West China Journal of Stomatology ›› 2021, Vol. 39 ›› Issue (6): 642-650.doi: 10.7518/hxkq.2021.06.004

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Effect of type 2 diabetes mellitus on mandibular bone regeneration and the expression of T helper cell 17/regulat-ory T cell-related factors in mice

Wang Yanan1(), Wu Xuan2, Jia Tingting1, Feng Yao1, Liu Shiyue3, Xu Xin1, Zhang Dongjiao1()   

  1. 1.Dept. of Implantology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan 250012, China
    2.Dept. of Implantology, Yuehu Branch, Ningbo Dental Hospital, Ningbo 315000, China
    3.Dept. of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, Jinan 250012, China
  • Received:2020-12-25 Revised:2021-09-14 Online:2021-12-01 Published:2021-12-03
  • Contact: Zhang Dongjiao E-mail:wangyanan3045@163.com;djzhang1109@163.com
  • Supported by:
    National Natural Science Foundation of China(82071148);Construction Engineering Special Fund of Taishan Scholars(TS201511106);Key Project of Chinese National Programs for Research and Development(2016YFC1102705);Natural Science Foundation of Shandong Province(ZR2020QH158);China Postdoctoral Science Foundation(2019M662371);Youth Scientific Research Funds of School of Stomatology, Shandong University(2019QNJJ03)

Abstract: Objective

To observe the effect of type 2 diabetes mellitus (T2DM) on mandibular bone regeneration and the expression of factors related to T helper cell 17 (Th17 cell) and regulatory T cell (Treg cell) in mice.

Methods

Thirty-six 6-week-old C57BL/6J male mice were randomly divided into normal control (NC) and T2DM groups. Fasting blood glucose levels were detected 0 d, 7 d, 14 d, and 28 d after surgery for mandibular defects. Hematoxylin-eosin (HE) staining was used in observing the bone after 7 d, 14 d, and 28 d of the healing process. Immunohistochemical staining was used in observing the expression of alkaline phosphatase (ALP), Runt-related transcription factor 2 (RUNX2), forkhead box protein P3 (Foxp3), retinoic acid related orphan receptor gamma T (RORγt), and protein tyrosine phosphatase non-receptor type 2 (PTPN2) after 7 d, 14 d, and 28 d of healing.

Results

HE staining showed that the area with new bones in the T2DM group was significantly smaller than that in the NC group. Immunohistochemical staining showed that the expression of osteogenesis related proteins ALP and RUNX2 were significantly reduced in the T2DM group. In addition, the number of RORγt positive cells increased, whereas the number of Foxp3 positive cells and the expression PTPN2 decreased significantly in the mandibular bone defect in mice with T2DM.

Conclusion

T2DM significantly inhibit mandibular bone regeneration in mice. Decline in PTPN2 expression and the transition of Treg and Th17 may be the underlying molecular mechanisms.

Key words: type 2 diabetes mellitus, bone regeneration, T helper cell 17, regulatory T cell, protein tyrosine phosphatase non-receptor type 2

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