Circadian rhythm disruption exacerbates the progression of macrophage dysfunction and alveolar bone loss in

Xueying Ma1, Xin Chen2, Zhonghua Duan1

  • 1Department of Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Tissue Engineering, Shanghai 200011, China.

Insights

Circadian rhythm disruption exacerbates periodontitis by increasing macrophage activity. Histone lysinedemethylase6a (Kdm6a) in macrophages drives this inflammation, and its removal protects against bone loss.

Area of Science:

  • Oral biology
  • Immunology
  • Chronobiology

Background:

  • Macrophages play a key role in periodontitis progression.
  • Circadian rhythm disruption (CRD) is known to promote macrophage inflammation in various diseases.
  • The specific impact of CRD on periodontitis and the role of macrophages remain unclear.

Purpose of the Study:

  • To investigate the effects of CRD on periodontitis.
  • To elucidate the role of macrophages and histone lysinedemethylase6a (Kdm6a) in CRD-exacerbated periodontitis.

Main Methods:

  • An experimental periodontitis model was created in mice subjected to a jet-lag schedule.
  • Techniques included histomorphometry, TRAP staining, RT-qPCR, ELISA, immunohistochemistry, and immunofluorescence.
  • Macrophage-specific Kdm6a knockout mice were utilized.

Main Results:

  • CRD significantly promoted inflammation, alveolar bone resorption, and macrophage infiltration in periodontitis models.
  • Kdm6a expression was upregulated in macrophages under CRD conditions.
  • Deletion of Kdm6a in macrophages ameliorated periodontal inflammation and bone loss.

Conclusions:

  • CRD intensifies periodontitis by enhancing macrophage infiltration and activation.
  • Kdm6a in macrophages is a critical mediator of CRD-induced inflammation and periodontitis progression.