Biomedical Sciences, Texas A&M College of Dentistry, Dallas, Texas, USA.
Department of Anthropology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
J Anat. 2018 Jul;233(1):46-54. doi: 10.1111/joa.12810. Epub 2018 Apr 2.
An estimated 3% of US pregnancies are affected by maternal thyroid dysfunction, with between one and three of every 1000 pregnancies being complicated by overactive maternal thyroid levels. Excess thyroid hormones are linked to neurological impairment and excessive craniofacial variation, affecting both endochondral and intramembranous bone. Using a geometric morphometric approach, this study evaluates the role of in utero thyroxine overexposure on the growth of offspring mandibles in a sample of 241 mice. Canonical variate analysis utilized 16 unilateral mandibular landmarks obtained from 3D micro-computed tomography to assess shape changes between unexposed controls (n = 63) and exposed mice (n = 178). By evaluating shape changes in the mandible among three age groups (15, 20 and 25 days postnatal) and different dosage levels (low, medium and high), this study found that excess maternal thyroxine alters offspring mandibular shape in both age- and dosage-dependent manners. Group differences in overall shape were significant (P < 0.001), and showed major changes in regions of the mandible associated with muscle attachment (coronoid process, gonial angle) and regions of growth largely governed by articulation with the cranial base (condyle) and occlusion (alveolus). These results compliment recent studies demonstrating that maternal thyroxine levels can alter the cranial base and cranial vault of offspring, contributing to a better understanding of both normal and abnormal mandibular development, as well as the medical implications of craniofacial growth and development.
据估计,美国有 3%的孕妇受到母体甲状腺功能障碍的影响,每 1000 次妊娠中就有 1 到 3 次受到母体甲状腺水平过高的影响。过多的甲状腺激素与神经损伤和过度颅面变异有关,影响到软骨内和膜内骨。本研究采用几何形态测量方法,评估了在 241 只小鼠样本中,胎儿甲状腺素暴露过度对后代下颌骨生长的影响。典型变量分析利用从 3D 微计算机断层扫描获得的 16 个单侧下颌骨标志点,评估了未暴露对照组(n = 63)和暴露组小鼠(n = 178)之间的形状变化。通过评估三个年龄组(出生后 15、20 和 25 天)和不同剂量水平(低、中、高)的下颌骨形状变化,本研究发现,过量的母体甲状腺素以年龄和剂量依赖的方式改变后代下颌骨的形状。总体形状的组间差异具有统计学意义(P < 0.001),下颌骨与肌肉附着(冠状突、下颌角)相关区域和主要由与颅底关节(髁突)和咬合(牙槽)控制的生长区域的整体形状发生了重大变化。这些结果补充了最近的研究,表明母体甲状腺素水平可以改变后代的颅底和颅盖,有助于更好地理解正常和异常下颌骨的发育,以及颅面生长和发育的医学意义。