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Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou 310000, China
Received:02 December 2024,
Revised:2025-03-19,
Online First:08 May 2026,
Published:15 June 2026
赵雨馨,王佳,游东奇等.施耐德膜来源间充质干细胞在上颌窦底提升模型与颅骨缺损模型中的再生潜能[J].浙江大学学报(英文版)(B辑:生物医学和生物技术),2026,27(06):628-644.
Yuxin ZHAO, Jia WANG, Dongqi YOU, et al. Regenerative potential of Schneiderian membrane-derived mesenchymal stem cells in sinus floor elevation model and calvarial defect model[J]. Journal of Zhejiang University-SCIENCE B, 2026, 27(6): 628-644.
赵雨馨,王佳,游东奇等.施耐德膜来源间充质干细胞在上颌窦底提升模型与颅骨缺损模型中的再生潜能[J].浙江大学学报(英文版)(B辑:生物医学和生物技术),2026,27(06):628-644. DOI: 10.1631/jzus.B2400611.
Yuxin ZHAO, Jia WANG, Dongqi YOU, et al. Regenerative potential of Schneiderian membrane-derived mesenchymal stem cells in sinus floor elevation model and calvarial defect model[J]. Journal of Zhejiang University-SCIENCE B, 2026, 27(6): 628-644. DOI: 10.1631/jzus.B2400611.
目的
2
施耐德膜来源间充质干细胞(SMMSCs)曾被报道具有体外成骨分化潜能,但其在体内的骨形成能力尚不明确。本研究旨在评估施耐德膜在上颌窦底提升中的成骨作用,并验证SMMSCs在颅骨缺损修复中的功能。
材料与方法
2
通过兔双侧上颌窦底提升术结合氯甲基苯甲酰胺二烷基碳菁荧光素(CM-Dil)标记技术评估施耐德膜的原位成骨能力;利用单细胞RNA测序技术解析人施耐德膜的细胞亚群特征;将SMMSCs与骨髓间充质干细胞(BMSCs)联合明胶甲基丙烯酰(GelMA)支架移植于兔颅骨缺损区,通过显微CT与组织学分析评估骨再生效果。
结果
2
上颌窦底提升模型中,施耐德膜邻近区域观察到自发性骨形成;单细胞测序分析鉴定出成对相关同源框1(
PRRX1
)阳性祖细胞群主导了窦腔内成骨过程;颅骨缺损模型中,SMMSCs较BMSCs在移植后4周表现出更显著的早期骨再生能力,展现出更高的骨体积分数(BV/TV)。
结论
2
施耐德膜可能通过
PRRX1
+
祖细胞谱系参与成骨调控;SMMSCs可加速颅骨缺损的早期修复。本研究首次在体内验证了SMMSCs的成骨潜能,并在单细胞分辨率下阐明其分子机制。
Objectives
2
Schneiderian membrane-derived mesenchymal stem cells (SMMSCs) have been reported to be osteogenic progenitor cells in vitro. However
there is controversy regarding the intrinsic osteogenic capacity of the Schneiderian membrane
and the bone formation potential of SMMSCs in vivo has never been reported. Therefore
in this study
we aimed to evaluate the contribution of the Schneiderian membrane to sinus floor elevation and to verify the function of SMMSCs in cranial bone defects.
Materials and methods
2
Bilateral sinus floor elevation with chloromethyl-benzamidodialkylcarbocyanine (CM-Dil) labeling was performed in rabbits to assess Schneiderian membrane osteogenesis. Single-cell RNA sequencing was used to characterize human Schneiderian membrane cellular subsets. SMMSCs and bone marrow-derived mesenchymal stem cells (BMSCs) were transplanted into rabbit cranial defects with gelatin methacryloyl (GelMA) scaffolds and analyzed via micro-computed tomography (micro-CT) and histology.
