Bosshardt Dieter D, Nanci Antonio
Department of Periodontology and Fixed Prosthodontics, School of Dental Medicine, University of Berne, Berne, Switzerland.
J Clin Periodontol. 2004 Mar;31(3):184-92. doi: 10.1111/j.0303-6979.2004.00473.x.
The aim of this study was to analyze the association between Hertwig's epithelial root sheath (HERS) cells, enamel matrix proteins (EMPs), and cementogenesis.
Porcine teeth were examined at the beginning of root formation by light and transmission electron microscopy. Colloidal gold immunocytochemistry was used to analyze the protein expression of amelogenin and ameloblastin.
Before and during disintegration of HERS, its cells displayed the cytologic features of protein synthesis and secretion. While some cells assumed an ameloblast-like phenotype, others extended their territory away from the root surface. A collagenous matrix filled the widening intercellular spaces, and tonofilaments and desmosomes were still present in cells featuring the morphologic characteristics of cementoblasts. Labeling for amelogenin was observed but ameloblastin was not immunodetected. Labeling was associated with organic matrix deposits that were sporadically and randomly distributed both along the root surface and away from it among the dissipated epithelial cells.
These findings suggest that HERS' cells occasionally assume a lingering ameloblastic activity at the beginning of root formation in the pig. While the results do not support the hypothesis of a causal relationship between EMPs and cementogenesis, they lend support to the concept of an epithelial origin of cementoblasts.
本研究旨在分析赫特维希上皮根鞘(HERS)细胞、釉基质蛋白(EMP)与牙骨质形成之间的关联。
在牙根形成初期,采用光学显微镜和透射电子显微镜对猪牙进行检查。运用胶体金免疫细胞化学法分析釉原蛋白和成釉蛋白的蛋白表达情况。
在HERS解体之前及解体过程中,其细胞呈现出蛋白质合成与分泌的细胞学特征。部分细胞呈现成釉细胞样表型,而其他细胞则向远离牙根表面的区域扩展。细胞间隙增宽处充满胶原基质,具有成牙骨质细胞形态特征的细胞中仍存在张力丝和桥粒。观察到釉原蛋白的标记,但未检测到成釉蛋白的免疫反应。标记与有机基质沉积物相关,这些沉积物在牙根表面及分散的上皮细胞中远离牙根表面处呈散在且随机分布。
这些发现表明,在猪牙根形成初期,HERS细胞偶尔会呈现持续的成釉细胞活性。虽然结果不支持EMP与牙骨质形成之间存在因果关系的假说,但它们支持成牙骨质细胞起源于上皮的概念。