Runx2 heterozygosity alters homeostasis of the periodontal complex

J Periodontal Res. 2024 Feb;59(1):151-161. doi: 10.1111/jre.13198. Epub 2023 Oct 26.

Abstract

Background and objective: Haploinsufficiency of Runx2 (Runx2+/- ) causes dental anomalies. However, little is known about the involvement of Runx2 in the maintenance of dentin, cementum, and the periodontal ligament (PDL) during adulthood. This study aimed to observe the effects of Runx2+/- on homeostasis of the periodontal complex.

Materials and methods: A total of 14 three-month-old Runx2+/- mice and their wild-type littermates were examined using micro-computed tomography, histology, and immunohistochemistry. Phenotypic alterations in the dentin, cementum, and PDL were characterized and quantified.

Results: Haploinsufficiency of Runx2 caused cellular changes in the PDL space including reduction of cell proliferation and apoptosis, and irregular attachment of the collagen fibers in the PDL space into the cementum. Absence of continuous thickness of cementum was also observed in Runx2+/- mice.

Conclusion: Runx2 is critical for cementum integrity and attachment of periodontal fibers. Because of its importance to cementum homeostasis, Runx2 is essential for homeostasis of periodontal complex.

Keywords: Runx2 haploinsufficiency; cementum; collagen fiber; osteogenic factors; periodontal ligament.

MeSH terms

  • Animals
  • Core Binding Factor Alpha 1 Subunit / genetics
  • Dental Cementum*
  • Immunohistochemistry
  • Mice
  • Periodontal Ligament*
  • X-Ray Microtomography

Substances

  • Runx2 protein, mouse
  • Core Binding Factor Alpha 1 Subunit