Methods: Early passage human OFMSCs were expanded in culture. 2 x 106 OFMSCs were mixed with either 40 mg of wTC paste or hydroxyapatite tricalcium phosphate powder (HATCP) as control before being packed into the canal of molar root slices (50 mm) previously demineralized and sterilized with ultraviolet radiation. The graft-root composites were transplanted aseptically into separate subcutaneous pockets of 8 week-old immunocompromised mice. Transplants were harvested at 6 weeks, fixed with 4% paraformaldehyde, decalcified in 10% ethylenediaminetetraacetic acid and embedded in paraffin. Hematoxylin⁄eosin stained sections were prepared for microscopic analysis of regenerated tissues. Unstained sections were evaluated by immunostaining with antibodies to bone sialoprotein (BSP) and dentin matrix protein-1 (DMP-1). Human origin of regenerated tissues was confirmed with human mitochondrial antibody.
Results: OFMSC-wTC graft displayed multi-lineage in vivo differentiation forming bone, adipose tissue and muscle within an abundant fibrous tissue stroma. However, differentiation of OFMSC-HA/TCP graft was limited to bone formation. Tissue regenerated within the root microenvironment using either wTC or HA/TCP as carriers were immunoreactive to BSP, DMP-1 and human mitochondria.
Conclusions: wTC calcium-silicate cement in root canal supports in vivo multi-lineage differentiation of OFMSC. Composite of OFMSC-wTC is a potential donor graft for exploratory endodontic tissue regeneration.