The pyroantimonate reaction and transcellular transport of calcium in rat molar enamel organs

DENTAL ENAMEL FORMATION AND IMPLICATIONS FOR ORAL HEALTH AND DISEASE

Dental enamel is the hardest and most mineralized tissue in extinct and extant vertebrate species and provides maximum durability that allows teeth to function as weapons and/or tools as well as for food processing. Enamel development and mineralization is an intricate process tightly regulated by cells of the enamel organ called ameloblasts. These heavily polarized cells form a monolayer around the developing enamel tissue and move as a single forming front in specified directions as they lay down a proteinaceous matrix that serves as a template for crystal growth. Ameloblasts maintain intercellular connections creating a semi-permeable barrier that at one end (basal/proximal) receives nutrients and ions from blood vessels, and at the opposite end (secretory/apical/distal) forms extracellular crystals within specified pH conditions. In this unique environment, ameloblasts orchestrate crystal growth via multiple cellular activities including modulating the transport of minerals and ions, pH regulation, proteolysis, and endocytosis. In many vertebrates, the bulk of the enamel tissue volume is first formed and subsequently mineralized by these same cells as they retransform their morphology and function. Cell death by apoptosis and regression are the fates of many ameloblasts following enamel maturation, and what cells remain of the enamel organ are shed during tooth eruption, or are incorporated into the tooth's epithelial attachment to the oral gingiva. In this review, we examine key aspects of dental enamel formation, from its developmental genesis to the ever-increasing wealth of data on the mechanisms mediating ionic transport, as well as the clinical outcomes resulting from abnormal ameloblast function.

Microwave-induced fast decalcification of rat bone for electron microscopic analysis: an ultrastructural and cytochemical study

Bone decalcification is a time-consuming process. It takes weeks and preservation of the tissue structure depends on the quality and velocity of the demineralization process. In the present study, a decalcification methodology was adapted using microwaving to accelerate the decalcification of rat bone for electron microscopic analysis. The ultrastructure of the bone decalcified by microwave energy was observed. Wistar rats were perfused with paraformaldehyde and maxillary segments were removed and fixed in glutaraldehyde. Half of specimens were decalcified by conventional treatment with immersion in Warshawsky solution at 4 degrees C during 45 days, and the other half of specimens were placed into the beaker with 20 mL of the Warshawsky solution in ice bath and thereafter submitted to irradiation in a domestic microwave oven (700 maximum power) during 20 s/350 W/+/-37 degrees C. In the first day, the specimens were irradiated 9 times and stored at 40 degrees C overnight. In the second day, the specimens were irradiated 20 times changing the solution and the ice after each bath. After decalcification, some specimens were postfixed in osmium tetroxide and others in osmium tetroxide and potassium pyroantimonate. The specimens were observed under transmission electron microscopy. The results showed an increase in the decalcification rate in the specimens activated by microwaving and a reduction of total experiment time from 45 days in the conventional method to 48 hours in the microwave-aided method.

Pathway and speed of calcium movement from blood to mineralizing enamel

We studied by autoradiography the distribution of 45Ca in the enamel organ of frozen rats 4.3, 6.1, 7.8, 10.6 and 13.7 sec after an i.v. injection. The intercellular junctions of the proximal side of the smooth-ended ameloblast (SA) and the distal side of the ruffle-ended ameloblast (RA) were closed to calcium. The junctions of the distal side of SA, the proximal side of RA, and both sides of the secretory stage ameloblasts were not. The time required for calcium to pass through the ameloblast layer was less than 1.8 sec in the secretory stage and SA region. The time in the RA region was 3.5-6.3 sec. In the transitional region from RA to SA, a band of strong radioactivity appeared from the papillary layer of RA region towards the enamel of the SA region. The radioactivity in the secretory stage enamel increased almost linearly with time. The diffusion speed of calcium in the enamel was more than 50 microns for 1.8 sec in the maturation stage and less than 15 microns for 9.4 sec in the secretory stage. These results indicate that in the secretory and SA regions calcium moves to the enamel surface through the intercellular spaces of ameloblasts and in the RA region via RA cells.

