Review Article

Oral Mesenchymal Stem/Progenitor Cells: The Immunomodulatory Masters

Table 1

The immunoregulatory effects of oral MSCs.

TypeDiseaseOral MSCFunctionMechanismReferences

Inflammatory diseasePeriodontitisBM-MSCs, SHEDsMitigate the severity of bone lossDecrease TNF-α, IL-17, IFN-γ, IL-1α, IL-1β, osteoclasts, RANKL/OPG ratio, inflammatory cells; increase IL-10, M2-like macrophage[24, 122124]
Acute lung injuryDFSCsAlleviate histopathological damage and pulmonary permeabilityDecrease MCP-1, IL-1β, IL-6, TNF-α; increase IL-10, Arg-1[129]
ColitisDPSCs, GMSCsRescue weight loss, ameliorate colonic transmural inflammation, suppress epithelial ulceration, and restore normal intestinal architectureInduce T cell apoptosis through Fas ligand decrease Th1, Th17 cells, IL-6, IL-17; increase Tregs, IL-10[87, 93]

Autoimmune diseaseAutoimmune encephalomyelitisPDLSCsMitigate inflammatory response and apoptosis enhance IL-10 and IL-37 secretion, and suppressDecrease TNF-α , COX-2, iNOS, caspase-3, Bax; increase IL-10, IL-37, Bcl-2[131]
Sjögren’s-like diseaseBM-MSCsRescue a decline in the salivary flow rate, reduce lymphocyte infiltration in the salivary glandModulate INF-γ, TNF-α, IL-10, PGE2, IL-6[133]
Rheumatoid arthritisGMSCsInhibit inflammation, ameliorate bone and cartilage destructionIncrease Tregs; decrease TNF-α, CII-specific IgG; through FasL/Fas and CD39/CD73 signals[137, 139]
Type 1 diabetesGMSCsDecrease blood glucose levels, delay diabetes onset, ameliorate pathology scores in the pancreasDecrease IL-17 and IFN-γ; increase the number and function of Tregs[134]
Diabetic polyneuropathyDPSCsImprove the delay in sciatic nerve conduction velocities and the decrease in nerve blood flowDecrease monocytes/macrophages, ribonucleic acid; increase CD206 mRNA[135]

Allergic diseaseAllergic rhinitisSHEDReduce nasal symptoms and inflammatory infiltrationDecrease IL-4, IL-5, IL-13, IL-17A; increase IFN-γ[138]
Contact hypersensitivity (CHS)GMSCsReduce hypersensitivityReverse the imbalance of abnormal Th1/Th2 ratio; decrease dendritic cells, mast cells, Th17; increase Tregs; PGE2-signaling pathway[83, 136]

OthersFibrotic scarSHEDsPromote fibrotic scarDecrease TNF-α , IL-1β, iNOS; activate apoptosis of hepatic stellate cells[142]
Optic nerve injuryPDLSCsPromote retinal ganglion cell survival and neurites regenerationDirect cell-cell interaction, increase brain-derived neurotrophic secretion[132]
Bone resorptionBM-MSCsDecrease orthodontic-force induced root-resorption lacunaeDecrease osteoclast number, RANKL, and COX-2[128]

PDLSCs: periodontal ligament stem cells; DPSCs: dental pulp stem cells; SHED: stem cells from human exfoliated deciduous teeth; GMSCs: gingival mesenchymal stem cells; SCAP: stem cells of the apical papilla; DFSCs: dental follicle stem cells; BM-MSCs: bone marrow mesenchymal stem cell.