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牙釉质浅层损伤后,Wnt 反应性成牙本质细胞分泌新的牙本质。

Wnt-Responsive Odontoblasts Secrete New Dentin after Superficial Tooth Injury.

机构信息

1 Department of Oral Basic Science, School of Dentistry, Lanzhou University, Lanzhou, China.

2 Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford School of Medicine, Stanford, CA, USA.

出版信息

J Dent Res. 2018 Aug;97(9):1047-1054. doi: 10.1177/0022034518763151. Epub 2018 Mar 22.

Abstract

The objective of our experiments was to identify new therapeutic strategies to stimulate dentin formation in an adult tooth. To address this objective, we evaluated dentin production in 2 acute trauma models: one involving a pulp exposure and the other involving a superficial dentin injury. Molecular, cellular, and histologic analyses revealed that in response to a severe injury, where the pulp is exposed to the oral cavity, cell death is rampant and the repair response initiates from surviving pulp cells and, to a lesser extent, surviving odontoblasts. When an injury is superficial, as in the case of a dentin injury model, then disturbances are largely confined to pulp tissue immediately underneath the damaged dentin tubules. We found that the pulp remained vital and innervated; primary odontoblasts upregulated HIF1α; and the rate of mineralization was significantly increased. A tamoxifen-inducible Axin2; R26R reporter strain was then used to demonstrate that a population of long-lived Wnt-responsive odontoblasts, which secreted dentin throughout the life of the animal, were responsible for depositing new dentin in response to a superficial injury. Amplifying Wnt signaling in the pulp stimulates dentin secretion, and in the dentin injury model, we show that a liposomal formulation of human WNT3A protein passes through dentinal tubules and is capable of upregulating Wnt signaling in the pulp. These data provide strong proof of concept for a therapeutic pulp-capping material to stimulate Wnt signaling in odontoblasts and thus improve the pulp repair response.

摘要

我们实验的目的是确定新的治疗策略,以刺激成年牙齿中的牙本质形成。为了实现这一目标,我们评估了两种急性创伤模型中的牙本质产生情况:一种涉及牙髓暴露,另一种涉及浅层牙本质损伤。分子、细胞和组织学分析表明,在严重损伤(牙髓暴露于口腔)的情况下,细胞死亡猖獗,修复反应由存活的牙髓细胞发起,在较小程度上由存活的成牙本质细胞发起。当损伤较浅时,如牙本质损伤模型,那么损伤仅限于受损牙本质小管下方的牙髓组织。我们发现牙髓仍然有活力和神经支配;原代成牙本质细胞上调 HIF1α;并且矿化速度显著增加。然后使用他莫昔芬诱导的 Axin2;R26R 报告品系证明,一群长寿的 Wnt 反应性成牙本质细胞,它们在动物的整个生命过程中分泌牙本质,负责对浅层损伤沉积新的牙本质。在牙髓中放大 Wnt 信号刺激牙本质分泌,在牙本质损伤模型中,我们表明人 WNT3A 蛋白的脂质体配方可穿过牙本质小管,并能够上调牙髓中的 Wnt 信号。这些数据为刺激成牙本质细胞中的 Wnt 信号以改善牙髓修复反应的治疗性牙髓盖髓材料提供了强有力的概念验证。

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