The junctional epithelium is maintained by a stem cell population

X Yuan, J Chen, JA Grauer, Q Xu… - Journal of dental …, 2021 - journals.sagepub.com
X Yuan, J Chen, JA Grauer, Q Xu, LA Van Brunt, JA Helms
Journal of dental research, 2021journals.sagepub.com
The most fundamental function of an epithelial tissue is to act as a barrier, regulating
interactions between the external environment and the body. This barrier function typically
requires a contiguous cell layer but since teeth penetrate the oral epithelium, a modified
barrier has evolved, called the junctional epithelium (JE). In health, the JE attaches to the
tooth, sealing the inside of the body against oral micro-organisms. Breakdown of the JE
barrier results in periodontal ligament (PDL) disintegration, alveolar bone resorption, and …
The most fundamental function of an epithelial tissue is to act as a barrier, regulating interactions between the external environment and the body. This barrier function typically requires a contiguous cell layer but since teeth penetrate the oral epithelium, a modified barrier has evolved, called the junctional epithelium (JE). In health, the JE attaches to the tooth, sealing the inside of the body against oral micro-organisms. Breakdown of the JE barrier results in periodontal ligament (PDL) disintegration, alveolar bone resorption, and ultimately tooth loss. Using lineage tracing and DNA pulse-chase analyses, we identified an anatomical location in the JE that supported both fast- and slow-cycling Wnt-responsive stem cells that contributed to self-renewal of the tissue. Stem cells produced daughter cells with an extraordinarily high rate of turnover that maintained JE integrity for 1.4 y in mice. Blocking cell proliferation via a chemotherapeutic agent 5-fluorouracil (5-Fu) eliminated fast-cycling stem cells, which caused JE degeneration, PDL destruction, and bone resorption. Upon removal of 5-Fu, slow-cycling stem cells regenerated both the structure and barrier function of the JE. Taken together, our studies identified a stem cell population in the JE and have potential clinical implications for prevention and treatment of periodontitis.
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