Department of Molecular Cell Biology and Oral Anatomy, Kyushu University Graduate School of Dental Science, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Department of Periodontology, Kyushu University Graduate School of Dental Science, Fukuoka, Japan.
Sci Rep. 2024 Mar 20;14(1):6719. doi: 10.1038/s41598-024-57361-y.
Alveolar bone loss caused by periodontal disease eventually leads to tooth loss. Periodontal ligament stem cells (PDLSCs) are the tissue-specific cells for maintaining and repairing the periodontal ligament, cementum, and alveolar bone. Here, we investigated the role of erythropoietin receptor (EPOR), which regulates the microenvironment-modulating function of mesenchymal stem cells, in PDLSC-based periodontal therapy. We isolated PDLSCs from patients with chronic periodontal disease and healthy donors, referred to as PD-PDLSCs and Cont-PDLSCs, respectively. PD-PDLSCs exhibited reduced potency of periodontal tissue regeneration and lower expression of EPOR compared to Cont-PDLSCs. EPOR-silencing suppressed the potency of Cont-PDLSCs mimicking PD-PDLSCs, whereas EPO-mediated EPOR activation rejuvenated the reduced potency of PD-PDLSCs. Furthermore, we locally transplanted EPOR-silenced and EPOR-activated PDLSCs into the gingiva around the teeth of ligament-induced periodontitis model mice and demonstrated that EPOR in PDLSCs participated in the regeneration of the periodontal ligament, cementum, and alveolar bone in the ligated teeth. The EPOR-mediated paracrine function of PDLSCs maintains periodontal immune suppression and bone metabolic balance via osteoclasts and osteoblasts in the periodontitis model mice. Taken together, these results suggest that EPOR signaling is crucial for PDLSC-based periodontal regeneration and paves the way for the development of novel options for periodontal therapy.
牙周病引起的牙槽骨丧失最终会导致牙齿脱落。牙周韧带干细胞(PDLSCs)是维持和修复牙周韧带、牙骨质和牙槽骨的组织特异性细胞。在这里,我们研究了促红细胞生成素受体(EPOR)在基于 PDLSC 的牙周治疗中的作用,EPOR 调节间充质干细胞的微环境调节功能。我们从慢性牙周病患者和健康供体中分离出 PDLSCs,分别称为 PD-PDLSCs 和 Cont-PDLSCs。与 Cont-PDLSCs 相比,PD-PDLSCs 的牙周组织再生能力降低,EPOR 表达降低。EPOR 沉默抑制 Cont-PDLSCs 的能力,模拟 PD-PDLSCs,而 EPO 介导的 EPOR 激活则使 PD-PDLSCs 减少的能力得到恢复。此外,我们将 EPOR 沉默和 EPOR 激活的 PDLSCs 局部移植到诱导牙周炎模型小鼠的牙齿周围牙龈中,并证明 PDLSCs 中的 EPOR 参与了结扎牙齿中牙周韧带、牙骨质和牙槽骨的再生。EPOR 介导的 PDLSCs 旁分泌功能通过破骨细胞和破骨细胞在牙周炎模型小鼠中维持牙周免疫抑制和骨代谢平衡。总之,这些结果表明 EPOR 信号对基于 PDLSC 的牙周再生至关重要,并为牙周治疗的新选择的开发铺平了道路。