Palate development in mouse foetuses after tongue removal

Experimental aspects of the pathogenesis of Robin sequence

OBJECTIVE

The Pierre Robin Sequence (PRS) is a good example of disturbed embryonic development of the secondary palate involving insufficient mandibular growth, failed forward tongue movement, and, in the case of a cleft, impeded fusion of the secondary palate. Discussion continues regarding which of the involved pathogenetic factors is the primary cause of the induced cascade of signs: insufficient mandibular growth or failed descent of the tongue.

DESIGN

Forty-five randomly selected, 18-day-old formalin-fixed A/WySn mouse fetuses were investigated. The strain is known to have a basic genetic defect and as much as 44% clefts in the offspring. Twenty-four fetuses in the group had a cleft palate. Mandible position was measured relative to the head and to the presence or absence of a cleft. Cleft width and tongue position were also determined. Thirty-eight NMRI mouse fetuses of the same age served as controls.

RESULTS

All A/WySn fetuses showed marked mandibular retrognathia, which was more severe in the cleft group (p < .05), but there was no correlation between the degree of retrognathia and cleft width. The median cleft width was 3.4 mm (1.6 through 6.3 mm). The tongue was in the cleft in all 12 fetuses with wide clefts (>3.4 mm wide), and free in the oral cavity in the other 12. Tongue position did not influence the degree of retrognathia (p < .05). Moreover, the tongue was free in all fetuses with severe retrognathia.

CONCLUSION

The results support the primary role of retroposition of the mandible in the development of cardinal symptoms of Pierre Robin Sequence.

Cranial base angulation and growth of the human fetal pharynx

The upper airway controls the mechanisms of breathing, swallowing, and vocalization. Information on its normal ontogenetic associations is therefore crucial for understanding human speech evolution as well as the developmental etiology of speech abnormalities. Of particular interest to evolutionary morphologists is the proposed structural association between the upper airway and the cranial base. The present study aims to elucidate whether cranial base angulation is linked to growth of the upper airway during human fetal life. Forty postmortem human fetuses ranging from 10 to 29 weeks of gestation were imaged with high-resolution magnetic resonance imaging. Measurements of basicranial angle, hyoid depth, hormion height, and pharyngeal area were taken from sagittal images. Results show a significant correlation between the internal and external basicranial angles but the correlation between relative hyoid depth and internal cranial base angle was not significant. Findings show a significant correlation between increases in the size of the oropharynx relative to the nasopharynx and increases in the internal cranial base angle (retroflexion). These findings give limited support (rrank=0.46; P<0.01) for the hypothesis that restructuring of the upper airway underlies basicranial retroflexion during prenatal life.

Fetal experience revealed by rats: psychobiological insights

Psychobiological studies of fetal ontogenesis in non-human species, particularly in laboratory rat, now have much to offer students of human development. Psychobiological approaches are 'ecologically' oriented which, for fetal research, implies consideration of the adaptive significance of behavior within the uterine habitat. Consistent with this orientation is a concern for the sensory capabilities of the fetus, especially in relation to the specific forms and levels of stimulation that occur within the uterine milieu. We describe recent advances in these areas, and the impressive range of fetal responses to naturally-occurring (often mother-induced) forms of sensory stimulation. To the psychobiologist, sensory-evoked responses of all kinds constitute the fetus' experience and much has been learned about the roles of such experience in regulating the rate, direction, and form of development. Indeed, experience can be considered a significant, if not neglected, mechanism of development. Finally, we briefly survey some contemporary analyses of the interrelations between developmental and evolutionary processes. We use onset of sensory function (which occurs in a stereotyped sequence in every vertebrate species for which there are data) as a developmental phenotype. Phylogenetic considerations of sensory development are discussed. By identifying and clarifying some of the intellectual questions that guide perinatal research with non-human species, we hope to improve the appreciation of novel insights and interpretive strategies that derive from different approaches. This is bound to enhance the study of human development and to improve the design and use of animal models.

