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"Latar belakang: Tujuan dari perawatan pulpa gigi adalah terjadinya regenerasi. Sel punca mampu menghasilkan sekretom yang mengandung growth factor bila dibiakkan pada suatu medium. Hal ini membawa perubahan pada terapi berbasis sel menjadi terapi dengan menggunakan sekretom dari sel punca. Tujuan: Menganalisis potensi CMWJ terhadap proliferasi sel fibroblas dalam berbagai konsentrasi. Metode: Sel fibroblas setelah starvasi dibiakkan dalam CMWJ konsentrasi 12,5; 25 dan 50 . Setelah 2 hari sel fibroblas dihitung menggunakan alat hitung sel otomatis. Hasil: Terdapat perbedaan bermakna p le;0,05 jumlah sel pada kelompok 12,5 dan 50. Kesimpulan: konsentrasi 12,5 CMWJ memiliki potensi terbesar terhadap proliferasi sel fibroblas.

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Background: The goal of dental pulp treatment is regeneration instead of repair. Stem cells from Wharton's Jelly umbilical cord can secrete growth factors in cultured medium. These secretome may open future therapeutic options for cell free based therapies.

Objectives: This study was performed to evaluate potency of CMWJ in improving serum starved fibroblast.

Methods: A quasi experimental design was done in serum starved fibroblasts. After cultured in 12.5 25 and 50 concentration of CMWJ for 48 hours, the proliferation was measured by using automatic cell count machine.

Result: Cultivation of serum starved fibroblasts showed elevation of proliferation in 12,5 concentration of WJMSCs CM compared with 50 concentration, in significant result were shown p le 0,05."

"Sel punca perinatal saat ini menjadi alternatif yang potensial bagi ketersediaan sel punca, baik dalam bidang riset maupun klinis. Salah satu yang diharapkan adalah Wharton's Jelly dari persalinan preterm yang merupakan sumber sel punca mesenkim. Karakteristik dan ekspresi antigen permukaan HLA-ABC dan HLA-G pada sel punca mesenkim Wharton's Jelly persalinan preterm belum banyak diketahui. Kedua molekul imunomodulator ini turut berperan dalam menentukan sifat supresi imun pada sel mesenkim, yang sangat dibutuhkan pada transplantasi allogenik. Penelitian ini bertujuan untuk mengetahui ekspresi antigen permukaan HLA-ABC dan HLA-G sel punca mesenkim WJ dari persalinan preterm dan dibandingkan pada berbagai suplemen medium kultur. SPM-WJ dikultur dalam medium DMEM 10 FBS, DMEM 10 PRP dan Mesencult. Sel yang telah konfluens dipanen, dan ditumbuhkan kembali pada wadah yang baru pasase dengan medium yang sama. Pada pasase 3 dan 5 dilakukan uji karakteristik antigen permukaan HLA-ABC dan HLA-G dengan menggunakan flowcytometry. Ekspresi HLA-ABC dan HLA-G sampel preterm Wharton's Jelly menunjukkan kecenderungan lebih hypoimmunogenic daripada sampel aterm dan lebih sesuai pada suplemen medium kultur PRP.Sel punca mesenkim WJ dari persalinan preterm dapat digunakan sebagai salah satu alternatif sumber sel punca mesenkim untuk aplikasi terapi regeneratif.

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Perinatal stem cells is an potential alternative to the availability of stem cell, both in the research and clinical field. One would have expected is Wharton's Jelly from preterm delivery that is the source of mesenchymal stem cells. Characteristics and expression of surface antigen HLA ABC and HLA G on mesenchymal stem cells derived Wharton's Jelly from preterm delivery little has been known. Both of these immunomodulatory molecules play a role in determining the nature of immune suppression in mesenchymal stem cells, which are needed on the allogenic transplantation. This study aims to determine the expression of surface antigen HLA ABC and HLA G WJ mesenchymal stem cells from preterm delivery and compared on different culture media supplements. WJ MSC was cultured with the followings media DMEM 10 FBS, DMEM 10 PRP and Mesencult. Cells reaching confluence were harvested and regrown in different containers, but with the same media. Cell passaging was carried out until the fifth passage, and the characterization of HLA ABC and HLA G surface antigens were performed on the third and fifth passages. The expression of HLA ABC and HLA G at the Wharton's Jelly preterm samples tends more hypoimmunogenic than the term sample and more appropriate to the culture medium supplement PRP. Mesenchymal stem cells derived Wharton's Jelly from preterm delivery can be used as an alternative source of mesenchymal stem cells for regenerative therapy applications."

