Evidence map›Paper›PMID 41134403›Full record

ArticleClinical oral investigations2025

The synergistic effect of low-intensity focused ultrasound and tideglusib on odontogenic differentiation of human dental pulp stem cells.

Sheetal Maria Rajan, Wanlu Ouyang, Majdy Idrees, Omar Kujan, Amr Fawzy

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Sheetal Maria RajanUWA Dental School, The University of Western Australia, Nedlands, WA, 6009, Australia. sheetal.sheetalmariarajan@research.uwa.edu.au.ORCID 0000-0002-1119-0239
Wanlu OuyangUWA Dental School, The University of Western Australia, Nedlands, WA, 6009, Australia.
Majdy IdreesUWA Dental School, The University of Western Australia, Nedlands, WA, 6009, Australia.
Omar KujanUWA Dental School, The University of Western Australia, Nedlands, WA, 6009, Australia.
Amr FawzyUWA Dental School, The University of Western Australia, Nedlands, WA, 6009, Australia.

Funding

Australian Dental Research Foundation 00800-45001100National Health and Medical Research Council 1188401
6 · The paper itself

Abstract

objectivesThis study investigates the synergistic effects of Tideglusib, a GSK-3 inhibitor, and low-intensity focused ultrasound (LIFU) on the proliferation and odontogenic differentiation of human dental pulp stem cells (DPSCs) and lipopolysaccharide (LPS)-induced inflammatory DPSCs (LPS-DPSCs). MATERIALS AND

methodsDPSCs were exposed to Tideglusib (100, 250, and 500 nM) and LIFU (250 kHz, 2.5 W and 5 W for 60s and 120s). Cell proliferation was evaluated using acid phosphatase (APH) assay, and optimal parameters were determined as 100 nM Tideglusib and LIFU (5 W) at 60s, 120s, 60s/100 nM, and 120s/100 nM. Inflammatory conditions were induced using LPS. Cell proliferation was assessed using APH assay and confocal laser scanning microscope (CLSM), while odontogenic differentiation was evaluated via Alizarin red staining, wound healing assay, and qRT-PCR targeting odontogenic markers (RUNX2, ALPL, BMP2, DMP1), Wnt pathway activation (AXIN2), pro-apoptotic (CASP3), and anti-apoptotic (BCL2L1) genes.

resultsThe combination of LIFU and tideglusib (5 W 120s/100 nM) significantly enhanced (p < 0.05) proliferation, mineralization, and wound closure in both DPSC and LPS-DPSC groups. CLSM confirmed increased cell density, corroborating the APH assay, and qRT-PCR revealed upregulation of odontogenic and Wnt signalling markers. In LPS-DPSCs, CASP3 was downregulated and BCL2L1 upregulated, indicating improved cell survival in an inflammatory microenvironment.

conclusionsThe synergistic use of LIFU and Tideglusib promotes DPSC proliferation, migration, wound closure, and odontogenic differentiation, even under inflammatory stress. CLINICAL RELEVANCE: This pharmacomechanical approach offers a minimally invasive, biologically driven strategy for regenerative endodontic therapy, with strong translational potential in managing reversible pulpitis and promoting dentine repair.

Indexed as

Cell DifferentiationDental PulpOdontogenesisStem CellsUltrasonic WavesCell ProliferationCells, CulturedHumansLipopolysaccharidesLipopolysaccharidesDental pulp stem cellLipopolysaccharideLow-intensity focused ultrasoundOdontogenic differentiationTideglusibWnt/β-catenin

Identifiers

What OpenQuestion holds

Textmetadata
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.