Results
2
Spontaneous bone formation adjacent to the Schneiderian membrane was observed. Single-cell analysis identified paired-related homeobox 1 (
PRRX1
) progenitor clusters driving endosinus osteogenesis. SMMSCs exhibited earlier and superior bone regeneration compared with BMSCs
with higher tissue volume and bone volume/total volume (BV/TV) ratios at four weeks after surgery.
Conclusions
2
The Schneiderian membrane likely contributes to osteogenesis via
PRRX1
+
progenitor lineages. SMMSCs promote accelerated early bone regeneration in cranial defects. This study provides the first in vivo validation of the osteogenic capacity of SMMSCs and defines their molecular identity at single-cell resolution.
Al-Dajani M , 2016 . Recent trends in sinus lift surgery and their clinical implications . Clin Implant Dent Relat Res , 18 ( 1 ): 204 - 212 . https://doi.org/10.1111/cid.12275 https://doi.org/10.1111/cid.12275
Ankrum JA , Ong JF , Karp JM , 2014 . Mesenchymal stem cells: immune evasive, not immune privileged . Nat Biotechnol , 32 ( 3 ): 252 - 260 . https://doi.org/10.1038/nbt.2816 https://doi.org/10.1038/nbt.2816
Asai S , Shimizu Y , Ooya K , 2002 . Maxillary sinus augmentation model in rabbits: effect of occluded nasal ostium on new bone formation . Clin Oral Implants Res , 13 ( 4 ): 405 - 409 . https://doi.org/10.1034/j.1600-0501.2002.130409.x https://doi.org/10.1034/j.1600-0501.2002.130409.x
Chen JM , Huang QY , Zhao YX , et al. , 2021 . The latest developments in immunomodulation of mesenchymal stem cells in the treatment of intrauterine adhesions, both allogeneic and autologous . Front Immunol , 12 : 785717 . https://doi.org/10.3389/fimmu.2021.785717 https://doi.org/10.3389/fimmu.2021.785717
Chen PH , Tsai WB , 2025 . Development of a photocrosslinkable collagen-bone matrix hydrogel for bone tissue engineering . Polymers , 17 ( 7 ): 935 . https://doi.org/10.3390/polym17070935 https://doi.org/10.3390/polym17070935
de Carvalho Silva Leocádio A , Silva M , de Oliveira GJPL , et al. , 2021 . Osseointegration of different implant surfaces in areas grafted with deproteinized bovine bone associated or not with fresh bone marrow—preclinical study in rabbits . Clin Oral Implants Res , 32 ( 6 ): 767 - 775 . https://doi.org/10.1111/clr.13746 https://doi.org/10.1111/clr.13746
Deng Q , Li P , Che MJ , et al. , 2019 . Activation of hedgehog signaling in mesenchymal stem cells induces cartilage and bone tumor formation via Wnt/β-Catenin . eLife , 8 : e50208 . https://doi.org/10.7554/eLife.50208 https://doi.org/10.7554/eLife.50208
Derjac-Aramă AI , Sarafoleanu C , Manea CM , et al. , 2015 . Regenerative potential of human Schneiderian membrane: progenitor cells and epithelial-mesenchymal transition . Anat Rec , 298 ( 12 ): 2132 - 2140 . https://doi.org/10.1002/ar.23276 https://doi.org/10.1002/ar.23276
di Pietro L , Barba M , Prampolini C , et al. , 2020 . GLI1 and AXIN2 are distinctive markers of human calvarial mesenchymal stromal cells in nonsyndromic craniosynostosis . Int J Mol Sci , 21 ( 12 ): 4356 . https://doi.org/10.3390/ijms21124356 https://doi.org/10.3390/ijms21124356
Dragonas P , Katsaros T , Schiavo J , et al. , 2020 . Osteogenic capacity of the sinus membrane following maxillary sinus augmentation procedures: a systematic review . Int J Oral Implantol , 13 ( 3 ): 213 - 232 .
