Ultrastructural and immunohistochemical study of the effect of sodium alendronate in the progression of experimental periodontitis in rats.

The aim of the present research was to investigate the ultrastructural aspects and the immunoexpression of receptor activator of NFκB ligand (RANKL) and osteoprotegerin (OPG) on experimental periodontal disease of alendronate (ALN)-treated rats. Male Wistar rats received daily injections of 2.5 mg/kg body weight of ALN during 7 days previously and 7, 14, and 21 days after the insertion of a 4.0 silk suture into the gingival sulcus around the right upper second molar. Specimens were fixed in 0.1% glutaraldehyde + 4% formaldehyde under microwave irradiation, decalcified in 4.13% EDTA and paraffin embedded for TRAP histochemistry and immunohistochemistry for RANKL and OPG, or embedded in Spurr epoxy resin for TEM analysis. ALN reduced the activity of osteoclasts and significantly decreased the resorption of the alveolar crest. In the control group the alveolar crest appeared resorbed by TRAP-positive osteoclasts, which presented ultrastructural features of activated cells. The immunoexpression of RANKL was not inhibited by the drug; however, the expression of OPG was increased in the treated animals. The alveolar crest of ALN-treated specimens at 21 days showed signs of osteonecrosis, like empty osteocyte lacunae, the exposed bone regions and bacterial infection. The results showed that ALN treatment in individuals with periodontal disease represents a risk of osteonecrosis because of the reduced activity of osteoclasts resultant of the increased immunoexpression of OPG.

Comparison of odontogenic differentiation of human dental follicle cells and human dental papilla cells.

Classical tooth development theory suggests that dental papilla cells (DPCs) are the precursor cells of odontoblasts, which are responsible for dentin development. However, our previous studies have indicated that dental follicle cells (DFCs) can differentiate into odontoblasts. To further our understanding of tooth development, and the differences in dentinogenesis between DFCs and DPCs, the odontogenic differentiation of DFCs and DPCs was characterized in vitro and in vivo. DFCs and DPCs were individually combined with treated dentin matrix (TDM) before they were subcutaneously implanted into the dorsum of mice for 8 weeks. Results showed that 12 proteins were significantly differential, and phosphoserine aminotransferase 1 (PSAT1), Isoform 2 of hypoxia-inducible factor 1-alpha (HIF1A) and Isoform 1 of annexin A2 (ANXA2), were the most significantly differential proteins. These proteins are related to regulation of bone balance, angiogenesis and cell survival in an anoxic environment. Both DFCs and DPCs express odontogenic, neurogenic and peridontogenic markers. Histological examination of the harvested grafts showed that both DFCs and DPCs form pulp-dentin/cementum-periodentium-like tissues in vivo. Hence, DFCs and DPCs have similar odontogenic differentiation potential in the presence of TDM. However, differences in glucose and amino acid metabolism signal transduction and protein synthesis were observed for the two cell types. This study expands our understanding on tooth development, and provides direct evidence for the use of alternative cell sources in tooth regeneration.

Formation of bone-like tissue by dental follicle cells co-cultured with dental papilla cells.

During tooth root formation, dental follicle cells (DFCs) differentiate into osteoblasts/cementoblasts when they are in contact with pre-existing dentin. Since some factors of dentin matrix were also produced by dental papilla cells (DPCs) and could induce DFCs differentiation, we hypothesized that DPCs can directly promote DFCs differentiation and that differentiation could occur in a co-culture model. To test this hypothesis, we investigated the characteristics of DFCs that are influenced by DPCs in an in vitro co-culture and in vivo heterotopic transplant model. One week into the co-culture, there were significant increases in the mRNA level of bone morphogenetic protein 2 (BMP2), osteoprotegerin (OPG), bone sialoprotein (BSP) and osteocalcin (OCN), and a decrease of the receptor activator of nuclear factor κB ligand (RANKL). Additionally, the number of BMP2-, OPG-, BSP- and OCN-positive DFCs increased whereas RANKL-positive DFCs decreased. Three weeks after co-culture, DFCs produced calcified nodules, accompanied with increased sub-cellular organelles for protein synthesis and secretion. In the heterotopic transplant model, the adult male rats were used as hosts, DFCs were transplanted into the omentum. In vivo 5-week growth of DFCs in the presence of DPCs led to the formation of bone-like tissues, positive for BSP, OCN and BMP2. In contrast, DFCs alone led to fibrous-like tissues. These results indicated that in the absence of pre-existing dentin, DPCs can stimulate osteogenesis and inhibit osteoclastogenesis in DFCs and suggested a novel strategy to promote DFCs differentiation.

