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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Results
  • Discussion
  • Disclosures
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

Mesenchymal stem cells from the jaw bone marrow have significant functions in diverse differentiation, self-renewal, and immune modulation. They have emerged as a crucial reservoir of precursor cells in gene therapy, tissue engineering, and regenerative medicine. Here, we present a unique method for isolating jaw bone marrow mesenchymal stem cells in rats.

Abstract

Bone marrow mesenchymal stem cells (BMMSCs) are a type of stem cell with multi-directional differentiation potential. Compared with BMMSCs derived from appendicular bones, BMMSCs derived from the jaw have greater proliferative and osteogenic differentiation ability, gradually becoming important seed cells for jaw defect repair. However, the mandible has a complex bony structure and less cancellous content than appendicular bones. It is difficult to acquire a large number of high-quality jaw-derived marrow mesenchymal stem cells using traditional methods. This study presents a 'niche-based approach on stemness' for isolating and culturing rat jaw bone marrow mesenchymal stem cells (JBMMSCs). Primary rat JBMMSCs were isolated and cultured using the whole bone marrow adherent method combined with the bone slice digestion method. The isolated cells were identified as JBMMSCs through cell morphology observation, detection of cell surface markers, and multi-directional differentiation induction. The cells extracted by this method exhibit a 'fibroblast-like' spindle shape. The cells are long, spindle-shaped and fibroblast-like. The flow cytometry analysis shows these cells are positive for CD29, CD44, and CD90 but negative for CD11b/c, CD34, and CD45, which is congruent with BMMSCs characteristics. The cells show strong proliferation capacity and can undergo osteogenic, adipogenic, and chondrogenic differentiation. This study provides an effective and stable method for obtaining enough high-quality JBMMSCs with strong differentiation ability in a short time, which could facilitate further studies of the exploration of biological function, regenerative medicine, and related clinical applications.

Introduction

Mesenchymal stem cells (MSCs) were first discovered in bone marrow, which showed the ability to form adhesive colonies in culture and strong osteogenic potential1. Pittinger et al.2 further found their multi-directional differentiation potential towards bone, fat, and cartilage. Although all mesenchymal stem cells from different sources have the potential for multi-directional differentiation, bone marrow mesenchymal stem cells have the strongest chondrogenic differentiation potential compared with mesenchymal stem cells derived from other tissues, making them considered the best candidate cells for bone tissue engineering3. However, many studies have proved that BMMSCs from different origins present site-specific characteristics and properties such as osteogenic differentiation capability and cellular proliferative activity4,5. This may be due to different germ layers between the jaw and appendicular bones or the iliac crest6.

Jaw bone marrow mesenchymal stem cells (JBMMSCs) arise from neural crest cells of the neuroectoderm, while femur-derived BMMSCs originate from the mesoderm7. Compared with BMMSCs derived from long bones and the iliac crest, JBMMSCs have a higher proliferation rate, ALP activity, and osteogenic potential8. Besides, the application effect of BMMSCs in tissues and organs may vary depending on different cell types and environments9. Repair of jaw defects mainly depends on the recruitment of jaw-derived mesenchymal stem cells. Therefore, studying JBMMSCs can provide an experimental basis for its clinical application in jaw bone tissue engineering10. However, basic research and clinical applications mainly focus on BMMSCs derived from appendicular and axial bones11. Research on JBMMSCs is limited, and this may be due to the low content of cancellous bone in the mandible and the fact that rats' jaws have even less cancellous bone content12. Therefore, it is difficult to separate jaw bone-derived marrow mesenchymal stem cells using the ordinary bone marrow flushing method, which is commonly used in isolating BMMSCs from appendicular bones or the iliac crest13. Based on the methods of Hong et al.14 and Cheng et al.15, we hypothesized that the combination of dense bone digestion and the bone marrow flushing method could efficiently isolate rat JBMMSCs.

This study aims to establish an efficient method for isolating rat JBMMSCs and provide sufficient seed cell sources for jaw bone tissue engineering.

Protocol

The protocol was approved by the Institutional Animal Ethics Committee of the Chinese PLA General Hospital. Thirteen-week-old male Wistar rats were used for the experiment. Details on the animals, reagents, and equipment are listed in the Table of Materials.

