# Defining the Stem Cell Niche in Developing Pericoronal Dental Follicles

**Authors:** Zornitsa Mihaylova, Marina Miteva, Maria Praskova, Silvia Kalenderova, Violeta Dimitrova, Evgeniy Aleksiev, Riana Cockeran, Nikolay Ishkitiev, Vanyo Mitev

PMC · DOI: 10.7759/cureus.93712 · Cureus · 2025-10-02

## TL;DR

This study identifies stem cells in the pericoronal dental follicle and explores their potential for tissue engineering and therapies.

## Contribution

The study identifies and characterizes stem cell subpopulations in dental follicles based on marker expression and differentiation potential.

## Key findings

- DFSCs expressed epithelial and mesenchymal markers including CD44H, CD71, and CD90.
- DFSCs demonstrated multilineage differentiation into osteoblast-like, chondroblast-like, and adipocyte-like cells in vitro.
- The differentiation profile suggests DFSCs may be more suitable for soft tissue engineering or immunomodulatory therapies.

## Abstract

Objective: The pericoronal dental follicle is a connective tissue structure encased in epithelium present around the developing tooth germ before erupting and emerging in the oral cavity. Stem cells from pericoronal follicles can be obtained and cultured under suitable conditions in vitro. This study builds upon our previous research, with the primary objective of identifying stem cell subpopulations in the oral cavity based on marker expression and differentiation potential.

Materials and methods: Dental follicle stem cells (DFSCs) were obtained and cultured under standard cell culturing conditions. Cellular phenotype and the expression of stem cell and tissue markers were analyzed using high-throughput fluorescent analysis. Additionally, the cells were cultured for 10 days in differentiation media to assess their osteogenic, adipogenic, and chondrogenic differentiation potential in vitro. Stem cell differentiation was evaluated using Alcian Blue, Oil Red O, and Alizarin Red staining.

Results: The stem cells isolated by the research team showed positive fluorescent expression for epithelial markers and mesenchymal markers (CD44H, CD71, CD90). High-content cellular analysis enabled the quantitative profiling of DFSC marker expression. Under appropriate conditions, DFSCs demonstrated the ability to differentiate into osteoblast-like, chondroblast-like, and adipocyte-like cells in vitro.

Conclusion: The dental follicle contains a population of stem cells with a specific phenotype capable of multilineage differentiation. It may represent another promising source of human adult stem cells. The observed differentiation profile may limit the application of the isolated cells in the hard tissue regeneration and suggest a potentially more suitable role in soft tissue engineering or immunomodulatory therapies.

## Linked entities

- **Proteins:** TFRC (transferrin receptor), THY1 (Thy-1 cell surface antigen)

## Full-text entities

- **Genes:** TFRC (transferrin receptor) [NCBI Gene 7037] {aka CD71, IMD46, T9, TFR, TFR1, TR}, THY1 (Thy-1 cell surface antigen) [NCBI Gene 7070] {aka CD90, CDw90}
- **Chemicals:** Alizarin Red (MESH:C010078), Alcian Blue (MESH:D000423), Oil Red O (MESH:C011049)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12580588/full.md

## References

29 references — full list in the complete paper: https://tomesphere.com/paper/PMC12580588/full.md

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Source: https://tomesphere.com/paper/PMC12580588