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Abstrak :
Latar Belakang: Rekayasa jaringan tulang memerlukan tiga komponen utama, yaitu sel punca, scaffold, dan faktor pertumbuhan. IGF-1 merupakan salah satu faktor pertumbuhan yang berperan dalam proliferasi dan diferensiasi sel osteoblast. IGF-1 akan berikatan dengan reseptornya, yaitu IGF-1R untuk mengaktivasi jalur hilir. Dalam sirkulasi tubuh manusia, IGF berikatan dengan IGFBP-3 yang dapat memperpanjang waktu paruh serta menghambat IGF-1 berikatan dengan IGF-1R. Pada penelitian sebelumnya, tercatat bahwa tidak ada perbedaan kemampuan proliferasi dan diferensiasi antara DPSC subjek normal dan subjek CLP, namun ada perbedaan signifikan dalam jumlah ekspresi IGF-1. OCT-4, SOX-2 dan NANOG merupakan faktor transkripsi utama pluripotensi yang telah diteliti dapat mengatur pluripotensi, pembaruan diri, proliferasi, serta diferensiasi DPSC. Penelitian terbaru mencatat peningkatan ekspresi ketiga gen tersebut pasca dilakukan penghambatan jalur GSK-3 dan m-TOR yang merupakan jalur hilir dari aksi IGF-1 pada sel DPSC. Namun, belum diketahui secara pasti ekspresi ketiga gen tersebut pada DPSC subjek normal dan CLP setelah dilakukannya penghambatan IGF-1 menggunakan anti IGF-1R dan IGFBP-3. Tujuan: Menganalisis pengaruh anti IGF-1 dan IGFBP-3 terhadap ekspresi gen OCT4, SOX2, dan NANOG pada DPSC subjek normal dan CLP. Metode: Sampel RNA DPSC subjek normal (n=4) dan DPSC subjek CLP (n=3), sebelum dan setelah diberikan perlakuan anti IGF-1R atau IGFBP-3, diperoleh dari bahan biologis tersimpan di Laboratorium Oral Biologi Fakultas Kedokteran Gigi Universitas Indonesia. Selanjutnya, ekspresi gen OCT4, SOX2, NANOG, dan housekeeping gene GAPDH diuji dengan two step Real-Time PCR (RT-PCR). Hasil: Tidak terdapat perbedaan ekspresi gen OCT4, SOX2, dan NANOG, baik antara DPSC subjek normal dan CLP sebelum dan setelah diberikan perlakuan anti IGF-1R dan IGFBP-3 (p³0,05). Kesimpulan: Perlakuan anti IGF-1R dan IGFBP-3 tidak memengaruhi tingkat ekspresi gen OCT4, SOX2, dan NANOG sel punca pulpa gigi permanen subjek normal dan subjek celah bibir dan palatum ......Background: Bone tissue engineering requires three main components, namely stem cells, scaffold, and growth factors. IGF-1 is a growth factor that plays role in osteoblast proliferation and differentiation. IGF-1 will bind to its receptor, namely IGF-1R, to activate the downstream pathway. In the human body circulation, IGF binds to IGFBP-3 which can inhibit IGF-1 from binding to IGF-1R. Previous studies noted that there were no differences in the ability to proliferate and differentiate between DPSC from normal subjects and CLP subjects, yet there were significant differences in the level of IGF-1 expression. OCT-4, SOX-2 and NANOG are core pluripotency factors which regulate pluripotency, self-renewal, proliferation and differentiation of DPSC. Recent study has noted an increase in the expression of these three genes after inhibition of GSK-3 and m-TOR pathways, which are the downstream pathways of IGF-1 on DPSC cells. However, the expression of these three genes in DPSC from normal and CLP subjects after inhibition of IGF-1 using anti IGF-1R and IGFBP-3 is still unknown. Objective: To analyze the effect of anti IGF-1 and IGFBP-3 on OCT4, SOX2, and NANOG gene expression in DPSC of normal and CLP subjects. Methods: RNA samples of DPSC from normal and CLP subjects, before and after being treated with anti-IGF-1R or IGFBP-3, were obtained from Laboratory of Oral Biology, Faculty of Dentistry, Universitas Indonesia. Furthermore, the expression of OCT4, SOX2, NANOG, and housekeeping gene GAPDH were tested using two step Real-Time PCR (RT-PCR). Results: There was no difference between the expression of the OCT4, SOX2, and NANOG in DPSC from normal and CLP subjects before and after anti IGF-1R and IGFBP-3 treatment (p≥0.05). Conclusion: Anti-IGF-1R and IGFBP-3 did not affect the expression level of OCT4, SOX2, and NANOG in dental pulp stem cells of normal subjects and cleft lip and palate subjects.