[Rat dental papilla cell culture with nanometer-HAP in vitro].

OBJECTIVE: To determine the effects of nano-hydroxyapatite(nano-HAP)on the proliferation and activity of rat dental papilla cells(RDPCs)in vitro, and to evaluate the feasibility of using nano-hydroxyapatite(nano-HAP)as dental papilla cell scaffold in dental tissue engineering. METHODS: RDPCs cultured with the porous nano-HAP in vitro served as the experimental group, and the routine culture of RDPCs in flasks served as the control. Scanning electronic microscope was used to observe the growth and adherence of the RDPCs to nano-HAP. Cell proliferation, cellular protein content, and alkaline phosphatase(ALP) were detected to assess the cellular activities. RESULTS: RDPCs proliferated well, and adhered to the outer and inner surface of the nano-HAP scaffold. Compared with the control group, cells in the experimental group presented higher proliferation on 6 d and 8 d and higher cellular protein content on 6 d and 9 d. No significant difference was detected in the ALP activity in the 2 groups. CONCLUSION: RDPCs seeded into nano-HAP grow better and have more vigorous cellular activity, suggesting that nano-HAP has excellent biocompatibility with dental papilla cells, and it can serve as a promising scaffold for dental tissue engineering.

Collagen analysis in human tooth germ papillae.

The extracellular matrix (ECM) performs a very important role in growth regulation and tissue differentiation and organization. In view of this, the purpose of this study was to analyze the collagen, the major organic component of dental pulp ECM, in papillae of human tooth germs in different developmental phases. The maxillas and mandibles of 9 human fetuses ranging from 10 to 22 weeks of intrauterine life were removed and 16 tooth germs (1 in the cap stage, 8 in the early bell stage and 7 in the late bell stage) were obtained. The pieces were processed for histological analysis and stained with hematoxylin-eosin, Masson's Trichrome and picrosirius staining technique. Both types of collagen in the dental papilla were only detected by the picrosirius staining technique under polarized light microscopy. Type III collagen was detected in all specimens. Type I collagen was present in focal areas of the dental papilla only in some specimens. In conclusion, the findings of this study showed that type III collagen is a regular component of the papillae of human tooth germs whereas type I collagen is present in a significantly lesser amount.

Collagen analysis in human tooth germ papillae

The extracellular matrix (ECM) performs a very important role in growth regulation and tissue differentiation and organization. In view of this, the purpose of this study was to analyze the collagen, the major organic component of dental pulp ECM, in papillae of human tooth germs in different developmental phases. The maxillas and mandibles of 9 human fetuses ranging from 10 to 22 weeks of intrauterine life were removed and 16 tooth germs (1 in the cap stage, 8 in the early bell stage and 7 in the late bell stage) were obtained. The pieces were processed for histological analysis and stained with hematoxylin-eosin, Masson's Trichrome and picrosirius staining technique. Both types of collagen in the dental papilla were only detected by the picrosirius staining technique under polarized light microscopy. Type III collagen was detected in all specimens. Type I collagen was present in focal areas of the dental papilla only in some specimens. In conclusion, the findings of this study showed that type III collagen is a regular component of the papillae of human tooth germs whereas type I collagen is present in a significantly lesser amount.

