TGF-β With Dentalis Surface

TGF-β1 is a disulfide bound homodimer peptide, belongs to the TGF-β family which comprise three isoformos. TGF-β1 is the most abundant isoform and it is extensively expressed in almost all tissues, in which it participates in many biological processes such as cell-proliferation, differentiation, recruitment and extracellular matrix production.

TGF-β1 exerts its signaling by binding to two types of serine–threonine kinases receptors, leading to their activation. Activated receptors phosphorylate the receptor-mediated R-Smad, Smad2/Smad3, which then form a complex with common-Smad, Smad4. The hetrotrimeric complex is transported to the nucleus to regulate genes expression.

TGF-β1 is secreted by both osteoblasts and bone marrow mesenchimal stem cells (MSCs) and is stored in bone extracellular matrix (1). The autocrine and paracrine signaling by TGF-β1 plays an important role in the maintenance and expansion of the MSCs/osteoblastic progenitor cells (2, 3) as well as the hematopoietic stem cells. Moreover, aged related reduction in TGF-β1 levels (4, 5) is suggested to be responsible for the decrease in the osteoblast progenitor cells in elderly population (6, 7).

The wide use in Titanium implant, mostly in elderly population, motivated researches to study TGF-β1 effects on implant osteo-integration. In human osteoblast cultures, TGF-β1 was found to stimulate differentiation, mineralization and the formation of collagen I on Ti-6Al-4V implant surfaces (8, 9). TGF-β1 was also shown to facilitate MSCs migration into damaged bone by affecting osteoclast cells (10, 11).

In osteoblasts derived from elderly human subjects, TGF-β1 was found to enhance the mineralization and the expression of bone-specific extracellular matrix proteins on implant materials (7). At the molecular level, the central regulation of TGF-β1 induced osteoblasts differentiation is controlled by the transcription factor Runx2 and its co-activator TAZ (transcriptional coactivator with PDZ-binding motif) (12).

Essentially, TGF- β1 signals results in the recruitment and maintenance of a pool of ECM producing cells ready for further osteoblastic differentiation by additional growth factors such as the BMPs which have synergistic effects with TGF-β1 on osteoblast differentiation (13, 14).

Thus, TGF-β1 stimulation of migration and subsequent proliferation of osteoblasts are critical aspects of the initial steps in the cascade of new bone tissue formation. Optimal local levels of TGF-β1 around an implant site are suggested to serve as indicator for implant integration and long-term fate by the maintenance of the osteo-progenitors pool and the induction of osteoblasts differentiation.

Dentalis BAS surface lead to a ten-fold increase in TGF-β production, compared to the control group (plastic).These observations suggest that Dentalis surface treatment inspired by bone biology, will improve clinical performance and outcome.


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