Structure and function of secretory ameloblasts in enamel formation

Secretory ameloblasts have multiple functions including the synthesis and resorption of enamel matrix proteins and calcium transport during enamel formation. We have examined these functions by means of cytochemistry and immunocytochemistry. Enamel proteins, amelogenins and enamelins are localized in the biosynthetic pathways of ameloblasts and in the forming enamel. Sulfated glycoconjugates are present in secretory ameloblasts. The distal junctional complex of ameloblasts may act as a permeability barrier to enamel proteins, thereby confining the secreted proteins to the growing enamel front. Secretory ameloblasts contain lysosomal enzymes in the Golgi lysosome endoplasmic reticulum system and also exhibit absorptive capacity, which might be associated with an early decrease in extracellularly degraded enamel proteins. Active calcium transport through the ameloblasts towards the growing enamel is indicated by the demonstration of Ca-ATPase activity along the plasma membranes. A calcium-dependent modulator protein, calmodulin, is localized in ameloblasts, suggesting that early enamel mineralization is dependent upon calmodulin-regulated Ca-ATPase in ameloblasts. These results suggest that the secretory ameloblast is a highly specialized multifunctional cell in the production, resorption and degradation of enamel matrix and in the active calcium transport essential for matrix mineralization during enamel formation.

Distribution of calcium-ATPase in developing teeth of embryonic American alligators (Alligator mississippiensis)

Light microscopic and ultrastructural observations were carried out to evaluate the cell morphology and histochemistry (calcium-ATPase activity) of developing teeth in embryonic American alligators (Alligator mississippiensis). Ca-ATPase activity was observed in the distal and lateral cell membranes, rough endoplasmic reticulum (rER), mitochondria, vacuoles, and other organelles of the ameloblast, but only in the distal cell membrane and process of the odontoblast. Enzyme activity in the ameloblasts increased gradually during development. These sites of enzyme activity are related to mineralization of the enamel layer, similar to that in mammalian tooth development. Alligator teeth are heavily mineralized like mammalian teeth; however, alligator ameloblasts have undeveloped distal processes during mineralization in contrast to mammalian ameloblasts in which Tomes' processes are found near the distal portion of ameloblasts at maturation stage. The localization of intense enzyme activity in the distal and lateral ameloblast cell membrane suggests that these regions are the site of accumulation of calcium as enamel differentiates in the developing tooth. © 1993 Wiley-Liss, Inc.

Calcium movement in vivo and in vitro in secretory-stage enamel of rat incisors

The lower incisors of young rats were dissected, immersed in physiological saline containing 45Ca under various conditions, and processed for autoradiography. The data were compared with those from in vivo 45Ca autoradiography. In secretory-stage enamel, wiped free of the enamel organ and immediately immersed in radioactive saline, there was intense labelling in the surface layers. The labelled area expanded only gradually into the deeper layers at a rate similar to that observed in vivo. Labelling in the enamel was similar in pattern but much weaker in intensity when the incisor was identically treated in vitro with the enamel organ attached. Glutaraldehyde pretreatment of the exposed enamel abolished expansion of the labelled area, whereas a hypochlorite pretreatment allowed a rapid diffusion of the isotope into the deeper layers of the secretory-stage enamel. The findings confirm the role of the enamel organ as a diffusion barrier to the penetration of calcium from the extracellular fluid to the secretory-stage enamel, and suggest an intimate correlation between physicochemical properties of the organic enamel matrix and the rate of surface-to-interior diffusion of calcium within the secretory-stage enamel of rat incisors.

