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Updated: Jun 20, 2026

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Isolation of Epithelial Cells from Human Dental Follicle
Published on: November 5, 2021
Hertwig's epithelial root sheath cells do not transform into cementoblasts in rat molar cementogenesis
Tsuneyuki Yamamoto1, Shigeru Takahashi
1Department of Developmental Biology of Hard Tissue, Hokkaido University, Graduate School of Dental Medicine, Kita 13, Nishi7, Kita-ku, Sapporo 060-8586, Japan.
Summary
This study investigated cementoblast origins, finding Hertwig's epithelial root sheath cells do not transform into cementoblasts. Findings confirm dental follicle cells are the origin of cementoblasts, refuting the epithelial-mesenchymal transformation hypothesis.
Area of Science:
- Developmental Biology
- Cell Biology
- Histology
Background:
- Cementoblasts are crucial for tooth root formation and repair.
- The traditional hypothesis posits cementoblasts originate from dental follicle mesenchymal cells.
- A recent hypothesis suggests Hertwig's epithelial root sheath cells undergo epithelial-mesenchymal transformation to become cementoblasts.
Purpose of the Study:
- To investigate the origin of cementoblasts.
- To determine if epithelial-mesenchymal transformation occurs in Hertwig's epithelial root sheath cells during rat molar development.
- To clarify the cellular origins of cementogenesis.
Main Methods:
- Developing rat molars were analyzed using double immunostaining techniques.
- Keratin and vimentin expression was examined to identify epithelial and mesenchymal cell markers.
- Runx2 (runt-related transcription factor 2) and keratin co-expression was assessed to evaluate potential epithelial-mesenchymal transformation.
Main Results:
- Epithelial sheath cells expressed keratin but lacked vimentin and Runx2.
- Dental follicle cells and cementoblasts expressed vimentin and Runx2 but not keratin.
- No cells exhibited co-expression of keratin with vimentin or Runx2, indicating no intermediate phenotypes.
Conclusions:
- Epithelial-mesenchymal transformation does not occur in Hertwig's epithelial root sheath during rat cementogenesis.
- These findings support the original hypothesis that dental follicle cells are the origin of cementoblasts.
- Hertwig's epithelial root sheath cells do not generate mineralized tissue.

