# Redox and Ca2+ signaling regulation of enamel mineralization

> **NIH NIH R01** · NEW YORK UNIVERSITY · 2024 · $459,975

## Abstract

Project Summary: Proper mineralization of dental enamel protects against bacterial attack that causes
tooth decay (caries). The ameloblasts cells are responsible for producing and secreting an abundance of
proteins (laying a foundation for enamel growth) as well as engaging in active mineral transport (calcifying
the enamel). These functions are stage dependent with amelogenesis being divided into the secretory
(protein synthesis) and maturation stage (mineralization). However, the mechanisms providing metabolic
support for these processes and how mitochondrial dysfunction might alter them is poorly understood.
Mitochondria are organelles within the cells that convert nutrients into energy via the production of ATP,
and deficiency in mitochondrial function results in human diseases. Mitochondria play an important role
in enamel as evidenced by defects in mitochondrial DNA causing abnormal enamel development.
Therefore, the goal in this competing renewal proposal is to investigate the interplay between
mitochondrial function and enamel formation during environmental insults and determine whether this is
altered in patients with genetic disorders that effect mitochondrial function. We will specifically address
this in the context of Down syndrome (DS), or Trisomy 21, and during dental fluorosis, a process in which
exposure to excess of fluoride during development weakens tooth enamel. DS patients present with
enamel defects including hypocalcification and hypoplasia, both caused by developmental defects in
enamel formation. Mitochondrial dysfunction is widely reported in DS. The overarching hypothesis of
this proposal is that altered mitochondrial function in DS ameloblasts alters enamel crystal
formation and impacts sensitivity to fluorosis. In strong support, our preliminary data show that Dp-
16 mice (an established mouse model of DS) have mechanically weak and morphologically abnormal
enamel. Moreover, overexpression of RCAN1 (a gene associated with DS pathophysiology that is
expressed in ameloblasts) in enamel cell lines, significantly impaired mitochondrial function. We have
also reported that fluoride exposure of enamel cells significantly affected the biosynthesis of the proteins
of the electron transport chain (ETC) responsible for maintaining ATP production, but not in other cells
tested, suggesting unique sensitivity of enamel cells to fluoride, possibly associated with higher ROS
levels. In the proposed studies we will use DS mouse models (Dp16 mice, Rcan1-KO mice, Dp16 x
Rcan1-KO mice) to address the role of mitochondria in the ameloblasts of these mice. We will also use
recently developed reporter mice expressing fluorescently labelled secretory and maturation stage
ameloblasts to induce fluoride and investigate mitochondrial defects using single cell RNASeq and bulk
RNAseq to compare ameloblasts with other tissues. To address if ameloblasts of DS models are more
sensitive to fluoride, we will treat the cells with fluoride and analyze...

## Key facts

- **NIH application ID:** 10807106
- **Project number:** 5R01DE027679-06
- **Recipient organization:** NEW YORK UNIVERSITY
- **Principal Investigator:** Rodrigo S. Lacruz
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $459,975
- **Award type:** 5
- **Project period:** 2023-03-10 → 2028-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10807106

## Citation

> US National Institutes of Health, RePORTER application 10807106, Redox and Ca2+ signaling regulation of enamel mineralization (5R01DE027679-06). Retrieved via AI Analytics 2026-05-28 from https://api.ai-analytics.org/grant/nih/10807106. Licensed CC0.

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