Objective: An in-vitro study was established to analyse if and to what extent biomechanical loading regulates the RUNX2 gene expression in periodontal ligament (PDL) cells of patients with and without CCD.
Methods: PDL cells were obtained from supernumerary teeth of three CCD patients as well as from teeth of normal patients. The CCD patients were genotyped for several single nucleotide polymorphisms linked to the RUNX2 locus. PDL cells were grown by explants technique and subjected to static and dynamic strain of 3 and 20 % for up to 24 h. Subsequently, the RUNX2 gene expression was determined by real-time PCR. For statistical analysis, the Mann-Whitney U test was applied (p<0.05).
Results: The expression of RUNX2 mRNA was significantly affected by biomechanical forces in both CCD and normal patients. In normal patients, tensile strain of low magnitude stimulated significantly the RUNX2 gene expression, whereas tensile strain of high magnitude was mostly inhibitory. In CCD patients, the RUNX2 mRNA expression was significantly reduced irrespective of the magnitude at which the strain was applied.
Conclusion: Although clinical findings suggest that an orthodontic treatment can be performed successfully in CCD patients, our in-vitro results imply that the response of PDL cells to biomechanical loading is altered.
Acknowledgement: This study was supported by the German Research Foundation (KFO208/TP7).