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Publication : Autophagy Plays a Crucial Role in Ameloblast Differentiation.

First Author  Iwaya C Year  2023
Journal  J Dent Res Volume  102
Issue  9 Pages  1047-1057
PubMed ID  37249312 Mgi Jnum  J:359323
Mgi Id  MGI:7785658 Doi  10.1177/00220345231169220
Citation  Iwaya C, et al. (2023) Autophagy Plays a Crucial Role in Ameloblast Differentiation. J Dent Res 102(9):1047-1057
abstractText  Tooth enamel is generated by ameloblasts. Any failure in amelogenesis results in defects in the enamel, a condition known as amelogenesis imperfecta. Here, we report that mice with deficient autophagy in epithelial-derived tissues (K14-Cre;Atg7(F/F) and K14-Cre;Atg3(F/F) conditional knockout mice) exhibit amelogenesis imperfecta. Micro-computed tomography imaging confirmed that enamel density and thickness were significantly reduced in the teeth of these mice. At the molecular level, ameloblast differentiation was compromised through ectopic accumulation and activation of NRF2, a specific substrate of autophagy. Through bioinformatic analyses, we identified Bcl11b, Dlx3, Klk4, Ltbp3, Nectin1, and Pax9 as candidate genes related to amelogenesis imperfecta and the NRF2-mediated pathway. To investigate the effects of the ectopic NRF2 pathway activation caused by the autophagy deficiency, we analyzed target gene expression and NRF2 binding to the promoter region of candidate target genes and found suppressed gene expression of Bcl11b, Dlx3, Klk4, and Nectin1 but not of Ltbp3 and Pax9. Taken together, our findings indicate that autophagy plays a crucial role in ameloblast differentiation and that its failure results in amelogenesis imperfecta through ectopic NRF2 activation.
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