Histochemical, ultrastructural, and electron microprobe analytical studies on the localization of calcium in rat incisor ameloblasts at early stage amelogenesis

The enamel organs of rat incisors were separated from the enamel surface and processed for rapid freezing and freeze-substitution. A histochemical stain for calcium (GBHA) of thick Epon sections revealed intense calcium reactions in the secretory ameloblasts, exclusively in the tubulovesicular structures extending throughout their distal cytoplasm. Electron microscopy revealed a thin layer of amorphous material with clusters of electron-dense granules along the distal surface of secretory ameloblasts. In young secretory ameloblasts without typical Tomes' processes, a considerable number of mitochondria were located in the distal cytoplasm and contained numerous electron-dense granules. Similar dense granules as well as fine ribbon-like electron-dense figures, all containing significant amounts of calcium, were observed in some of the tubulovesicular structures at the distal end of these cells. A putative exocytotic figure of such dense granules was also observed. The electron-dense granules were rare in more differentiated ameloblasts with elongated Tomes' processes, which occasionally displayed ribbon-like figures in some of the tubulovesicular structures in the process region. No significant calcium peak was detected in the extracellular amorphous material, secretory granules, or along the lateral plasma membranes. These observations may imply high calcium concentrations in mitochondria and tubulovesicular structures in the distal cytoplasm of secretory ameloblasts relative to that of the cytosol and support the possible contribution of these organelles in secretory ameloblasts to cellular calcium regulation at least in the early stage of amelogenesis.

Changes in the mode of calcium and phosphate transport during rat incisal enamel formation

The distribution of 45Ca, 32PO4, 22Na, and calcein in the freeze-dried sections of rat lower incisor was examined. Also, the ratio of 45Ca to 32PO4 transported into the enamel at various developmental stages was studied after the simultaneous injection of 45Ca and 32PO4. The distribution of calcein fluorescence indicated the presence of an extracellular route from capillary to enamel in the areas of both the secretory and smooth-ended ameloblasts. Autoradiograms showed that the 45Ca incorporation into the enamel in the smooth-ended ameloblast region was higher than that into the secretory enamel, and a remarkably high incorporation was observed in the enamel of the apical two-thirds of the ruffle-ended ameloblast region. Although the 32P incorporation into the enamel of the smooth- and ruffle-ended ameloblast region was higher than in the secretory enamel, the differences between these two regions were not so evident as that observed in the case of 45Ca. The high labeling of 45Ca and 22Na was observed in the apical two-thirds of the ruffle-ended ameloblasts. The 45Ca/32PO4 ratio in the secretory enamel was significantly lower than that in the blood, but in the enamel of the smooth-ended ameloblast region the ratio was not significantly lower. Contrarily, the ratio in the enamel of the ruffle-ended ameloblast region was much higher than that in blood. These results indicate that the mode of transport of these ions into enamel is altered in relation to the morphological changes of the ameloblasts.

An autoradiographic study of calcium movement in the enamel organ of rat molar tooth germs

The distribution and movement of calcium through the enamel organ and into the forming enamel was studied in 6-day-old rats, intravenously injected with 45Ca. To prevent dislocation of radiocalcium in the specimens, the tooth germs were rapidly frozen/freeze-substituted and processed for 45Ca autoradiography under dry conditions. At 30 s after the 45Ca injection, there was a decrease in labelling intensity progressing from the overlying connective tissue to the enamel organ and, in the secretory ameloblasts, from the proximal to distal cytoplasm. The most intense labelling was in the enamel matrix, where it was restricted to the superficial layer extending approx. 15 microns below the surface. At later times the density of silver grains over the connective tissue decreased considerably, whereas secretory ameloblasts showed an increasing intensity in the distal portions. Enamel had the heaviest labelling: the width of the labelled enamel increased gradually to only 40 microns from the surface 60 min after the injection. The use of wet emulsion over similarly prepared sections caused a severe dislocation of radiocalcium in the specimens. These findings confirm the rapid penetration of systemically administered calcium to newly formed enamel, probably due to isotopic exchange. A relatively slow diffusion through the enamel organ and into the surface layer of enamel suggests that net transport of calcium through the enamel organ is transcellular.