1. Experimental preparation

  1. Sterilize all surgical instruments, including ophthalmic scissors, tweezers, and bone rongeurs, at high temperature and pressure.
  2. Prepare culture media in advance.
    1. Prepare α-MEM complete medium containing 10% fetal bovine serum (FBS) and 1% penicillin-streptomycin.
    2. Prepare 0.1% type II collagenase in phosphate-buffered saline (PBS).
    3. Prepare 50 mL of PBS with 1% penicillin-streptomycin in a disposable sterile 50 mL centrifuge tube.

2. Isolation and cultivation of rat JBMMSCs

  1. Isolate the rat mandible following the steps below:
    NOTE: To maintain sample sterility, all metal surgical instruments must be disinfected at high temperature on an alcohol lamp flame for at least three seconds before use.
    1. Anesthetize the rat with 2% pentobarbital sodium (2 mL/kg) by intraperitoneal injection.
    2. Sacrifice the anesthetized rat by cervical vertebrae dislocation (following institutionally approved protocols) after its respiratory rate decreases and the muscles relax completely.
    3. Immerse the rat in 75% ethanol for 30 min to disinfect it and then transfer it to the ultra-clean table.
    4. Place the rat on a disposable sterile cloth or in a sterile container and keep it in the supine position.
    5. Cut and separate the skin and muscle from the angulus oris to the joint along the ramus, and then separate the condyle from the glenoid fossa by cutting the temporomandibular joint disc and bilateral peripheral ligaments horizontally with ophthalmic scissors.
      NOTE: Determine the position of the temporomandibular joint by moving the mandible and observing the position of the condyle externally.
    6. Cut and separate the muscles and connective tissues of the lateral mandible using scissors from the vestibular groove on the buccal side of the lower incisors to the left and right sides.
    7. Incise the lingual muscles of the mandible from the lingual frenum to the posterior region of the mandible.
    8. Remove the mandible from the skull.
    9. Divide the mandible into halves by cutting the symphysis between the lower incisors with ophthalmic scissors.
    10. Remove the remaining attached muscles, fascia, and other soft tissues on the mandible carefully using ophthalmic scissors and forceps.
  2. Isolate JBMMSCs.
    1. Place the beak of the rongeur at the junction of the incisors and the mesial part of the first molar, cut off the connection between the lower incisors and the mandible with the rongeur, and extract the lower incisors completely.
    2. Remove all molars with a bone rongeur.
    3. Remove the mandibular ramus with a bone rongeur and expose the marrow cavity by separating the central part of the mandible along the distal edge of the last molar16.
    4. Suck α-MEM complete medium with a 1 mL disposable sterile syringe. Insert the needle into the bone marrow cavity and flush the bone marrow repeatedly into the culture dish with α-MEM complete medium until the bone turns white.
    5. Collect the bone marrow flushing solution into a 15 mL centrifuge tube and centrifuge it at 800 x g for 3 min at room temperature.
    6. Discard the supernatant with a pipette, resuspend the cells with 10 mL of α-MEM complete medium, and plate them into a new 10 cm culture dish.
    7. Divide the flushed mandible into 1-3 mm³ bone slices with a rongeur and digest them with 3 mL of 0.1% type II collagenase for 90 min in a 200 rpm/min shaker at 37 °C.
    8. Centrifuge the digested mandible at 800 x g for 3 min at room temperature and discard the supernatant.
    9. Culture the harvested cells and digested bone slices with α-MEM complete medium at 37 °C in a 5% CO2 humidified incubator.
    10. Change half of the culture medium with fresh medium after 72 h and then change it completely every 2 days.
      NOTE: Do not move the culture dish for the first three days.
    11. Passage the adherent cells at a ratio of 1:2 when they reach 80%-90% confluency. Remove bone slices during the second subculture. Use the cells of the P2 or P3 generations for experiments.

