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J Herbmed Pharmacol. 2026;15(2): 284-292.
doi: 10.34172/jhp.2026.53565
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Original Article

The effects of Scrophularia striata extract and adipose-derived stem cells on the expression of VEGF, CGRP, and TNF-α genes in dental pulp regeneration in an animal model

Hadi Shakerin 1,2 ORCID logo, Mohsen Yazdanian 1* ORCID logo, Zohreh Khalilak 2 ORCID logo, Zahra Bahari 3 ORCID logo, Masoud Ghorbani 4 ORCID logo, Mahmood Salesi 5 ORCID logo

1 Research Center for Prevention of Oral and Dental Diseases, Baqiyatallah University of Medical Sciences, Tehran, Iran
2 Department of Endodontics, School of Dentistry, Baqiyatallah University of Medical Sciences, Tehran, Iran
3 Department of Physiology and Medical Physics, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
4 Tissue Engineering and Regenerative Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
5 Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
*Corresponding Author: Mohsen Yazdanian, Email: drmyazdanian@yahoo.com

Abstract

Introduction: Scrophularia striata possesses wound-healing, anti-inflammatory, and antioxidant properties. The present study aimed to assess the angiogenic and anti-inflammatory effects of Scrophularia striata extract (SSE) and adipose-derived stem cells (SCs) on the expression of vascular endothelial growth factor (VEGF), calcitonin gene-related peptide (CGRP), and tumor necrosis factor-alpha (TNF-α) genes during pulp tissue regeneration in rat.

Methods: The experiment involved 16 male Wistar rats. Teeth were randomly allocated into four experimental groups (n = 4 per group): 1. Control, 2. SSE extract alone, 3. SCs alone, and 4. SCs+SSE. Two weeks following the induction of pulpal infection, intracanal injections of SSE or SCs were administered. After an additional 3 weeks, the treated teeth were extracted to collect dental pulp tissue. Quantitative real-time polymerase chain reaction (qRT-PCR) was applied to measure the VEGF, CGRP, and TNF-α gene expression levels.

Results: The mean VEGF expression in SCs+SSE group was significantly lower than in the control (P<0.01), whereas its level in the SSE group was significantly higher (P<0.01). The lowest TNF-α expression was observed in the SCs+SSE group, with the SSE group showing a significant increase compared with the control group (P<0.001). The lowest CGRP expression was observed in the SCs+SSE group, but mean CGRP gene expression in the studied groups was similar to that of the control group (P>0.05).

Conclusion: The results of this study suggest that adding SCs to SSE may provide a protective modulatory effect by suppressing inflammation and angiogenesis without significantly altering CGRP expression.


Implication for health policy/practice/research/medical education:

This experimental study shows that Scrophularia striata extract (SSE) increases vascular endothelial growth factor (VEGF) expression, and when used with stem cells (SCs), lowers proinflammatory markers (CGRP and TNF-α). These results suggest a possible treatment that may reduce the need for traditional root canal therapy after pulpal injury. Clinically, this supports the exploration of less invasive methods to preserve pulp tissue. In health policy, creating clear, evidence-based guidelines for these biological treatments could make tissue-preserving care more widely available and reduce long-term dental problems. Future studies should focus on how to apply these findings in practice, including the optimal doses, delivery methods, and safety.

Please cite this paper as: Shakerin H, Yazdanian M, Khalilak Z, Bahari Z, Ghorbani M, Salesi M. The effects of Scrophularia striata extract and adipose-derived stem cells on the expression of VEGF, CGRP, and TNF-α genes in dental pulp regeneration in an animal model. J Herbmed Pharmacol. 2026;15(2):284-292. doi: 10.34172/jhp.2026.53565.

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