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Molecular characterisation of odontoblast during primary, secondary ...

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Introduction<br />

Dendritic cells capture antigens and move these to the lymphatic nodes, where they<br />

are presented to T-lymphocytes. Then, these activated T lymphocytes return to the<br />

damaged pulp. In this way, the host is immunised and will automatically respond to<br />

the future presence <strong>of</strong> these antigens. Other molecules, such as those <strong>of</strong> the TGF-β<br />

super-family, which have been liberated from the dentine <strong>during</strong> the mineralisation<br />

process, are able to regulate the immune system <strong>of</strong> the pulp (Farges, Romeas et al.<br />

2003).<br />

Dendritic cells also interact with nerve fibres and blood vessels within the pulp. The<br />

neuro-immunological response <strong>of</strong> the pulp is presumed to be one <strong>of</strong> the first<br />

inflammatory reactions <strong>of</strong> the dentine-pulp complex (Jontell, Okiji et al. 1998;<br />

Farges, Keller et al. 2009).<br />

1.3.5 Dental pulp stem cells<br />

The growing interest in stem cells by the scientific community is a key area in dental<br />

research. The description <strong>of</strong> dental pulp stem cells (DPSC) (Gronthos, Mankani et al.<br />

2000) inside the pulp parenchyma demonstrated that the dental organ provides a<br />

“niche” environment for replacement cells. Another population <strong>of</strong> stem cells has also<br />

been reported in the pulp <strong>of</strong> deciduous teeth. These cells, or SHED (stem cells from<br />

human exfoliated deciduous teeth) (Miura, Gronthos et al. 2003), are singularly<br />

interesting because they are relatively easy to collect when the deciduous tooth is<br />

shed and replaced by the permanent successor.<br />

More recently, a further group <strong>of</strong> mesenchymal stem cells has been reported in the<br />

apical papilla <strong>of</strong> human immature teeth. These pluripotent cells have been termed<br />

Stem Cells <strong>of</strong> Apical Papilla (SCAP) (Huang, Sonoyama et al. 2008). Since they may be<br />

bone marrow-derived cells, SCAPS have potential for osteogenic and dentinogenic<br />

differentiation. Growth factor receptor genes are similar on SCAPs and DPSCs. SCAPs<br />

40

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