Department of Periodontology, Tokyo Dental College, Tokyo, Japan.
J Dent Res. 2014 Mar;93(3):281-7. doi: 10.1177/0022034513519649. Epub 2014 Jan 22.
The temporomandibular joint (TMJ) functions as a load-bearing diarthrodial joint during mastication, and its continuous use and stress can lead to degeneration over age. Using senescence-accelerated (SAMP8) mice that develop early osteoarthritis-like changes in synovial joints at high frequency, we analyzed possible molecular mechanisms of TMJ degeneration and tested whether and how malocclusion may accelerate it. Condylar articular cartilage in young SAMP8 mice displayed early-onset osteoarthritic changes that included reductions in superficial/chondroprogenitor cell number, proteoglycan/collagen content, and Indian hedgehog (Ihh)-expressing chondrocytes. Following malocclusion induced by tooth milling, the SAMP8 condyles became morphologically defective, displayed even lower proteoglycan levels, and underwent abnormal chondrocyte maturation compared with malocclusion-treated condyles in wild-type mice. Malocclusion also induced faster progression of pathologic changes with increasing age in SAMP8 condyles as indicated by decreased PCNA-positive proliferating chondroprogenitors and increased TUNEL-positive apoptotic cells. These changes were accompanied by steeper reductions in Ihh signaling and by expression of matrix metalloproteinase 13 at the chondro-osseous junction in SAMP8 articular cartilage. In sum, we show for the first time that precocious TMJ degeneration in SAMP8 mice is accompanied by--and possibly attributable to--altered Ihh signaling and that occlusal dysfunction accelerates progression toward degenerative TMJ disease in this model.
颞下颌关节 (TMJ) 在咀嚼过程中作为承重的滑膜关节发挥功能,其持续使用和承受的压力会导致其随年龄增长而退化。我们使用衰老加速 (SAMP8) 小鼠作为模型,这些小鼠在滑膜关节中高频出现类似于骨关节炎的早期变化,分析 TMJ 退化的可能分子机制,并测试错颌是否会加速其退化。年轻的 SAMP8 小鼠髁突关节软骨出现了早期骨关节炎变化,包括浅层/软骨祖细胞数量减少、蛋白聚糖/胶原含量减少和表达印度刺猬因子 (Ihh) 的软骨细胞减少。在磨牙诱导错颌后,SAMP8 髁突的形态出现缺陷,与野生型小鼠中经错颌处理的髁突相比,其蛋白聚糖水平更低,软骨细胞成熟异常。随着 SAMP8 髁突年龄的增长,错颌也会加速病理变化的进展,表现为增殖性软骨祖细胞的 PCNA 阳性率降低和 TUNEL 阳性凋亡细胞增加。这些变化伴随着 Ihh 信号的急剧下降和软骨骨交界处基质金属蛋白酶 13 的表达增加。总之,我们首次表明,SAMP8 小鼠 TMJ 的早期退化伴随着——并且可能归因于——Ihh 信号的改变,而咬合功能障碍加速了该模型中退行性 TMJ 疾病的进展。