Lotz Kristina, Proff Peter, Bienengraeber Volker, Fanghaenel Jochen, Gedrange Tomas, Weingaertner Jens
Institute of Anatomy and Cell Biology, Ernst Moritz Arndt University of Greifswald, Germany.
J Craniomaxillofac Surg. 2006 Sep;34 Suppl 2:8-13. doi: 10.1016/S1010-5182(06)60003-6.
For embryonal facial development several fusion processes between different facial prominences are necessary. If fusion fails to appear, various facial clefts may occur, known as median (e.g. lower median cleft lip), oblique (e.g. open nasolacrimal duct) or lateral facial clefts (macrostomia, lateral cleft).
The development of 3 different facial regions (bucca, mentum, and nasolacrimal duct) was examined in rats using serial histological sections on day 13.5 after conception. Common procedures were used (staining for active caspase-3 and for Ki-67) for histological assessment about the role of apoptotic and proliferative processes in the fusion zones of buccal, mental and nasolacrimal areas.
Multiple apoptotic events were detected in epithelial cells of the respective regions, the proliferative centers were located in the mesenchymal surroundings of fusion zones.
A substantial precondition for fusion of facial prominences are proliferative and apoptotic processes in epithelial and mesenchymal cells. Apoptosis contributes to the development of bucca, mentum and the nasolacrimal duct. Absence of apoptoses may be responsible for facial clefts.
胚胎面部发育需要不同面部隆起之间进行多次融合过程。如果融合未能出现,可能会发生各种面部裂隙,如正中(如下唇正中裂)、斜向(如鼻泪管开放)或侧面面部裂隙(大口畸形、侧面裂隙)。
在受孕后第13.5天,利用大鼠的连续组织切片检查3个不同面部区域(颊部、颏部和鼻泪管)的发育情况。采用常规方法(活性半胱天冬酶-3和Ki-67染色)对颊部、颏部和鼻泪管区域融合区凋亡和增殖过程的作用进行组织学评估。
在各个区域的上皮细胞中检测到多个凋亡事件,增殖中心位于融合区的间充质周围。
面部隆起融合的一个重要前提是上皮细胞和间充质细胞中的增殖和凋亡过程。凋亡有助于颊部、颏部和鼻泪管的发育。凋亡缺失可能是面部裂隙的原因。