Vergato L A, Doerfler R J, Mooney M P, Siegel M I
University Anesthesiology and Critical Care Medicine Foundation, University of Pittsburgh Medical Center, PA, USA.
J Craniofac Genet Dev Biol. 1997 Oct-Dec;17(4):204-10.
Epidemiological studies revealed population differences in the frequency of cleft lip and palate, with wide faced, rapid growing populations having the highest incidence: Mongoloids > Caucasoids > Blacks. Laboratory studies have also demonstrated higher incidence of vitamin A-induced cleft palate in both rats and mice with rapid somatic growth rates compared to those with slower rates. The present study was designed to test the hypothesis that palatal width growth rates are significantly correlated with frequencies of cleft palate induced by hypervitaminosis A in seven strains of mice. Palatal width growth rates were calculated using 158 fetuses from 26 timed pregnant mice. Anterior and posterior palatal width growth rates during secondary palatogenesis were calculated between day 15 (n = 88) and day 18 (n = 70) gestational age. Anterior palatal width rates ranged from 0.106 mm/day (BALB/cByJ) to 0.219 mm/day (C57BL/6J), and rates for the posterior measure ranged from 0.111 mm/day (BALB/cByJ) to 0.179 mm/day (CBA/J). Vitamin A (10,000 IU/kg) was administered to an additional 26 timed pregnant mice on day 10 of gestation. The frequency of clefting, calculated from 181 fetuses at day 18 of gestation, was found to range from 52.4% +/- 9.7 (C3H/HeJ) to 96.3 +/- 6.4 (CBA/J). No significant correlation (P > 0.05) was found between palatal width growth rates and the frequencies of vitamin A induced cleft palate. It is concluded that if the rate of growth in the width of the palate is causative in clefting, it must be a pre-clefting (i.e., pre-shelf elevation) event and may only be detectable earlier than day 15 of gestation in the mouse.
流行病学研究揭示了唇腭裂发生频率存在人群差异,面部宽阔、生长迅速的人群发病率最高:蒙古人种>高加索人种>黑人。实验室研究也表明,与生长速度较慢的大鼠和小鼠相比,体生长速度较快的大鼠和小鼠中,维生素A诱导腭裂的发生率更高。本研究旨在检验这一假设:在7个品系的小鼠中,腭宽度生长速率与维生素A过多症诱导的腭裂频率显著相关。使用来自26只定时妊娠小鼠的158只胎儿计算腭宽度生长速率。在妊娠第15天(n = 88)和第18天(n = 70)之间计算继发腭发育过程中腭前部和后部宽度的生长速率。腭前部宽度生长速率范围为0.106毫米/天(BALB/cByJ品系)至0.219毫米/天(C57BL/6J品系),后部测量的生长速率范围为0.111毫米/天(BALB/cByJ品系)至0.179毫米/天(CBA/J品系)。在妊娠第10天,给另外26只定时妊娠小鼠施用维生素A(10,000国际单位/千克)。根据妊娠第18天的181只胎儿计算出的腭裂频率范围为52.4%±9.7(C3H/HeJ品系)至96.3±6.4(CBA/J品系)。未发现腭宽度生长速率与维生素A诱导的腭裂频率之间存在显著相关性(P>0.05)。得出的结论是,如果腭宽度的生长速率是导致腭裂的原因,那么它一定是在腭裂形成之前(即腭板抬高之前)发生的事件,并且可能只能在小鼠妊娠第15天之前检测到。