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Possible pathogenic engagement of soluble Semaphorin 4D produced by γδT cells in medication-related osteonecrosis of the jaw (MRONJ)
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γδT, but not αβT, cells prone to migrate into MRONJ site in both humans and mice.

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Upon activation, γδT cells produce more sSema4D than αβT cells, in vitro.

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sSema4D promotes the production of TNF-α from macrophages.

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γδT-KO mice neither develop MRONJ nor produce sSema4D or TNF-α in the lesion.

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Anti-Sema4D mAb suppressed the onset of MRONJ in wild-type mice.

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