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Human Dental Pulp Stem Cells
     Cryopreservation
    Stefanny Romero Oyuela, Katherin Córdoba Pérez, Sandra
              Perdomo, Juan Carlos Munévar Niño.
                  stephiromero@hotmail.com

Instituto Unidad de Investigación Básica Oral. U.I.B.O.
       Universidad El Bosque, Bogotá, Colombia.
INTRODUCTION



  Due to the high
   prevalence of
                                          NEW
craniofacial, dental
                                      THERAPEUTICAL
  and periodontal
                                       APPROACHES
    pathologies
Gronthos S, Brahim J, Li W, Fisher LW, Cherman N, Booyde A, et al. Stem cell properties of human dental pulp stem cells. J Dent Res. 2002; 81 (8): 531-5

Iohara K. Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein 2. J Dent Res. 2004; 83(8):590-5.
INTRODUCTION


            The human dental pulp Stem cells
               (DPSCs) are fundamental in
            regenerative dentistry & medicine




                                                        Optimal DSC
                                                      cryopreservation
                                                        METHODS for
                                                      later clinical use.
                    U.I.B.O.



  There are several challenges in relation to the quality and safety of
human dental stem cells cryopreservation, particularly those related to
the conservation of these ex-vivo cells at extremely low temperatures.


Gronthos et al/ 2000 Shi et al/ 2001
OBJECTIVE


  To evaluate the effect of two
cryopreservation methods on the
viability and phenotype of hDPSCs
Selection
                                                           Sample
An in vitro experimental study         criteria

   Informed consent approved by
                                                               CD105+
    the Institutional Review Board.    18- 31 years
                                                                cells



                                        48 healthy
                                          tooth

                                           Erupted
                                        premolars and
                                           molars


                                        Systemically healthy
                                             patients
1. Dental pulp sample transport to          2. Enzymatic Dissociation
the cell culture laboratory (UIBO)   Enzymatic solution: 3 mg/ml collagenase
 Dissection & dental pulp explants       and 4 mg/ml dispase in DMEM




                                                4. Cell Isolation
 3. Viability evaluation
 Tripan blue / Neubauer chamber          By CD 105+ magnetic beads /
                                              MILTENYI MiniMACS
5. In vitro CD105+ expansion

       The in vitro expansion were done in 27
             wells, for each protocol for                                                                        6. CRYOPRESERVATION
       cryopreservation and the control group
                                                                                                              Protocol No.1                    Protocol No.2
   • Incubation at 37 C                                                                                        Papaccio et                        Kamath
   • Humid atmosphere                                           total of 81 wells                                al/2006                          Fischer
   • Cell culture confluence (>70 %),
                                                                                                                                                 Scientific




                                                               7. STATISTICAL ANALYSIS

                                                          Kruskal-Wallis                          ANOVA

                                                                                Tamhane

Papaccio G, Graziano A, d´Aquino R, Graziano MF, Pirozzi G, Menditti D, De Rosa A, Carinci F, Laino G. Long-term Cryopreservation of dental pulp stem cells (SBP-DPSCs) and
their differentiated osteoblasts: a cell source for tissue repair. J Cell Physiol. 2006 Aug; 208(2):319-25.
 Kamath A. Human Mesenchymal Stem Cell Protocol: Cryopreservation. SC Protocol Sheet: 00007. Cellular Engineering Technologies, Inc. Thermo Fisher Scientific Inc. 2007
Results
   Phase contrast microscopy analysis




      Human dental pulp samples               In vitro human dental pulp stem cells.




In vitro dental pulp stem cells morphology.      DPSCs Colony forming Unit CFU
DPSCs viability by Flow cytometry

                      Cryopreservation method 1: Papaccio et al/ 2006
     A
                                                                                     B




            56.2 % DPSCs viability at 24 hours.                                               55.7 % DPSCs viability at 7 days.