"ABSTRAKSel punca mesenkimal SPM sangat menjanjikan untuk pengobatan penyakit degeneratif. Keterbatasan penggunaan sel punca dari jaringan embrionik dan dewasa menyebabkan peneliti mencari alternatif lain sumber sel punca, salah satunya wharton rsquo;s jelly tali pusat. Wharton rsquo;s jelly WJ dari persalinan aterm cukup bulan telah berhasil diisolasi dan didiferensiasikan, sedangkan WJ dari persalinan preterm kurang bulan belum banyak dilakukan. Penelitian ini bertujuan untuk melihat kemampuan WJ sebagai sumber sel punca dan membandingkan proliferasi dan diferensiasi WJ dari persalinan preterm dan aterm menggunakan medium kultur xenofree.Sel punca WJ dikultur dalam medium DMEM 10 FBS, DMEM 10 PRP dan Mesencult . Sel yang telah konfluens dipanen, dan ditumbuhkan kembali pada wadah yang baru pasase dengan medium yang sama. Pasase dilakukan hingga pasase ke 5 dan dilakukan uji diferensiasi pada pasase 3 dan 5. Jumlah sel antara WJ dari persalinan preterm dan aterm dianalisis menggunakan analisis statistik t-independent test. WJ preterm tumbuh dan bersifat plastic-adherent dan memiliki perbedaan yang tidak bermakna dalam proliferasi sel dengan jumlah populasi sel lebih besar dibandingkan WJ aterm. Sel punca WJ preterm dapat berdiferensiasi dan medium xenofree dapat digunakan untuk menggantikan FBS. WJ dari persalinan pretem dapat digunakan sebagai sumber sel punca mesenkimal.

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ABSTRACTMesenchymal stem cells are claimed as a promising degenerative medicine.Due to limited use of stem cells derived from embryonic and adult tissues, researchers have to find alternative sources of stem cells, and one of them are Wharton 39 s Jelly umbilical cord. Wharton 39 s Jelly WJ derived from full term birth have been isolated and differentiated, but very few researches focus on the WJ derived from preterm birth. This study aimed to analyse the ability of WJ a source for the stem cells, and to compare the proliferation and differentiation of WJ derived stem cells from preterm and full term birth using xeno free culture media. WJ was cultured with the followings media DMEM 10 FBS, DMEM 10 PRP and Mesencult . Cells reaching confluence were har vested and pasage in different containers, but with the same media. Cell passaging was carried out until the fifth passage, and the differentiation tests were performed. Cell cumulative between WJ derived stem cells from pre term and full term birth were then analysed using t independent test. The preterm WJ grown in culture media were plastic adherent, had a non significant difference with WJ derived from full term birth, but had a higher number of cell populations than the latter. WJ were able to differentiate, and xeno free media can be used to replace FBS. WJ derived stem cells from preterm birth can be used as a source for mesenchymal stem cells."

