Review Article

Spatial Distributions, Characteristics, and Applications of Craniofacial Stem Cells

Table 1

The subpopulations of suture mesenchymal stem cells and their characteristics.

Cell typesGli1+ cells [50, 51]Axin2+ cells [46]Postnatal Prx1+ cells [52]

DistributionEarly stageAll over the periosteum, dura, and the craniofacial suturesIn the calvarial suturesIn the calvarial sutures
One month after birthSelf-renewalOnly in the sutures/
StemnessSelf-renewalSlow-cycling cells
Contribution to other tissuesSuture mesenchyme, periosteum, dura mater, and parts of the calvarial bonesSuture mesenchyme and bone matrix near the osteogenic frontsAll calvarial tissues, except bone marrow osteoblasts
Ability to repair the defectUnequivocal and potentially exclusive contribution of the sutural mesenchyme to calvarial injury repair
AblationCraniosynostosisCraniosynostosisDid not result in craniosynostosis or any other major craniofacial phenotype
MSC markersCD90, CD73, CD44, Sca1, and CD146LepRPdgfrα and Mcam/CD146 (upregulation), Ccne2, Mcm4, and Pcna (downregulation), Itga2, Itga3, and Itga6
DifferentiationOsteoblasts++
(upon external stimulation)
+
(stimulated with recombinant WNT3A)
Chondrocytes++
(upon external stimulation)
/
Adipocytes+//
Foundation of each studyGli1 is the master transcriptional factor of hedgehog signaling and is indispensable for bone development and homeostasis. Gli1+ stem cells have been identified in canine and long bones.Axin2 plays an irreplaceable role in the Wnt, BMP, and FGF signaling pathways; Axin2 knockout mice showed craniosynostosis.Prx1 was previously shown to be highly expressed during limb bud formation and craniofacial development.