A matriz extracelular (MEC) tem um papel importante na regulação do crescimento e na diferenciação e organização dos tecidos. Com base nestes aspectos o objetivo do deste estudo foi analisar o colágeno, maior componente orgânico da MEC da polpa dentária, na papila de germes dentários humanos, em diferentes fases do desenvolvimento. Foram obtidos fragmentos de maxilas e mandíbulas de 9 fetos humanos com 10 a 22 semanas de vida intra-uterina, dos quais foram analisados 16 germes dentários (1 em estágio de capuz, 8 em estágio de campânula precoce e 7 em estágio de campânula tardia). Secções histológicas seriadas foram coradas com hematoxilina e eosina, tricrômico de Masson e técnica de coloração do picrosirius. Ambos os tipos de colágeno na papila dentária foram somente detectados pela técnica de coloração do picrosirius usando microscopia de luz polarizada. Colágeno tipo III foi detectado em todas as amostras. Colágeno tipo I estava presente em áreas focais da papila dental em algumas amostras. Concluiu-se que o colágeno tipo III mostrou-se um componente regular da papila de germes dentários humanos, enquanto o colágeno tipo I esteve presente em quantidade significativamente menor.

Transmission and scanning electron microscopic observations of epithelial-mesenchymal interface of rat tooth germs using dithiothreitol separation.

Aperiodic fibrils (AF) project from the interstitial side of the lamina densa of the basement membrane (BM) of the inner enamel epithelium (IE), and show remarkable changes in their morphology during development. The three-dimensional morphology of aperiodic fibrils during development has not been observed, because of the difficulty of exposing the interstitial surface of the BM of the inner enamel epithelium. In the present study, the dithiothreitol separation method was applied to expose the interstitial side of the inner enamel epithelial BM of rat tooth germs for the purpose of observing the exposed aperiodic fibrils by transmission and scanning electron microscopy (TEM and SEM, respectively). After dithiothreitol treatment, the enamel organ (EO) was mechanically separated from the dental papilla (DP). In the region with poorly-developed aperiodic fibrils, the separation occurred at the junction between the inner enamel epithelial BM and the dental papilla, and the aperiodic fibrils were exposed, showing the typical picture of dithiothreitol separation. SEM observation of this region revealed that the aperiodic fibrils were connected to each other and they formed networks. These networks resembled those formed by the anchoring fibrils of epidermal and mucosal epithelial BMs. TEM and SEM observations revealed that there were sidechain-like structures on the surface of the aperiodic fibrils. In the region with well-developed aperiodic fibrils, dithiothreitol treatment was not entirely effective, and some mesenchymal tissues remained on the BM. In this region, TEM observation revealed that the aperiodic fibrils were arranged in parallel with each other, and were connected by the sidechains. Several thin collagen fibrils, which were thought to be immature collagen fibrils (CF) of the predentine, were also connected to the aperiodic fibrils with these sidechains and arranged in parallel with them. Based on SEM and TEM observations, the aperiodic fibrils may be regarded as a kind of anchoring fibrils and they may play a role in connecting the BM with the mesenchymal tissue below. They are also thought to guide the arrangement of collagen fibrils in the surface layer of the predentin.

Expression and localization of connexin 43 in rat incisor odontoblasts.

We have examined the expression and localization of connexin 43 (CX43) in rat incisor odontoblasts using reverse transcriptase polymerase chain reaction, in situ hybridization and immunohistochemistry. The CX43 gene was expressed in odontoblasts, and levels of gene expression increased throughout the course of development. In contrast, CX43 was down-regulated at an incisal segment. In situ hybridization analysis showed no positive signal for CX43 RNA in the cytoplasm of differentiating dental papilla cells, but faint positive signals for CX43 RNA were observed in early pre-odontoblasts. Those signals were more intense in young and in old odontoblasts, but were less in short odontoblasts. CX43 could not be detected in differentiating dental papilla cells or in early pre-odontoblasts by immunohistochemical localization, but a positive reaction was found in the late pre-odontoblast stage where predentin had been produced. The positivity gradually increased during odontoblast maturation, and was highest in the layer of old odontoblasts. These results indicate that odontoblasts that secrete actively dentin matrix components are tightly in contact with each other by gap junctions as suggested by the intense CX43.

Ultrastructure and composition of basement membranes in the tooth.

The tooth, the hardest organ in the body, is known to be formed through highly elaborate, unique processes of differentiation and development. Basement membranes play critical roles in fundamentally important biological processes such as growth and differentiation, and for better understanding of the mechanism of development and maintenance of the tooth, specializations of tooth basement membranes are reviewed in detail in relation to their roles. The basement membrane at such diverse locations in the tooth as the inner enamel epithelium, maturation-stage ameloblasts, and junctional epithelium at the dentogingival border are specialized in their own highly unique ways for anchoring, firm binding, or mediation in the transport of substances. Thus, the role of basement membranes in the developing and mature tooth is manifold and for these roles individual basement membranes are specialized in their own specific ways which are rare or not seen in nondental tissues, and these specializations are essential for successful development and maintenance of the tooth.

