| Abstract: | AMBN (ameloblastin) is an enamel matrix protein that regulates cell adhesion, proliferation, and differentiation of ameloblasts. In AMBN-deficient mice, ameloblasts are detached from the enamel matrix, continue to proliferate, and form a multiple cell layer; often, odontogenic tumors develop in the maxilla with age. However, the mechanism of AMBN functions in these biological processes remains unclear. By using recombinant AMBN proteins, we found that AMBN had heparin binding domains at the C-terminal half and that these domains were critical for AMBN binding to dental epithelial cells. Overexpression of full-length AMBN protein inhibited proliferation of human ameloblastoma AM-1 cells, but overexpression of heparin binding domain-deficient AMBN protein had no inhibitory effect. In full-length AMBN-overexpressing AM-1 cells, the expression of Msx2, which is involved in the dental epithelial progenitor phenotype, was decreased, whereas the expression of cell proliferation inhibitors p21 and p27 was increased. We also found that the expression of enamelin, a marker of differentiated ameloblasts, was induced, suggesting that AMBN promotes odontogenic tumor differentiation. Thus, our results suggest that AMBN promotes cell binding through the heparin binding sites and plays an important role in preventing odontogenic tumor development by suppressing cell proliferation and maintaining differentiation phenotype through Msx2, p21, and p27.The extracellular matrix provides structural support for cells and regulates cell proliferation, migration, differentiation, and apoptosis for tissue development and homeostasis (1). The extracellular matrix also plays a crucial role in pathological processes and diseases, such as wound healing, tumorigenesis, and cancer development (2, 3). AMBN (ameloblastin), also known as amelin and sheathlin, is a tooth-specific extracellular matrix and the most abundant non-amelogenin enamel matrix protein (4–6). AMBN is expressed primarily by ameloblasts, which are differentiated from the oral ectoderm and form a polarized single cell layer underlying the enamel matrix. In a previous study, we created Ambn-null mice and demonstrated that AMBN is required for cell attachment and polarization and for maintaining the differentiation state of ameloblasts and is essential for enamel formation (3). Overexpression of Ambn in transgenic mice causes abnormal enamel crystallite formation and enamel rod morphology (7). These results suggest that enamel formation and rod morphology are influenced by temporal and spatial expressions of AMBN and imply that the AMBN gene locus may be involved in the etiology of a number of cases of undiagnosed hereditary amelogenesis imperfecta (8). Further, it was reported that recombinant AMBN enhances pulpal wound healing and reparative dentine formation following pulpotomy procedures, suggesting that it functions as a signal molecule in epithelial-mesenchymal interactions (9).We previously reported that about 20% of Ambn-null mice developed an odontogenic tumor of dental epithelium origin in the buccal vestibule of the maxilla (3). The epithelial cells of odontogenic tumors express enamel matrix proteins, including AMEL (amelogenin), ENAM (enamelin), and TUFT (tuftelin), but not AMBN, indicating that AMBN deficiency is probably the primary cause of tumorigenesis seen in those mice. An ameloblastoma appearing in the jaw is the most frequently encountered odontogenic tumor and is characterized by benign but locally invasive behavior with a high rate of recurrence. Since abnormal proliferation and growth of ameloblastoma cells easily destroys surrounding bony tissues, wide excision is required to treat this disorder. It is also reported that ameloblastomas rarely metastasize to other parts of the body, such as the lungs and regional lymph nodes (10, 11). Associations of AMBN mutations were reported in ameloblastomas, adenomatoid odontogenic tumors, and squamous odontogenic tumors (12). These results suggest that AMBN regulates odontogenic tumor formation.In the present study, we investigated the mechanism of AMBN in dental epithelial cell adhesion and ameloblastoma proliferation. We found that AMBN has heparin binding domains, which are essential for AMBN binding to dental epithelial cells. We demonstrate that overexpression of recombinant AMBN inhibits proliferation of human ameloblastoma cells. This inhibition requires the heparin binding sites of AMBN and is accompanied by dysregulation of Msx2, p21, and p27. These results suggest that AMBN suppresses ameloblastoma cell proliferation by regulating cellular signaling through the heparin binding domains. |
