IL-36 Induces Bisphosphonate-Related Osteonecrosis of the Jaw-Like Lesions in Mice by Inhibiting TGF-β-Mediated Collagen Expression.

IL-36 Induces Bisphosphonate-Related Osteonecrosis of the Jaw-Like Lesions in Mice by Inhibiting TGF-β-Mediated Collagen Expression.
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DOI:
10.1002/jbmr.2985
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发表时间:
2017-03
期刊:
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
影响因子:
--
通讯作者:
Kim RH
Kim RH
中科院分区:
其他
文献类型:
--
作者:
Kim S;Williams DW;Lee C;Kim T;Arai A;Shi S;Li X;Shin KH;Kang MK;Park NH;Kim RH

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长期使用含氮双膦酸盐可引起人类双膦酸盐相关性颌骨骨坏死(BRONJ)等有害副作用。虽然已知炎症与BRONJ的发展有关,但详细的潜在机制尚不清楚。在这里,我们报告了促炎细胞因子IL-36α在一定程度上负责BRONJ的发展。我们发现小鼠BRONJ病变中IL-36α水平明显升高,胶原蛋白水平明显降低。我们还发现IL-36α通过激活Erk信号通路显著抑制TGF-β介导的小鼠牙龈间充质干细胞中colα 1和α-Sma的表达。当体内IL-36信号被消除时,小鼠BRONJ病变的发展得到改善。综上所述,我们发现IL-36α通过抑制胶原表达在BRONJ发展中的病理作用,并证明IL-36α可能是预防和治疗BRONJ的潜在标记物和治疗靶点。
Long-term administration of nitrogen-containing bisphosphonates can induce detrimental side effects such as bisphosphonate-related osteonecrosis of the jaw (BRONJ) in human. Although inflammation is known to be associated with BRONJ development, the detailed underlying mechanism remains unknown. Here, we report that the pro-inflammatory cytokine IL-36α is, in part, responsible for the BRONJ development. We found a notably higher level of IL-36α and lower level of collagen in the BRONJ lesions in mice. We also found that IL-36α remarkably suppressed TGF-β-mediated expression of Collα1 and α-Sma via the activation of Erk signaling pathway in mouse gingival mesenchymal stem cells. When IL-36 signaling was abrogated in vivo, development of BRONJ lesions was ameliorated in mice. Taken together, we showed the pathologic role of IL-36α in BRONJ development by inhibiting collagen expression and demonstrated that IL-36α could be a potential marker and a therapeutic target for the prevention and treatment of BRONJ.
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