Department of Stomatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Key Laboratory of Tissue Microenvironment and Tumor, Shanghai Institute of Nutrition and Health, Shanghai Institutes for Biological Sciences, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China.
J Dent Res. 2023 Jan;102(1):61-71. doi: 10.1177/00220345221116031. Epub 2022 Sep 12.
Periodontitis comprises a series of inflammatory responses resulting in alveolar bone loss. The suppression of osteogenesis of periodontal ligament stem cells (PDLSCs) by inflammation is responsible for impaired alveolar bone regeneration, which remains an ongoing challenge for periodontitis therapy. Ubiquitin C-terminal hydrolase L1 (UCHL1) belongs to the family of deubiquitinating enzymes, which was found to play roles in inflammation previously. In this study, the upregulation of UCHL1 was identified in inflamed PDLSCs isolated from periodontitis patients and in healthy PDLSCs treated with tumor necrosis factor-α or interleukin-1β, and the higher expression level of UCHL1 was accompanied with the impaired osteogenesis of PDLSCs. Then UCHL1 was inhibited in PDLSCs using the lentivirus or inhibitor, and the osteogenesis of PDLSCs suppressed by inflammation was rescued by UCHL1 inhibition. Mechanistically, the negative effect of UCHL1 on the osteogenesis of PDLSCs was attributable to its negative regulation of mitophagy-dependent bone morphogenetic protein 2/Smad signaling pathway in periodontitis-associated inflammation. Furthermore, a ligature-induced murine periodontitis model was established, and the specific inhibitor of UCHL1 was administrated to periodontitis mice. The histological results showed increased active osteoblasts on alveolar bone surface and enhanced alveolar bone regeneration when UCHL1 was inhibited in periodontitis mice. Besides, the therapeutic effects of UCHL1 inhibition on ameliorating periodontitis were verified, as indicated by less bone loss and reduced inflammation. Altogether, our study proved UCHL1 to be a key negative regulator of the osteogenesis of PDLSCs in periodontitis and suggested that UCHL1 inhibition holds promise for alveolar bone regeneration in periodontitis treatment.
牙周炎包括一系列炎症反应,导致牙槽骨丧失。炎症抑制牙周韧带干细胞(PDLSCs)的成骨作用是导致牙槽骨再生受损的原因,这仍然是牙周炎治疗的一个持续挑战。泛素 C 端水解酶 L1(UCHL1)属于去泛素化酶家族,先前发现其在炎症中发挥作用。在这项研究中,在从牙周炎患者中分离出的炎症 PDLSCs 以及用肿瘤坏死因子-α或白细胞介素-1β处理的健康 PDLSCs 中,发现 UCHL1 上调,并且 UCHL1 的表达水平较高伴随着 PDLSCs 成骨作用受损。然后使用慢病毒或抑制剂抑制 PDLSCs 中的 UCHL1,炎症抑制的 PDLSCs 成骨作用通过 UCHL1 抑制得到挽救。在机制上,UCHL1 对 PDLSCs 成骨作用的负面影响归因于其对骨形态发生蛋白 2/Smad 信号通路的负调控,该通路在牙周炎相关炎症中依赖于细胞自噬。此外,建立了结扎诱导的小鼠牙周炎模型,并向牙周炎小鼠给予 UCHL1 的特异性抑制剂。组织学结果显示,当在牙周炎小鼠中抑制 UCHL1 时,牙槽骨表面的活跃成骨细胞增加,并且牙槽骨再生增强。此外,通过抑制 UCHL1 减轻牙周炎的治疗效果得到了验证,表现为骨丢失减少和炎症减轻。总之,我们的研究证明 UCHL1 是牙周炎中 PDLSCs 成骨作用的关键负调控因子,并表明抑制 UCHL1 有望用于牙周炎的牙槽骨再生治疗。