# Molecular mechanisms mediating the soft tissue attachment to teeth

> **NIH NIH R01** · STANFORD UNIVERSITY · 2023 · $38,268

## Abstract

Summary of Parent R01
Maintaining the junc-onal epithelium (JE) is essen-al to preserve cementum, periodontal ligament (PDL), and alveolar bone.
New insights into JE barrier func-ons came with our discovery of a Wntresponsive stem cell niche in the JE. In this proposal,
our goal is to characterize the cellular players, niche signals, and regulatory mechanisms that control and maintain the JE
stem cell niche in health, and aGer damage or disease. AIM 1 experiments will test whether Wnt/β-catenin signaling is
necessary for JE maintenance. Pathway inhibi-on will be achieved in Axin2LacZ/+ mice using adenovirus expressing the soluble
Wnt inhibitor Dkk1; controls will receive adenovirus encoding the Fc por-on of immunoglobulin G. Quan-ta-ve analyses
will assess endogenous Wnt/βcatenin signaling via Xgal staining; JE hemidesmosomal gene and protein distribu-on via
quan-ta-ve immunohistochemistry (qIHC); JE and GE cell cycle kine-cs by EdU/BrdU labeling; and inﬂammatory cell
inﬁltra-on in connec-ve -ssues underlying the JE and GE by FACS. Second, whether Wnt/β-catenin signaling is necessary for
JE regenera-on will be determined by subjec-ng Wnt lineage tracer e.g., Axin2CreERT2/+;R26RmTmG/+ mice to par-al
gingivectomy followed by Ad-Dkk1/Ad-Fc delivery. Lineage-tracing and quan-ta-ve analyses will establish a rela-onship
between Wntresponsive cell progeny, cell cycle kine-cs, hemidesmosomal gene and protein distribu-on, and regenera-on
of JE barrier func-ons. AIM 2 experiments will evaluate the ability of a stabilized formula-on of WNT protein to regenerate
a func-onal JE . In one injury-repair model the JE will be surgically excised; in a second model, JE breakdown will be triggered
via a ligature-induced periodon--s; both will be carried out in Axin2LacZ/+ and Axin2CreERT2/+;R26RmTmG/+ mice. Delivery of the
WNT therapeu-c will be followed to assess re-establishment of JE barrier func-ons. AIM 3 experiments will characterize
Wnt-responsive JE stem cells and their progeny. Wnt-responsive stem cell pools from adjacent gingival epithelium (GE) will
serve as control. Axin2CreERT2/+;R26RmTmG/+ mice will be exposed to tamoxifen, followed by harvest of JE and GE -ssues at
deﬁned -mepoints. GFP+ cells will be sorted by ﬂow cytometry. Gene expression proﬁling of GFP+ cells will focus stem cell
and diﬀeren-a-on markers. Fluorescent in situ hybridiza-on will conﬁrm gene expression pacerns using RNA probe libraries
corresponding to stem cell markers, components of Wnt/β-catenin, Notch, and Bone Morphogene-c Protein (BMP)
pathways. Collec-vely, this proposal has the poten-al to iden-fy an innova-ve therapeu-c strategy for rebuilding a damaged
JE and thus open new avenues for the restora-on of the soG -ssue acachment following periodontal diseases.
Proposed Supplement
The JE acts as an essen-al barrier against bacterial infec-on, which is crucial in preven-ng periodontal diseases. In this
proposed diversity supplement, we will look to elucidate the role of Wnt/β-cat...

## Key facts

- **NIH application ID:** 10838302
- **Project number:** 3R01DE031270-01A1S1
- **Recipient organization:** STANFORD UNIVERSITY
- **Principal Investigator:** Jill A Helms
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2023
- **Award amount:** $38,268
- **Award type:** 3
- **Project period:** 2023-09-01 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10838302

## Citation

> US National Institutes of Health, RePORTER application 10838302, Molecular mechanisms mediating the soft tissue attachment to teeth (3R01DE031270-01A1S1). Retrieved via AI Analytics 2026-05-27 from https://api.ai-analytics.org/grant/nih/10838302. Licensed CC0.

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