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[模拟咬合力对不同牙根吸收阶段乳牙牙周膜干细胞的影响]

[Effect of simulated occlusal force on periodontal ligament stem cells of the deciduous teeth at different stages of root absorption].

作者信息

Han X X, Liu J J, Di T K, Du Y, Wang J H, Zhang B Z, Wang H L, Chen Y J

机构信息

Department of Pediatric Dentistry, School of Stomatalogy, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Xi'an 710032, China.

Department of Medical Rehabilitation, School of Stomatology, The Fourth Military Medical University & State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi International Joint Research Center for Oral Diseases, Xi'an 710032, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Sep 9;56(9):866-872. doi: 10.3760/cma.j.cn112144-20210514-00243.

Abstract

To explore the related mechanisms of biological root resorption in decidual teeth by studying the biological effect of simulated occlusal force on the periodontal ligament stem cells (PDLSC) at different stages of root absorption. According to the tooth type and root absorption degree, healthy retained deciduous incisors and healthy first premolars that needed to be removed for orthodontic treatment were collected and divided into three groups with six teeth in each group: the deciduous unabsorbed group (UN group), the absorbed group (R group) and the permanent teeth group (P group). PDLSC was isolated from periodontal ligament and cultured. PDLSC of three groups were loaded with dynamic pressure of 0-45, 0-90, 0-135, 0-180, 0-225 and 0-270 kPa, respectively. The proliferation ability was detected by cell counting kit-8 (CCK-8) technique on day 1 to day 7, respectively. The apoptosis levels of PDLSC after loading with dynamic pressure of 0-45, 0-90, 0-135, 0-180 and 0-225 kPa were observed by the flow cytometry. The changes of microfilaments were observed by fibrous actin (F-actin) staining after the cytokeleton was subjected to dynamic pressure of 0-90 kPa. PDLSC of three groups exhibited various proliferation abilities to dynamic pressure. The values in the UN group and R group were significantly higher than those in the P group and the difference was statistically significant (0.05). However, there was no significant difference between the UN group and the R group (0.05). The values of PDLSC in UN group and R group under dynamic pressures of 0-45, 0-90, 0-135 and 0-180 kPa had no statistical significance compared with the control group unloading dynamic pressure (0.05). However, under 0-225 and 0-270 kPa dynamic pressures, the values at the day 3 to day 7 were statistically significant (0.05). The values of PDLSC in P group under 0-45, 0-90, 0-135, 0-180 and 0-225 kPa dynamic pressures for 1 to 7 days were no statistically significant difference compared with the control group (0.05). The value in P group under the 0-270 kPa was statistically significant only on day 3 (1.386±0.131) and day 5 to day 7 (1.728±0.226, 2.029±0.168 and 2.263±0.210, respectively)(0.05). The result of apoptosis showed that the values of PDLSC in UN group, R group and P group were significantly increased under 0-90, 0-135, 0-180 kPa and above dynamic pressures, respectively (0.05) compared with the control group unloading dynamic pressure. Under 0-90 kPa dynamic pressure, F-actin fluorescence staining samples in three groups all showed green filaments which were arranged along the long axis of the cells in the R group and the P group, while some fibers in the UN group were closely arranged and promoted stress fiber assembly. The biological characteristics of PDLSC at different root absorption stages were changed when they were stimulated by mechanical stress, and PDLSC of the deciduous teeth at the root unabsorption stage were more sensitive to mechanical stress stimulation.

摘要

通过研究模拟咬合力对不同牙根吸收阶段牙周膜干细胞(PDLSC)的生物学效应,探讨乳牙牙根生理性吸收的相关机制。根据牙位及牙根吸收程度,收集健康的滞留乳牙切牙及因正畸治疗需要拔除的健康第一前磨牙,分为三组,每组6颗牙:乳牙未吸收组(UN组)、吸收组(R组)和恒牙组(P组)。从牙周膜中分离培养PDLSC。三组PDLSC分别加载0 - 45、0 - 90、0 - 135、0 - 180、0 - 225和0 - 270 kPa的动态压力。分别在第1天至第7天通过细胞计数试剂盒-8(CCK-8)技术检测增殖能力。通过流式细胞术观察加载0 - 45、0 - 90、0 - 135、0 - 180和0 - 225 kPa动态压力后PDLSC的凋亡水平。在细胞骨架加载0 - 90 kPa动态压力后,通过纤维肌动蛋白(F-actin)染色观察微丝的变化。三组PDLSC对动态压力表现出不同的增殖能力。UN组和R组的值显著高于P组,差异有统计学意义(P<0.05)。然而,UN组和R组之间无显著差异(P>0.05)。与卸载动态压力的对照组相比,UN组和R组PDLSC在0 - 45、0 - 90、0 - 135和0 - 180 kPa动态压力下的值无统计学意义(P>0.05)。然而,在0 - 225和0 - 270 kPa动态压力下,第3天至第7天的值有统计学意义(P<0.05)。P组PDLSC在0 - 45、0 - 90、0 - 135、0 - 180和0 - 225 kPa动态压力下1至7天的值与对照组相比无统计学意义(P>0.05)。P组在0 - 270 kPa下仅在第3天(1.386±0.131)和第5天至第7天(分别为1.728±0.226、2.029±0.168和2.263±0.210)有统计学意义(P<0.05)。凋亡结果显示,与卸载动态压力的对照组相比,UN组、R组和P组PDLSC在0 - 90、0 - 135、0 - 180 kPa及以上动态压力下的值均显著增加(P<0.05)。在0 - 90 kPa动态压力下,三组的F-actin荧光染色样本均显示绿色细丝,R组和P组中细丝沿细胞长轴排列,而UN组中的一些纤维紧密排列并促进应力纤维组装。当受到机械应力刺激时,不同牙根吸收阶段的PDLSC生物学特性发生改变,牙根未吸收阶段的乳牙PDLSC对机械应力刺激更敏感。

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