On the importance of cAMP and Ca++ in mandibular condylar growth and adaptation

Runx2 Regulates Endochondral Ossification in Condyle during Mandibular Advancement

Runx2 is a transcription factor prerequisite for chondrocyte maturation and osteoblast differentiation. We tested the hypothesis that Runx2 is responsible for signaling chondrocyte maturation and endochondral ossification in the condyle during mandibular advancement. Fifty 35-day-old Sprague-Dawley rats were fitted with functional appliances for 3, 7, 14, 21, and 30 days. Experimental animals with 50 matched controls were labeled with bromodeoxyuridine for evaluation of the invasion of chondroclasts and osteoblasts into condylar cartilage. Mandibular advancement elicited Runx2 expression in condylar cartilage, and subsequently led to an expansion of type X collagen domain in the hypertrophic layer. Stronger Runx2 mRNA signals in subchondral bone corresponded with the increase in the recruitment of osteoblasts and chondroclasts, which preceded the increase of new bone formation in the condyle. Thus, Runx2 mediates chondrocyte terminal maturation and endochondral ossification in the mandibular condyle in response to mandibular advancement.

The Adaptive Remodeling of Condylar Cartilage— A Transition from Chondrogenesis to Osteogenesis

Mandibular condylar cartilage is categorized as articular cartilage but markedly distinguishes itself in many biological aspects, such as its embryonic origin, ontogenetic development, post-natal growth mode, and histological structures. The most marked uniqueness of condylar cartilage lies in its capability of adaptive remodeling in response to external stimuli during or after natural growth. The adaptation of condylar cartilage to mandibular forward positioning constitutes the fundamental rationale for orthodontic functional therapy, which partially contributes to the correction of jaw discrepancies by achieving mandibular growth modification. The adaptive remodeling of condylar cartilage proceeds with the biomolecular pathway initiating from chondrogenesis and finalizing with osteogenesis. During condylar adaptation, chondrogenesis is activated when the external stimuli, e.g., condylar repositioning, generate the differentiation of mesenchymal cells in the articular layer of cartilage into chondrocytes, which proliferate and then progressively mature into hypertrophic cells. The expression of regulatory growth factors, which govern and control phenotypic conversions of chondrocytes during chondrogenesis, increases during adaptive remodeling to enhance the transition from chondrogenesis into osteogenesis, a process in which hypertrophic chondrocytes and matrices degrade and are replaced by bone. The transition is also sustained by increased neovascularization, which brings in osteoblasts that finally result in new bone formation beneath the degraded cartilage.

Relationship between occlusal force and mandibular condyle morphology. Evaluated by limited cone-beam computed tomography

OBJECTIVE

To clarify the relationship between occlusal force and mandibular condyle morphology using clinical data.

MATERIALS AND METHODS

The subjects were 40 female patients with malocclusion. The mandibular condyle morphology was assessed by using limited cone-beam CT imaging. The maximum occlusal force was calculated by using pressure-sensitive films. Maxillofacial morphologies were analyzed by using data from lateral cephalograms.

RESULTS

Correlation analysis showed that the occlusal force was correlated with the lateral and posterior radii of the condyles, and with the mandibular plane angle to the Frankfort horizontal plane (FH). Moreover, condylar length was significantly correlated with the occlusal plane angle to the FH, the mandibular plane angle to the FH, the ramus inclination, and the posterior facial height (S-Go). Low-occlusal-force patients tended to have smaller mandibular condyles. This size-related difference was more remarkable on the lateral and posterior side.

CONCLUSIONS

Occlusal force influences not only maxillofacial morphology but also mandibular condyle morphology.

Expression of integrinalpha5beta1, focal adhesion kinase and integrin-linked kinase in rat condylar cartilage during mandibular lateral displacement

Integrins are cell-surface mechanochemical sensors and transducers involved in various cellular processes in combination with extracellular ligands. The aim of this study was to investigate the effect of mechanical stress on the expression of integrinalpha5beta1 and its downstream kinases, focal adhesion kinase (FAK) and integrin-linked kinase (ILK), in condylar cartilage during mandible lateral shift in young rats. Sixty 4-week-old male Wistar rats were divided at random into five control groups and five experimental groups. All rats in the experimental groups were fitted with a resin plate to functionally displace the mandible 2mm to the left (ipsilateral side). The rats were killed 1, 3, 7, 14 and 28 days after attachment of the appliance. Serial 6-mum sagittal sections were cut through the condylar head and processed for immunostaining of integrinalpha5beta1, FAK and ILK. The results were quantified using an image analysing system. Integrinalpha5beta1 expression in the superior-posterior region of the condylar cartilage on the ipsilateral side increased from 3 to 14 days compared with the contralateral side, with an intermediate level of expression in the control groups. Expression of FAK and ILK was similar to integrinalpha5beta1 expression, and they were also upregulated on the ipsilateral side compared with the contralateral side at the early stages of the experiment. The different mechanical loading on the two sides of the condylar cartilage led to different expression patterns of integrinalpha5beta1, FAK and ILK, which may correlate with the different morphological and histological changes seen between sides during mandibular lateral shift.

