Groeneveld M C, Everts V, Beertsen W
Department of Periodontology, Academic Centre for Dentistry Amsterdam, The Netherlands.
J Periodontal Res. 1996 Jan;31(1):66-72. doi: 10.1111/j.1600-0765.1996.tb00465.x.
Alkaline phosphatase (ALP) has been suggested to play a role in acellular cementum formation and maintenance of periodontal attachment. In an attempt to determine whether changes in attachment level are associated with altered expression of ALP-activity in the periodontium we induced natural loss of attachment in rats by pinning the lower incisor to the jaw bone. Previous studies have shown that this procedure results in regressive changes in the marginal periodontium without any inflammatory response. Six months after blockage of eruption the attachment level on the experimental (right) side had shifted about 700 microm in the apical direction. On the control (left) side the apical termination of the junctional epithelium had remained stationary with respect to the alveolar crest. Our observations have shown that during the first few weeks of the experiment loss of attachment is accompanied by considerable reduction of ALP-activity in the supracrestal part of the periodontium. At later time intervals, however, no distinct relation was found between apical migration of junctional epithelium and loss of ALP-activity in the supracrestal region, indicating that the two phenomena are not directly related to each other. The domain of the ALP-positive fibroblasts in the supracrestal extension of the periodontal ligament decreased in size and was replaced by ALP-negative connective tissue cells probably coming from the outer gingival domain. Since at all time intervals a distinct demarcation could be observed between the ALP-positive and ALP-negative areas, we interpret our data as indicating that ligament and gingival cells do not mix.
碱性磷酸酶(ALP)被认为在无细胞牙骨质形成和牙周附着的维持中起作用。为了确定附着水平的变化是否与牙周组织中ALP活性的表达改变相关,我们通过将大鼠下切牙固定于颌骨来诱导自然附着丧失。先前的研究表明,该操作会导致边缘牙周组织发生退行性变化,而无任何炎症反应。萌出受阻6个月后,实验侧(右侧)的附着水平向根尖方向移动了约700微米。在对照侧(左侧),结合上皮的根尖终止位置相对于牙槽嵴保持固定。我们的观察结果表明,在实验的最初几周内,附着丧失伴随着牙周膜龈上部分ALP活性的显著降低。然而,在随后的时间段内,未发现结合上皮的根尖迁移与龈上区域ALP活性丧失之间存在明显关系,这表明这两种现象并非直接相关。牙周膜龈上延伸部分中ALP阳性成纤维细胞的区域大小减小,并被可能来自外牙龈区域的ALP阴性结缔组织细胞所取代。由于在所有时间段都能观察到ALP阳性和阴性区域之间有明显的分界,我们将我们的数据解释为表明韧带细胞和牙龈细胞不会混合。