Abstrak :
Latar Belakang: Terjadinya regenerasi pada proses penyembuhan luka pulpa yang mengalami cedera akan menggantikan struktur dan fisiologis jaringan sama dengan aslinya. Proses ini dimulai dengan sel punca pulpa bermigrasi ke tempat cedera dan berfungsi. Ketika ada invasi bakteri, lingkungan pulpa terinflamasi melepaskan berbagai sinyal termasuk sinyal yang memicu migrasi sel punca pulpa. Pentingnya proses migrasi pada penyembuhan jaringan pulpa yang terinflamasi, maka pada penelitian ini mengamati perbedaan kemampuan migrasi pada hDPSCs normal dan terinflamasi lipopolisakarida (LPS) bakteri E. coli dengan waktu observasi 6 jam dan 24 jam. Tujuan: Mengetahui perbedaan kemampuan migrasi pada hDPSCs normal dan terinflamasi yang dilihat dari laju kecepatan migrasi dan lebar luka hDPSCs pada hDPSCs normal dibandingkan dengan hDPSCs terinflamasi dengan waktu observasi 6 jam dan 24 jam. Metode: Penelitian ini merupakan penelitian eksperimental laboratorik in vitro dengan pengamatan migrasi menggunakan metode scratch assay. Hasil: Terdapat perbedaan bermakna laju kecepatan migrasi antara hDPSCs normal dan terinflamasi pada waktu observasi 6 dan 24 jam (p<0.05). Terdapat perbedaan bermakna lebar luka hDPSCs normal dan inflamasi pada waktu observasi 6 dan 24 jam (p<0.05). Kesimpulan: Hasil penelitian ini menunjukkan pulpa tetap memiliki potensi alamiah dalam menginduksi migrasi pada kondisi terinflamasi LPS bakteri E. coli pada periode waktu 24 jam. ......Background: Regeneration in the injured pulp wound healing process will replace its structure and tissue physiology to be the same as the original. It begins with hDPSCs migrating to the injured site and functioning. When there is a bacterial invasion, the inflamed pulp environment releases various signals stimulating hDPSCs migration. Due to the importance of the migration process in inflamed pulp tissue wound healing, this research observed the differences in migration capability of the normal and inflamed-with lipopolysaccharide (LPS) bacteria E. coli- hDPSCs. Objective: To discover the differences in migration capability between normal and inflamed hDPSCs observed from differences in migratory speed rate and wound width of normal and inflamed hDPSCs at 6 and 24 hours observation time. Methods: This research was an experimental laboratory in vitro using the scratch assay. Results: There were significant differences in migratory speed rate between normal and inflamed hDPSCs at 6 and 24 hours (p<0.05). There were significant differences in wound width in each group of normal and inflamed hDPSCs at 6 and 24 hours (p<0.05). Conclusion: These research results show that pulp remains have the natural potential to induce migration in conditions inflamed by LPS bacteria E. coli for 24 hours.