Dissection of the odontoblast differentiation process in vitro by a combination of FGF1, FGF2, and TGFbeta1.

Dental papillae (DP) isolated from first lower molars of 17-day-old mouse embryos were cultured in the presence of combinations of the following growth factors: FGF1, FGF2, and TGFbeta1. After 6 days in culture, only the DP treated with FGF1+TGFbeta1 contained differentiated odontoblast-like cells at the periphery of the explants, and these cells secreted extracellular matrix similar to predentin. Surprisingly, treatments with FGF2+TGFbeta1 induced cell polarization at the surface of the explants but no matrix secretion was observed. Electron microscopy and histochemical analysis of odontoblast markers showed that differentiated cells induced by FGF1+TGFbeta1 exhibited cytological features of functional odontoblasts with matrix vesicle secretion and mineral formation, positive alkaline-phosphatase activity, and type-I collagen production. DP cultured in the presence of FGF2+TGFbeta1 showed cell polarization and long and thin cell processes containing matrix vesicles; however, type-I collagen secretion was not detected and alkaline-phosphatase activity was completely inhibited. Our results indicate that, in our culture system, exogenous combinations of FGF1, FGF2, and TGFbeta1 interact with preodontoblasts and induce cell polarization or differentiation, which can be studied separately in vitro. Thus, FGF1 and TGFbeta1 do have a synergic effect to promote morphological and functional features of differentiated odontoblasts whereas FGF2 seems to modulate TGFbeta1 action, causing morphological polarization of preodontoblasts but limiting the functional activity of these cells in terms of type-I collagen secretion and alkaline-phosphatase activity.

Oral sensory papillae, chemo- and mechano-receptors, in the snake, Elaphe quadrivirgata. A light and electron microscopic study.

The oral sensory papillae of the snake (Elaphe quadrivirgata), comprising a compound sensory system located along the tooth rows, were studied by light microscopy, immunohistochemistry for neuron specific enolase and S 100 protein, and scanning and transmission electron microscopy. Each sensory papilla exhibited a single taste bud and free nerve endings in the epithelium, and Meissner-like corpuscles, branched coiled terminals, and lamellated corpuscles in the connective tissue. The taste buds consisted of four types of cells; the type III cells, exclusively synapsing onto intragemmal nerves, were identified as gustatory in function. The gustatory cells included dense-cored and clear vesicles in the cytoplasm. These vesicles were accumulated both in the presynaptic and infranuclear regions, suggesting dual functions: the synaptocrine and paracrine/endocrine release of signal substances. The free nerve endings constantly contained mitochondria and frequent clear vesicles. The Meissner-like corpuscles were located in the uppermost zone of the connective tissue. These corpuscles consisted of nerve fibers and lamellar cells. The nerve fibers, rich in mitochondria, were folded and layered on each other. The branched coiled terminals were localized in the connective tissue along the side wall of the papillae. Nerve fibers, free from a Schwann-cell covering, swelled up to make terminals which accumulated mitochondria and glycogen particles. The lamellated corpuscles were associated with the nerve-fiber bundles in the connective tissue. Consisting of a central nerve axon and lamellar cells encircling it, these corpuscles resembled mammalian Vater-Pacini corpuscles, except that they lacked a capsule. These findings demonstrated that the snake sensory papilla represents one of the most specialized, compound sensory systems among vertebrates, which may play an important role in receiving chemical and mechanical information on prey.

Basement membrane-like structures occurring on the surface of dental papilla mesenchymal cells during odontogenesis in the monkey Macaca fuscata.

