Nagata Mizuki, Gadhvi Gaurav T, Komori Taishi, Arai Yuki, Manabe Hiroaki, Chu Angel Ka Yan, Kaur Ramandeep, Ali Meer, Yang Yuntao, Tsutsumi-Arai Chiaki, Nakai Yuta, Matsushita Yuki, Tokavanich Nicha, Zheng W Jim, Welch Joshua D, Ono Noriaki, Ono Wanida
Department of Orthodontics, University of Texas Health Science Center at Houston School of Dentistry, Houston, TX, USA.
Department of Periodontology, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Nat Commun. 2025 Jul 1;16(1):5510. doi: 10.1038/s41467-025-61048-x.
The tooth root is a critical component of the tooth anchored to surrounding alveolar bones. Tooth root formation is driven by cells in the apical papilla (AP) that generate new dentin-forming odontoblasts at the root-forming front. Mesenchymal stem cells have been isolated from AP for regenerative use; however, how AP cells physiologically coordinate tooth root formation remains undefined. We find that CXCL12 cells emerge in AP under hypoxic environments at the onset of tooth root formation. Using Cxcl12-creER-based cell-lineage analysis, we further find that CXCL12 AP cells contribute not only to odontoblasts but also to cementum-forming cementoblasts of the elongating root, while showing plasticity to alveolar bone osteoblasts under regenerative conditions. Canonical Wnt inactivation inhibits odontoblast fates of CXCL12 AP cells and induces substantial root truncation, with their aberrant fibroblast fates suppressed by TGF-β receptor inhibitor galunisertib. Therefore, CXCL12 AP cells maintain odonto-cementogenic fates in a Wnt-dependent manner, identifying these cells as pivotal dental mesenchymal progenitor cells driving tooth root formation with substantial plasticity.
牙根是牙齿固定于周围牙槽骨的关键组成部分。牙根形成由根尖乳头(AP)中的细胞驱动,这些细胞在牙根形成前沿产生新的形成牙本质的成牙本质细胞。间充质干细胞已从AP中分离出来用于再生;然而,AP细胞如何在生理上协调牙根形成仍不清楚。我们发现,在牙根形成开始时的低氧环境中,CXCL12细胞出现在AP中。使用基于Cxcl12-creER的细胞谱系分析,我们进一步发现,CXCL12 AP细胞不仅对成牙本质细胞有贡献,而且对伸长牙根的形成牙骨质的成牙骨质细胞也有贡献,同时在再生条件下对牙槽骨成骨细胞表现出可塑性。经典Wnt失活抑制CXCL12 AP细胞的成牙本质细胞命运并导致明显的牙根截断,其异常的成纤维细胞命运被TGF-β受体抑制剂加芦比替抑制。因此,CXCL12 AP细胞以Wnt依赖的方式维持成牙本质-成牙骨质细胞命运,将这些细胞确定为驱动牙根形成且具有显著可塑性的关键牙间充质祖细胞。
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