Abstrak :
Latar Belakang: Subjek celah bibir dan palatum membutuhkan perawatan rekonstruksi tulang berbasis rekayasa jaringan dengan menggunakan sel stromal mesenkim. Sel stromal mesenkim merupakan sel yang banyak digunakan untuk regenerasi tulang karena mempunyai kemampuan proliferasi tinggi. Sel tersebut dapat berasal dari pulpa gigi sulung (SHED) dan pulpa gigi permanen (DPSCs) yang dapat berdiferensiasi menjadi osteoblas. Pada penelitian sebelumnya telah ditemukan beberapa karakteristik DPSCs dan SHED pada subjek celah bibir dan palatum, namun kemampuan diferensiasi dari sel stromal pulpa subjek celah bibir dan palatum belum diketahui. Tujuan: Mengevaluasi kemampuan diferensiasi osteogenik dari sel stromal pulpa gigi permanen dan sulung pada subjek celah bibir dan palatum melalui ekspresi gen Collagen Type I Alpha I (COL1A1). Metode : Sampel RNA yang diperoleh dari kultur RNA DPSCs dan SHED subjek celah bibir dan palatum, dengan Real-Time Polymerase Chain Reaction (RT-PCR) menggunakan primers Collagen Type I Alpha I (COL1A1), serta 18S sebagai housekeeping gene. Hasil : Tidak terdapat perbedaan ekspresi relatif gen COL1A1 antara sel stromal pulpa gigi permanen dan sel stromal pulpa gigi sulung pada subjek celah bibir dan palatum. Kesimpulan : SHED memiliki kemampuan diferensiasi osteogenik yang sama dengan DPSCs karena keduanya dapat mengekspresikan gen marker osteogenik COL1A1. ......Background: Cleft lip and palate subject need bone reconstruction based tissue engineering treatment with mesenchymal stromal cells (MSC). One of the most mesenchymal stromal cells that can be used is derived from dental pulp tissues, such as primary tooth pulp or stem cells from human deciduous teeth (SHED) and dental pulp stem cells (DPSCs) which can differentiate into osteoblasts. In previous studies, several characteristics of DPSCs and SHED of the cleft lip and palate subjects have been found. However, osteogenic differentiation ability of dental pulp stromal cells from cleft lip and palate subject is unknown. Objective: To determine the osteogenic differentiation ability of DPSCs and SHED of cleft lip and palate subjects through the expression of the Collagen Type I Alpha I (COL1A1) gene. Methods: RNA samples obtained from the culture of DPSCs and SHED of lip and palate cleft subjects, with Real-Time Polymerase Chain Reaction (RT-PCR) using primers Collagen Type I Alpha I (COL1A1) and 18S as a housekeeping gene. Results: There was no difference in the relative expression of COL1A1 gene between DPSCs and SHED of CLP subjects. Conclusion: SHED has the same osteogenic differentiation ability as DPSCs because they can express osteogenic marker genes COL1A1.

Abstrak :
Latar Belakang: Rekayasa jaringan merupakan alternatif untuk perawatan rekonstruksi tulang alveolar pasien celah bibir dan palatum. Alternatif tersebut menghubungkan penggunaan sel punca, biomaterial/scaffolds, dan molekul sinyal. Sumber sel yang ideal untuk rekayasa jaringan adalah sel autologous karena tidak bersifat immunogenik. Sel stromal pulpa gigi permanen (DPSC) menarik untuk terapi klinis karena akses perolehannya yang mudah, morbiditas yang sangat rendah, menunjukkan kapasitas imunoregulasi yang menguntungkan, dan dapat berdiferensiasi menjadi banyak tipe sel, termasuk osteoblas. Pada penelitian sebelumnya, DPSCs pasien celah bibir dan palatum ditemukan memiliki potensi kemampuan osteogenik. Namun, kemampuan diferensiasi osteogeniknya belum diketahui. Kemampuan diferensiasi osteogenik tersebut dapat diamati dari ekspresi marker osteogenik, salah satunya sclerostin yang diekspresikan pada tahap akhir diferensiasi osteoblas. Tujuan: Membandingkan kemampuan diferensiasi osteogenik DPSCs pasien celah bibir dan palatum dengan DPSCs subjek normal melalui pengamatan ekspresi gen sclerostin. Metode: DPSCs dikultur hingga mencapai 70%-80% confluent. Sampel RNA dari sel diperoleh dengan melakukan prosedur ekstraksi RNA. Ekspresi gen sclerostin diamati menggunakan Real-Time PCR menggunakan primer sclerostin dan 18s sebagai housekeeping gene. Hasil: DPSCs pasien celah bibir dan palatum memiliki nilai rata-rata ekspresi relatif gen sclerostin yang lebih tinggi 1,9 kali lipat dibandingkan dengan DPSCs subjek normal dan secara statistik berbeda bermakna dengan p = 0,013. Kesimpulan: DPSCs pada pasien celah bibir dan palatum mengekspresikan gen sclerostin sebagai marker diferensiasi osteogenik yang lebih tinggi dibandingkan DPSCs pada