Anti-USAG-1 therapy for tooth regeneration through enhanced BMP signaling.

Murashima-Suginami, A; Kiso, H; Tokita, Y; Mihara, E; Nambu, Y; Uozumi, R; Tabata, Y; Bessho, K et al. · Sci Adv · 2021

basic_science · Level V

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Abstract

<i>Uterine sensitization-associated gene-1</i> (<i>USAG-1</i>) deficiency leads to enhanced bone morphogenetic protein (BMP) signaling, leading to supernumerary teeth formation. Furthermore, antibodies interfering with binding of USAG-1 to BMP, but not lipoprotein receptor-related protein 5/6 (LRP5/6), accelerate tooth development. Since USAG-1 inhibits Wnt and BMP signals, the essential factors for tooth development, via direct binding to BMP and Wnt coreceptor LRP5/6, we hypothesized that USAG-1 plays key regulatory roles in suppressing tooth development. However, the involvement of USAG-1 in various types of congenital tooth agenesis remains unknown. Here, we show that blocking USAG-1 function through <i>USAG-1</i> knockout or anti-USAG-1 antibody administration relieves congenital tooth agenesis caused by various genetic abnormalities in mice. Our results demonstrate that <i>USAG-1</i> controls the number of teeth by inhibiting development of potential tooth germs in wild-type or mutant mice missing teeth. Anti-USAG-1 antibody administration is, therefore, a promising approach for tooth regeneration therapy.