Institute of Dental Sciences, Faculty of Dental Medicine, Hebrew University, Jerusalem, Israel.
Department of Orthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
J Dent Res. 2021 Jul;100(7):731-738. doi: 10.1177/0022034520984774. Epub 2021 Jan 21.
Sustained mechanical forces applied to tissue are known to shape local immunity. In the oral mucosa, mechanical stress, either naturally induced by masticatory forces or externally via mechanical loading during orthodontic tooth movement (OTM), is translated, in part, by T cells to alveolar bone resorption. Nevertheless, despite being considered critical for OTM, depletion of CD4 and CD8 T cells is reported to have no impact on tooth movement, thus questioning the function of αβT cells in OTM-associated bone resorption. To further address the role of T cells in OTM, we first characterized the leukocytes residing in the periodontal ligament (PDL), the tissue of interest during OTM, and compared it to the neighboring gingiva. Unlike the gingiva, monocytes and neutrophils represent the major leukocytes of the PDL. These myeloid cells were also the main leukocytes in the PDL of germ-free mice, although at lower levels than SPF mice. T lymphocytes were more enriched in the gingiva than the PDL, yet in both tissues, the relative fraction of the γδT cells was higher than the αβ T cells. We thus sought to examine the role of γδT cells in OTM. γδT cells residing in the PDL were mainly Vγ6 and produced interleukin (IL)-17A but not interferon-γ. Using mice allowing conditional ablation of γδT cells in vivo, we demonstrate that OTM was greatly diminished in the absence of γδT cells. Further analysis revealed that ablation of γδT cells decreased early IL-17A expression, monocyte and neutrophil recruitment, and the expression of the osteoclastogenic molecule receptor activator of nuclear factor-κβ ligand. This, eventually, resulted in reduced numbers of osteoclasts in the pressure site during OTM. Collectively, our data suggest that γδT cells are essential in OTM for translating orthodontic mechanical forces to bone resorption, required for relocating the tooth in the alveolar bone.
持续的机械力作用于组织已知会影响局部免疫。在口腔黏膜中,机械应力,无论是咀嚼力自然诱导的,还是正畸牙齿移动(OTM)过程中外部机械加载引起的,都会部分通过 T 细胞转化为牙槽骨吸收。然而,尽管被认为对 OTM 至关重要,但 CD4 和 CD8 T 细胞耗竭据报道不会对牙齿移动产生影响,这对 OTM 相关骨吸收中αβT 细胞的功能提出了质疑。为了进一步研究 T 细胞在 OTM 中的作用,我们首先对牙周韧带(PDL)中存在的白细胞进行了特征描述,PDL 是 OTM 过程中感兴趣的组织,并将其与相邻的牙龈进行了比较。与牙龈不同,单核细胞和中性粒细胞是 PDL 的主要白细胞。这些髓样细胞也是无菌小鼠 PDL 中的主要白细胞,尽管水平低于 SPF 小鼠。T 淋巴细胞在牙龈中的富集程度高于 PDL,但在两种组织中,γδT 细胞的相对分数都高于αβ T 细胞。因此,我们试图研究 γδT 细胞在 OTM 中的作用。驻留在 PDL 中的 γδT 细胞主要是 Vγ6,产生白细胞介素(IL)-17A 但不产生干扰素-γ。使用允许体内条件性缺失 γδT 细胞的 小鼠,我们证明在没有 γδT 细胞的情况下,OTM 大大减少。进一步的分析表明,γδT 细胞缺失会降低早期 IL-17A 表达、单核细胞和中性粒细胞募集以及破骨细胞生成分子核因子-κβ配体受体激活剂的表达。最终,导致 OTM 期间压力部位的破骨细胞数量减少。总之,我们的数据表明,γδT 细胞在 OTM 中对于将正畸机械力转化为骨吸收是必不可少的,这对于将牙齿重新定位到牙槽骨中是必需的。