"Sel punca adiposa (SPA) telah menjadi sumber pengobatan terkini yang menjanjikan. Penelitian terbaru menunjukkan bahwa mekanisme yang mendasari manfaat sel punca sebagai pengobatan berhubungan dengan efek modulasi parakrin daripada pemberian sel punca itu sendiri. Beberapa penelitian tentang SPA telah melaporkan adanya perubahan dalam jumlah, proliferasi, dan potensi diferensiasi, serta adanya penurunan sitokin dan growth factor pada SPA sehubungan dengan usia donor. Penelitian ini bertujuan untuk menyelidiki perubahan sekretom berdasarkan kelompok usia tua dan muda serta dampaknya terhadap sel fibroblas yang diinduksi UVB. Sel punca adiposa dari donor usia tua dan muda dikultur dan diisolasi untuk diambil sekretomnya. Sel fibroblas yang diinduksi UVB kemudian diinkubasi dengan sekretom sel punca adiposa tersebut. Parameter seperti viabilitas sel dan konsentrasi TGF-β1 pada sekretom sel punca adiposa serta presentase apoptosis, sel mati, ekpresi gen MMP-3 dan COL1A pada sel fibroblas yang diinduksi UVB dan diberikan sekretom usia donor berbeda dievaluasi untuk menilai efek perbedaan usia donor tersebut. Hasil penelitian menunjukan bahwa sekretom sel punca adiposa dengan usia donor berbeda memberikan dampak yang berbeda pada sel fibroblas yang diinduksi UVB. Konsentrasi TGF-β1 pada sekretom SPA asal donor usia muda lebih tinggi dibandingkan dengan SPA donor tua. Persentase apoptosis, sel mati dan ekpresi gen MMP-3 terhadap GAPDH lebih tinggi pada sel fibroblas yang diinduksi UVB dan diberi sekretom SPA donor tua dibandingkan dengan yang diberi sekretom SPA donor muda. Ekpresi gen COL1A lebih rendah pada pada sel fibroblas yang diinduksi UVB dan diberikan sekretom SPA donor tua dibandingkan diberikan sekretom SPA donor muda. Oleh sebab itu, dapat disimpulkan adanya penurunan kemampuan sekretom sel punca adiposa usia donor tua dalam memperbaiki penuaan pada sel fibroblas yang dipajan dengan UVB, berdasarkan morfologi sel, presentase sel apoptosis dan sel mati serta ekpresi MMP-3 dan COL1A terhadap GAPDH.

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Adipose stem cells (ASC) have become a promising source of current treatment. Recent research suggests that the mechanisms underlying the benefits of stem cells as a treatment relate to paracrine modulatory effects rather than the administration of stem cells themselves. Several studies on ASC have reported changes in the number, proliferation and differentiation potential, as well as a decrease in cytokines and growth factors in ASC in relation to donor age. This study aims to investigate secretome changes based on young and old age groups and their impact on UVB- induced fibroblast cells. Adipose stem cells from young and old donors were cultured and isolated for secretome collection. The UVB-induced fibroblast cells were then incubated with the secretome of the adipose stem cells. Parameters such as cell viability and TGF-β1 concentration in the secretome of adipose stem cells as well as the percentage of apoptosis, dead cells, MMP-3 and COL1A gene expression in fibroblast cells induced by UVB and given the secretome of different donor ages were evaluated to assess the effect of differences in donor age. The results showed that the secretome of adipose stem cells with different donor ages had different impacts on UVB-induced fibroblast cells. The concentration of TGF-β1 in the secretome of SPA from young donors was higher compared to ASC from old donors. The percentage of apoptosis, cell death and expression of the MMP-3 gene against GAPDH was higher in fibroblast cells induced by UVB and given the SPA secretome of old donors compared to those given the ASC secretome of young donors. COL1A gene expression was lower in fibroblast cells induced by UVB and given the ASC secretome of old donors compared to those given the ASC secretome of young donors. Therefore, it can be concluded that there is a decrease in the ability of the secretome of adipose stem cells from old donors to improve aging in fibroblast cells exposed to UVB, based on cell morphology, the percentage of apoptotic cells and dead cells as well as the expression of MMP-3 and COL1A against GAPDH."

