The effect of Rsk2 on TNFα-mediated bone loss in the TMJ and craniofacial skeleton

Gina Marie Georgi1, Frédéric Bachmann2, Julia Luther3

  • 1Department of Orthodontics, University of Leipzig Medical Center​, Liebigstraße 12, 04103, Leipzig, Germany.

BMC Oral Health
|March 27, 2025
PubMed
Abstract

Insights

Ribosomal S6 kinase (Rsk2) offers some protection against Tumor necrosis factor-alpha (TNFα)-induced mandibular bone loss in rheumatoid arthritis models. However, Rsk2 shows limited impact on temporomandibular joint damage, indicating regional differences in its protective role.

Area of Science:

  • Investigates the role of Rsk2 in craniofacial bone metabolism.
  • Examines the impact of TNFα on bone loss in rheumatoid arthritis (RA).
  • Compares Rsk2's function in craniofacial versus appendicular skeletons.

Background:

  • Tumor necrosis factor-alpha (TNFα) is implicated in bone loss associated with rheumatoid arthritis (RA).
  • Ribosomal S6 kinase 2 (Rsk2) has shown protective effects against TNFα-induced bone resorption in long bones.
  • The role of Rsk2 in craniofacial bone, particularly the temporomandibular joint (TMJ), remains less understood.

Purpose of the Study:

  • To determine if Rsk2 protects against TNFα-induced bone loss in the craniofacial system, similar to its role in long bones.
  • To investigate the specific effects of Rsk2 and TNFα on skull morphology, mandible shape, and TMJ in an RA context.

Main Methods:

  • Utilized a comparative mouse model study including TNFα overexpression, Rsk2 knockout, and combined TNFα/Rsk2 knockout mice.
  • Employed micro-computed tomography (µCT) with landmark-based morphometric analysis for detailed skeletal examination.
  • Conducted classical histology to assess TMJ and synovial membrane changes.

Main Results:

  • TNFα overexpression led to mandibular ramus shortening, which was worsened by the absence of Rsk2.
  • Significant temporomandibular joint damage was observed in TNFα-overexpressing mice, irrespective of Rsk2 status.
  • Histological analysis revealed increased synovial membrane thickness in TNFα-treated mice, further elevated in Rsk2 knockout conditions.

Conclusions:

  • Rsk2 partially mitigates TNFα-induced mandibular ramus length reduction but has minimal effect on TMJ structural damage.
  • Rsk2 demonstrates a less pronounced protective effect against craniofacial bone loss compared to its role in the appendicular skeleton.
  • Findings suggest regional variations in Rsk2's protective mechanisms, necessitating further research into underlying molecular pathways for targeted RA therapies.

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