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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.
Objectives:
This study aims to investigate the impact of the pro-osteoblastogenic ERK-activated ribosomal S6 kinase (Rsk2) on Tumor necrosis factor (TNF)α-induced bone loss in the craniofacial system, focusing on its role in rheumatoid arthritis (RA). The objective is to understand whether Rsk2, previously shown to have protective effects in long bones against TNFα-induced bone resorption, exhibits similar effects in the craniofacial region.
Materials:
, and Methods. The study compares mice with TNFα overexpression, Rsk2 knockout mice, and a combination of TNFα, and Rsk2 knockout mice using detailed micro-computed tomography coupled with landmark based morphometric analysis, and classical histology. The overall skull morphology, mandible shape, and the temporomandibular joint were examined. Additionally, histological sections were utilized to examine the synovial membrane.
Results:
Combining TNFα, and Rsk2 deficiency does not further alter overall skull shape compared to TNFα alone. TNFα overexpression shortens the mandibular ramus, exacerbated by Rsk2 absence. Micro-computed tomography (µCT) reveals significant temporomandibular joint damage from TNFα, independent of Rsk2. However, histological sections show increased synovial membrane thickness with TNFα, heightened in the absence of Rsk2.
Conclusions:
Rsk2 mitigates TNFα-induced effects on mandibular ramus length in the craniofacial system but has limited impact on the temporomandibular joint, except for synovial membrane thickness. Overall, Rsk2 demonstrates a weaker preventive effect on TNFα-induced craniofacial bone loss compared to its established role in the appendicular skeleton.
Clinical Relevance:
This study highlights regional differences in Rsk2's protective mechanisms, emphasizing the need for further exploration of the underlying mechanisms for these disparities. Understanding these regional differences can be crucial for the development of targeted therapeutic interventions.
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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