"Latar Belakang: Sumber sel stromal yang paling ideal digunakan dalam rekayasa jaringan adalah sel stromal pulpa gigi permanen (DPSC) dan sel stromal pulpa gigi sulung (SHED) dikarenakan sifat proliferasinya yang tinggi. Pada penelitian sebelumnya, dinyatakan bahwa terdapat peningkatan ekspresi gen homeobox salah satunya yaitu gen ALX4 sebagai pada pasien celah bibir dan palatum dengan subjek normal. Gen ALX4 adalah gen homeobox dibawah famili Alx dan memiliki peran langsung dalam perkembangan dan pembentukan kepala serta wajah serta mentranslasi protein yang meregulasi perkembangan dan proliferasi sel, pendewasaan dan diferensiasi sel, pergerakan sel, dan pertahanan sel. Namun, karakteristik DPSC dan SHED dilihat dari ekspresi gen ALX4 pada subjek normal dan pasien celah bibir dan palatum belum diketahui. Tujuan: Mengevaluasi karakteristik DPSC dan SHED subjek normal dan pasien CLP berdasarkan ekspresi gen ALX4. Metode: DPSC subjek normal, DPSC pasien celah bibir dan palatum, dan SHED pasien celah bibir dan palatum diperoleh dari bahan biologis tersimpan Laboratorium Oral Biologi Fakultas Kedokteran Gigi Universitas Indonesia. Selanjutnya ekspresi gen ALX4 dan housekeeping gene GAPDH diuji dengan two step quantitative RT-PCR (RT-PCR). Hasil: Tidak terdapat perbedaan ekspresi gen ALX4 baik diantara DPSC subjek normal dengan DPSC CLP (p=0,407) maupun DPSC CLP dengan SHED CLP (p=0,145). Kesimpulan: Tidak terdapat perbedaan karakteristik sel stromal pulpa gigi permanen dan sel stromal pulpa gigi sulung pada subjek normal dengan pasien celah bibir dan palatum berdasarkan ekspresi gen ALX4

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Background: The most ideal sources of stromal cells used in tissue engineering are dental pulp stem cells (DPSC) and stem cells from human exfoliated deciduous teeth (SHED) due to their high proliferative properties. In previous studies, it was stated that there was an increase in the expression of homeobox genes (differentially expressed genes (DEGs), one of which was the ALX4 gene as in cleft lip and palate patients with normal subjects. The ALX4 gene is a homeobox gene under the Alx family and has a direct role in the development and formation of the skull and human face, along with the ALX4 proteins that regulate cell development and proliferation, cell maturation and differentiation, cell movement, and cell defence. However, the characteristics of ALX4 gene expression in DPSC and SHED in normal and cleft lip and palate patients are not known. Objective: To evaluate and compare the characteristics of Dental Pulp Stromal Cells (DPSC) and Stromal Cells from Human Exfoliated deciduous teeth (SHED) in cleft lip and palate and normal subjects by the expression of the ALX4 homeobox gene. Methods: DPSC of normal subjects, DPSC of CLP patients, SHED of CLP patients were obtained from stored biological material in the Oral Biology Laboratory, Faculty of Dentistry, University of Indonesia. Then, the examination of ALX4 gene expression was tested by Real-Time Polymerase Chain Reaction (RT-PCR) Results: There was no difference in ALX4 gene expression between DPSC in normal subjects and DPSC in cleft lip and palate subjects (p=0,407) and between DPSC in cleft lip and palate subjects and SHED in cleft lip and palate subjects (p=0,145). Conclusion: There were no differences in the characteristics of the pulp stromal cells of permanent and primary teeth in normal subjects with cleft lip and palate subjects through the expression of the ALX4 gene."

"Tujuan dari penelitian ini adalah untuk menginvestigasi efektivitas dental pulp stem cells DPSCs dalam menginduksi proses regenerasi jaringan pada defek tulang kelinci New Zealand dengan menilai kadar alkaline phosphatase ALP dan gambaran histologis. Defek kritis dibuat pada tulang femur kelinci dan transplantasi DPSCs dilakukan terhadap kelompok perlakuan, sedangkan defek pada kelompok kontrol dibiarkan kosong. Pada minggu ke-2 dan ke-4 pasca tindakan operatif, dilakukan pengukuran kadar ALP dalam serum menggunakan colorimetric assay. Setelah 4 minggu, kelinci dikorbankan dan dilakukan analisis terhadap gambaran histologis. Hasil penelitian menunjukkan bahwa pada minggu ke-2, kelompok kelinci yang diberi perawatan dengan DPSCs memiliki kadar ALP yang lebih tinggi 157,925 ?U daripada kelompok kontrol 155,361 ?U dan peningkatan terjadi di minggu ke-4 dengan nilai yang lebih besar pada kelompok DPSCs 169.750 ?U dibandingkan dengan kelompok kontrol 160.406 . Evaluasi histologis menunjukkan bahwa sejumlah lamela tulang dan osteosit mengisi area defek dari kelompok DPSCs. Dengan demikian, dapat disimpulkan bahwa transplantasi DPSCs efektif dalam menginduksi dan mempercepat progresivitas regenerasi jaringan.

