Linking the Mechanics of Chewing to Biology of the Junctional Epithelium

Author:

Yuan X.12ORCID,Liu B.1,Cuevas P.1,Brunski J.1,Aellos F.1,Petersen J.3,Koehne T.3,Bröer S.4ORCID,Grüber R.5,LeBlanc A.6,Zhang X.17,Xu Q.18ORCID,Helms J.A.1ORCID

Affiliation:

1. Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA

2. Department of Otolaryngology-Head & Neck Surgery, School of Medicine, Indiana University, Indianapolis, IN, USA

3. Department of Orthodontics, University of Leipzig Medical Center, Saxony, Germany

4. Institute of Pharmacology and Toxicology, School of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany

5. Department of Oral Biology, University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria

6. Centre for Oral, Clinical & Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London, UK

7. State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Disease, West China Hospital of Stomatology, Sichuan University, Chengdu, China

8. The Affiliated Hospital of Qingdao University, College of Stomatology, Qingdao University, Qingdao, China

Abstract

The capacity of a tissue to continuously alter its phenotype lies at the heart of how an animal is able to quickly adapt to changes in environmental stimuli. Within tissues, differentiated cells are rigid and play a limited role in adapting to new environments; however, differentiated cells are replenished by stem cells that are defined by their phenotypic plasticity. Here we demonstrate that a Wnt-responsive stem cell niche in the junctional epithelium is responsible for the capability of this tissue to quickly adapt to changes in the physical consistency of a diet. Mechanical input from chewing is required to both establish and maintain this niche. Since the junctional epithelium directly attaches to the tooth surface via hemidesmosomes, a soft diet requires minimal mastication, and consequently, lower distortional strains are produced in the tissue. This reduced strain state is accompanied by reduced mitotic activity in both stem cells and their progeny, leading to tissue atrophy. The atrophied junctional epithelium exhibits suboptimal barrier functions, allowing the ingression of bacteria into the underlying connective tissues, which in turn trigger inflammation and mild alveolar bone loss. These data link the mechanics of chewing to the biology of tooth-supporting tissues, revealing how a stem cell niche is responsible for the remarkable adaptability of the junctional epithelium to different diets.

Funder

National Institute of Dental and Craniofacial Research

Publisher

SAGE Publications

Subject

General Dentistry

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