Falah M , Sohn DS , Srouji S , 2016 . Graftless sinus augmentation with simultaneous dental implant placement: clinical results and biological perspectives . Int J Oral Maxillofac Surg , 45 ( 9 ): 1147 - 1153 . https://doi.org/10.1016/j.ijom.2016.05.006 https://doi.org/10.1016/j.ijom.2016.05.006
Friedenstein AJ , Chailakhjan RK , Lalykina KS , 1970 . The development of fibroblast colonies in monolayer cultures of guinea-pig bone marrow and spleen cells . Cell Proliferat , 3 ( 4 ): 393 - 403 . https://doi.org/10.1111/j.1365-2184.1970.tb00347.x https://doi.org/10.1111/j.1365-2184.1970.tb00347.x
Fujii S , Takebe H , Mizoguchi T , et al. , 2023 . Bone formation ability of Gli1 + cells in the periodontal ligament after tooth extraction . Bone , 173 : 116786 . https://doi.org/10.1016/j.bone.2023.116786 https://doi.org/10.1016/j.bone.2023.116786
Granchi D , Devescovi V , Baglio SR , et al. , 2010 . Biological basis for the use of autologous bone marrow stromal cells in the treatment of congenital pseudarthrosis of the tibia . Bone , 46 ( 3 ): 780 - 788 . https://doi.org/10.1016/j.bone.2009.10.044 https://doi.org/10.1016/j.bone.2009.10.044
Guo JB , Weng JQ , Rong Q , et al. , 2015 . Investigation of multipotent postnatal stem cells from human maxillary sinus membrane . Sci Rep , 5 : 11660 . https://doi.org/10.1038/srep11660 https://doi.org/10.1038/srep11660
Hameed S , Bakhshalian N , Alwazan E , et al. , 2019 . Maxillary sinus floor and alveolar crest alterations following extraction of single maxillary molars: a retrospective cbct analy sis. Int J Periodontics Restorative Dent , 39 ( 4 ): 545 - 551 . https://doi.org/10.11607/prd.3865 https://doi.org/10.11607/prd.3865
Hu W , Fei TY , Liu ZC , et al. , 2025 . Single-cell RNA-sequencing-guided reactive oxygen species-scavenging hydrogel design for regeneration of osteoporotic bone . J Zhejiang Univ-Sci B , 26 ( 12 ): 1172 - 1191 . https://doi.org/10.1631/jzus.B2500254 https://doi.org/10.1631/jzus.B2500254
Jungner M , Cricchio G , Salata LA , et al. , 2015 . On the early mechanisms of bone formation after maxillary sinus membrane elevation: an experimental histological and immunohistochemical study . Clin Implant Dent Relat Res , 17 ( 6 ): 1092 - 1102 . https://doi.org/10.1111/cid.12218 https://doi.org/10.1111/cid.12218
Lee E , Epanomeritakis IE , Lu V , et al. , 2023 . Bone marrow-derived mesenchymal stem cell implants for the treatment of focal chondral defects of the knee in animal models: a systematic review and meta-analysis . Int J Mol Sci , 24 ( 4 ): 3227 . https://doi.org/10.3390/ijms24043227 https://doi.org/10.3390/ijms24043227
Lee JY , Kim S , Shin SY , et al. , 2022 . Effectiveness of hydraulic pressure-assisted sinus augmentation in a rabbit sinus model: a preclinical study . Clin Oral Investig , 26 ( 2 ): 1581 - 1591 . https://doi.org/10.1007/s00784-021-04131-z https://doi.org/10.1007/s00784-021-04131-z
Lemos DR , Eisner C , Hopkins CI , et al. , 2015 . Skeletal muscle-resident MSCs and bone formation . Bone , 80 : 19 - 23 . https://doi.org/10.1016/j.bone.2015.06.013 https://doi.org/10.1016/j.bone.2015.06.013
Lim ST , Kusano K , Taniyama T , et al. , 2022 . Contribution to bone formation of the Schneiderian membrane after sinus augmentation: a histological study in rabbits . Materials (Basel) , 15 ( 22 ): 8077 . https://doi.org/10.3390/ma15228077 https://doi.org/10.3390/ma15228077