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This study was aimed to investigate the effectiveness of dental pulp stem cells DPSCs to induce bone regeneration in New Zealand rabbits by assessing the level of alkaline phosphatase ALP and histological view. The critical defect was created in the left femoral bone of the rabbits and transplantation of DPSCs was conducted to the treated group while the defect in the control group was left empty. In 2nd week and 4th week postoperative, ALP level in rabbits serum were measured using colorimetric assay. After 4 weeks, the rabbits were sacrificed and analyzing of histological views were conducted.

The results showed that in the 2nd week, rabbit treated DPSCs group had higher level of ALP 157,925 U than the control group 155,361 U and increasing occured in the 4th week with greater score in DPSCs group 169.750 U compared to the control group 160.406 U . Histological evaluation revealed that the amount of bone lamellae and osteocytes filled the defect area of DPSCs group. Therefore, transplantation of DPSCs are effective to induce and accelerate bone regeneration by raising ALP level and forming new bone tissue."

"ABSTRAKDisertasi ini membahas modifikasi mineral trioxide aggregate (MTA) menjadi nanopartikel mineral trioksida (NMT) dan menentukan potensi NMT tersebut dengan cara menganalisis aktivitas proliferasi dan diferensiasi sel punca mesensimal pulpa gigi serta maturasi sel ke arah odontoblas. Penelitian ini adalah penelitian kuantitatif dengan desain eksperimental laboratorik Hasil penelitian menyimpulkan bahwa a) NMT meningkatkan proliferasi dan tidak toksis terhadap DPSC dan SHED; b) NMT meningkatkan aktivitas ALP khususnya pada SHED; c) NMT meningkatkan aktivitas OC khususnya pada DPSC; d) NMT meningkatkan aktivitas DSPP pada DPSC dan SHED; e) NMT meningkatkan jumlah deposit kalsium dan matrik ekstrasellular pada DPSC dan SHED.

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ABSTRACTThe Dissertation discussed the modification of mineral trioxide aggregate (MTA) to nanoparticle mineral trioxidea (NMT) and determining NMT potential by analyzing the proliferation and differentiation of dental pulp stem cells and maturation activities to odontoblasts. The quantitative research used experimental laboratory design. Based on the research findings, it can be concluded that a) NMT increased cells proliferation and was not toxic to DPSC and SHED; b) NMT increased ALP activities, especially on SHED; c) NMT increased OC activities, especially on DPSC; d) NMT increased DSPP activities on DPSC and SHED; e) NMT increased the quantity of calcium deposit and extracellular matrix on DPSC and SHED."

