Objective:To investigate the effect of activation of alpha 7 nicotinic acetylcholine receptors(α7-nAChRs)combined with calcium ion(Ca2+ )on the odontogenic/osteogenic differentiation of lipopolysaccharide(LPS)-stimulated human dental pulp stem cells (DPSCs). Methods:DPSCs were isolated and cultured,and surface marker expression of DPSCs was identified by flow cytometry. The effect of α7-nAChRs agonist PNU-282987 and Ca2+ on DPSCs proliferation were detected by CCK-8. The optimal concentration of PNU- 282987 to promote alkaline phosphatase(ALP)activity in DPSCs was determined through ALP activity and staining. E.coli lipoplysaccharide(LPS)was used to simulate inflammatory microenvironment stimulation of DPSCs. The expression of proteins:type Ⅰ collagen(COL-I),dentin sialoprotein(DSPP),osteopontin(OPN),ALP,runt-related transcription factor2(RUNX2),osterix(OSX), as well as the gene expression(COL-I,DSPP,OPN,ALP,RUNX2,OSX)and mineralized matrix related to odontogenic/osteogenic differentiation was examined by Western blot,quantitative real-time polymerase chain reaction(RT-qPCR)and Alizarin red staining.Fura-2 AM was used to detect intracellular Ca2+ flux. Results:The CCK-8 assay showed that PNU-282987 at a concentration of less than 10 μmol/L had no inhibitory effect on cell proliferation,and this concentration significantly increased ALP activity in LPS-stimulated DPSCs. Ca2+ at a concentration of less than 2 mmol/L had no inhibitory effect on cell proliferation;Western blot and RT-qPCR experiments showed that the expression of osteogenic/osteogenic related proteins(COL-I,DSPP,OPN,ALP,RUNX2,OSX), genes(COL-I,DSPP,OPN,ALP,RUNX2,OSX),and mineralized matrix formation in LPS-stimulated DPSCs were significantly upregulated after treated with PNU-282987 and Ca2+ ,with the most significant upregulation observed when the two were combined(P < 0.001). Fura-2 AM Ca2+ probe results revealed an increase in intracellular Ca2+ in DPSCs. Conclusion:10 μmol/L PNU-282987 combined with 2 mmol/L Ca2+ can promote the odontogenic/osteogenic differentiation of LPS-stimulated DPSCs.