Liu JQ , Kang J , Zou T , et al. , 2025 . Functional cobalt-doped hydrogel scaffold enhances concurrent vascularization and neurogenesis . J Nanobiotechnol , 23 : 179 . https://doi.org/10.1186/s12951-025-03218-z https://doi.org/10.1186/s12951-025-03218-z
Liu YN , Wang HF , Dou HX , et al. , 2020 . Bone regeneration capacities of alveolar bone mesenchymal stem cells sheet in rabbit calvarial bone defect . J Tissue Eng , 11 : 1 - 12 . https://doi.org/10.1177/2041731420930379 https://doi.org/10.1177/2041731420930379
Lv HX , Xu J , Wang YH , et al. , 2024 . Isolation, identification and osteogenic capability analysis of mesenchymal stem cells derived from different layers of human maxillary sinus membrane . J Clin Periodontol , 51 ( 6 ): 754 - 765 . https://doi.org/10.1111/jcpe.13956 https://doi.org/10.1111/jcpe.13956
Ma ZJ , Jia WD , Wang XY , et al. , 2025 . Novel multi-component synergistic bioink that balances biocompatibility and mechanical strength for cartilage regeneration . J Zhejiang Univ-Sci B , 26 ( 12 ): 1156 - 1171 . https://doi.org/10.1631/jzus.B2500343 https://doi.org/10.1631/jzus.B2500343
Makary C , Rebaudi A , Menhall A , et al. , 2016 . Changes in sinus membrane thickness after lateral sinus floor elevation: a radiographic study . Int J Oral Maxillofac Implants , 31 ( 2 ): 331 - 337 . https://doi.org/10.11607/jomi.4108 https://doi.org/10.11607/jomi.4108
Maruyama T , Jiang M , Abbott A , et al. , 2017 . Rap1b is an effector of Axin2 regulating crosstalk of signaling pathways during skeletal development . J Bone Miner Res , 32 ( 9 ): 1816 - 1828 . https://doi.org/10.1002/jbmr.3171 https://doi.org/10.1002/jbmr.3171
Maurer T , Stoffel MH , Belyaev Y , et al. , 2018 . Structural characterization of four different naturally occurring porcine collagen membranes suitable for medical applications . PLoS One , 13 ( 10 ): e0205027 . https://doi.org/10.1371/journal.pone.0205027 https://doi.org/10.1371/journal.pone.0205027
Moon YS , Sohn DS , Moon JW , et al. , 2014 . Comparative histomorphometric analysis of maxillary sinus augmentation with absorbable collagen membrane and osteoinductive replaceable bony window in rabbits . Implant Dent , 23 ( 1 ): 29 - 36 . https://doi.org/10.1097/ID.0000000000000031 https://doi.org/10.1097/ID.0000000000000031
Palma VC , Magro-Filho O , de Oliveria JA , et al. , 2006 . Bone reformation and implant integration following maxillary sinus membrane elevation: an experimental study in primates . Clin Implant Dent Relat Res , 8 ( 1 ): 11 - 24 . https://doi.org/10.2310/j.6480.2005.00026.x https://doi.org/10.2310/j.6480.2005.00026.x
Pereira RDS , de Carvalho MVNB , Hochuli-Vieira E , et al. , 2024 . Histomorphometric and micro-CT evaluation of cerabone and Bio-Oss in maxillary sinus lifting: a randomized clinical trial . Medicina , 60 ( 11 ): 1834 . https://doi.org/10.3390/medicina60111834 https://doi.org/10.3390/medicina60111834
Pjetursson BE , Lang NP , 2014 . Sinus floor elevation utilizing the transalveolar approach . Periodontol 2000 , 66 ( 1 ): 59 - 71 . https://doi.org/10.1111/prd.12043 https://doi.org/10.1111/prd.12043
Qian SJ , Mo JJ , Shi JY , et al. , 2018 . Endo-sinus bone formation after transalveolar sinus floor elevation without grafting with simultaneous implant placement: histological and histomorphometric assessment in a dog model . J Clin Periodontol , 45 ( 9 ): 1118 - 1127 . https://doi.org/10.1111/jcpe.12975 https://doi.org/10.1111/jcpe.12975
