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  4. Ameliorative potential of stem cells from human exfoliated deciduous teeth (SHED) in preclinical studies: A meta-analysis

Ameliorative potential of stem cells from human exfoliated deciduous teeth (SHED) in preclinical studies: A meta-analysis

Regenerative Therapy, 2023 · DOI: https://doi.org/10.1016/j.reth.2023.06.004 · Published: June 7, 2023

Regenerative MedicineResearch Methodology & Design

Simple Explanation

Mesenchymal stem cells (MSCs) have great potential for self-renewal, differentiation, and immune modulation, making them useful in treating many diseases. Adult stem cells, including those from human exfoliated deciduous teeth (SHED), are a focus because of ethical concerns related to embryonic stem cells and the complexity of induced pluripotent stem cells. SHED, found in discarded baby teeth, share similarities with other MSCs but have higher proliferative potential. They are easily accessible, cost-effective, and can differentiate into various cell types, making them a promising source for regenerative medicine. This study systematically reviews and meta-analyzes the use of SHED in treating various diseases in animal models. The goal is to understand SHED's therapeutic capabilities and promote their use in regenerative medicine.

Study Duration
Not specified
Participants
565 mouse models
Evidence Level
Meta-analysis of preclinical animal model studies

Key Findings

  • 1
    SHED intervention in several diseases depicted statistically significant therapeutic effects in periodontitis, pulpitis, spinal cord injury, parkinson's disease, alzheimer's disease, focal cerebral ischemia, peripheral nerve injury, and retinal pigmentosa.
  • 2
    SHED also improved levels of alanine aminotransferase, aspartate aminotransferase, and bilirubin in liver fibrosis and showed a statistically significant reduction of wound healing area and new bone formation in bone defects.
  • 3
    The potential of SHED may be implemented in clinical trials after conducting a few more preclinical studies.

Research Summary

This meta-analysis evaluates the therapeutic potential of stem cells from human exfoliated deciduous teeth (SHED) in preclinical animal models across various diseases. The study found statistically significant therapeutic effects of SHED in treating conditions such as periodontitis, pulpitis, spinal cord injury, Parkinson's and Alzheimer's diseases, focal cerebral ischemia, peripheral nerve injury, retinal pigmentosa, and liver fibrosis. The analysis suggests that SHED holds promise for clinical applications pending further preclinical studies to validate its efficacy and safety.

Practical Implications

Clinical Translation

The data suggest that SHED therapy could be implemented in clinical trials pending further preclinical studies.

Regenerative Medicine

SHED could serve as a readily accessible and ethically less controversial source of stem cells for regenerative therapies.

Targeted Therapies

The study supports the potential of SHED in targeted therapies for various diseases, including neurodegenerative disorders, liver fibrosis, and bone defects.

Study Limitations

  • 1
    Few number of published studies
  • 2
    Variation of outcome measures between the studies
  • 3
    Short-duration of follow-up after intervention

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