Department of Oral Anatomy and Physiology and TMD, School of Stomatology, Fourth Military Medical University, Xi'an, China.
J Oral Rehabil. 2013 Jul;40(7):500-8. doi: 10.1111/joor.12072. Epub 2013 May 15.
The effect of unilateral anterior crossbite on the remodelling of mandibular condyle needs to be investigated. This study aimed to investigate the effects of experimentally created unilateral anterior crossbite on the remodelling of mandibular condyle and explore the changes in the expression of relevant transcription factors and growth factors. The experimental unilateral anterior crossbite was created in 6-week-old female growing rats by bonding metal tubes to the left pairs of incisors. Remodelings of mandibular condylar cartilage was assessed histologically at 2, 4 and 8 weeks. Protein and mRNA levels of Sox9, runt-related transcription factor 2 (Runx2), Osterix (Osx), transforming growth factor beta 1 (TGFβ1), transforming growth factor beta receptor 2 (TGFβr2) and type X collagen (ColX) were investigated by immunohistochemistry and real-time PCR, while alkaline phosphatise (ALP) by histochemistry and real-time PCR. Decreased ratio of hypertrophic cartilage layer was noticed in the 4w experimental group versus controls. At all the time points, the expression of Sox9 and ALP increased but that of TGFβ1 and TGFβr2 decreased in experimental groups (P < 0·05). The expression of Runx2, Osx and Col X increased at 2w, but decrease at 4w (P < 0·05). The results that obvious cartilage degradation and altered expression of related transcription factors and growth factors were detected in the mandibular condyles of the experimental group suggested that the present unilateral anterior crossbite plays an adverse role in the TMJ, and thus leading to the degenerative endochondral ossification.
单侧前牙反[牙合]对下颌髁突改建的影响尚需研究。本研究旨在探讨实验性单侧前牙反[牙合]对下颌髁突改建的影响,并探索相关转录因子和生长因子表达的变化。通过将金属管粘接到左侧切牙上,在 6 周龄雌性生长大鼠中建立实验性单侧前牙反[牙合]。在 2、4 和 8 周时通过组织学评估下颌髁突软骨的改建。通过免疫组织化学和实时 PCR 研究 Sox9、runt 相关转录因子 2(Runx2)、成骨相关转录因子 2(Osx)、转化生长因子 β1(TGFβ1)、转化生长因子 β 受体 2(TGFβr2)和 X 型胶原(ColX)的蛋白和 mRNA 水平,通过组织化学和实时 PCR 研究碱性磷酸酶(ALP)。与对照组相比,实验组在 4w 时出现肥大软骨层比例降低。在所有时间点,实验组 Sox9 和 ALP 的表达增加,但 TGFβ1 和 TGFβr2 的表达减少(P < 0.05)。实验组 Runx2、Osx 和 ColX 的表达在 2w 时增加,但在 4w 时减少(P < 0.05)。实验组成年大鼠下颌髁突软骨中出现明显的软骨降解和相关转录因子和生长因子表达改变的结果表明,本实验性单侧前牙反[牙合]对 TMJ 产生不利影响,从而导致退行性软骨内成骨。