免疫細胞「好中球」が歯の移動をコントロール ―効率的で安全な矯正歯科治療の実現へ―

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2026-07-13 東北大学

東北大学の研究グループは、矯正歯科治療で歯が移動する際に、免疫細胞である好中球が中心的な役割を果たすことを世界で初めて詳細に解明した。矯正学的歯の移動モデルマウスの歯根膜組織を**シングルセルRNAシーケンス(scRNA-seq)**で解析した結果、好中球は矯正力による刺激を受けて炎症性の表現型へ成熟し、ケモカインやTNFシグナルを介してマクロファージを動員・活性化し、骨を吸収する破骨細胞の形成を促進することが判明した。これにより、歯が移動するために必要な骨吸収が効率的に進む分子メカニズムが明らかとなった。本成果は、これまで十分に理解されていなかった歯の移動と免疫応答の関係を解明するものであり、矯正治療期間の短縮や副作用の軽減、安全性の向上につながる新たな治療法の開発に貢献するとともに、骨代謝や骨免疫学の研究にも新たな知見を提供することが期待される。

免疫細胞「好中球」が歯の移動をコントロール ―効率的で安全な矯正歯科治療の実現へ―
図1. 矯正学的歯の移動モデルマウスを用いたscRNA-seqの流れ

<関連情報>

好中球は歯列矯正における歯の移動において破骨細胞形成を制御する Neutrophils Orchestrate Osteoclastogenesis in Orthodontic Tooth Movement

F. Ohori, H. Kitaura, […], and H. Kanetaka
Journal of Dental Research Published:July 9, 2026
DOI:https://doi.org/10.1177/00220345261459909

Abstract

Precise control of orthodontic tooth movement (OTM) requires a deep understanding of the biological mechanisms underlying alveolar bone remodeling. Although the immune system is known to influence osteoclastogenesis, the functional significance of neutrophils in the noninfectious, sterile inflammatory environment of OTM remains largely unexplored. Here, we aimed to elucidate the mechanisms by which neutrophils contribute to bone resorption during OTM. OTM was induced in mice using a 10-g mesial force. Single-cell RNA sequencing (scRNA-seq) was performed on periodontal ligament tissues to characterize cellular heterogeneity and intercellular communication. In addition, neutrophil subpopulations and developmental trajectories were analyzed using pseudotime analysis. Finally, the functional role of neutrophils was validated in vivo by systemic depletion using an anti-Ly6G antibody. scRNA-seq identified 11 cell clusters, revealing that neutrophils are a primary source of proinflammatory cytokines, including tumor necrosis factor (TNF), interleukin (IL)–1β, and Oncostatin M (OSM). Immunofluorescence analysis confirmed that neutrophils preferentially accumulated on the compression side. CellChat analysis and transcriptomic profiling identified a TNF-TNF receptor 2 (TNFR2) signaling axis directed from neutrophils to macrophages. Subclustering revealed an “Inflammatory-Neu” subset that expands during OTM and expresses CC ligand chemokine family members to recruit macrophages. In vivo, neutrophil depletion significantly attenuated macrophage accumulation on the compression side, resulting in diminished tooth movement distance and reduced osteoclastogenesis. Our findings demonstrate that neutrophils are indispensable upstream regulators of OTM. By maturing into a proinflammatory phenotype, neutrophils coordinate macrophage recruitment and activation via the TNF-TNFR2 axis, thereby driving osteoclastogenesis. This study provides a novel biological framework for understanding the osteoimmunological microenvironment during orthodontic loading, and it also identifies potential targets for controlling tooth movement.

医療・健康
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