggunakan medium kultur xenofree.Sel punca WJ dikultur dalam medium DMEM 10 FBS, DMEM 10 PRP dan Mesencult . Sel yang telah konfluens dipanen, dan ditumbuhkan kembali pada wadah yang baru pasase dengan medium yang sama. Pasase dilakukan hingga pasase ke 5 dan dilakukan uji diferensiasi pada pasase 3 dan 5. Jumlah sel antara WJ dari persalinan preterm dan aterm dianalisis menggunakan analisis statistik t-independent test. WJ preterm tumbuh dan bersifat plastic-adherent dan memiliki perbedaan yang tidak bermakna dalam proliferasi sel dengan jumlah populasi sel lebih besar dibandingkan WJ aterm. Sel punca WJ preterm dapat berdiferensiasi dan medium xenofree dapat digunakan untuk menggantikan FBS. WJ dari persalinan pretem dapat digunakan sebagai sumber sel punca mesenkimal.

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ABSTRACTMesenchymal stem cells are claimed as a promising degenerative medicine.Due to limited use of stem cells derived from embryonic and adult tissues, researchers have to find alternative sources of stem cells, and one of them are Wharton 39 s Jelly umbilical cord. Wharton 39 s Jelly WJ derived from full term birth have been isolated and differentiated, but very few researches focus on the WJ derived from preterm birth. This study aimed to analyse the ability of WJ a source for the stem cells, and to compare the proliferation and differentiation of WJ derived stem cells from preterm and full term birth using xeno free culture media. WJ was cultured with the followings media DMEM 10 FBS, DMEM 10 PRP and Mesencult . Cells reaching confluence were har vested and pasage in different containers, but with the same media. Cell passaging was carried out until the fifth passage, and the differentiation tests were performed. Cell cumulative between WJ derived stem cells from pre term and full term birth were then analysed using t independent test. The preterm WJ grown in culture media were plastic adherent, had a non significant difference with WJ derived from full term birth, but had a higher number of cell populations than the latter. WJ were able to differentiate, and xeno free media can be used to replace FBS. WJ derived stem cells from preterm birth can be used as a source for mesenchymal stem cells."