"Diferensiasi osteogenik dari Sel punca mesenkim (MSC) menjadi osteoblas memiliki signifikansi klinis yang sangat penting untuk mengobati cedera tulang. Berbagai penelitian telah dilakukan untuk meneliti faktor-faktor yang dapat meningkatkan diferensiasi osteogenik, termasuk pengembangan perancah untuk kultur MSC. Perancah Polivinil Alkohol (PVA)/ Fibroblast-derived Matrix (hFDM) asal manusia menjadi salah satu kandidat perancah yang diduga dapat mendukung diferensiasi osteogenik MSC. Keberadaan matriks ekstraseluler (ECM) pada perancah dapat meregulasi berbagai aktivitas seluler melalui komponen protein matriks yang terdapat pada ECM. Protein matriks berperan sebagai sekuesterasi berbagai faktor pertumbuhan. Faktor pertumbuhan seperti BMP2 dan chordin diketahui dapat meregulasi diferensiasi osteogenik. Proses terjadinya diferensiasi osteogenik dapat diamati melalui akumulasi mineral kalsium yang terdeposit pada matriks ekstraseluler. Tujuan dari penelitian ini adalah untuk mengetahui metode optimum dalam pembuatan perancah PVA/hFDM, danmengetahui peran perancah PVA/hFDM dalam mempengaruhi diferensiasi osteogenik MSC dengan mengukur ekspresi gen BMP2, dan chordin, serta ekspresi kadar kalsium relatif pada matriks ekstraseluler. Optimasi pembuatan perancah PVA hFDM dimulai dengan optimasi medium kultur, waktu kultur, preparasi, dan teknik deselulerisasi. hFDM dikarakterisasi menggunakan pewarnaan Hematoxylin, Masson Trichrome, dan Imunohistokimia untuk mengetahui keberadaan protein matriks. MSC dikultur pada perancah PVA/hFDM untuk uji diferensiasi osteogenik selama 21 hari. Sampel RNA diisolasi pada hari ke-7,14, dan 21. Ekspresi gen BMP2 dan chordin dianalisis menggunakan metode qRT-PCR. Adapun ekspresi kadar kalsium relatif dianalisis dengan uji kualitatif dan kuantitatif pewarnaan Alizarin Red. Hasil penelitian ini menunjukkan protokol pembuatan perancah PVA/hFDM telah dioptimasi, dan karakterisasi hFDM memperlihatkan keberadaan protein matriks berupa kolagen dan biglycan. Ekspresi gen BMP2 menurun pada kelompok MSC yang dikultur pada perancah PVA/hFDM baik di hari ke-7, 14, dan 21. Sedangkan ekspresi gen chordin meningkat pada kelompok MSC yang dikultur pada perancah PVA/hFDM di hari ke 7, dan 14, kembali menurun di hari ke-21. Ekspresi kadar kalsium relatif cenderung meningkat pada kelompok MSC yang dikultur pada perancah PVA/hFDM dengan gambaran mikroskopis berupa bercak merah pada permukaan perancah. Kesimpulan dari penelitian ini adalah perancah PVA/hFDM cenderung dapat mendukung diferensiasi osteogenik MSC. Hasil penelitian menunjukkan bahwa penggunaan perancah PVA/hFDM dapat menurunkan ekspresi gen BMP2, dan meningkatkan ekspresi gen chordin, serta cenderung meningkatkan ekspresi kadar kalsium relatif yang terdeposit pada matriks ekstraseluler.

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Osteogenic differentiation from Mesenchymal Stem Cell (MSC) to osteoblasts has great clinical significance for treating bone injury. Various studies have been conducted to investigate factors that can enhance osteogenic differentiation, including scaffold development for MSC culture. Scaffold Polyvinyl Alcohol (PVA) / human Fibroblast-derived Matrix (hFDM) is a scaffold candidate assumed to support osteogenic differentiation of MSCs. The extracellular matrix (ECM) presence on the scaffold can regulate various cellular activities through the matrix protein components contained in the ECM. Matrix protein plays a role in sequestering multiple growth factors. Growth factors such as BMP-2 and chordin are to regulate osteogenic differentiation. The process of osteogenic differentiation can be observed by accumulating calcium minerals in the extracellular matrix. The purpose of this study was to determine the optimal method for making PVA / hFDM scaffold and to determine the role of the PVA / hFDM scaffold in affecting MSC osteogenic differentiation by measuring the expression of BMP2 and chordin genes, as well as the expression of relative calcium levels in the extracellular matrix. Optimization of making hFDM PVA scaffold begins with the optimization of culture medium, culture time, preparation, and decellularization techniques. hFDM was characterized using Hematoxylin, Masson Trichrome, and Immunohistochemical staining to determine matrix proteins' presence. MSCs were cultured on the PVA / hFDM scaffold for osteogenic differentiation assay for 21 days. RNA samples were isolated on day 7,14 and 21. Expression of BMP2 and chordin genes were analyzed using the qRT-PCR method. The expression of relative calcium levels was analyzed by qualitative and quantitative tests of Alizarin Red staining. The results of this study indicate that the PVA / hFDM scaffold preparation protocol has been optimized, and the hFDM characterization shows the presence of matrix proteins in the form of collagen and biglycan. BMP-2 gene expression decreased in the MSC group cultured on the PVA / hFDM scaffold on days 7, 14, and 21. In contrast, the chordin gene expression increased in the MSC group cultured on the PVA / hFDM scaffold on days 7, and 14, back down on day 21. The expression of relative calcium levels tended to increase in the MSC group cultured on the PVA / hFDM scaffold with a microscopic appearance of red spots on the scaffold surface. This study concludes that Scaffold PVA / hFDM tends to support osteogenic differentiation of MSCs. The results showed that the use of the PVA / hFDM scaffold could decrease the expression of the BMP2 gene, and increase the expression of the chordin gene, and tended to increase the expression of the relative calcium levels deposited in the extracellular matrix.