PTHrP regulates chondrocyte maturation in condylar cartilage

PTHrP is a key factor regulating the pace of endochondral ossification during skeletal development. Mandibular advancement solicits a cascade of molecular responses in condylar cartilage. However, the pace of cellular maturation and its effects on condylar growth are still unknown. The purpose of this study was to evaluate the pattern of expression of PTHrP and correlate it to cellular dynamics of chondrocytes in condylar cartilage during natural growth and mandibular advancement. We fitted 35-day-old Sprague-Dawley rats with functional appliances. Experimental animals with matched controls were labeled with bromodeoxyuridine 3 days before their death, so that mesenchymal cell differentiation could be traced. Mandibular advancement increased the number of differentiated chondroblasts and subsequently increased the cartilage volume. Higher levels of PTHrP expression in experimental animals coincided with the slowing of chondrocyte hypertrophy. Thus, mandibular advancement promoted mesenchymal cell differentiation and triggered PTHrP expression, which retarded their further maturation to allow for more growth.

The effect of epidermal growth factor on the fetal rabbit mandibular condyle and isolated condylar fibroblasts

The load-bearing surface of the mandibular condyle presents a unique arrangement of tissues consisting of an avascular layer composed largely of collagen bundles. Fibroblasts are interspersed amongst these bundles and are generally agreed to produce the collagen. The mechanisms controlling development of these tissues have not been determined. This study was conducted to explore the role of epidermal growth factor (EGF), which appears to be important in the development of many oral tissue types as well as in the growth and differentiation of the mandibular condyle. Superficial cells of the fibrous zone of the condyle were isolated from fetal rabbit condyles and [(3)H]thymidine incorporation into DNA measured. The application of EGF produced a significant increase in radiolabel incorporation after 2 days compared to 4 days in the controls, suggesting that EGF induced cells to enter S-phase more rapidly. Fetal condyles were also cultured on gelfoam surgical sponges for up to 21 days. Autoradiography of cultured condyles showed that cells of all three zones may potentially replicate, as indicated by incorporation of [(3)H]thymidine. All three regions displayed greater increases in cell numbers in samples exposed to EGF than in control samples. The measurement of zone thickness in condyles cultured on gelfoam sponges with or without EGF showed that this peptide was able to re-establish thickness, bringing it in line with the relation observed when the condyles were isolated initially, particularly of the intermediate zone over a period of 21 days. As very little autoradiographic labelling occurred at this time-point in any of the zones, the increase in thickness must primarily be due to matrix production. It is concluded that EGF is one factor potentially regulating both replication and differentiation in mandibular condyle and its associated cells.

Specific properties of the extracellular chondroitin sulphate proteoglycans in the mandibular condylar growth centre in pigs

The developing condylar cartilage of the temporomandibular joint responds to changes in load by adaptive growth. Because local regulatory events taking place during growth processes are not well understood, investigation of extracellular matrix composition could provide new information about which matrix molecules are involved in the regulation of growth processes in this avascular tissue. The large chondroitin sulphate-rich proteoglycans in the mandibular condyle were compared to the proteoglycans in the weight-bearing femoral condyle of juvenile domestic pigs with respect to their buoyant density, chemical composition and immunological identity after isolation by dissociative extraction and CsCl density-gradient centrifugation. The distribution of these proteoglycans was studied in cryosections of mandibular condyle by immunohistochemistry using polyclonal antibodies produced against pig large proteoglycans. In the mandibular condyle, predominantly in the articular zone, the relative amount of proteoglycans with a low glycosaminoglycan content was greater than in femoral cartilage. The large proteoglycan immunologically related to aggrecan gave a protein core of 450 kDa after enzymatic deglycosylation and clearly possessed less keratan sulphate than in femoral aggrecan. Furthermore, the mandibular tissue contained another large proteoglycan with a protein core of 550 kDa after enzymatic deglycosylation, which was immunologically related to the fibroblast-like versican. Immunohistochemistry showed aggrecan increasing in amount inferiorly. In contrast, "versican' was exclusively found in the fibrous and differentiation layers. Aggrecan is mainly responsible for shock absorption and versican and its homologues may be involved in the control of cell proliferation and differentiation. Thus the matrix components of the mandibular condyle seem to be adapted to its special functional needs including parallel articulation and growth.