Reinders MEJ , de Fijter JW , Roelofs H , et al. , 2013 . Autologous bone marrow-derived mesenchymal stromal cells for the treatment of allograft rejection after renal transplantation: results of a phase I study . Stem Cells Transl Med , 2 : 107 - 111 . https://doi.org/10.5966/sctm.2012-0114 https://doi.org/10.5966/sctm.2012-0114
Rong Q , Li X , Chen SL , et al. , 2015 . Effect of the Schneiderian membrane on the formation of bone after lifting the floor of the maxillary sinus: an experimental study in dogs . Br J Oral Maxillofac Surg , 53 ( 7 ): 607 - 612 . https://doi.org/10.1016/j.bjoms.2015.02.010 https://doi.org/10.1016/j.bjoms.2015.02.010
Saha S , Yang XB , Wijayathunga N , et al. , 2019 . A biomimetic self-assembling peptide promotes bone regeneration in vivo: a rat cranial defect study . Bone , 127 : 602 - 611 . https://doi.org/10.1016/j.bone.2019.06.020 https://doi.org/10.1016/j.bone.2019.06.020
Sakuma S , Ferri M , Imai H , et al. , 2020 . Involvement of the maxillary sinus ostium (MSO) in the edematous processes after sinus floor augmentation: a cone-beam computed tomographic study . Int J Implant Dent , 6 : 35 . https://doi.org/10.1186/s40729-020-00233-7 https://doi.org/10.1186/s40729-020-00233-7
Scala A , Botticelli D , Rangel IG , et al. , 2010 . Early healing after elevation of the maxillary sinus floor applying a lateral access: a histological study in monkeys . Clin Oral Implants Res , 21 ( 12 ): 1320 - 1326 . https://doi.org/10.1111/j.1600-0501.2010.01964.x https://doi.org/10.1111/j.1600-0501.2010.01964.x
Scala A , Botticelli D , Faeda RS , et al. , 2012 . Lack of influence of the Schneiderian membrane in forming new bone apical to implants simultaneously installed with sinus floor elevation: an experimental study in monkeys . Clin Oral Implants Res , 23 ( 2 ): 175 - 181 . https://doi.org/10.1111/j.1600-0501.2011.02227.x https://doi.org/10.1111/j.1600-0501.2011.02227.x
Srouji S , Kizhner T , Ben David D , et al. , 2009 . The Schneiderian membrane contains osteoprogenitor cells: in vivo and in vitro study . Calcif Tissue Int , 84 ( 2 ): 138 - 145 . https://doi.org/10.1007/s00223-008-9202-x https://doi.org/10.1007/s00223-008-9202-x
Srouji S , Ben-David D , Lotan R , et al. , 2010 . The innate osteogenic potential of the maxillary sinus (Schneiderian) membrane: an ectopic tissue transplant model simulating sinus lifting . Int J Oral Maxillofac Surg , 39 ( 8 ): 793 - 801 . https://doi.org/10.1016/j.ijom.2010.03.009 https://doi.org/10.1016/j.ijom.2010.03.009
Suchanecka M , Grzelak J , Farzaneh M , et al. , 2025 . Adipose derived stem cells ‒ sources, differentiation capacity and a new target for reconstructive and regenerative medicine . Biomed Pharmacother , 186 : 118036 . https://doi.org/10.1016/j.biopha.2025.118036 https://doi.org/10.1016/j.biopha.2025.118036
Sui BD , Hu CH , Liu AQ , et al. , 2019 . Stem cell-based bone regeneration in diseased microenvironments: challenges and solutions . Biomaterials , 196 : 18 - 30 . https://doi.org/10.1016/j.biomaterials.2017.10.046 https://doi.org/10.1016/j.biomaterials.2017.10.046
Summers RB , 1994 . A new concept in maxillary implant surgery: the osteotome technique . Compendium , 15 ( 2 ): 152, 154 - 156, 158 .