The aim of this study was to examine the nature of a basement membrane-like structure occurring along the surface of dental papilla cells during odontogenesis. The tooth germs of Japanese macaques (Macaca fuscata) were prepared for both ultrastructural and immunohistochemical studies. Characteristic discrete structures which resembled basement membranes were observed along the surface of the dental papilla cells, preodontoblasts, and also of the odontoblasts. Immunoperoxidase staining showed that these structures contained major basement membrane components including laminin, heparan sulfate proteoglycan, type IV collagen, as well as fibronectin. They tended to be less prominent along dental pulp fibroblasts and fully developed odontoblasts in comparison with those along the papilla cells localized close to the basement membrane of the inner enamel epithelium. Therefore, possible roles of these basement membrane-like structures would be: 1) to support the cells, 2) to momentarily secure the appropriate positions of differentiating mesenchymal cells, and 3) to regulate epithelial-mesenchymal interactions for odontoblast differentiation.

Mineralized nodule formation by human dental papilla cells in culture.

Human dental papilla cells were enzymatically separated from deciduous tooth germs of an 8-month-old embryo legally aborted. The second passage cells were cultured up to 35 days in 3 groups. The beta-GP group was cultured in the Dulbecco MEM containing ascorbic acid and beta-glycerophosphate supplemented with 15% fetal bovine serum. The Dex group was in the same medium, in addition containing dexamethasone. The control group contained none of the 3 chemicals. Mineralized nodules were formed after 15 days in the beta-GP and Dex groups. Only in the presence of ascorbic acid and organic phosphate did they mineralize. The addition of dexamethasone caused a significant increase in the number of nodules. By electron microscopy, the nodules contained needle-shaped crystals associated with a network of collagen fibrils. Calcium and phosphorus were detected by energy-dispersive X-ray microanalysis in the nodules. Furthermore, the crystalline material exhibited a pattern consistent with hydroxyapatite and dentin when examined by X-ray diffractometry. Cells showed high levels of alkaline phosphatase activity, which was increased 2-3 times in the presence of the 3 chemicals. These results indicated that human dental papilla cells have the ability to form dentin in culture. The formation of mineralized nodules by human dental papilla in vitro provides a useful model for studying the morphogenesis and differentiation of dental papilla ectomesenchyme.

Immunohistochemical and biochemical analysis of laminin in neonatal rat first molars.

Rabbit polyclonal antibody against mouse EHS laminin was used to investigate the distribution and composition of laminin in the rat first molar tooth germ. Immunohistochemical analysis showed that laminin is expressed in the inner and outer epithelia of the enamel organ and in small blood vessels in the dental papilla and strellate reticulum. Immunoblots revealed that tooth germ laminin differs from EHS laminin. Tooth germ laminin contains beta chains, while the alpha 1 chain is substituted by a 300-kDa chain. Two-dimensional electrophoresis analysis of tooth germ extract showed that beta chains appeared as four spots with approximate pI values of 6.6, 7.5, 7.8 and 8.5. These results indicate that more than-one type of laminin isoform is present in the first molar tooth germ. Additionally, we have shown that despite the early degradation of tooth germ basement membrane, the laminin molecule is still intact at the time of birth.

Don't confuse dental soft tissues with odontogenic tumors.

Surgical pathologists are cautioned against the misinterpretation of immature dental tissues (dental papillae and follicles) and dental pulp as odontogenic tumors, especially odontogenic myxomas and fibromas. The close histologic similarity of the immature tissues to tumors may require a clinical-radiologic correlation with the histopathologic specimen in order to distinguish the locally aggressive tumors from innocuous dental tissues.

Immunolocalization of the small proteoglycan decorin in human teeth.

The immunolocalization of decorin was studied by confocal laser scanning microscopy and transmission electron microscopy. In the apical area of developing teeth, labelling for decorin was found in the dental papilla cells, prodontoblasts and also in the Hertwig's epithelial cells. Mantle dentine and the initial predentine were negative. In circumpulpal dentine, intense reactivity extended along the calcification front and dentinal tubules. Fluorescence was also evident in odontoblast cell bodies and their processes in predentine. None was perceived, however, in the predentinal matrix. Faint staining was observed on the calcified dentinal matrix. Immunoelectron microscopy revealed staining for decorin in collagen fibrils lining the predentine-dentine junction, and where arrays of labelled filaments were noted orthogonal to the collagen fibrils. Staining extending from the calcification front was observed in the matrix adjacent to the dentinal tubule. The decorin observed at the calcification front might regulate the mineralization of dentinal matrix.

