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Root forma)on
Cementum Dentin
- Cementoblast
- Odontoblast
Role of PTH/PTHrP Receptor Signaling on Root
Formaꢀon
Epithelial rests of Malassez
(ERM)
Dental papilla cells
Wanida Ono
AGE Orthodonꢀcs, Department of Developmental Biology, Harvard School of Dental Medicine
Endocrine Unit, MassachuseLs General Hospital and Harvard Medical School
Dental follicle cells
Hertwig’s epithelial root sheath
(HERS)
Osterix
PTHrP-PPR system
PTHrP
•ꢀ Transcrip)on factor essenꢀal to osteoblast differenꢀaꢀon
(Nakashima K et al. 2002)
PTH/PTHrP receptor (PPR)
•ꢀ Expressed in odontoblasts and alveolar osteoblasts during
Gαs Gq
tooth development
(Chen S et al. 2009)
•ꢀ Controls cellular cementum formaꢀon
(Cao Z et al. 2012)
•ꢀ Mediates epithelial-mesenchymal interac)ons
•ꢀ Osterix-expressing precursors in the perichondrium move
to bone marrow and become osteoblasts during fetal
•ꢀ PTHrP is expressed in enamel epithelia/HERS? •ꢀ PPR is expressed in dental mesenchymes
(Beck et al 1995; Lee Deeds and Segre 1995; Liu et al 1998)
development
(Maes C, Kronenberg HM et al. 2010)
•ꢀ PTHrP is required for tooth erupꢀon in mice
(Philbrick WM, Karaplis AC et al. PNAS 1998)
Osterix+ cells
Root-forming progenitors
•ꢀ PPR haploinsufficiency is associated with primary
?
failure of tooth erupꢀon (PFE) in humans
(Decker E, Weber BH et al. Am J Hum Gen 2008)
PTHrP expression paꢀern during root morphogenesis
Aims of this study
•ꢀ Idenꢀfy how osterix-expressing progenitors contribute
PTHrPLacZ/+
x40
- P7
- P14
- P49
to murine root morphogenesis
•ꢀ Understand how PTH/PTHrP receptor signal regulates root-forming progenitors
PTHrP--acZ
- x200
- x400
- P7
- P14
PTHrP
Epithelial root sheath
?
PPR
PTHrP--acZ
Osx+ progenitors
Odontoblast Cementoblast
PTHrP parꢀcipates in ……..
-ꢀdental (root) development -ꢀhomeostasis of root-bone interface (composed by PDL, cementum)
Dental follicle/papilla cells
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Experimental approach (1)
Working hypothesis
•ꢀ Idenꢀfy how osterix-expressing progenitors contribute
to murine root forma)on
PTHrP
HERS (Epithelial root sheath)
Tamoxifen
Osx-CreERT2
?
Molar root forma+on
PPR
P3 P4 P7
- P11
- P25
Root-forming progenitors
CAG
Cementoblast
Tomato
loxP Stop loxP
X
Dental follicle cells
Cre
CAG
Tomato
Rosa26-Tomato
Osx+ cells are root-forming progenitors
In vivo fate mapping of Osx+ cells
Tam
- P3 P4
- P7
Osx+ cells
- P14
- P25
Dental pulp cells
Osx-CreER; Tomato
P4 (+1d)
Dental papilla
Odontoblasts
Osx+ cells
Periodontal ligament cells
Dental follicle
Postnatal day 4 Mandibular M1, mid-sagiLal secꢀon
Cementoblasts Alveolar osteoblasts
Experimental approach (2)
- Osx-Cre ; PPRflox /+
- PPRflox/flox
X
•ꢀ Understand how PTH/PTHrP receptor signal (PPR)
regulates root-forming progenitors
P7
- Control
- CondiIonal Het
CondiIonal KO
Osx-Cre ; PPRflox/+
PTH/PTHrP receptor (PPR) locus
- E1
- E2
PPR floxed allele
Cre
(Kobayashi T, Kronenberg HM et al. 2002)
X
E2
PPR null allele
PPRflox/flox
- Osx-Cre ; PPRflox/+
- Osx-Cre; PPRflox/flox
PPRflox/flox
2
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PPR signal in Osx+ progenitors are essen)al for root forma)on
Conclusion
•ꢀ Osterix-expressing cells are dental root-forming progenitors during morphogenesis:
Osx+ cells become dental pulp cells and odontoblasts,
Osx+ cells
PPR signal
Periodontal ligament cells
periodontal ligament cells, cementoblasts and alveolar osteoblasts
•ꢀ Deleꢀon of PTH/PTHrP receptor in Osx+ cells leads to
Dental follicle
dental root malforma)on and failure of erup)on
Cementoblasts
1)ꢀ Truncaꢀon of the dental root 2)ꢀ Hypogenesis of periodontal ligament 3)ꢀ Ankylosis of cementum to bone 4)ꢀ Underdeveloped mandible
PPR signal
5)ꢀ Failure of molar erupꢀon
“malformed/ truncated root”
Acknowledgement
Endocrine Unit / MassachuseLs General Hospitalꢀ
Hank Kronenberg Noriaki Ono Shigeki Nishimori Tatsuya Kobayashi Marc Wein Forest Lai Everyone in the Endocrine Unit
HSDM AGE Orthodonꢀcs Program Acknowledgement for Important Mice…ꢀ
Arthur Broadus
PTHrP-LacZ
Andrew McMahon
Osx-Cre::GFP
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