Papaccio G, Graziano A, d´Aquino R, Graziano MF, Pirozzi G, Menditti D, De Rosa A, Carinci F, Laino G. Long-term Cryopreservation of dental pulp stem cells
(SBP-DPSCs) and their differentiated osteoblasts: a cell source for tissue repair. J Cell Physiol. 2006 Aug; 208(2):319-25.
DPSCs phenotype
      Cryopreservation method 1: Papaccio et al/ 2006
      A                  B                   C




          D                  E                   F




 A. CD105+/CD34- cells at 24 hours B. CD105+/CD45- cells at 24-hours
   C. CD34-/CD45- cells at 24 hours. D. CD105+/CD34- cells at 7 days
    E. CD105+/CD45- cells at 7 days, F. CD34-/CD45- cells at 7 days.
DPSCs viability by Flow cytometry

 Cryopreservation method 2: Kamath (Fischer Scientific)/ 2007
   A

                                        B




                       68.4%
                                                          61.2%




  68,4 % DPSCs viability at 24 hours.   61,2 % DPSCs viability at 7 days.
DPSCs phenotype
 Cryopreservation method 2: Kamath (Fischer Scientific)/ 2007
  A                     B                       C




  D                      E                      F




 A. CD105+/CD34- cells at 24 hours B. CD105+/CD45- cells at 24-hours
   C. CD34-/CD45- cells at 24 hours. D. CD105+/CD34- cells at 7 days
    E. CD105+/CD45- cells at 7 days, F. CD34-/CD45- cells at 7 days.
DPSCs viability

   Cryopreservation method 1 / Cryopreservation method 2
Results
                     Statistical Analysis




     DPSCs viability post cryopreservation between the 2 methods
DPSCs phenotype

  Cryopreservation method 1 / Cryopreservation method 2
Results
                     Statistical Analysis




    DPSCs phenotype post cryopreservation between the 2 methods
Recent studies describe methods for DPSCs characterization,
                        isolation and cell culture


              Gronthos et al/2000.                        Miura et al/2003.                         Iohara et al/ 2006.
                    PNAS                                       PNAS.                                   Stem Cells.

            Papaccio et al/2006.                          Perry et al/2008.                        Woods et al/ 2009.
               J Cell Physiol.                          Tissue Eng Methods.                          Cryobiology




                               Although they do not analyze factors which may be
                                decisive in the effectiveness of cryopreservation
                               protocols, as suggested by the results of this study.


Woods EJ, Perry BC, Hockema J, Larson L, Zhou D, Goebe W, et al. Optimized cryopreservation method for human dental
pulp-derived stem cells and their tissues. Elseiver. Cryobiology. 2009; 59(2): 150-157.
There is a significant and
        inverse correlation between                                             The ideal teeth: third molars
                                                                                   and deciduous teeth.
        the sample transport and the
        number of CD 105+ DPSC´s


                                                                                     It is reported a greater
                  There is a mild and                                             differentiation potential of
                 indirect relationship                                            mesenchymal stem cells in
              between the patient's age                                          connective tissues of younger
                  and the number of                                                           patients
               CD105+ DPSC's isolated.                                              (Gronthos et al/ 2002).




Woods EJ, Perry BC, Hockema J, Larson L, Zhou D, Goebe W, et al. Optimized cryopreservation method for human dental
pulp-derived stem cells and their tissues. Elseiver. Cryobiology. 2009; 59(2): 150-157.
Although the results are not           It is essential to evaluate the
conclusive due to the reduced          effect of two cryopreservation
    sample size, they show            methods for longer times on the
   important trends for an               viability and phenotype of
 optimal protocol that must           mesenchymal stem cells of pulpal
 be taken into account for an                       origin.
  effective DPSCs isolation.


