orthodontic tooth movement Flashcards

1
Q

how do mechanical forces from otm allow for tooth movement?

A

mechanical signals must be converted into biochemical signals

cell-ECM interactions are altered

induces intracellular signals

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2
Q

how are mechanical forces converted into a biological response in OTM

A

integrin - extracellular matrix interactions

  • integrins = cell surface receptors
    • interact with proteoglycans, fibronectin, collagen
    • signalling
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3
Q

outline what occurs during mechanochemical signal conversion in otm

action of integrins

A
  • Integrins interact with molecules of ECM
    • Tension alters structure of matrix components
    • Integrin interacts
    • Influences which integrin interacts with matrix
    • Signalling output will be different
    • Can change matrix remodelling
    • Can alter ECM by cleaving peptide bonds
    • Effect on stability of interactions
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4
Q

How fibronectin is affected during mechanical force during OTM

A
  • Fibronectin (Fn) unfolded by force:
    • Functional consequences to the integrin/Fn interaction
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5
Q

how does stretching Fibronectin change signal output during OTM

A
  • stretching Fn changes integrin binding preferences and signal output
  • Changes in integrin interactions depending on conformation of ECM
    • Leads to further downstream signalling
  • RGD loop is exposed on surface of fibronectin
    • Available to interactions with integrin
    • Close to synergy site
      • Second binding site for integrin
    • Integrin is able to interact with RGD and synergy site
      • Stable binding here
    • Force applied
      • Alterations in structure
        • Synergy site and RGD loop are moved and changed structure
        • E.g. Site buried
      • Not available to interaction with that specific integrin
        • Dissociates from molecule
      • Free RGD loop
      • Allows binding of a different integrin
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6
Q

how is mechanical force transduced into the nucleus

A
  • FAK is activated and leads to phosphorylation of kinases
    • focal adhesion kinase
  • Can activate intracellular kinases
  • Phosphorylation of kinases leads to translocation into nucleus
  • Can bind to promoter regions of transcription factor
    • AP-1 is synthesised
      • transcription factor that regulates matrix
    • Further activation of target genes in the nucleus
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7
Q

Consequence of AP-1 transcription factor activation

A
  • AP-1 upregulates genes that degrade the ECM
    • MMPs
      • Degrade ECM components
      • MT1-MMP
        • Arises at cell membrane in active form
        • Degrades surface proteins and collagens
        • Can activate some proMMPs
  • ProMMPs
    • Secreted in ECM in inactive form
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8
Q

consequences of MMP activity

A

A tail of ECM destruction

Regulation of osteoclast differentiation

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9
Q

structures of MMPs - how confers function

A
  • MT1-MMP
    • Pro domain required to keep MMP inactive
    • Is secreted as active form
  • MMP-1,8,13
    • Have pro domain
    • C terminal
    • Found in different areas and cells
  • MMP-2,9
    • 3 fibrobnectin repeats
    • Able to degrade products collagenases produce
      • Into small peptides
      • So body can remove them
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10
Q

how is proteolytic activity of MMPs regulated

A
  • Collagenase (MMP-13) is activated by MT1-MMP at the cell surface
  • MMP-13 is produced as a proenzyme
    • Proteolytic cleavage dependent on MT1-MMP
    • Fully activated form
    • Active MMP-13
      • Drives hydrolysis of collagen
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11
Q

action of collagen (MMP-13)

A
  • drives hydrolysis of collagen
  • Collagen incubated with active MMP-13 and inactive MMP-13
  • Collagen is cut into 3/4 and 1/4 fragments
  • Fragments have altered integrin binding properties
  • Alter signalling responses
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12
Q

how does MT1-MMP regulate orthodontic tooth movement

A

regulates osteoclast differentiation rates

  • Regulation of osteoclastogenesis
    • Responsible for RANKL levels in plasma membrane
    • Can cleave RANKL from cell surface of pre-osteoblast
      • Responsible for osteoclastogenesis
    • Soluble RANKL - can be neutralised with OPG
    • Lack of MT1-MMP RANKL accumulation on the cell surface is not neutralisable by OPG
      • Activation of RANK signalling in osteoclasts
      • Rapid osteoclasogenesis
  • MT1-MMP is also collagenase

summary :

MT1-MMP releases RANK-ligand from pre-osteoblasts

Fine-tuning osteoclast numbers

Less bone resorption

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13
Q

In MT1-MMP null mice,

levels of RANKL?

osteoclast differentiation rate?

& what is the outcome

A

levels of RANKL = very high

osteoclast differentiation rate = very high

  • Membrane bound RANK-ligand induces rapid osteoclastogenesis
  • Net result:
    • rapid bone loss due to increased osteoclast numbers!!!!
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14
Q

summary of removal of bone on compression site

A
  • Cells respond to compression by production of matrix degrading enzymes (MMPs).
  • MMPs are activated by an activation cascade and start cleaving the extracellular matrix, including collagen.
  • Osteoclast precursors are recruited to the site of damage and undergo differentiation.
  • Osteoclasts produce acid proteinases that resorb the bone.
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15
Q

in otm, what induces osteoblast differentiation?

A
  • Proteinase activity releases growth factors from the ECM
  • Growth factor signalling leads to osteoblast differentiation
  • Induction of new ECM production:
    • collagens, proteoglycans & mineralization to bone
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16
Q

in otm, regulation of signalling in osteoclasts and osteoblasts ??

A
  • BMP/TGF-beta signals
  • Integrin/ECM signals
  • Growth factor signals:
  • Wnt pathway
  • G-coupled receptors
  • Ca2+ channels
17
Q

how does TGF-beta induce matrix synthesis?

A
  1. TGF-beta release blocks osteoclast differentiation - interactions with osteoclasts
  • When TGF-beta is bound to ECM - not available to bind to receptors on cell surface
  • MMPs released they degrade ECM - releasing TGF-beta
  • Osteoclast precursor cells lose expression of RANK receptor
    • Osteoclastogenesis does not occur
  1. TGF-beta released from ECM - interactions with osteoblasts
  • Prevents osteoblast apoptosis
    • Turns off apoptosis
      • Preosteoblasts can turn on matrix synthesis
  • Blocks osteoclast differentiation

3.

  • TGF-beta induces matrix synthesis
  • And MMP synthesis is inhibited
    • up regulates cellular synthesis
    • up regulation of transcriptional control of gene
    • increase in protein synthesis and secretion from cells
    • includes proteoglycans, collagen fibres
      • Remaking ECM
    • Mineralisation.
  • Blocks MMP production!!!!!
    • Allow formation of matrix
18
Q

summary of the build up of bone on the tension site

A
  • First: some resorption occurs which leads to growth factor release (TGF-beta) from the extracellular matrix!
  • Growth factor signalling
    • induces osteoblast differentiation from mesenchymal stem cell pool &
    • blocks osteoclast differentiation by suppression of RANK expression on monocytes.
  • Growth factor signalling leads to matrix synthesis.
    • And blocking of MMPs
    • = new synthesis of bone