Calcium transport during mineralization

The translocation of calcium from the extracellular fluid compartment into the mineralizing matrix during hard tissue formation is not well understood. There are two general means by which such calcium movement may occur: 1) diffusion through the pericellular space, or 2) transcellular transport. Cementum and bone are difficult tissues in which to study the system and little is known about the mechanisms involved. Dentin offers certain advantages for study and it appears that calcium movement into the mineralizing matrix is by transcellular transport. Information concerning the transport mechanism is meager. Enamel is more easily explored. The apparent existence of intercellular junctions tight to calcium in the ameloblast layer at all stages of enamel formation indicates that calcium movement occurs by transcellular transport. Based on published findings, a hypothesis concerning mechanisms of transcellular transport may be advanced. It is proposed that the relatively low level of calcium transport through secretory ameloblasts occurs without direct involvement of a calcium binding protein. During the maturation stage, when calcium influx to the matrix is greatly increased, a calcium binding protein (9 kd) appears and facilitates transport while preventing unphysiologic increases in the cytosolic free calcium ion concentration. Differences in the calcium ion concentrations of extracellular fluid and enamel matrix fluid appear to be critical to the influx of calcium across the proximal cell membrane and the efflux of calcium across the distal cell membrane.

The effect of colchicine on protein secretion by differentiating odontoblasts and ameloblasts in the hamster tooth in vitro as shown by radioautography with 3H-proline

We have examined radioautographically the protein synthetic and secretory activity of differentiating odontoblasts and ameloblasts, exposed for 9 h in vitro to various concentrations of colchicine in the presence of 3H-proline. Colchicine impairs the cytodifferentiation of the dental epithelium into ameloblasts and of the dental mesenchyme into odontoblasts; the effects depend on the dose. However, dental epithelial cells are more sensitive to the drug than dental mesenchymal cells. In stages prior to odontoblast differentiation, colchicine enhances the number of radioautographic grains over the dental epithelium without changing the grain counts over the dental basement membrane area. This suggests that in vitro the dental epithelium synthesizes and secretes proline-containing components that are not constituents of the dental basement membrane. Also, during the subsequent stages of ameloblast differentiation colchicine increases the number of radioautographic grains over the preameloblasts. The present data suggest that the primary in vitro target of colchicine is not the dental mesenchyme, but the dental epithelium. The data also indicate that differentiating ameloblasts synthesize and secrete significant amounts of proteins in vitro prior to the first deposition of enamel.

Autoradiographic, ultrastructural and biosynthetic study of the effect of colchicine on enamel matrix secretion and enamel mineralization in hamster tooth germs in vitro

First upper molar tooth germs of two to three days old hamsters were exposed in vitro to colchicine in concentrations ranging between 10(-7) and 10(-4) M in the presence of 45Ca and/or [3H]-proline for various times up to 18 h. Enamel mineralization was determined by chemical extraction of in vitro incorporated 45Ca and verified ultrastructurally. Quantitative autoradiography compared with water extracts from total explants radiolabelled with [3H]-proline showed a dose-dependent decrease of grain counts over the extracellular enamel to the similar extent as the decrease in radiolabelled amelogenins in water-extracts. It was concluded that water-extracts from total explants represent amelogenins from the extracellular compartment. Enamel matrix secreted in vitro during exposure to high doses of colchicine failed to mineralize and the complete loss was provoked of the distal parts of the secretory ameloblasts including the distal junctional complexes. Nevertheless, the mineralizing pre-exposure enamel neither hypermineralized nor increased uptake of 45Ca. These data do not support the hypothesis that secretory ameloblasts restrict transepithelial calcium transport by directing most of the calcium ions away from the mineralization front. The biosynthetic data furthermore suggest that enamel matrix proteins, only extractable with guanidine-HCl-EDTA, change their physico-chemical nature during secretory amelogenesis in vitro either during secretion or upon their extracellular mineralization.