The spatial localization of Dlx-2 during tooth development.

The spatial distribution of Dlx-2 protein during murine tooth development has been investigated using immunohistochemistry with Dlx-2 antibodies. In common with several other homeobox genes expressed in toothgerms, Dlx-2 shows a multiphasic distribution in both epithelially and mesenchymally derived structures. This localization shows a number of similarities with the expression of Msx-2 and suggests a role for Dlx-2 in tooth initiation and tissue patterning.

Expression of basement membrane components in the dental papilla mesenchyme of monkey tooth germs--an immunohistochemical study.

The present work, which employs indirect immunoperoxidase methods, demonstrates electron microscopic localization of three major basement membrane (BM) components--type IV collagen, laminin, and heparan sulfate proteoglycan--at the early stages of odontogenesis in tooth germs of the Japanese macaque (Macaca fuscata). Intense immunostaining for each examined component occurred at the interface between the inner enamel epithelium and the dental papilla mesenchyme. At higher magnification, immunoreaction products were observed both in the lamina densa and lamina fibroreticularis. Fuzzy substances occurring very close to the lamina fibroreticularis manifested moderate immunoreactivity. In addition, immunostaining took place in the dental papilla mesenchyme. The dental papilla cells located close to the BM demonstrated immunoreactive material mainly on plasma membranes facing the BM. Reaction products were also observed in large concavities formed in some areas of the cell surfaces; and small, immunopositive vesicles occurred close to the plasma membrane. Immunoreaction products could be found in the cisternae of the rough endoplasmic reticulum of some mesenchymal cells. These findings suggest that dental papilla mesenchymal cells may produce the three major BM components and those of the components that are incorporated into the dental BM--particularly into the lamina fibroreticularis--during tooth development.

Cytoskeleton of the mesenchymal cells of the rat dental papilla and dental pulp.

This study describes the immunolocalization of actin, cytokeratins and vimentin during differentiation of the dental papilla in the rat. Incisors and first molars were sectioned from mandibles of Wistar rats from embryonic day (E)-14 to (E)-21 and weeks 1, 2, 3, 12 and 104 after birth, fixed in 90% alcohol, decalcified in EDTA, infiltrated with 5% sucrose, frozen in dry ice, and cryosectioned at 10 microns. The sections were immunolabelled using indirect immunofluorescence with a panel of monoclonal antibodies and FITC-phalloidin for F-actin localization. F-actin was present in follicular mesenchyme and odontoblast processes. Vimentin labelled dental papilla fibroblasts, differentiating, functional (secretory) and aged odontoblasts. Vimentin was uniformly localized in the cytoplasm of pre-odontoblasts but was redistributed to the apical pole of these cells during polarization. Of the cytokeratins, only cytokeratin 19 was found in differentiating odontoblasts. It was not present in dental papilla fibroblasts, functional or aged odontoblasts. These results suggest that actin and the redistribution of vimentin may be involved in odontoblast differentiation and odontoblast process formation/support and that these events may be preceded by the expression of cytokeratin 19.

In vitro effects of retinoic acid on mouse incisor development.

The developing dentition is known to express the complete set of retinoic acid (RA) nuclear receptors and cytoplasmic RA-binding proteins (CRABPI and II), and RA is required for in vitro mouse molar morphogenesis, so the role of RA during in vitro mouse incisor development was investigated. Histological procedures, immunocytochemical detection of proliferating cells, immunofluorescence detection of laminin, and in situ hybridization with RNA probes for CRABPI and II were done on the tooth-germ cultures either in the presence or in the absence of RA. RA appeared to control initial morphogenesis, particularly the asymmetrical growth of the cervical loop, and to regulate required differential mitotic activity. RA seemed also to be involved in asymmetrical laminin deposition. The distribution of the CRABP gene transcripts was similar during in vivo and in vitro incisor development. However, CRABPI gene transcript distribution in the labial part of the epithelial loop was detected in vitro only in the presence of RA. A direct role of the CRABPs during tooth development is, however, unlikely because Ch55, a synthetic RA analogue that does not bind to CRABP, had the same effects as RA on in vitro incisor development.