口腔医学研究 ›› 2026, Vol. 42 ›› Issue (7): 569-574.DOI: 10.13701/j.cnki.kqyxyj.2026.07.004

• 牙周病学研究 • 上一篇    下一篇

Amelotin基因对结合上皮屏障功能影响的研究

褚青1, 牟海瑜2, 许针针1, 孙轶群1, 高艳1, 高玉光1, 相黎黎1, 董志恒1*   

  1. 1.山东医药大学附属医院儿童口腔科 山东 滨州 256600;
    2.青岛大学附属烟台毓璜顶医院口腔科 山东 烟台 264000
  • 收稿日期:2025-10-15 发布日期:2026-07-22
  • 通讯作者: *董志恒,E-mail:dzh1987.good@163.com
  • 作者简介:褚青(1989~ ),女,山东枣庄人,硕士,研究方向:牙齿发育的分子机制研究。
  • 基金资助:
    国家自然科学基金(编号:82100999) 滨州医学院“临床+X”科技创新项目(编号:BY2021LCX19) 滨州医学院大创项目(编号:X2025104400979)

Impact of Amelotin Gene on Barrier Function of Junctional Epithelium

CHU Qing1, MU Haiyu2, XU Zhenzhen1, SUN Yiqun1, GAO Yan1, GAO Yuguang1, XIANG Lili1, DONG Zhiheng1*   

  1. 1. Department of Pediatric Dentistry, Shandong Medical and Pharmaceutical University Hospital, Binzhou 256600, China;
    2. Department of Stomatology, Yantai Yuhuangding Hospital of Qingdao University, Yantai 264000, China
  • Received:2025-10-15 Published:2026-07-22

摘要: 目的: 探讨amelotin敲除(Amtn-/-)对结合上皮屏障(junctional epithelium barrier, JEB)功能的影响。方法: 对比同窝Amtn-/-小鼠与野生型(wild type, WT)小鼠颌骨标本,通过扫描电镜(scanning electron microscope, SEM)、苏木精-伊红(hematoxylin-eosin,HE)染色、免疫组织化学检测(immunohistochemistry, IHC)及微计算机断层扫描(micro-computed tomography, micro-CT)分析牙周组织及釉质矿化情况。结果: 3月龄Amtn-/-小鼠出现牙槽骨吸收、根分叉暴露,牙周纤维紊乱、结合上皮(junctional epithelium, JE)断裂并向根方迁移,且随年龄增长而加剧。1月龄Amtn-/-小鼠磨牙釉质磨损严重,成釉细胞基质蛋白残留,未萌出磨牙Amtn-/-鼠缺乏上皮覆盖。对于Amtn-/-鼠,IHC显示层粘连蛋白亚基γ2(laminin gamma-2,LAMC2)在JE基板表达下调、JE内部上调;基质金属蛋白酶-9(matrix metalloproteinase-9, MMP-9)在JE基板和内部均增强。结论: Amtn基因缺失可引发釉质矿化不良、JE粘附破坏,可能与LAMC2和MMP-9异常表达有关。

关键词: Amelotin, 釉质发育不良, 结合上皮屏障, 上皮附着, 牙周病

Abstract: Objective: To investigate the impact of amelotin knockout (Amtn-/-) on the function of the junctional epithelium barrier (JEB). Methods: Mandibular specimens from littermate Amtn-/- and wild-type (WT) mice were compared. Periodontal tissue morphology and enamel mineralization were analyzed using scanning electron microscopy (SEM), hematoxylin-eosin (HE) staining, immunohistochemistry (IHC), and micro-computed tomography (micro-CT). Results: Three-month-old Amtn-/- mice exhibited alveolar bone resorption, furcation exposure, disorganized periodontal fibers, junctional epithelium (JE) disintegration with apical migration, and age-dependent exacerbation. One-month-old Amtn-/- mice showed severe molar enamel wear, residual matrix proteins in ameloblasts, and lack of epithelial coverage in unerupted molars (Amtn-/- mice). For Amtn-/- mice, IHC revealed downregulated laminin gamma-2 (LAMC2) expression in the JE basement membrane but upregulated within JE; matrix metalloproteinase-9 (MMP-9) expression was enhanced in both basement membrane and JE interior. Conclusion: Deletion of the Amtn gene can lead to poor enamel mineralization and destruction of JE adhesion, which may be related to the abnormal expression of LAMC2 and MMP-9.

Key words: Amelotin, amelogenesis imperfecta, junctional epithelial barrier, epithelial attachment, periodontal disease