This application for R21 grant, entitled, “Humanized mouse model of periodontitis”, proposes to develop a
humanized mouse model of periodontitis to study the possible pathogenic roles of Semaphorin 4D (Sema4D)
expressed on human osteoclasts in periodontitis lesion. NSG-SGM3-W41 mouse strain which is one of the
most advanced immunodeficient mouse strains developed by Dr. Shultz at the Jackson Laboratory allows to
reconstruct the full immune compartments containing both myeloid and lymphoid cell populations following
transplantation of human hematopoietic stem cells (hHSC) and thymus organoids both of which will be
developed from the same HLA-homozygous iPS cells without conditioning by irradiation. This humanized
mouse can have osteoclasts differentiated from monocyte linage cells derived from hHSC. We hypothesize
that Porphyromonas gingivalis (Pg)-mediated upregulation of Sema4D expressed by human OCs, but not T
cells, promotes pathogenic bone resorption and inflammation, but suppresses OB-genesis in periodontitis
induced in humanized mice. Aforementioned hypothesis will be tested by following two aims: 1) To profile
immune compartments and OCs of human origins in humanized NSG-SGM3-W41 mice which are induced of
periodontitis, and 2) To establish the roles of Sema4D released from human OCs in promoting periodontal
bone loss and suppressing OB-genesis using a humanized mouse model of periodontitis.
Because periodontal bone loss induced in rodents is spontaneously regenerated after the removal of
inflammatory stimuli, it has been argued that rodents may not be appropriate models for human periodontitis.
However, we for the first time developed and published irreversible bone loss induced in mice by live Pg-soaked
ligature attachment. To discriminate the possible engagement of Sema4D produced by platelets, T cells and
OCs, using a liposome-clodronate protocol that depletes human platelets, T cells and mouse monocyte lineage
cells (including osteoclasts), we will evaluate the periodontal bone outcomes from the Sema4D increased on
the human OCs in humanized NSG-SGM3-W41 mice in the absence of mouse OCs.
This humanized mouse model of periodontitis would allow us to investigate the interaction between the human
host immune system and human periodontal pathogens, such as Pg, in the physiological context. A humanized
mouse model of periodontitis would also provide a platform for understanding the susceptibility of individuals to
develop a particular systemic disease and support preclinical examinations of precision medicine. Upon our
successful completion of this proposed study, it is anticipated that the roles of human Sema4D produced by
human osteoclasts, in comparison to that produced by T cells and platelets, in periodontitis will be
characterized. In sum, the proposed humanized mouse model of periodontitis has potential to be the next
generation biological tool for pathophysiological and pharmacological studies of periodontitis.