Review Article

The Neurovascular Properties of Dental Stem Cells and Their Importance in Dental Tissue Engineering

Table 1

The secretome of dental stem cells and its associated functions.

FactorFunctionPopulationReference

Angiogenesis-stimulating factors

Angiogenin (ANG)Endothelial proliferation and migration.
Activation of smooth muscle cells.
Indirect degradation of basement membrane.
DPSCs, SCAPs, and FSCs[24]

Angiopoietin-1 (ANGPT1)Endothelial survival, migration, and matrix adhesion.
Endothelial sprouting and vessel stabilization.
DPSCs, SCAPs, and FSCs[2426]

Angiopoietin-2 (ANGPT2)Endothelial proliferation, migration, and sprouting in the presence of VEGF.PDLSCs[27]

Basic fibroblast growth factor (bFGF)Endothelial proliferation, migration, and tube formation.
Upregulation of uPA, VEGF receptor, and integrins.
DPSCs, SCAPs, SHEDs, and PDLSCs[16, 2632]

Colony stimulating factor (CSF)Endothelial proliferation, migration, and differentiation.
Induction of proteolytic enzyme release.
DPSCs[17]

CXC chemokines, for example, interleukin-8 (IL-8)Endothelial survival, proliferation, migration, and tube formation.
Induction of MMP production.
DPSCs[30]

Dipeptidyl peptidase IV (DPPIV)Vascular remodeling.
Endothelial proliferation, migration, and tube formation.
DPSCs, SCAPs, and FSCs[24]

Endothelin-1 (EDN1)Endothelial proliferation and migration.
Stimulation of VEGF-mediated angiogenesis.
Stimulation of endothelial MMP2 production.
Proliferation of vascular smooth muscle cells.
DPSCs, SCAPs, and FSCs[24]

Hepatocyte growth factor (HGF)Endothelial proliferation, migration, and tube formation.
Proliferation of vascular smooth muscle cells.
Stimulation of VEGF and PlGF production.
SCAPs, SHEDs[25, 26, 33]

Insulin-like growth factor-1 (IGF-1)Endothelial proliferation, migration, and tube formation.
Stimulation of VEGF and plasminogen activator production.
Downregulation of endothelial apoptosis.
PDLSCs[27]

Insulin-like growth factor binding protein-3 (IGFBP3)Endothelial migration and tube formation.
Stimulation of IGF-1-mediated angiogenesis.
Stimulation of VEGF and MMP2 production.
DPSCs, SCAPs, and FSCs[24, 26, 30]

Matrix metalloproteinases (MMPs)Extracellular matrix degradation and release of sequestered growth factors.DPSCs, SCAPs[17, 25]

Monocyte chemotactic protein (MCP-1)Endothelial chemotaxis, tube formation, and differentiation.
Stimulation of HIF-1α and VEGF production.
DPSCs, SCAPs[26, 30]

Platelet-derived growth factor (PDGF)Endothelial proliferation, migration, and differentiation.
Stimulation of VEGF expression.
Proliferation of vascular smooth muscle cells and pericytes.
Vessel stabilization.
DPSCs[28]

Urokinase-type plasminogen activator (uPA)Participation in ECM degradation and release of sequestered growth factors.
Endothelial migration and invasion.
Activation of VEGF and pro-HGF.
DPSCs, SCAPs, and FSCs[24, 26, 30]

Vascular endothelial growth factor (VEGF)Endothelial proliferation, migration, and tube formation.
Stimulation of NO synthase and plasminogen activator expression.
Downregulation of endothelial apoptosis.
DPSCs, SCAPs, FSCs, SHEDs, and PDLSCs[17, 2436]

Angiogenesis-inhibiting factors

ANGPT2Natural antagonist of ANGPT1.
Upregulation of endothelial apoptosis.
PDLSCs[27]

DPPIVInhibition of endothelial progenitor homing.
Inhibition of CXCR3-induced chemotaxis.
DPSCs, SCAPs, and FSCs[24]

EndostatinEndothelial proliferation and migration.
Upregulation of endothelial apoptosis.
Inhibition of MMPS and bFGF-mediated and VEGF-mediated angiogenesis.
DPSCs, SCAPs, and SHEDs[16, 30]

IGFBP3Endothelial migration and tube formation.
Inhibition of MMP9 and VEGF production.
DPSCs, SCAPs, and FSCs[24, 26, 30]

MMPsInhibition of FGFR1 and uPAR-mediated signaling.
Generation of angiogenic inhibitors by proteolytic cleavage.
DPSCs[17]

Pentraxin-3 (PTX-3)Inhibition of bFGF-mediated angiogenesis.DPSCs, SCAPs, and FSCs[24, 26]

Pigment epithelium-derived factor (PEGF)Endothelial proliferation and migration.
Upregulation of endothelial apoptosis.
Inhibition of MMPs and bFGF-mediated and VEGF-mediated angiogenesis.
DPSCs, SCAPs, and FSCs[24, 26]

Plasminogen activator inhibitor (PAI-1)Inhibition of uPA.DPSCs, SCAPs, and FSCs[24, 26, 30]

Thrombospondin-1 (THBS1)Endothelial proliferation, migration, and tube formation.
Upregulation of endothelial apoptosis.
DPSCs, SCAPs, and FSCs[24, 26]

Tissue inhibitor of MMPs-1/4 (TIMP-1/4)Inhibition of MMPsDPSCs, SCAPs, and FSCs[24, 26, 30]

Neurotrophic factors

Basic fibroblast growth factor (bFGF)Neuronal differentiation.
Neurite outgrowth.
DPSCs, SCAPs, SHEDs, and PDLSCs[16, 2632]

Brain-derived neurotrophic factor (BDNF)Survival of neurons.
Differentiation of neuroblasts.
Formation of synapses and neuritogenesis.
DPSCs, SCAP[3741]

Ciliary neurotrophic factor (CNTF)Neuronal survival.DPSCs[40]

Glial-cell derived neurotrophic factor (GDNF)Survival of neurons.
Differentiation of neuroblasts.
Neuritogenesis.
DPSCs, SCAPs[37, 38]

Nerve growth factor (NGF)Survival, maintenance, and proliferation of neurons.
Neurite outgrowth.
DPSCs, SCAPs[37, 38, 40, 41]

Neurotrophin-3 (NT-3)Survival of neurons.
Differentiation of neuroblasts.
Neuritogenesis.
DPSCs[38, 40]

Neurotrophin-4 (NT-4)Survival of neurons.
Differentiation of neuroblasts.
Neuritogenesis.
DPSCs[40]

PDGF-AANeuronal survival.
Neuritogenesis.
DPSCs[40]

VGF (VGF nerve growth factor inducible)Neuronal survival.
Neuritogenesis.
DPSCs[40]