Gama Andrea, Perea Linamary, Yepes Catalina, Betancur Jhon J, Vargas Jorge, Amiaud Jerôme, Babajko Sylvie, Lezot Frédéric, Castaneda Beatriz
Centre de Recherche des Cordeliers, INSERM, Sorbonne Université, USPC, Université Paris Descartes, Université Paris Diderot, Équipe BERDAL, 75006 Paris, France - Laboratoire d'Histopathologie orale, Faculté des sciences de la santé, Université de Brasilia, Brasilia, Brésil.
Faculté d'Odontologie, Université d'Antioquia, Medellín, Colombia.
Orthod Fr. 2019 Mar;90(1):55-63. doi: 10.1051/orthodfr/2019008. Epub 2019 Apr 17.
Recent observations performed in the orthodontic department of La Pitié-Salpêtrière hospital in Paris reported an increase of non-familial eruption defects of permanent molars. Our recent data have evidenced the involvement of osteoclasts (OC) in both the eruption and the dental retention processes through the RANKL/RANK/OPG signaling pathway. These facts are at the origin of the hypothesis of the existence of an environmental etiology for those eruption defects that would correspond to the perturbation of cellular autocrine/paracrine signaling pathways as the RANKL/ RANK/OPG.
C57BL/6 mice were submitted to repeated injections with anti-RANKL neutralizing antibody during the nine days following birth. A phenotypic comparison with transgenic mice overexpressing RANK was performed for the functional characterization of the RANKL/RANK/OPG pathway. The dento-alveolar complex was analyzed using micro-CT for bone density and Masson's trichrome staining for histological examination.
The RANKL transient invalidation of RANKL stopped the molar root development and tooth eruption contrary to transgenic mice overexpressing RANK. The recruitment and the OC activity were strongly impacted.
This research is of direct clinical interest in understanding the pathology of eruption as indirect in establishing orthodontic treatment protocols for particular cases.
最近在巴黎皮提耶-萨尔佩特里埃医院正畸科进行的观察报告称,恒牙非家族性萌出缺陷有所增加。我们最近的数据表明,破骨细胞(OC)通过RANKL/RANK/OPG信号通路参与了牙齿萌出和滞留过程。这些事实引发了一种假设,即这些萌出缺陷存在环境病因,这可能与细胞自分泌/旁分泌信号通路(如RANKL/RANK/OPG)的紊乱相对应。
在出生后的九天内,对C57BL/6小鼠反复注射抗RANKL中和抗体。与过表达RANK的转基因小鼠进行表型比较,以对RANKL/RANK/OPG通路进行功能表征。使用微型CT分析牙槽复合体的骨密度,并采用马松三色染色进行组织学检查。
与过表达RANK的转基因小鼠相反,RANKL的短暂失活阻止了磨牙牙根发育和牙齿萌出。破骨细胞的募集和活性受到了强烈影响。
这项研究对于理解萌出病理具有直接的临床意义,对于为特定病例制定正畸治疗方案也具有间接的临床意义。