subjek normal secara in vitro. ......Background: Tissue engineering is an alternative for alveolar bone reconstruction treatment in cleft lip and palate (CLP) patients. The alternative links the use of stem cells, biomaterials/scaffolds, and signaling molecules. The ideal cell source for tissue engineering is autologous cells because they are not immunogenic. Dental pulp stromal cells (DPSC) are interesting for clinical therapy because of their easy accesses, very low morbidity, exhibit favorable immunoregulatory capacities, and can differentiate into many cell types, including osteoblasts. In a previous study, DPSCs in CLP patients were found to have a potential osteogenic ability. However, its osteogenic differentiation ability is not yet known. The ability of osteogenic differentiation can be observed from the expression of osteogenic markers, one of which is sclerostin, a marker that is expressed in the final stage of osteoblast differentiation. Objective: To compare osteogenic differentiation ability of DPSCs in CLP patients with DPSCs in normal subjects through the expression of sclerostin gene. Methods: DPSCs were cultured to reach 70%-80% confluent. RNA samples from cells were obtained by carrying out RNA extraction procedure. Sclerostin gene expression was assessed using Real-Time PCR using sclerostin primer and 18s as a housekeeping gene. Results: DPSCs from CLP patients have mean relative expression of sclerostin gene 1.9 times higher compared to DPSCs in normal subjects and it is statistically different with p = 0.013. Conclusions: DPSCs in CLP patients express the sclerostin gene as marker of osteogenic differentiation higher than DPSCs in normal subjects in vitro.

Abstrak :
Latar Belakang: Asam hialuronat (AH) dengan berat molekul tinggi dapat meregulasi sel punca untuk melakukan regenerasi jaringan dan memiliki reseptor utama yaitu CD44. Ekpresi CD44 merupakan salah reseptor penanda mineralisasi sel punca pulpa (human dental pulp stem cells /hDPSCs). Tujuan: Menganalisis potensi asam hialuronat berbagai konsentrasi terhadap ekpresi CD44 pada observasi waktu 5 dan 15. Metode: hDPSCs yang didapatkan dari bahan baku tersimpan pada passage ke-3 dan ke-4 dan telah mengalami serum starvation selama 24 jam, diberikan AH dengan konsentrasi 10mg/ml, 20mg/ml, 30mg/ml dan kontol positif pada medium osteogenik. Selanjutnya dilakukan observasi waktu selama 5 menit dan 15 menit. Antibodi CD44 ditambahkan dan kemudian ekspresi CD44 dianalisa secara kuantitatif melalui uji flowcytometry. Uji statistik menggunakan One Way Anova (SPSS IBM, 16.0). Hasil: AH dapat meningkatkan ekspresi CD44 pada hDPSCs dibandingkan kelompok kontrol dengan ekspresi tertinggi secara signifikan (p<0.05) pada 10mg/ml AH dalam observasi waktu 5 menit. Pada observasi waktu 15 menit terlihat ekspresi CD44 menurun pada kelompok uji 10mg/ml dan 30mg/ml. Sedangkan pada kelompok uji 20mg/ml tampak meningkat. Kesimpulan: AH memiliki potensi untuk meningkatkan ekspresi CD44 dengan konsentrasi 10mg/ml meningkatkan ekspresi CD44 pada hDPSCs paling tinggi dalam waktu 5 menit. ...... Background: High molecular weight hyaluronic acid (HA) can regulate stem cells to undergo tissue regeneration and has a main receptor, namely CD44. Expression of CD44 plays important role in dental pulp stem cells (hDPSCs) mineralization. Objective: To determine various concentration potential of HA as hDPSCs culture media (CM) toward CD44 expression at 5 and 15 minutes observation. Methods: hDPSCs culture were obtained from those of previous research (ethical approval form has been attached) at P3 and P4. After 24 hour incubation of hDPSCs CM was replaced with osteogenic medium and then undergone 24h serum starvation. hDPSCs CM divided into three concentration of HA (10mg/ml, 20mg/ml, and 30mg/ml) and incubated in 5% CO2 atm, 37°C for 5 and 15 minutes. CD44 antibody was added and then CD44 expression was read with flowcytometry. Statistical analysis using One Way Anova and post hoct Bonferroni (SPSS IBM, 26.0). Result: CD44 expression of hDPSCs was statistically significantly higher at 10mg/ml HA for 5 minutes (p<0,05) meanwhile 20mg/ml and 30mg/ml HA increased but not significant. After 15 minutes of observation, CD44 expression decreased in the 10mg/ml and 30mg/ml test groups. Meanwhile, the 20mg/ml test group appeared to increase. Conclusion: Adding 10mg/ml of HA was able to significantly increase CD44 expression within 5 minutes.