            The method currently investigated and used is
            the cryopreservation which consist in freezing
              samples in order to reduce their metabolic
             activity and maintain low temperatures for
              long periods, while preserving its viability.
1. Thirumala S, Goebel WS, Woods EJ. Clinical grade adult stem cell banking. Organogenesis 2009; 5(3): 143-154.
2. Zuk PA, Zhu M, Mizuno H, Huang J, Futrell JW, Katz AJ, et al. Multilineage cells from human adipose tissue:
implications for cell-based therapies. Tissue Eng. 2001; 7(2):211-28.
3. Brooke G, Rossetti T, Pelekanos R, Ilic N, Murray P, Hancock S, et al. Manufacturing of human placentaderived
mesenchymal stem cells for clinical trials. British Journal Haematology 2009; 144 (4):571-9.
4. Laino G, Carinci F, Graziano A, Papaccio G. In vitro bone production using Stem cells derived from human dental
pulp. J Craniofac Surg. 2006; 17(3):511-515.
5. Miura M, Gronthos S, Zhao M, Lu B, Fisher L, Robey P, et al. SHED: stem cells from human exfoliated deciduous
teeth. 2003; 100 (10):5807–5812.
6. Graziano A, d’Aquino R, Cusella-De Angelis MG, Laino G, Piattelli A. Concave pit-containing scaffold surfaces
improve stem cell-derived osteoblast performance and lead to significant bone tissue formation. PLoS One. 2007; 2(6):
e496.
7. Troyer DL, Weiss ML. Wharton's jelly-derived cells are a primitive stromal cell population. Stem Cells. 2008; 26(3):
591-599
8. Iohara K. Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein
2. J Dent Res. 2004; 83(8):590-5.
9. Gronthos S, Brahim J, Li W, Fisher LW, Cherman N, Boyde A, et al. Stem cell properties of human dental pulp stem
cells. J Dent Res. 2002; 81 (8): 531-5.
1-442.
10. Woods EJ, Benson JD, Agca Y, Critser JK. Fundamental cryobiology of reproductive cells and tissues. Cryobiology.
2004; 48(2):146-56.
12. Temmerman L, Beele H, Dermaut L, Van Maele G, De Pauw G. Influence of cryopreservation on the pulpal tissue of
immature third molars in vitro. Cell tissue bank. 2010; 11(3): 281-289.
13. Papaccio G, Graziano A, d Aquino R, Graziano MF, Pirozzi G, Menditti D, De Rosa A, Carinci F, Laino G. Long-term
Cryopreservation of dental pulp stem cells (SBP-DPSCs) and their differentiated osteoblasts: a cell source for tissue
repair. J Cell Physiol. 2006 Aug; 208(2):319-25.