The soft tissue cover of the mandibular condyle: age-related changes in high buoyant density proteoglycans, free tissue water and remodelling activity

Age-related changes in the relative proportion of high buoyant density proteoglycans of the soft tissue cover of the mandibular condyle of domestic pigs and the chemical composition of these proteoglycans were investigated by biochemical methods. The relative proportion of high buoyant density proteoglycans has been shown to decrease with age, with their chemical composition varying as follows: With age, the relative proportions of protein increased, galactosamine decreased, glucosamine was similar in newborns and juveniles, but clearly increased in adults, galactosamine plus glucosamine decreased. As measured by 1H-NMR-relaxation spectroscopic methods, the concentration of free tissue water of the soft tissue cover of the mandibular condyle decreased with age. Its mobility, however, was greater in newborns than in juveniles, but similar in juveniles and adults. The concentration of free tissue water, but not its mobility, correlated weakly with relative proportions of polyanionic side chains (e.g. chondroitin sulphate plus keratan sulphate chains) of the high buoyant density proteoglycans. By affecting the concentration of free tissue water and in turn of matrix solutes and cellular environments, the high buoyant density proteoglycans of the soft tissue cover of the mandibular condyle seem to be involved in regulation of age-related changes in the adaptive remodelling activity of the mandibular condyle.

Changes in mandibular rotation after muscular resection. Experimental study in rats

The purpose of this study was to evaluate the effect of bilateral muscular resection on the rotational pattern of the rat mandible. The specific aim of the study was to seek possible changes in "articular growth" in the posterior (ramus and condyle of the mandible), and in the anterior part of the face (upper viscerocranium, and maxillary and mandibular dentoalveolar processes). The masseter, temporal, and suprahyoid muscles were bilaterally resected in three experimental groups of 21-day-old female Wistar rats. Another group of rats served as control. The results were evaluated at 42 (prepubertal) and 60 days after birth (pubertal rats). The craniofacial growth pattern, ramus dimension, condylar growth direction, histologic evaluation of condylar cartilage, and dentoalveolar processes height changes were studied. Two mandibular rotational patterns were found: one inferior after masseter muscles resection (MR), and the other superior after temporal muscles resection (TR). A less intense superior rotational pattern, after suprahyoid muscles resection (SR), was found also. Morphologic changes were more intense in older rats. On the contrary, more intense condylar histologic changes were found in younger rats. Changes in "articular growth" primarily take place at maxillary and mandibular dentoalveolar processes. Condylar growth amount could be modified to a limited extent. More important were the changes in condylar growth direction. An upward rotational pattern of the upper viscerocranium was detected when the inferior mandibular rotation pattern was produced.

Condylar adaptation after alteration of vertical dimension in adult rhesus monkeys, Macaca mulatta

Remodeling in the cartilage of the mandibular condyle was investigated in young adult monkeys after an increase in vertical dimension of the midface through the use of a tooth-borne intraoral appliance. Six young adult male rhesus monkeys had bite-splints of 5 mm, 10 mm or 15 mm cemented to their maxillary dentition for 48 weeks. Five age- and sex-matched monkeys were used as controls. The thickness of the articular tissue and of the prechondroblastic and chondroblastic layers of the condylar cartilage in the superior, posterosuperior and posterior regions was measured from parasagittal sections of the temporomandibular joint (TMJ). It was found that articular tissue thickness was reduced in the superior region; the prechondroblastic layer, absent in control animals, was very distinctive (30-75 microns) in experimental animals; and there was a 62% increase in the thickness of the chondroblastic layer in the experimental animals. These findings indicate that chronic alteration of mandibular posture via increase in vertical dimension stimulates progressive remodeling of the mandibular condyle in young adult monkeys.

Mechanical loading triggers specific biochemical responses in mandibular condylar chondrocytes

The effect of mechanical loading on the phosphorylation state of condylar cartilage proteins was investigated by high resolution electrophoretic analysis of 32P-labelled proteins from mechanically stimulated rat mandibular condylar chondrocytes. Specific dephosphorylation (and/or loss) of an acidic, 35-36 kDa protein(s) and of proteins overlapping with members of the ras superfamily of small GTP-binding proteins was observed. These responses may constitute part of a mechanically induced transduction system which establishes the differentiated phenotype.