3. Flow cytometry for Identification of cell surface markers

  1. Resuspend JBMMSCs of the P2 generation in flow cytometry buffer. Count the cells using an automated cell counter and adjust the concentration to 3 × 106 cells/mL.
  2. Add 100 µL of cell suspension and 2 µL of monoclonal antibodies (CD11b/c, CD29, CD34, CD44, CD45, and CD90) to each microcentrifuge tube. Incubate for 30 min at 4 °C17,18.
  3. Wash the sample twice with 200 µL of flow cytometry buffer and centrifuge it for 5 min at 250 x g at room temperature. Remove the supernatant.
  4. Add 100 µL of flow cytometry buffer and 2 µL of PE-labeled fluorescent secondary antibody to each tube. Incubate at 4 °C for 30 min.
  5. Repeat step 3.3.
  6. Resuspend JBMMSCs in 300-500 µL of flow cytometry buffer per tube.
  7. Conduct the flow cytometric analysis using a flow cytometer.
    NOTE: Use homologous antibodies as negative controls to eliminate background staining caused by the non-specific combination of antibodies.

4. Cell proliferation determination

  1. Seed JBMMSCs of the P3 generation into a 96-well plate at a density of 5 × 103 cells per well.
  2. Add 10 µL of CCK-8 solution to each well.
  3. Place the 96-well plate in the incubator for 2 h and measure the absorbance (OD value at 450 nm) using a microplate reader.
    NOTE: Perform the test at the same time every day for seven consecutive days.

5. Colony formation capability

  1. Seed 1000 JBMMSCs from passage 3 into 10 cm culture dishes and culture at 37 °C with 5% CO2.
  2. Change the culture medium every 3 days.
  3. Perform crystal violet staining after continuous cultivation for 15 days.
  4. Next, fix the cells with methanol for 5 min and stain with 2% crystal violet for 5 min.

6. Multilineage differentiation of JBMMSCs

NOTE: Use JBMMSCs of P3 generation for multilineage differentiation. The Control group was cultured with α-MEM complete medium.

  1. Perform osteogenic differentiation.
    1. Inoculate 1 × 105 JBMMSCs per well in a six-well plate.
    2. When the cell confluence reaches 70%, change the medium to osteogenic induction medium.
      NOTE: Change the osteogenic induction medium every 3 days.
    3. Perform Alkaline Phosphatase (ALP) staining after 7 days of osteogenic induction.
    4. Remove the medium from the six-well plate, fix the cells with 4% paraformaldehyde at room temperature for 30 min, and then wash them with PBS three times.
    5. Stain the cells with ALP staining solution at room temperature for 30 min and protect them from light.
    6. Rinse the cells until no staining solution remains, and observe the samples under a microscope.
    7. Perform Alizarin red staining after 21 days of osteogenic induction.
    8. Stain the cells with Alizarin red staining solution for 5 min after fixing the cells with 4% paraformaldehyde for 30 min.
    9. Wash the cells with PBS until no Alizarin red staining solution remains.
    10. Observe the number of calcium nodules under a microscope.
  2. Perform adipogenic differentiation.
    1. Inoculate 1 × 105 JBMMSCs per well in a six-well plate.
    2. When the cell confluence reaches 70%, change the medium to adipogenic induction medium.
      NOTE: Change the adipogenic induction medium every three days.
    3. Perform Oil red O staining after 14 days of adipogenic induction.
    4. Remove the medium from the six-well plate, fix the cells with Oil red O fixing solution for 20-30 min, and then wash them with PBS three times.
    5. Remove the fixing solution and wash the cells with distilled water twice.
    6. Immerse the cells in 60% isopropanol for 20-30 s.
    7. Remove 60% isopropanol and stain the cells with Oil red O staining for 20-30 min.
    8. Remove the staining solution, rinse the cells with 60% isopropanol for 20-30 s, and then wash them with distilled water.
    9. Stain the nucleus with hematoxylin solution for 1-2 min.
    10. Remove the hematoxylin solution and wash the cells 2-3 times with distilled water. Add Oil red O buffer for 1 min and remove it.
    11. Observe the number of lipid droplets under a microscope.
  3. Perform chondrogenic differentiation.
    1. Inoculate 1 × 105 JBMMSCs per well in a six-well plate.
    2. When the cell confluence reaches 70%, change the medium to chondrogenic induction medium.
      NOTE: Change the chondrogenic induction medium every 3 days.
    3. Perform Alcian blue staining after 21 days of chondrogenic induction.
    4. Remove the medium from the six-well plate, fix the cells with 4% paraformaldehyde at room temperature for 30 min, and then wash them with PBS three times.
    5. Stain the cells with Alcian blue staining at 37 °C for 1 h.
    6. Rinse the cells until no staining solution remains, and observe them under a microscope.

