Evidence map›Paper›PMID 34510438›Full record

ArticleJournal of periodontal research2021

Generation of a novel model of bioengineered human oral mucosa with increased vascularization potential.

Cristina Blanco-Elices, Jesús Chato-Astrain, Salvador Oyonarte, Fabiola Bermejo-Casares, Antonio España-López, Ricardo Fernández-Valadés, Maria Del Carmen Sánchez-Quevedo, Miguel Alaminos, Miguel Angel Martín-Piedra, Ingrid Garzón

Open access · greenAbstract read
In one paragraph

Article in Journal of periodontal research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Angiogenic regulation of dental pulp stem cells.Frontiers in dental medicine · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Cristina Blanco-ElicesDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.ORCID https://orcid.org/0000-0003-0992-0113
Jesús Chato-AstrainDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Salvador OyonarteDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Fabiola Bermejo-CasaresDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Antonio España-LópezCraniofacial Malformations and Cleft Lip and Palate Management Unit, University Hospital Virgen de las Nieves, Granada, Spain.
Ricardo Fernández-ValadésInstituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.
Maria Del Carmen Sánchez-QuevedoDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Miguel AlaminosDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Miguel Angel Martín-PiedraDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Ingrid GarzónDepartment of Histology (Tissue Engineering Group), University of Granada, Granada, Spain.
Universidad de Granada · ESHospital Universitario Virgen de las Nieves · ESInstituto de Investigación Biosanitaria de Granada · ES

Funding

Consejería de Salud y Familias, Junta de Andalucía, Spain PI-0442-2019FEDER funds, European UnionSpanish Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I) of the Spanish Ministry of Science and Innovation (Instituto de Salud Carlos III) FIS PI18/331Spanish Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I) of the Spanish Ministry of Science and Innovation (Instituto de Salud Carlos III) FIS PI18/332Spanish Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I) of the Spanish Ministry of Science and Innovation (Instituto de Salud Carlos III) FIS PI21/00980Spanish Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I) of the Spanish Ministry of Science and Innovation (Instituto de Salud Carlos III) ICI19/00024
6 · The paper itself

Abstract

objectiveThe aim of this study was to generate novel models of bioartificial human oral mucosa with increased vascularization potential for future use as an advanced therapies medicinal product, by using different vascular and mesenchymal stem cell sources.

backgroundOral mucosa substitutes could contribute to the clinical treatment of complex diseases affecting the oral cavity. Although several models of artificial oral mucosa have been described, biointegration is a major issue that could be favored by the generation of novel substitutes with increased vascularization potential once grafted in vivo.

methodsThree types of mesenchymal stem cells (MSCs) were obtained from adipose tissue, bone marrow, and dental pulp, and their in vitro potential was evaluated by inducing differentiation to the endothelial lineage using conditioning media. Then, 3D models of human artificial oral mucosa were generated using biocompatible fibrin-agarose biomaterials combined with human oral mucosa fibroblasts and each type of MSC before and after induction to the endothelial lineage, using human umbilical vein endothelial cells (HUVEC) as controls. The vascularization potential of each oral mucosa substitute was assessed in vitro and in vivo in nude mice.

resultsIn vitro induction of MSCs kept in culture was able to increase the expression of VEGF, CD31, and vWF endothelial markers, especially in bone marrow and dental pulp-MSCs, and numerous proteins with a role in vasculogenesis become overexpressed. Then, in vivo grafting resulted in a significant increase in blood vessels formation at the interface area between the graft and the host tissues, with significantly positive expression of VEGF, CD31, vWF, and CD34 as compared to negative controls, especially when pre-differentiated MSCs derived from bone marrow and dental pulp were used. In addition, a significantly higher number of cells committed to the endothelial lineage expressing the same endothelial markers were found within the bioartificial tissue.

conclusionOur results suggest that the use of pre-differentiated MSCs could contribute to a rapid generation of a vascular network that may favor in vivo biointegration of bioengineered human oral mucosa substitutes.

Indexed as

Mesenchymal Stem CellsTissue EngineeringAnimalsCell DifferentiationHumansHuman Umbilical Vein Endothelial CellsMiceMice, NudeMouth MucosaNeovascularization, Physiologicmesenchymal stem cellsoral mucosatissue engineeringvascularization

Identifiers

PMID34510438
PMCPMC9293188
OpenAlexW3200225050

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.