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Stem cells cryopreservation

  • 1. Human Dental Pulp Stem Cells Cryopreservation Stefanny Romero Oyuela, Katherin Córdoba Pérez, Sandra Perdomo, Juan Carlos Munévar Niño. stephiromero@hotmail.com Instituto Unidad de Investigación Básica Oral. U.I.B.O. Universidad El Bosque, Bogotá, Colombia.
  • 2. INTRODUCTION Due to the high prevalence of NEW craniofacial, dental THERAPEUTICAL and periodontal APPROACHES pathologies
  • 3. Gronthos S, Brahim J, Li W, Fisher LW, Cherman N, Booyde A, et al. Stem cell properties of human dental pulp stem cells. J Dent Res. 2002; 81 (8): 531-5 Iohara K. Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein 2. J Dent Res. 2004; 83(8):590-5.
  • 4. INTRODUCTION The human dental pulp Stem cells (DPSCs) are fundamental in regenerative dentistry & medicine Optimal DSC cryopreservation METHODS for later clinical use. U.I.B.O. There are several challenges in relation to the quality and safety of human dental stem cells cryopreservation, particularly those related to the conservation of these ex-vivo cells at extremely low temperatures. Gronthos et al/ 2000 Shi et al/ 2001
  • 5. OBJECTIVE To evaluate the effect of two cryopreservation methods on the viability and phenotype of hDPSCs
  • 6. Selection Sample An in vitro experimental study criteria Informed consent approved by CD105+ the Institutional Review Board. 18- 31 years cells 48 healthy tooth Erupted premolars and molars Systemically healthy patients
  • 7. 1. Dental pulp sample transport to 2. Enzymatic Dissociation the cell culture laboratory (UIBO) Enzymatic solution: 3 mg/ml collagenase Dissection & dental pulp explants and 4 mg/ml dispase in DMEM 4. Cell Isolation 3. Viability evaluation Tripan blue / Neubauer chamber By CD 105+ magnetic beads / MILTENYI MiniMACS
  • 8. 5. In vitro CD105+ expansion The in vitro expansion were done in 27 wells, for each protocol for 6. CRYOPRESERVATION cryopreservation and the control group Protocol No.1 Protocol No.2 • Incubation at 37 C Papaccio et Kamath • Humid atmosphere total of 81 wells al/2006 Fischer • Cell culture confluence (>70 %), Scientific 7. STATISTICAL ANALYSIS Kruskal-Wallis ANOVA Tamhane Papaccio G, Graziano A, d´Aquino R, Graziano MF, Pirozzi G, Menditti D, De Rosa A, Carinci F, Laino G. Long-term Cryopreservation of dental pulp stem cells (SBP-DPSCs) and their differentiated osteoblasts: a cell source for tissue repair. J Cell Physiol. 2006 Aug; 208(2):319-25. Kamath A. Human Mesenchymal Stem Cell Protocol: Cryopreservation. SC Protocol Sheet: 00007. Cellular Engineering Technologies, Inc. Thermo Fisher Scientific Inc. 2007
  • 9. Results Phase contrast microscopy analysis Human dental pulp samples In vitro human dental pulp stem cells. In vitro dental pulp stem cells morphology. DPSCs Colony forming Unit CFU
  • 10. DPSCs viability by Flow cytometry Cryopreservation method 1: Papaccio et al/ 2006 A B 56.2 % DPSCs viability at 24 hours. 55.7 % DPSCs viability at 7 days. Papaccio G, Graziano A, d´Aquino R, Graziano MF, Pirozzi G, Menditti D, De Rosa A, Carinci F, Laino G. Long-term Cryopreservation of dental pulp stem cells (SBP-DPSCs) and their differentiated osteoblasts: a cell source for tissue repair. J Cell Physiol. 2006 Aug; 208(2):319-25.
  • 11. DPSCs phenotype Cryopreservation method 1: Papaccio et al/ 2006 A B C D E F A. CD105+/CD34- cells at 24 hours B. CD105+/CD45- cells at 24-hours C. CD34-/CD45- cells at 24 hours. D. CD105+/CD34- cells at 7 days E. CD105+/CD45- cells at 7 days, F. CD34-/CD45- cells at 7 days.
  • 12. DPSCs viability by Flow cytometry Cryopreservation method 2: Kamath (Fischer Scientific)/ 2007 A B 68.4% 61.2% 68,4 % DPSCs viability at 24 hours. 61,2 % DPSCs viability at 7 days.
  • 13. DPSCs phenotype Cryopreservation method 2: Kamath (Fischer Scientific)/ 2007 A B C D E F A. CD105+/CD34- cells at 24 hours B. CD105+/CD45- cells at 24-hours C. CD34-/CD45- cells at 24 hours. D. CD105+/CD34- cells at 7 days E. CD105+/CD45- cells at 7 days, F. CD34-/CD45- cells at 7 days.
  • 14. DPSCs viability Cryopreservation method 1 / Cryopreservation method 2
