外傷性咬合は単独では骨吸収を起こさないが歯周炎を 増悪させることを分子レベルで解明 -歯肉・歯槽骨・歯根膜の網羅的遺伝子解析により 骨での炎症応答増強を確認-

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2026-03-27 東京科学大学

東京科学大学などの研究チームは、歯周炎における外傷性咬合の役割を分子レベルで解明した。トランスクリプトーム解析により、外傷性咬合単独では骨吸収は起こらない一方、歯周炎と併存すると歯槽骨で炎症関連および骨代謝関連遺伝子の発現が大きく増加し、骨吸収が顕著に悪化することが判明した。特にTNF-α/NF-κB経路など炎症シグナルの活性化が確認され、外傷性咬合が「修飾因子」として歯周炎を増悪させる仕組みが示された。本研究は、咬合調整の臨床的意義に科学的根拠を与え、歯周病治療の高度化に貢献する。

外傷性咬合は単独では骨吸収を起こさないが歯周炎を 増悪させることを分子レベルで解明 -歯肉・歯槽骨・歯根膜の網羅的遺伝子解析により 骨での炎症応答増強を確認-
図1. 本研究の概略図

<関連情報>

外傷性咬合は、マウスの結紮誘発性歯周炎の骨組織における遺伝子発現を変化させることにより、骨吸収を悪化させる Traumatic Occlusion Exacerbates Bone Resorption by Modifying Gene Expression in the Bone Tissue of Ligature-Induced Periodontitis in Mice

Yosuke Tsuchiya, Yujin Ohsugi, Tomomitsu Hirota, Yohei Hayashi, Peiya Lin, Yuta Tsukahara, Takanori Iwata, Sayaka Katagiri
Journal of Clinical Periodontology  Published: 26 March 2026
DOI:https://doi.org/10.1111/jcpe.70112

ABSTRACT

Aim

To clarify the molecular mechanisms of occlusal trauma in bone loss through periodontal tissue transcriptome analysis in mice with periodontitis and traumatic occlusion.

Materials and Methods

Ligature-induced periodontitis (Li) and composite resin-induced traumatic occlusion (Tra) mouse models were established (control [Co], Li, Tra and LiTra). Bone resorption was evaluated using micro-computed tomography (micro-CT). RNA-sequencing was conducted on gingiva, bone and periodontal ligament from all groups 3 days post induction. For long-term evaluation, the Co and Tra groups were maintained for 8 weeks and then analysed using micro-CT and qRT-PCR.

Results

Traumatic occlusion alone, sustained for 8 weeks, did not directly induce bone resorption; however, it significantly exacerbated bone resorption in mice with periodontitis. Cytokine–cytokine receptor interactions and Toll-like receptor signalling pathways were up-regulated in LiTra bone tissue. Il11, Il1rl1 and Mmp3, associated with inflammation and bone metabolism, were more highly expressed in the LiTra group than in the Li group. TNF-α signalling via NFκB and inflammatory response gene sets were enriched in the bone tissue of LiTra group.

Conclusions

Traumatic occlusion accelerates bone resorption in ligature-induced periodontitis but does not independently cause significant bone loss. Occlusal trauma enhances the expression of inflammation-related genes, especially in bone with periodontitis.

医療・健康
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