Evidence map›Paper›PMID 40668230›Full record

ArticleJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2026

GDF15 modulates aging-associated adaptions in the mechanoresponse of periodontal ligament fibroblasts.

Judit Symmank, Elena Rieger, Christoph-Ludwig Hennig, Annika Döding, Ulrike Schulze-Späte, Collin Jacobs

Abstract read
In one paragraph

Article in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Judit SymmankDepartment of Orthodontics, Jena University Hospital, Jena, Germany. judit.symmank@med.uni-jena.de.
Elena RiegerDepartment of Orthodontics, Jena University Hospital, Jena, Germany.
Christoph-Ludwig HennigDepartment of Orthodontics, Jena University Hospital, Jena, Germany.
Annika DödingSection of Geriodontics, Department of Conservative Dentistry and Periodontics, Jena University Hospital, Jena, Germany.
Ulrike Schulze-SpäteSection of Geriodontics, Department of Conservative Dentistry and Periodontics, Jena University Hospital, Jena, Germany.
Collin JacobsDepartment of Orthodontics, Jena University Hospital, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis in vitro study aimed to examine aging-associated adaptations in the mechanoresponse of periodontal ligament fibroblasts (PdLFs) and explore a potential regulatory role of growth differentiation factor 15 (GDF15).

methodsReplicative senescence was induced in cultured human PdLFs (hPdLFs) by repeated enzymatic subcultivation as a valid in vitro aging model. The senescent phenotype was assessed by analyzing cellular morphology, proliferative capacity, and senescence marker expression. Furthermore, GDF15 levels were measured and subsequently modulated by small interfering RNA(siRNA)-mediated knockdown and by ponsegromab, a novel GDF15-neutralizing antibody. Tensile and compressive forces were applied using BioFlex® Culture Plates (FLEXCELL®, Dunn Labortechnik, Asbach, Germany) and sterile glass plates, respectively. The mechanoresponses of hPdLFs were characterized by analyzing pro-inflammatory cytokine levels and the activation of immune cells as well as of bone-remodeling osteoblasts and osteoclasts.

resultsAged hPdLFs exhibited decreased proliferation, increased β‑galactosidase activity, and morphological changes indicative of cellular senescence. Elevated baseline and force-induced intra- and extracellular GDF15 levels were observed in aged hPdLFs correlating with enhanced pro-inflammatory cytokine expression and immune cell activation. While aged hPdLFs showed reduced activation of osteoblasts in response to tensile forces, compressive forces led to increased osteoclast activation. Remarkably, modulating intra- and extracellular GDF15 levels partially restored the deregulated activation of bone-remodeling cells.

conclusionAging altered the mechanobiological response of PdL fibroblasts by promoting a hyperinflammatory microenvironment and shifting bone remodeling towards degenerative processes. Senescence-associated increases in GDF15 contributed to these changes by force-dependent intra- and extracellular signaling pathways. Targeting GDF15 could offer a therapeutic potential to optimize bone remodeling and improve orthodontic care for the elderly.

Indexed as

AgingCellular SenescenceFibroblastsGrowth Differentiation Factor 15Mechanotransduction, CellularPeriodontal LigamentAdaptation, PhysiologicalCell ProliferationCells, CulturedHumansGDF15 protein, humanGrowth Differentiation Factor 15Aging modelBone RemodelingGrowth differentiation factor 15HyperinflammationOrthodontic tooth movement

Identifiers

PMID40668230
PMCPMC13503411

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.