Rapamycin ameliorates senescence of periodontal ligament stem cells and promotes their osteogenesis

Highlights

  • Rapamycin promotes osteogenesis in PDLSCs and ameliorates H2O2-induced senescence and impaired osteogenic differentiation of PDLSCs in vitro.

  • Rapamycin-driven PI3K/AKT signaling mechanistically underlies osteogenic potentiation in PDLSCs under in vitro conditions.

  • Rapamycin was capable of increasing the new bone formation capability of PDLSCs and reverse the H2O2-induced impairment of bone regeneration of PDLSCs in a rat calvarial bone defect model.

The rapidly aging population and sedentary lifestyles, as well as unhealthy diets associated with urban living, have led to a consistently high incidence of periodontitis, osteoporosis, osteoarthritis, rheumatoid arthritis, and other diseases that can result in bone defects or loss, and the prognosis for these bone defects is usually poor [1]. At present, it seems that improving the quality and efficiency of bone regeneration has remained a key issue that needs to be urgently addressed in the field of regenerative medicine.

Currently, small-molecule drugs (SMD) are becoming research hotspots in regenerative medicine in recent years in virtue of their excellent properties of broad targeting ability, high cost-effectiveness, and ease of administration.

Periodontal ligament stem cells (PDLSCs) have been regarded as ideal candidates for tissue regeneration due to their excellent self-renewal and multipotent differentiation ability. Rapamycin (RAPA) is reported to play an important role in the regulation of biological properties of stem cells and a variety of physiological processes. This study investigates whether RAPA could ameliorate the senescence and accelerate the osteogenic differentiation of PDLSCs, particularly the regenerative potential in a rat calvarial bone defect model, and the underlying mechanisms involved. β-galactosidase staining, quantitative real-time polymerase chain reaction, and western blot analysis were performed to assess the effects of RAPA on senescent PDLSCs. The osteogenic differentiation ability of PDLSCs was detected by alkaline phosphatase staining and activity, Alizarin Red S staining, and gene and protein levels of osteogenesis-related markers. The underlying signaling pathways were investigated via RNA transcriptome sequencing analysis and WB tests. Calvarial bone defects in rat were treated with PDLSCs pre-incubated with or without RAPA and/or H2O2. The results showed that RAPA could enhance the osteogenic potentials of PDLSCs via PI3K/AKT signaling pathway, and reversed H2O2-induced senescence and osteogenic differentiation inhibition of PDLSCs. Moreover, calvarial defects transplanted with RAPA-treated PDLSCs showed significantly greater new bone formation compared with other groups, and also improved the H2O2-induced impairment of bone formation, whether by micro-computed tomography examination or by histological analysis. Collectively, RAPA was capable of promoting osteogenic differentiation of PDLSCs via PI3K/AKT signaling pathway in vitro, facilitating calvarial bone regeneration and reversing H2O2-induced impairment of osteogenic differentiation and cell senescence in PDLSCs.

Paywalled paper: Rapamycin ameliorates senescence of periodontal ligament stem cells and promotes their osteogenesis via the PI3K/AKT pathway

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So in summary:
Rapamycin enhances bone formation in periodontal ligament stem cells (PDLSCs) and counteracts hydrogen peroxide (H2O2)-induced aging and reduced bone differentiation in lab studies. It works by activating the PI3K/AKT signaling pathway to boost bone-forming potential in PDLSCs. In a rat skull defect model, rapamycin improved PDLSCs’ ability to form new bone and reversed H2O2-related damage to bone regeneration.

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