Abstract

BackgroundThe periodontal ligament is essential for homeostasis of periodontal tissue. A hypoxic milieu of the periodontal tissue is generated under periodontitis or during orthodontic treatment, which affects the periodontal and bone remodelling process. Here, we provide a comprehensive proteomic characterization of periodontal ligament cells under hypoxic conditions, aiming to reveal previously unappreciated biological changes and to help advance hypoxia-based therapeutic strategies for periodontal diseases.MethodsHuman periodontal ligament cells (hPDLCs) were characterized using immunohistochemistry (IHC) and flow cytometry (FACS). Successful hypoxia treatment of hPDLCs with 1% O2 was confirmed by qRT-PCR. Proliferation was evaluated using an MTT assay. The proteomic expression profile under hypoxia was studied with the isobaric tags for relative and absolute quantification (iTRAQ) approach followed by protein identification and bioinformatic analysis, and western blot verification was performed.ResultsThe hPDLCs were positive for vimentin, CD73 and CD105 and negative for keratin, CD34 and CD45. After hypoxia treatment, the mRNA expression of hypoxia-inducible factor 1a (HIF1a) was upregulated. The proliferation rate was elevated during the first 6 h but decreased from 6 h to 72 h. A total of 220 differentially expressed proteins were quantified in hPDLCs under hypoxia (1% O2, 24 h), including 153 upregulated and 67 downregulated proteins, five of which were verified by western blot analysis. The Gene Ontology enriched terms included the energy metabolic process, membrane-bound organelle and vesicle, and protein binding terms. Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis indicated several involved pathways, including glycolysis/gluconeogenesis, biosynthesis of amino acids, the HIF-1 signalling pathway, and focal adhesion. A protein–protein interaction (PPI) network demonstrated the dominant role of autophagy over apoptosis under hypoxia.ConclusionThe proteomic profile of hPDLCs under hypoxia was mainly related to energy metabolism, autophagy, and responses to stimuli such as adhesion and inflammation. Previously unrecognized proteins including solute carrier family proteins, heat shock proteins, ubiquitination-related enzymes, collagen and S100 family proteins are involved in adaptive response to hypoxia in hPDLCs and are thus of great research interest in future work.

Highlights

  • The periodontal ligament is essential for homeostasis of periodontal tissue

  • The periodontal ligament (PDL) is composed of cells and extracellular components filled with abundant blood vessels, which form an oxygen-enriched periodontal niche crucial for the normal functions of the cells [2, 3]

  • Informed consent was obtained from patients. Human periodontal ligament cells (hPDLCs) were obtained according to previously described methods with minor modifications [17]

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Summary

Introduction

The periodontal ligament is essential for homeostasis of periodontal tissue. A hypoxic milieu of the periodontal tissue is generated under periodontitis or during orthodontic treatment, which affects the periodontal and bone remodelling process. An accurate measurement of rodent bone marrow has shown that the average oxygen tension outside the blood vessels is only 1.8% [6]. PDL tissue is susceptible to hypoxia when chronic inflammation, occlusal trauma or orthodontic force is present [7,8,9]. The applied force is transmitted via the PDL to the surrounding alveolar bone, and the blood flow is reduced at the compressed side, leading to ischaemia that affects PDLC behaviour and the absorption of the compressed alveolar bone [10]. Under circumstances of orthodontic force overload or occlusal trauma, the blood vessels in the PDL have been shown to be temporarily blocked, and thrombi have been shown to form [8, 10, 11], which severely impairs periodontal tissues. Oxygen tension plays an important role in the homeostasis and pathogenesis of periodontal tissue

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