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Dr. Katsu TAKAHASHI
USAG-1 Protein
Tooth Regeneration
https://www.youtube.com/watch?v=6FXVyV3l0I0
Regrow Your Teeth | The End of Dental
Implants // Medical Miracle
Led by Dr. Katsu Takahashi at Kitano Hospital (Osaka) in
collaboration with Kyoto University, this groundbreaking
research targets the USAG-1 protein that normally prevents
additional tooth development. By blocking this "biological stop
sign," dormant tooth buds can be reactivated to grow fully
functional natural teeth.
https://newatlas.com/medical/tooth-regrowing-human-trial/
World-first tooth-regrowing drug will be given to
humans in September
https://newatlas.com/medical/humans-grow-new-teeth-drug-trial/?itm_source=newatlas&itm_medium=article-body
Humans may soon grow new teeth, with promising drug
trial set
...In an earlier study, the researchers landed on an antibody
for uterine sensitization-associated gene-1 (USAG-1), which
could stimulate new tooth growth in mice with tooth agenesis.
Essentially, the scientists found that USAG-1 interacts with
other proteins to suppress tooth growth. Blocking the
interaction can lead to bone morphogenetic protein (BMP)
signaling, which triggers new tooth growth.

https://pubmed.ncbi.nlm.nih.gov/32922570/
Development of tooth regenerative medicine
strategies by controlling the number of teeth using targeted
molecular therapy
Katsu Takahashi 1 , et al.
Abstract -- Analysis of various genetically modified
mice, with supernumerary teeth, has revealed the following two
intrinsic molecular mechanisms that increase the number of
teeth. One plausible explanation for supernumerary tooth
formation is the rescue of tooth rudiments. Topical application
of candidate molecules could lead to whole tooth formation under
suitable conditions. Congenital tooth agenesis is caused by the
cessation of tooth development due to the deletion of the
causative gene and suppression of its function. The arrest of
tooth development in Runx2 knockout mice, a mouse model of
congenital tooth agenesis, is rescued in double knockout mice of
Runx2 and Usag-1. The Usag-1 knockout mouse is a supernumerary
model mouse. Targeted molecular therapy could be used to
generate teeth in patients with congenital tooth agenesis by
stimulating arrested tooth germs. The third dentition begins to
develop when the second successional lamina is formed from the
developing permanent tooth in humans and usually regresses
apoptotically. Targeted molecular therapy, therefore, seems to
be a suitable approach in whole-tooth regeneration by the
stimulation of the third dentition. A second mechanism of
supernumerary teeth formation involves the contribution of
odontogenic epithelial stem cells in adults. Cebpb has been
shown to be involved in maintaining the stemness of odontogenic
epithelial stem cells and suppressing epithelial-mesenchymal
transition. Odontogenic epithelial stem cells are differentiated
from one of the tissue stem cells, enamel epithelial stem cells,
and odontogenic mesenchymal cells are formed from odontogenic
epithelial cells by epithelial-mesenchymal transition. Both
odontogenic epithelial cells and odontogenic mesenchymal cells
required to form teeth from enamel epithelial stem cells were
directly induced to form excess teeth in adults. An approach for
the development of targeted therapeutics has been the local
application of monoclonal neutralizing antibody/siRNA with
cationic gelatin for USAG-1 or small molecule for Cebpb.
https://pubmed.ncbi.nlm.nih.gov/39389160/
Development of a new antibody drug to treat
congenital tooth agenesis // K Takahashi, et al.
Abstract -- Background: This study aimed to develop a
therapeutic agent promoting teeth regeneration from autologous
tissues for congenital tooth agenesis, specifically for
hypodontia (?5 missing congenital teeth, 10% prevalence) and
oligodontia (?6 missing congenital teeth, 0.1% prevalence).
Highlight: We studied mice genetically deficient in the USAG-1
protein, an antagonist of BMP/Wnt which forms excessive teeth.
We identified USAG-1 as a target molecule for increasing the
number of teeth. Crossing USAG-1-deficient mice with a
congenital tooth agenesis model restored tooth formation. We
produced anti-USAG-1 neutralizing antibodies as potential
therapeutic agents for the treatment of congenital tooth
agenesis. Mice anti-USAG-1 neutralizing antibodies can
potentially rescue the developmentally arrested tooth germ
programmed to a certain tooth type. A humanized anti-USAG-1
antibody was developed as the final candidate.
