Photoactivation of Endogenous Latent Transforming Growth Factor–β1 Directs Dental Stem Cell Differentiation for Regeneration

Low-power laser–activated endogenous latent transforming growth factor–β1 (LTGF-β1) directs resident dental stem cell differentiation to promote dentin regeneration. Laser Light Encourages Tooth Regeneration A small dose of light may be sufficient to promote new tooth growth, at least in animal models. Arany and colleagues shined low-power laser light on the tooth pulps of rats and saw the formation of tertiary dentin, which is a bone-like substance. Taking this as evidence of tooth regeneration, the authors investigated the mechanism by which light can cause the dental pulp to form bone. Arany et al. discovered that low-power laser activates latent transforming growth factor–β (TGF-β), leading to the generation of reactive oxygen species and the differentiation of dental stem cells into odontoblasts (dentin-forming bone cells). This mechanism was further confirmed in vivo by demonstrating that mice lacking TGF-β or treated with a TGF-β inhibitor were unable to respond to laser therapy. Because lasers are already used in dentistry, it is possible that such light-based treatment could be used in dental regeneration in people. Rapid advancements in the field of stem cell biology have led to many current efforts to exploit stem cells as therapeutic agents in regenerative medicine. However, current ex vivo cell manipulations common to most regenerative approaches create a variety of technical and regulatory hurdles to their clinical translation, and even simpler approaches that use exogenous factors to differentiate tissue-resident stem cells carry significant off-target side effects. We show that non-ionizing, low-power laser (LPL) treatment can instead be used as a minimally invasive tool to activate an endogenous latent growth factor complex, transforming growth factor–β1 (TGF-β1), that subsequently differentiates host stem cells to promote tissue regeneration. LPL treatment induced reactive oxygen species (ROS) in a dose-dependent manner, which, in turn, activated latent TGF-β1 (LTGF-β1) via a specific methionine residue (at position 253 on LAP). Laser-activated TGF-β1 was capable of differentiating human dental stem cells in vitro. Further, an in vivo pulp capping model in rat teeth demonstrated significant increase in dentin regeneration after LPL treatment. These in vivo effects were abrogated in TGF-β receptor II (TGF-βRII) conditional knockout (DSPPCreTGF-βRIIfl/fl) mice or when wild-type mice were given a TGF-βRI inhibitor. These findings indicate a pivotal role for TGF-β in mediating LPL-induced dental tissue regeneration. More broadly, this work outlines a mechanistic basis for harnessing resident stem cells with a light-activated endogenous cue for clinical regenerative applications.