7. Real-time PCR

  1. Extract total RNA using the RNA extraction kit and measure the RNA concentration with an enzyme marker (following the manufacturer's instructions).
  2. Synthesize cDNA using 500 ng of RNA19.
  3. Perform qRT-PCR on a Real-time system with 10 µL of qRT-PCR mix containing 1 µL of cDNA, 3.5 µLof double-distilled water, 5 µL of SYBR, and 0.5 µL of primer mix (0.1 µM).
    NOTE: Primer sequences are listed in Table 1. The thermal cycling conditions are as follows: 50 °C for 2 min, 95 °C for 2 min, followed by 40 cycles of 95 °C for 15 s, 60 °C for 2 min, and then increments of 0.5 °C for 5 s from 60 °C to 95 °C for the melting curve.
  4. Use GAPDH as an internal control16.

Results

After 72 h of cell inoculation, most cells were suspended and round in shape, with very few adhered to the wall (Figure 1B). By the fifth day, adherent cell colonies appeared, exhibiting spindles or fibroblast-like shapes (Figure 1C). By the seventh day, adherent cells reached 90% confluency, forming a "fish school" shape with a small number of intermittent suspended cells (Figure 1D). Passaged cells grew rapidly and were pa...

Discussion

Bone marrow mesenchymal stem cells (BMMSCs) represent a subset of non-hematopoietic stem cells residing in bone marrow, characterized by their self-renewal capabilities, multi-directional differentiation potential, and supportive functions for hematopoiesis. These cells play pivotal roles in various physiological processes such as tissue regeneration, angiogenesis, and the regulation of cellular activities20. Consequently, BMMSCs are frequently utilized in tissue repair and regenerative engineerin...

Disclosures

The authors have nothing to disclose.

Acknowledgements

This study was supported by the Health Care Projects of the Military Commission Logistics Department (19BJZ22), Beijing Natural Science Foundation (7232154), and Fourth Mil Med Univ. clinical research projects (2021XB025).

Materials

NameCompanyCatalog NumberComments
Alizarin Red S Solution 0.2%SolarbioG1450
BCIP/NBT Alkaline Phosphatase Color Development KitBeyotimeC3206
Bio-Rad CFX96 Real-Time SystemBio-Rad
CCK8 KitDujindoCK04
Cell culture dish 10 cmCorning353003
CentrifugeEppendorf5810R
Centrifuge Tube 15 mL Corning430790
Centrifuge Tube 50 mL Corning430828
CO2 incubatorThermo Fisher3111
Constant-temperature oscillatorShanghai Zhicheng Analysis Instrument Manufacturing Co., Ltd.ZWY-100H
Fetal bovine serumBI04-001-1ACS
Flow cytometerBDFACS C6 
Inverted phase-contrast microscopeOlympusCKX41 
Mesenchymal Stem Cell (Rat) Surface marker Detection Kit OricellRAXMX-09011
Multifunctional microplate reader BioTekSynergy LX Multi-Mode
Oil Red O Stain KitSolarbioG1262
Paraformaldehyde 4%SolarbioP1110
PBSMACGENECC008
penicillin-streptomycin 0.25%MACGENECC004
PowerUp SYBR Green Master MixThermo Fisher A25742
PrimeScript RT Master Mix TakaraRR036A
Rat Bone Marrow Mesenchymal Stem Cells Adipogenic Differentiation kitOricellRAXMX-90031
Rat Bone Marrow Mesenchymal Stem Cells Chondrogenic Differentiation kitOricellRAXMX-90041
Rat Bone Marrow Mesenchymal Stem Cells Osteogenic Differentiation kitOricellRAXMD-90021
RNA extraction kitTIANGENDP419
Super-clean benchBeijing Yataikelong Instrument Technology Co. Ltd.KLCZ-1220A
Trypsin-EDTA  0.25%MACGENECC012
Type II collagenaseSolarbioC8150
Wistar ratBeijing Yataikelong Instrument Technology Co. Ltd.
α-MEM culture medium GibcoC12571500BT

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