Tatum H , 1986 . Maxillary and sinus implant reconstructions . Dent Clin North Am , 30 ( 2 ): 207 - 229 . https://doi.org/10.1016/S0011-8532(22)02107-3 https://doi.org/10.1016/S0011-8532(22)02107-3
Tooze RS , Miller KA , Swagemakers SMA , et al. , 2023 . Pathogenic variants in the paired-related homeobox 1 gene (PRRX1) cause craniosynostosis with incomplete penetrance . Genet Med , 25 ( 9 ): 100883 . https://doi.org/10.1016/j.gim.2023.100883 https://doi.org/10.1016/j.gim.2023.100883
Wang J , Sun Y , Liu YP , et al. , 2022 . Effects of platelet-rich fibrin on osteogenic differentiation of Schneiderian membrane derived mesenchymal stem cells and bone formation in maxillary sinus . Cell Commun Signal , 20 : 88 . https://doi.org/10.1186/s12964-022-00844-0 https://doi.org/10.1186/s12964-022-00844-0
Weng YT , Wang HC , Wu D , et al. , 2022 . A novel lineage of osteoprogenitor cells with dual epithelial and mesenchymal properties govern maxillofacial bone homeostasis and regeneration after MSFL . Cell Res , 32 ( 9 ): 814 - 830 . https://doi.org/10.1038/s41422-022-00687-x https://doi.org/10.1038/s41422-022-00687-x
Xie C , Liang RJ , Ye JC , et al. , 2022 . High-efficient engineering of osteo-callus organoids for rapid bone regeneration within one month . Biomaterials , 288 : 121741 . https://doi.org/10.1016/j.biomaterials.2022.121741 https://doi.org/10.1016/j.biomaterials.2022.121741
Yang CY , Li ZS , Liu Y , et al. , 2022 . Single-cell spatiotemporal analysis reveals cell fates and functions of transplanted mesenchymal stromal cells during bone repair . Stem Cell Rep , 17 ( 10 ): 2318 - 2333 . https://doi.org/10.1016/j.stemcr.2022.08.008 https://doi.org/10.1016/j.stemcr.2022.08.008
Yin L , Zhou ZX , Shen M , et al. , 2019 . The human amniotic mesenchymal stem cells (hAMSCs) improve the implant osseointegration and bone regeneration in maxillary sinus floor elevation in rabbits . Stem Cells Int , 2019 : 9845497 . https://doi.org/10.1155/2019/9845497 https://doi.org/10.1155/2019/9845497
Yu MF , Ma L , Yuan Y , et al. , 2021 . Cranial suture regeneration mitigates skull and neurocognitive defects in craniosynostosis . Cell , 184 ( 1 ): 243 - 256.e18 . https://doi.org/10.1016/j.cell.2020.11.037 https://doi.org/10.1016/j.cell.2020.11.037
Yuan Y , Loh YHE , Han X , et al. , 2020 . Spatiotemporal cellular movement and fate decisions during first pharyngeal arch morphogenesis . Sci Adv , 6 ( 51 ): eabb0119 . https://doi.org/10.1126/sciadv.abb0119 https://doi.org/10.1126/sciadv.abb0119
Zhao H , Feng JF , Ho TV , et al. , 2015 . The suture provides a niche for mesenchymal stem cells of craniofacial bones . Nat Cell Biol , 17 ( 4 ): 386 - 396 . https://doi.org/10.1038/ncb3139 https://doi.org/10.1038/ncb3139
Zhu JX , Xiong JB , Ji W , 2023 . A systematic review of bone marrow stromal cells and periosteum-derived cells for bone regeneration . Tissue Eng Part B Rev , 29 ( 2 ): 103 - 122 . https://doi.org/10.1089/ten.TEB.2022.0115 https://doi.org/10.1089/ten.TEB.2022.0115
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