Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China.
Department of Stomatology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
J Dent Res. 2021 Nov;100(12):1378-1386. doi: 10.1177/00220345211009471. Epub 2021 May 12.
It is widely known that smoking is a risk factor for bone loss and plays a key role in osteopenia. Despite this well-known association, the mechanisms by which smoking affects bone have not been definitively established. Since smoking increases bone loss and potentially affects bone resorption in response to mechanical force, we investigated the impact of cigarette smoke on osteoclast numbers and underlying mechanisms in a mouse model of orthodontic tooth movement (OTM). The experimental group was exposed to once-daily cigarette smoke while the control group was not, and tooth movement distance and osteoclast numbers were assessed. In addition, the effect of cigarette smoke extract (CSE) on osteoclast precursor proliferation and osteoclast apoptosis was assessed in vitro. We found that cigarette smoke exposure enhanced bone remodeling stimulated by mechanical force and increased osteoclast numbers in vivo. Also, CSE increased the number of osteoclasts by inhibiting osteoclast apoptosis via the mitochondrial reactive oxygen species/cytochrome C/caspase 3 pathway in vitro. Moreover, exposure of mice to cigarette smoke affected bone marrow cells, leading to increased formation of osteoclasts in vitro. This study identifies a previously unknown mechanism of how smoking has a detrimental impact on bone.
众所周知,吸烟是导致骨质流失的一个风险因素,在骨质疏松症中起着关键作用。尽管这种关联广为人知,但吸烟影响骨骼的确切机制尚未确定。由于吸烟会增加骨质流失,并可能影响对机械力的骨吸收,我们在正畸牙齿移动(OTM)的小鼠模型中研究了香烟烟雾对破骨细胞数量和潜在机制的影响。实验组每天接受一次香烟烟雾暴露,而对照组则不接受,评估牙齿移动距离和破骨细胞数量。此外,还在体外评估了香烟烟雾提取物(CSE)对破骨细胞前体增殖和破骨细胞凋亡的影响。我们发现,香烟烟雾暴露增强了机械力刺激的骨重塑,并增加了体内破骨细胞的数量。此外,CSE 通过线粒体活性氧/细胞色素 C/半胱天冬酶 3 途径抑制破骨细胞凋亡,从而增加体外破骨细胞的数量。此外,香烟烟雾暴露还会影响骨髓细胞,导致体外破骨细胞形成增加。这项研究确定了一个以前未知的机制,即吸烟如何对骨骼产生不利影响。