  • 15. Results Statistical Analysis DPSCs viability post cryopreservation between the 2 methods
  • 16. DPSCs phenotype Cryopreservation method 1 / Cryopreservation method 2
  • 17. Results Statistical Analysis DPSCs phenotype post cryopreservation between the 2 methods
  • 18. Recent studies describe methods for DPSCs characterization, isolation and cell culture Gronthos et al/2000. Miura et al/2003. Iohara et al/ 2006. PNAS PNAS. Stem Cells. Papaccio et al/2006. Perry et al/2008. Woods et al/ 2009. J Cell Physiol. Tissue Eng Methods. Cryobiology Although they do not analyze factors which may be decisive in the effectiveness of cryopreservation protocols, as suggested by the results of this study. Woods EJ, Perry BC, Hockema J, Larson L, Zhou D, Goebe W, et al. Optimized cryopreservation method for human dental pulp-derived stem cells and their tissues. Elseiver. Cryobiology. 2009; 59(2): 150-157.
  • 19. There is a significant and inverse correlation between The ideal teeth: third molars and deciduous teeth. the sample transport and the number of CD 105+ DPSC´s It is reported a greater There is a mild and differentiation potential of indirect relationship mesenchymal stem cells in between the patient's age connective tissues of younger and the number of patients CD105+ DPSC's isolated. (Gronthos et al/ 2002). Woods EJ, Perry BC, Hockema J, Larson L, Zhou D, Goebe W, et al. Optimized cryopreservation method for human dental pulp-derived stem cells and their tissues. Elseiver. Cryobiology. 2009; 59(2): 150-157.
  • 20. Although the results are not It is essential to evaluate the conclusive due to the reduced effect of two cryopreservation sample size, they show methods for longer times on the important trends for an viability and phenotype of optimal protocol that must mesenchymal stem cells of pulpal be taken into account for an origin. effective DPSCs isolation. The method currently investigated and used is the cryopreservation which consist in freezing samples in order to reduce their metabolic activity and maintain low temperatures for long periods, while preserving its viability.
  • 21. 1. Thirumala S, Goebel WS, Woods EJ. Clinical grade adult stem cell banking. Organogenesis 2009; 5(3): 143-154. 2. Zuk PA, Zhu M, Mizuno H, Huang J, Futrell JW, Katz AJ, et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Eng. 2001; 7(2):211-28. 3. Brooke G, Rossetti T, Pelekanos R, Ilic N, Murray P, Hancock S, et al. Manufacturing of human placentaderived mesenchymal stem cells for clinical trials. British Journal Haematology 2009; 144 (4):571-9. 4. Laino G, Carinci F, Graziano A, Papaccio G. In vitro bone production using Stem cells derived from human dental pulp. J Craniofac Surg. 2006; 17(3):511-515. 5. Miura M, Gronthos S, Zhao M, Lu B, Fisher L, Robey P, et al. SHED: stem cells from human exfoliated deciduous teeth. 2003; 100 (10):5807–5812. 6. Graziano A, d’Aquino R, Cusella-De Angelis MG, Laino G, Piattelli A. Concave pit-containing scaffold surfaces improve stem cell-derived osteoblast performance and lead to significant bone tissue formation. PLoS One. 2007; 2(6): e496. 7. Troyer DL, Weiss ML. Wharton's jelly-derived cells are a primitive stromal cell population. Stem Cells. 2008; 26(3): 591-599 8. Iohara K. Dentin regeneration by dental pulp stem cell therapy with recombinant human bone morphogenetic protein 2. J Dent Res. 2004; 83(8):590-5. 9. Gronthos S, Brahim J, Li W, Fisher LW, Cherman N, Boyde A, et al. Stem cell properties of human dental pulp stem cells. J Dent Res. 2002; 81 (8): 531-5. 1-442. 10. Woods EJ, Benson JD, Agca Y, Critser JK. Fundamental cryobiology of reproductive cells and tissues. Cryobiology. 2004; 48(2):146-56. 12. Temmerman L, Beele H, Dermaut L, Van Maele G, De Pauw G. Influence of cryopreservation on the pulpal tissue of immature third molars in vitro. Cell tissue bank. 2010; 11(3): 281-289. 13. Papaccio G, Graziano A, d Aquino R, Graziano MF, Pirozzi G, Menditti D, De Rosa A, Carinci F, Laino G. Long-term Cryopreservation of dental pulp stem cells (SBP-DPSCs) and their differentiated osteoblasts: a cell source for tissue repair. J Cell Physiol. 2006 Aug; 208(2):319-25.