Chondrodystrophic mice with coincidental agnathia: evidence for the tongue obstruction hypothesis in cleft palate

Mice homozygous for either of two mutations, chondrodysplasia (cho) or cartilage matrix deficiency (cmd), have short-limbed chondrodystrophy. This phenotype includes retrognathia, relative macroglossia, and cleft palate. It has been postulated that the cleft palate in these mice is the result of tongue obstruction during palatogenesis. Agnathia associated with microglossia is an independent spontaneously occurring defect in the strains bearing these mutations. The coincidental occurrence of agnathia-microglossia with chondrodystrophy lends itself to the study of the mechanism of cleft palate formation. We examined approximate midsagittal histological sections of normal and chondrodystrophic newborn mice, both with and without agnathia. Mandibular measurements and examinations of palate closure and tongue structure were made from photographic prints. Typical chondrodystrophic mutants with cleft palates had a mean mandibular length that was 66% of normal and a tongue that appeared large relative to the shortened mandible. Chondrodystrophic mutants with agnathia and microglossia had a mean mandibular length that was further reduced to 30% of normal, yet had a closed palate. We also observed two nonagnathic chondrodystrophic mutants that had slightly decreased mandibular lengths, microglossia, and closed palates. These observations suggest that tongue obstruction during palatogenesis is the pathogenetic mechanism of cleft palate in chondrodystrophic mice. A similar tongue obstruction hypothesis has been proposed as the mechanism of cleft palate formation in the human Pierre Robin sequence, which consists of retrognathia, glossoptosis, and cleft palate. This mechanistic hypothesis has been challenged, but our findings support the tongue obstruction hypothesis in the Robin cleft.

An improved culture system for secondary palatal elevation

An organ culture system devised for studying the development of the secondary palate was modified so that it retained high partial pressures of oxygen and supported total anterior and posterior palatal elevation. The cultured tissues appeared healthy as judged by histological examination. Medium was continuously recirculated through the culture system in which Day 13 embryonic mouse heads, with the brain and tongue removed, were totally submerged and suspended. The medium was constantly gassed via hollow fiber devices. A motor-driven stirrer, run at a low rate, agitated the medium so that the boundary layer surrounding the tissue was dispersed. Embryonic mouse heads were cultured in each of four media: Eagle's basal medium, Ham's F-12 medium, Fitton-Jackson's modified BGJb medium, and Waymouth's MB 752/1 medium. Elevation of the palate in both anterior and posterior regions with excellent tissue viability was achieved in all heads grown in BGJb medium.

Palate morphology and fetal movements in mice after DPH

Effects of DPH on fetal development were studied using a dose which produced 65% cleft palate in the CD-1 strain. Generalized developmental retardation and diminution of fetal muscular movements occurred at the early fetal stage. Intermediate stages of palate closure persisted to term, indicating interference with palatine shelf rotation.

Palate development after fetal tongue removal in cortisone-treated mice

Morphological studies of cortisone-induced cleft palate have shown retardation in the rotation of palatine shelves from a sagittal to a transverse plane. Cortisone also reduces fetal muscular movements, which may explain why displacement of the tongue from between the palatine shelves is delayed. Previous work with extrauterine development of control fetuses demonstrated that fetal membranes and tongue were major obstacles to shelf rotation. Thus, removal of these obstacles might permit rotation and fusion of palatine shelves in cortisone-treated fetuses. In the present experiment, fetuses from cortisone-treated strain CD-1 mice were released from uterus and membranes and allowed to develop for eight hours in a fluid medium with the umbilical cord left intact. Compared to 4% fusion in utero, there was palatal fusion in 20% of fetuses released from membranes. When the fetal tongue was removed during extrauterine development, the frequency of fusions increased to 61%. Fusion appeared normal by the criteria applicable through light microscopy. Thus, cortisone induces cleft palate primarily through interference with shelf rotation. The palatine shelves of treated fetuses retain their ability to fuse when they can come in contact during the normal time for palate closure.

Effects of craniofacial structures on mouse palatal closure in vitro

Heads of Swiss-Webster mouse fetuses of four ages spanning days 12-13 of gestation, were partially dissected by removing the brain (B), tongue (T) and mandible (M) alone or in combination (BT, BM, BTM). Preparations were suspended in a gassed, circulating culture system such that palatal closure must take place against gravity. Closure occurred earlier than in vivo and required the posterior half of the mandible be intact and the tongue removed.