Li C, Lan Y, Jiang R
1 Division of Developmental Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
2 Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Dent Res. 2017 Oct;96(11):1184-1191. doi: 10.1177/0022034517703580. Epub 2017 Jul 26.
Development of the mammalian secondary palate involves highly dynamic morphogenetic processes, including outgrowth of palatal shelves from the oral side of the embryonic maxillary prominences, elevation of the initially vertically oriented palatal shelves to the horizontal position above the embryonic tongue, and subsequently adhesion and fusion of the paired palatal shelves at the midline to separate the oral cavity from the nasal cavity. Perturbation of any of these processes could cause cleft palate, a common birth defect that significantly affects patients' quality of life even after surgical treatment. In addition to identifying a large number of genes required for palate development, recent studies have begun to unravel the extensive cross-regulation of multiple signaling pathways, including Sonic hedgehog, bone morphogenetic protein, fibroblast growth factor, transforming growth factor β, and Wnt signaling, and multiple transcription factors during palatal shelf growth and patterning. Multiple studies also provide new insights into the gene regulatory networks and/or dynamic cellular processes underlying palatal shelf elevation, adhesion, and fusion. Here we summarize major recent advances and integrate the genes and molecular pathways with the cellular and morphogenetic processes of palatal shelf growth, patterning, elevation, adhesion, and fusion.
哺乳动物次生腭的发育涉及高度动态的形态发生过程,包括腭突从胚胎上颌突的口腔侧长出、最初垂直定向的腭突上升到胚胎舌上方的水平位置,以及随后成对的腭突在中线处黏附并融合,从而将口腔与鼻腔分隔开。这些过程中的任何一个受到干扰都可能导致腭裂,这是一种常见的出生缺陷,即使在手术治疗后也会严重影响患者的生活质量。除了鉴定出大量腭发育所需的基因外,最近的研究还开始揭示多种信号通路(包括 Sonic hedgehog、骨形态发生蛋白、成纤维细胞生长因子、转化生长因子β和Wnt信号通路)以及多种转录因子在腭突生长和模式形成过程中的广泛交叉调节。多项研究还为腭突上升、黏附及融合背后的基因调控网络和/或动态细胞过程提供了新见解。在此,我们总结近期的主要进展,并将基因和分子通路与腭突生长、模式形成、上升、黏附及融合的细胞和形态发生过程整合起来。
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