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Related Concept Videos

Diabetes Mellitus: Type 2 and Gestational01:22

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Isolation, Processing and Analysis of Murine Gingival Cells
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Single-Cell Transcriptomic Atlas of Gingival Mucosa in Type 2 Diabetes.

Q Wang1, W Lin1, X Zhou1

  • 1State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Journal of Dental Research
|June 3, 2022
PubMed
Summary

Type 2 diabetes disrupts the gingival barrier, causing immune cell dysfunction. "Immune-like" fibroblasts contribute to periodontal damage by promoting inflammation and altering immune responses in diabetic mice.

Keywords:
gingiva barrieroral mucosal immunityperiodontitissingle-cell RNA sequencing

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Area of Science:

  • Oral biology
  • Immunology
  • Endocrinology

Background:

  • The oral gingival barrier maintains homeostasis but is vulnerable to inflammatory periodontal diseases.
  • Type 2 diabetes (T2D) is linked to gingival barrier dysfunction, yet mechanisms remain unclear.

Purpose of the Study:

  • To investigate gingival heterogeneity and cellular mechanisms in Type 2 diabetes using a mouse model.
  • To elucidate the role of fibroblasts and immune cells in diabetes-associated periodontal pathology.

Main Methods:

  • Single-cell RNA sequencing (scRNA-seq) of gingival tissue from leptin receptor-deficient (db/db) and control mice.
  • Histological analysis to assess cellular composition and tissue structure.

Main Results:

  • Diabetic (db/db) gingiva showed a reduced epithelial/stromal ratio and impaired barrier function.
  • Fibroblasts exhibited immune hyperresponsiveness, attracting myeloid cells and promoting inflammation.
  • Evidence suggests fibroblast-neutrophil interactions drive diabetes-induced periodontal damage.
  • Transcriptional analysis revealed "immune-like" stromal cells contributing to IL-17A hyperresponsiveness.

Conclusions:

  • "Immune-like" fibroblasts with diverse transcriptional profiles play a role in innate immune homeostasis in diabetic gingiva.
  • These fibroblasts are implicated in the pathogenesis of diabetes-related periodontal disease.