Distribution of calcium and phosphate in cells of the enamel organ in the rat lower incisor

The distribution of calcium and phosphate in the cells of the enamel organ of the rat lower incisors was investigated by autoradiography and energy-dispersive x-ray spectrometry (EDS).

Radioactive calcium or phosphate was injected i.p. into seven-day-old rats of the Wistar strain. The animals were frozen 0.5, 1, and 10 min after injection, and embedded in 5% carboxymethyl cellulose. Sagittal sections of 10 μm thickness were made in which the lower incisor was included as a part of the whole-body section. For autoradiography, the sections were freeze-dried and placed in contact with dry thin films prepared from autoradiographic emulsion. For EDS, sections were mounted on carbon stubs, freeze-dried, coated with carbon, and examined by EDS in a SEM. 45Ca and 32P autoradiograms showed that the radioactivity was located over the papillary layer cells adjacent to the secretory stage ameloblasts and was much higher here than in the ameloblastic layer. On the other hand, there was no significant difference between the amount of radioactivity of these two cell layers in the maturation stage, although higher radioactivity was detectable in the maturation stage enamel than in the secretory stage enamel. Pronounced Ka x-ray peaks were obtained for P, S, Cl, and K originating from the cells of the papillary and ameloblastic layers in the secretory stage, but only very low peaks were obtained for Ca. On the other hand, in addition to these elements, remarkably high Ca and Fe peaks could be detected in the ameloblastic layer of the maturation stage.

Localization of cellular calcium in differentiating ameloblasts and its relationship to the early mineralization process in mantle dentin and enamel in hamster tooth germs in vitro

The relationship between the distribution of calcium in the cells of the enamel organ and the mineralization process in mantle dentin and enamel was investigated at the ultrastructural level in cultured hamster second maxillary molar tooth germs explanted before the onset of mineralization (bell stage). During the early stages of pre-odontoblast and pre-ameloblast differentiation, pyroantimcnate (PA) reaction product for calcium was observed only in the nuclei. However, an abrupt increase in PA reaction product appeared in the apical cytoplasm of both the pre-odontoblasts and pre-ameloblasts prior to the onset of mantle dentin mineralization. In the pre-dentin, the PA reaction product was localized mainly on the striated collagen fibers. The PA reaction product in the apical poles of these cells increased concomitantly with increasing mantle dentin mineralization. The amounts of PA reaction product along the plasma membranes and in the cytoplasm decreased in the direction of the basal (stratum intermedium) pole. The highest PA activity in the cytoplasmic side of the plasma membranes of the ameloblasts was found during the secretory phase of amelogenesis. However, in the area around the tips of the Tomes' processes, membrane-associated and cytoplasmic PA activity was low or absent but gradually increased toward the ameloblast cell body, an indication of the presence of a calcium gradient in the processes.

These results indicate that in vitro: (1) both odontoblasts and (pre)-ameloblasts are involved in the calcium acquisition necessary for the initial stages of mantle dentin mineralization; (2) in ameloblasts, there is a calcium gradient in the direction of the mineralization front from the earliest stages of mantle dentin mineralization onward; (3) enamel matrix does not seem to be involved in calcium translocation to the enamel mineralization front; (4) the Tomes' processes seem to regulate transmembrane calcium transport to the mineralization front; and (5) the distribution of calcium in the enamel organ is comparable with that found in vivo.

Calcium distribution in true odontoblasts of the fish Hoplognathus fasciatus at dentine mineralization stage

Ultrastructural localization of calcium was investigated using the potassium pyroantimonate technique. The calcium distribution pattern in true odontoblasts differed from that of odontoblasts of mammals and was similar to that of mammalian osteoblasts.