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"Sel Punca Mesenkim (SPM) dianggap sebagai sel yang sangat menjanjikan untuk terapi penyakit berdasar inflamasi karena potensi proliferasi multilineagenya, imunogenisitas rendah, migrasi spesifik ke jaringan yang cedera, dan efek imunomodulator potensialnya. Diperlukan data pendukung mengenai potensi imunomodulasi SPM dalam menghadapi kondisi proinflamasi sebelum digunakan dalam uji klinis. Dilakukan desain penelitian eksperimental in vitro kultur sel untuk menilai potensi imunomodulasi SPM yang berasal dari tali pusat (SPM-TP) dan asal jaringan adiposa (SPM-AD). Untuk menciptakan kondisi inflamasi, menggunakan kultur PBMC yang distimulasi dengan mitogen PHA, diikuti oleh kokultur dengan dua jenis SPM. Pengujian proliferasi dengan Ki67 dilakukan dengan qRT-PCR, pengujian sitokin proinflamasi IFN-γ, IL-1β, dan antiinflamasi IL-10 dilakukan dengan metode Luminex dan pengujian sitokin TGF-β dan IDO dilakukan mnggunakan metode ELISA. Hasil studi menunjukkan adanya perbedaan signifikan antara kelompok dengan perlakuan dan tanpa perlakuan, tetapi tidak terdapat perbedaan signifikan diantara dua kelompok perlakuan (SPM- TP dan SPM-AD). Namun, berdasarkan kemampuan untuk menekan proliferasi PBMC terlihat bahwa SPM-TP menunjukkan kemampuan yang lebih baik dibandingkan SPM-AD.

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The Mesenchymal Stem Cells (MSCs) are considered highly promising for inflammatory disease therapy due to their multilineage proliferation potential, low immunogenicity, specific migration to injured tissues, and potential immunomodulatory effects. Supporting data on the immunomodulatory potential of MSCs in facing proinflammatory conditions are required before their use in clinical trials. An experimental in vitro cell culture research design was conducted to assess the immunomodulatory potential of MSCs derived from umbilical cord (UC-MSCs) and adipose tissue (AD-MSCs). To induce inflammatory conditions, peripheral blood mononuclear cells (PBMCs) were stimulated with PHA mitogen, followed by co-culture with the two types of MSCs. Proliferation testing using Ki67 was performed with qRT-PCR, proinflammatory cytokine testing (IFN-γ, IL-1β) and anti-inflammatory cytokine (IL-10) were conducted using the Luminex method, and TGF-β and IDO cytokine testing were performed using the ELISA method. The study results indicated significant differences between the treated and untreated groups, although no significant differences were observed between the two treatment groups (UC-MSCs and AD-MSCs). However, based on the ability to suppress PBMC proliferation, it was evident that UC-MSCs exhibited superior capabilities compared to AD-MSCs."