Evidence map›Paper›PMID 41660034›Full record

ArticleJournal of conservative dentistry and endodontics2026

Wharton's jelly mesenchymal stem cell-derived exosomes promote odontogenic differentiation of dental pulp stem cells: A cell-free strategy for regenerative endodontics.

Shalina Ricardo, Yuya Kamano, Masahiro Saito, Dini Asrianti Bagio, Indah Julianto, Anggraini Margono

Abstract read
In one paragraph

Article in Journal of conservative dentistry and endodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

6 authors.

Shalina RicardoDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
Yuya KamanoDepartment of Operative Dentistry, Graduate School of Dentistry, Tohoku University, Sendai, Japan.
Masahiro SaitoDepartment of Operative Dentistry, Graduate School of Dentistry, Tohoku University, Sendai, Japan.
Dini Asrianti BagioDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.
Indah JuliantoDermama Lab, Surakarta, Indonesia.
Anggraini MargonoDepartment of Conservative Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Regenerative endodontics aims to restore the dentin-pulp complex through biologically based strategies shifting from traditional cells to cell-free approaches, particularly utilizing exosomes which are nanoscale extracellular vesicles that relevant for dental pulp regeneration. Wharton's Jelly MSC derived exosomes (WJ MSC Exo) offer an abundant, ethically acceptable, and biologically potent alternative with promising odontogenic and angiogenic properties. Aim: The aim of the study is to evaluate the regenerative potential of exosomes, particularly those from WJ-MSCs, as a safe and translational tool for dentin-pulp complex regeneration that focusing on metrics of cell viability, alkaline phosphatase (ALP) activity as an early differentiation marker, and late-stage mineralization. Subjects and Methods: Exosomes isolated from umbilical cord-derived WJ were characterized and applied to human dental pulp stem cells (hDPSCs) at concentrations of 0.5%, 1%, and 5%. We assessed cell viability, ALP activity, and mineralization through Alizarin Red staining. In addition, proteomic profiling was conducted to identify odontogenesis-related proteins. Statistical analysis was performed using the GraphPad Prism (one-way ANOVA and Tukey's post hoc test, P < 0.05). Results: WJ-MSC-derived exosomes significantly enhanced hDPSC viability and promoted differentiation in a dose-dependent manner, with maximum ALP activity and mineral deposition observed at 1% and 5% concentrations. Proteomic analysis revealed the presence of osteogenic proteins, including collagen type I alpha 1 and TGFB1. Conclusions: The findings indicate that WJ-MSC-derived exosomes significantly enhance odontogenic differentiation by promoting early and late mineralization markers, supported by the expression of osteogenic proteins. Notably, lower concentrations exhibited robust regenerative effects, highlighting their potential as cell-free therapeutics for improving healing outcomes following endodontic treatment.

Indexed as

Cell-free therapydental pulp stem cellsdentin–pulp complex regenerationexosomesmesenchymal stem cellsodontogenic differentiationregenerative endodonticsWharton’s jelly

Identifiers

PMID41660034
PMCPMC12880776

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.