Abstrak :
Latar Belakang: Ekstrak jintan putih Cuminum cyminum memiliki potensi efektivitas antibakteri dan anti jamur serta tidak toksik terhadap sel fibroblas tikus. Belum terdapat penelitian yang meneliti toksisitas ekstrak jintan putih terhadap Dental Pulp Stem Cells DPSCs . Tujuan: Mengetahui efek ekstrak jintan putih konsentrasi 0,1 mg/ml, 0,4 mg/ml, 0,7 mg/ml, dan 1,0 mg/ml terhadap viabilitas DPSCs. Metode: Menggunakan uji MTT dengan menghitung nilai absorbansi menggunakan microplate reader, dengan hasil akhir berupa nilai optical density OD yang dipersentasekan terhadap kelompok kontrol. Hasil: Terdapat perbedaan viabilitas DPSCs yang bermakna ......Introduction The extract of cumin Cuminum cyminum has the potential antibacterial and antifungal activity and it was not toxic for mouse fibroblasts. However, there have been no research investigating the toxicity of cumin extract on Dental Pulp stem Cells DPSCs . Aims To compare viability DPSCs of Cuminum cyminum extract 0,1 mg ml, 0,4 mg ml, 0,7 mg ml, and 1.0 mg ml . Methods Cell viability was analyzed using MTT Assay by calculating absorbance value using microplate reader, with optical density OD as the final result. Results There were significant differences statistically in viability on DPSCs p

Abstrak :
Defek tulang besar dapat diperbaiki dengan teknik rekayasa jaringan yang membutuhkan scaffold untuk proliferasi sel. Kitosan cangkang kepiting dapat dijadikan scaffold dan dikombinasikan dengan RGD untuk meningkatkan perlekatan sel. Tujuan: Menganalisis efek penambahan RGD pada scaffold membran kitosan cangkang kepiting terhadap tingkat proliferasi sel pulpa manusia. Metode: Sel pulpa manusia dikultur kemudian dipaparkan dengan scaffold membran kitosan cangkang kepiting dengan dan tanpa RGD, selanjutnya diuji menggunakan MTT-assay. Hasil: Peningkatan proliferasi sel pada kelompok perlakuan scaffold membran kitosan cangkang kepiting RGD dibandingkan dengan kelompok kontrol. Kesimpulan: Scaffold membran kitosan cangkang kepiting RGD terbukti mampu meningkatkan proliferasi sel pulpa manusia.

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Introduction A large bone defect can be fixed by using bone tissue engineering which need scaffold for cell proliferation. Crab shells chitosan used as a scaffold and can be combined with RGD to increase cell adhesion. Aim To analyze the effect of RGD addition to crab shells chitosan scaffold membrane on human dental pulp cell proliferation. Methods Human dental pulp cells cultured and exposed by the crab shells chitosan scaffold membrane with or without the addition of RGD and was tested using MTT assay. Result The result showed that chitosan with RGD increase human dental pulp cell proliferation compared to control group. Conclusion Crab shells chitosan scaffold membrane with RGD is proven to increase the proliferation of human dental pulp cells.

Abstrak :
The definitive endodontics reference, Cohen's Pathways of the Pulp is known for its comprehensive coverage of leading-edge information, materials, and techniques. It examines all aspects of endodontic care, from preparing the clinician and patient for endodontic treatment to the role the endodontist can play in the treatment of traumatic injuries and to the procedures used in the treatment of pediatric and older patients. Not only does Hargreaves and Cohen's 10th edition add five chapters on hot new topics, it also includes online access! As an Expert Consult title, Cohen's Pathways of the Pulp lets you search the entire contents of the book on your computer, and includes five online chapters not available in the printed text, plus videos, a searchable image collection, and more. For evidence-based endodontics research and treatment, this is your one-stop resource!