口腔医学 ›› 2026, Vol. 46 ›› Issue (6): 416-421.

• 基础与临床研究 • 上一篇    下一篇

ATF6在巨噬细胞介导的牙周炎进程中的作用研究

陈健, 戴书玥, 张沁宇, 周奕一, 毕梦霏, 沈铭()   

  1. 南京医科大学附属口腔医院口腔修复科, 口腔疾病研究与防治国家级重点实验室培育建设点(南京医科大学),江苏省口腔转化医学工程研究中心, 江苏南京 (210029)
  • 收稿日期:2026-02-13 出版日期:2026-06-28 发布日期:2026-06-17
  • 通讯作者: 沈铭 E-mail:shenming@njmu.edu.cn
  • 基金资助:
    国家自然科学基金面上项目(82471017);江苏省卫生健康委科研项目(M2021018);江苏省科教能力提升工程——江苏省研究型医院(YJXYYJSDW4);江苏省医学创新中心(CXZX202227)

The role of ATF6 in macrophage-mediated periodontitis progression

CHEN Jian, DAI Shuyue, ZHANG Qinyu, ZHOU Yiyi, BI Mengfei, SHEN Ming()   

  1. Department of Prosthodontics, The Affiliated Stomatological Hospital of Nanjing Medical University, State Key Laboratory Cultivation Base of Research, Prevention and Treatment for Oral Diseases(Nanjing Medical University), Jiangsu Province Engineering Research Center of Stomatological Translational Medicine, Nanjing 210029, China
  • Received:2026-02-13 Online:2026-06-28 Published:2026-06-17

摘要:

目的 探究转录激活因子6(activating transcription factor 6,ATF6)介导的巨噬细胞功能重塑在牙周炎症及牙槽骨吸收中的作用。方法 通过脂多糖(lipopolysaccharide, LPS)刺激小鼠单核巨噬细胞RAW264.7构建体外炎症模型,采用RT-qPCR检测炎症因子及ATF6表达变化,并利用siRNA敲低ATF6验证ATF6的功能。构建巨噬细胞特异性ATF6敲除小鼠(ATF6fl/fl;Cx3cr1CreERT2),采用丝线结扎法建立牙周炎模型,通过Micro-CT、HE染色及骨形态计量分析评估牙槽骨吸收及炎症水平变化。结果 LPS刺激后巨噬细胞ATF6表达显著升高,炎症水平显著增强;敲低ATF6可显著抑制LPS诱导的巨噬细胞中促炎细胞因子IL-1β、IL-6及TNF-α的表达。在小鼠体内实验中,巨噬细胞特异性敲除ATF6可明显减轻牙周炎引起的牙槽骨丧失,并改善骨体积分数(BV/TV)。结论 ATF6介导的巨噬细胞促炎反应在牙周炎发展中发挥关键作用,其表达降低可以减轻炎症反应和牙槽骨吸收。

关键词: 牙周炎, ATF6, 巨噬细胞, 骨吸收, 炎症反应

Abstract:

Objective To investigate the role of activating transcription factor 6(ATF6) in macrophage-mediated periodontal inflammation and alveolar bone resorption. Methods An inflammation model was established by stimulating RAW264.7 cells with lipopolysaccharide (LPS). RT-qPCR was used to detect changes in the expression of inflammatory factors and ATF6. The function of ATF6 was further validated using siRNA knockdown. Macrophage-specific ATF6 knockout mice(ATF6fl/fl; Cx3cr1CreERT2) were generated. Experimental periodontitis was induced using the silk ligature method. Alveolar bone resorption and inflammation levels were evaluated by Micro-CT, HE staining, and bone morphometric analysis. Results As shown in experiments, LPS stimulation significantly upregulated ATF6 expression in macrophages and markedly increased the level of inflammatory. Knockdown of ATF6 significantly inhibited the expression of the pro-inflammatory cytokines IL-1β, IL-6, and TNF-α in LPS-induced macrophages. Consistently, studies demonstrated that macrophage-specific deletion of ATF6 notably attenuated alveolar bone loss induced by periodontitis and improved the bone volume fraction(BV/TV). Conclusion Macrophage-derived ATF6 plays a critical pro-inflammatory role in the progression of periodontitis. Reduction of its expression attenuates inflammatory responses and alveolar bone resorption.

Key words: periodontitis, ATF6, macrophages, bone resorption, inflammatory response

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