Rone Alise Elizabete, Pilmane Mara
Riga Stradiņš University, Riga, Latvia.
Acta Med Litu. 2025;32(1):78-91. doi: 10.15388/Amed.2025.32.1.3. Epub 2025 Feb 18.
Cleft lip palate is one of the most common craniofacial birth defects in humans. Multiple defense factors have been described to have possible involvement in the failure in palatal shelve elevation, migration and fusion, most importantly, the role of chronic inflammation. A widespread presence of Gal-10 in different local inflammatory processes has been discussed before, however, knowledge of its involvement in local tissue inflammation in the postnatal cleft palate and tissue regeneration is scant. This study focuses on the detection of appearance and a possible role of Gal-10 in the cleft-affected facial tissue regarding its ontogenetical aspect.
Craniofacial cleft tissue material was obtained from 21 children aged 8 months to 12.7 years undergoing veloplastic or uranoplastic procedure with non-syndromic craniofacial cleft diagnosis in milk or mixed dentition. Control groups for milk dentition were 5 subjects without orofacial defects for milk dentition and 3 subjects with plastic of superior lip frenula for mixed dentition. The number of factor positive cells in the control group and the patient group tissue was evaluated by using the semiquantitative counting method. The data were evaluated with the use of nonparametric statistical methods.
Elevated levels of Gal-10 were found in the epithelium in correlation with age, from milk to mixed dentition, as well as in both the control and the patient samples. Notable differences in expression can be seen by comparing the milk and the mixed dentition patient muscle tissue, where the milk dentition palate shows a more elevated factor expressed in comparison to the mixed dentition palate.
The nearly total absence of Gal-10 in the healthy palate with an increase of its expression in the palatal epithelium from the milk to mixed dentition age of cleft-affected children suggests the possible role of this factor in providing the local defense function and the epithelium barrier function. The palatal muscles are not the main place for Gal-10 expression either in healthy or in cleft condition-affected individuals. The sporadic and insignificant appearance of Gal-10 only in the healthy milk dentition age and the mixed dentition age cleft-affected palatal connective tissue prove individual changes in the palatal tissue which does not depend on the specific disease.
唇腭裂是人类最常见的颅面先天性缺陷之一。多种防御因素被认为可能与腭板抬高、迁移和融合失败有关,其中慢性炎症的作用最为重要。此前已讨论过Gal-10在不同局部炎症过程中的广泛存在,然而,关于其在出生后腭裂局部组织炎症和组织再生中的作用的了解却很少。本研究聚焦于Gal-10在受腭裂影响的面部组织中的出现情况及其在个体发育方面可能发挥的作用。
颅面裂组织材料取自21名年龄在8个月至12.7岁之间、因非综合征性颅面裂接受腭成形术或腭裂修复术的儿童,这些儿童处于乳恒牙混合期或乳牙期。乳牙期对照组为5名无口腔颌面缺陷的乳牙期受试者和3名因上唇系带成形术处于乳恒牙混合期的受试者。采用半定量计数法评估对照组和患者组组织中因子阳性细胞的数量。数据采用非参数统计方法进行评估。
在从乳牙期到乳恒牙混合期的过程中,随着年龄增长,上皮中Gal-10水平升高,在对照组和患者样本中均如此。比较乳牙期和乳恒牙混合期患者的肌肉组织,可发现表达存在显著差异,乳牙期腭裂的该因子表达水平高于乳恒牙混合期腭裂。
在受腭裂影响儿童从乳牙期到乳恒牙混合期的过程中,健康腭部几乎完全不存在Gal-10,而腭上皮中其表达增加,这表明该因子可能在提供局部防御功能和上皮屏障功能方面发挥作用。无论是在健康个体还是受腭裂影响的个体中,腭肌都不是Gal-10表达的主要部位。Gal-10仅在健康乳牙期和乳恒牙混合期受腭裂影响的腭结缔组织中偶尔出现且不显著,这证明了腭组织的个体变化,且这种变化不依赖于特定疾病。