Uremia Induces Dental Pulp Ossification but Reciprocally Inhibits Adjacent Alveolar Bone Osteogenesis

Verfasser / Beitragende:
[Chih-Yu Yang, Zee-Fen Chang, Yat-Pang Chau, Ann Chen, Oscar Lee, An-Hang Yang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 97/5(2015-11-01), 466-475
Format:
Artikel (online)
ID: 605520917
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024 7 0 |a 10.1007/s00223-015-0030-5  |2 doi 
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245 0 0 |a Uremia Induces Dental Pulp Ossification but Reciprocally Inhibits Adjacent Alveolar Bone Osteogenesis  |h [Elektronische Daten]  |c [Chih-Yu Yang, Zee-Fen Chang, Yat-Pang Chau, Ann Chen, Oscar Lee, An-Hang Yang] 
520 3 |a Uremic patients are predisposed to atrophy of the alveolar bone and narrowing of the dental pulp chamber. Such pulp chamber changes have only been diagnosed radiologically; however, this has not been supported by any pathological evidence. We used a uremic rat model with secondary hyperparathyroidism induced by 5/6 nephrectomy surgery and high-phosphate diet to examine the dental pulp and adjacent alveolar bone pathology. In addition, we collected pulp tissues for real-time PCR. We found an opposite histopathological presentation of the ossified dental pulp and the osteomalacic adjacent alveolar bone. Furthermore, pulp cells with positive staining for Thy-1, a surrogate stem cell marker, were significantly reduced in the pulp of uremic rats compared to the controls, indicating a paucity of stem cells. This was further evidenced by the reduced pulp expression of dickkopf-1 (Dkk-1), a Wnt/β-catenin signaling inhibitor produced by mesenchymal stem cells. In contrast, expressions of receptor activator of nuclear factor κB ligand (RANKL) and RANK in uremic pulp were up-regulated, probably to counteract the ossifying process of uremic pulp. In conclusion, uremic pulp ossifications were associated with a paucity of stem cells and dysregulated Dkk-1 and RANKL signaling systems, further shifting the imbalance toward osteogenesis. Strategies to counteract such an imbalance may offer a potential therapeutic target to improve dental health in uremic patients, which warrants further interventional studies. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Uremia  |2 nationallicence 
690 7 |a Pulp ossification  |2 nationallicence 
690 7 |a Stem cells  |2 nationallicence 
690 7 |a Dickkopf-1  |2 nationallicence 
690 7 |a RANKL  |2 nationallicence 
690 7 |a Osteomalacia  |2 nationallicence 
700 1 |a Yang  |D Chih-Yu  |u Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan  |4 aut 
700 1 |a Chang  |D Zee-Fen  |u Institute of Biochemistry and Molecular Biology, National Yang-Ming University, Taipei, Taiwan  |4 aut 
700 1 |a Chau  |D Yat-Pang  |u Department of Medicine, Mackay Medical College, New Taipei City, Taiwan  |4 aut 
700 1 |a Chen  |D Ann  |u Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan  |4 aut 
700 1 |a Lee  |D Oscar  |u Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan  |4 aut 
700 1 |a Yang  |D An-Hang  |u Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/5(2015-11-01), 466-475  |x 0171-967X  |q 97:5<466  |1 2015  |2 97  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-015-0030-5  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00223-015-0030-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yang  |D Chih-Yu  |u Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chang  |D Zee-Fen  |u Institute of Biochemistry and Molecular Biology, National Yang-Ming University, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chau  |D Yat-Pang  |u Department of Medicine, Mackay Medical College, New Taipei City, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Ann  |u Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Oscar  |u Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yang  |D An-Hang  |u Institute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/5(2015-11-01), 466-475  |x 0171-967X  |q 97:5<466  |1 2015  |2 97  |o 223