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Objectives:  Mechanical stimuli are essential for the maintenance of periodontal ligament (PDL) homeostasis. Although there are several studies on atrophic changes in PDL due to occlusal hypofunction, the underlying mechanism is still unknown. Here, we aimed to explore the changes of gene expression in occlusal hypofunctional PDL and elucidate the related role in maintaining the PDL homeostasis.   Methods:  To investigate the transcriptomic difference between control and hypofunctional PDL tissue from patients, RNA sequencing was performed on 34 human teeth. The atrophic changes in PDL were evaluated by histological analysis. The effect of the Bardet-Biedl syndrome 7 ( BBS7 ) knockdown was evaluated by the RT-qPCR, Western blot, wound healing, and tubule formation assay.   Results:  We detected that the expression of  BBS7  was downregulated in occlusal hypofunctional PDL through RNA sequencing. Dynamic changes, including the number of periodontal ligament cells, alignment of collagen fibers, diameter of blood vessels, appearance of primary cilia, and torturous oxytalan fibers, were observed following occlusal hypofunction. Furthermore, Sonic hedgehog signaling (Shh) activity was closely associated with  BBS7  expression in PDL cells. In addition, the cell migration and angiogenesis were also suppressed by  BBS7  knockdown  in vitro .   Conclusion:  We suggest that  BBS7  plays an essential role in maintaining Shh signaling activity for PDL homeostasis.

BBS7–SHH Signaling Activity Regulates Primary Cilia for Periodontal Homeostasis