Conclusion: Targeting USAG-1 shows promise for treating missing
congenital tooth. Anti-USAG-1 neutralizing antibodies have been
developed and will progress towards clinical trials, which may
regenerate missing congenital teeth in conditions, such as
hypodontia and oligodontia. The protocol framework for a phase 1
study has been finalized, and preparation for future studies is
underway.
https://pubmed.ncbi.nlm.nih.gov/39389160/
J Oral Biosci.
2024 Dec;66(4):1-9.
doi:
10.1016/j.job.2024.10.002. Epub 2024 Oct 9.
Development of a new
antibody drug to treat congenital tooth agenesis
K Takahashi, et al.
Abstract
Background: This study aimed to develop a therapeutic agent
promoting teeth regeneration from autologous tissues for
congenital tooth agenesis, specifically for hypodontia (≤5
missing congenital teeth, 10% prevalence) and oligodontia (≥6
missing congenital teeth, 0.1% prevalence).
Highlight: We studied
mice genetically deficient in the USAG-1 protein, an antagonist
of BMP/Wnt which forms excessive teeth. We identified USAG-1 as
a target molecule for increasing the number of teeth. Crossing
USAG-1-deficient mice with a congenital tooth agenesis model
restored tooth formation. We produced anti-USAG-1 neutralizing
antibodies as potential therapeutic agents for the treatment of
congenital tooth agenesis. Mice anti-USAG-1 neutralizing
antibodies can potentially rescue the developmentally arrested
tooth germ programmed to a certain tooth type. A humanized
anti-USAG-1 antibody was developed as the final candidate.
Conclusion: Targeting
USAG-1 shows promise for treating missing congenital tooth.
Anti-USAG-1 neutralizing antibodies have been developed and will
progress towards clinical trials, which may regenerate missing
congenital teeth in conditions, such as hypodontia and
oligodontia. The protocol framework for a phase 1 study has been
finalized, and preparation for future studies is underway.
https://toregem.co.jp/en/
Toregem BioPharma
For the realization of a society where people are not afraid of
losing their teeth
We are developing a regenerative treatment for tooth defects
called “teething medicine”. We are working for the people who
are genetically incapable of growing teeth or who have lost
their teeth for some reason will regain their “own teeth”. We
will contribute to the extension of people's healthy life span
by developing and promoting innovative technologies that will
enable them to continue chewing with their own teeth forever.
USAG-1 MOLECULE-TARGETING NEUTRALIZING ANTIBODY FOR TOOTH
REGENERATION TREATMENT
US2025136674 (A1)
[ PDF ]
Provided are: an antibody which specifically binds to and
neutralizes USAG-1 or an antigen-binding fragment thereof; and a
pharmaceutical composition containing the antibody or the
antigen-binding fragment.
Medicine Containing USAG-1-Targeting RNA Molecule for Tooth
Regeneration Therapy
US2024043841
[ PDF ]
Provided is a medicinal composition to be topically administered
for tooth regeneration therapy, said composition comprising an
RNA molecule targeting USAG-1 or a nucleic acid molecule capable
of yielding the RNA molecule and a pharmaceutically acceptable
carrier.
Neutralizing Antibody for Tooth Regeneration Treatment
Targeting USAG-1 Molecule
US2022259298
[ PDF ]
Provided are: an antibody which specifically binds to and
neutralizes USAG-1 or an antigen-binding fragment thereof; and a
pharmaceutical composition containing the antibody or the
antigen-binding fragment.
IMPLANT BODY AND DENTAL IMPLANT
JP2023028834
[ PDF
]
To
provide an implant body that can be favorably implanted
above a newly growing tooth such as a permanent tooth
and a regenerative tooth in an alveolar bone.SOLUTION:
An implant body 130 is implanted above a newly growing
tooth in an alveolar bone. The implant body 130
includes, on an upper part 131, an abutment 120
integrally formed therewith or the abutment 120 fixed
thereto. At least a part of a lower part 132 of the
implant body 130 is formed of a bioabsorbable material
such that with the growth of the newly developing tooth,
the implant body 130 becomes shorter from the tip
thereof.