Abstract

Clefting of the secondary palate is one of the most common human birth defects and results from failure of the palatal shelves to fuse during embryonic development. Palatogenesis is traditionally considered to be a highly conserved developmental process among mammalian species. However, cleft palate phenotypes in humans are considerably more variable than those seen in mice, the most common animal model for studying palatal development and pathogenesis of cleft palate. In this investigation, we utilized macroscopic observations, histology and 3D imaging techniques to directly compare palate morphology and the oral-nasal cavity during palate closure in mouse embryos and human conceptuses. We showed that mouse and human palates display distinct morphologies attributable to the structural differences of the oral-nasal cavity. We further showed that the palatal shelves interact differently with the primary palate and nasal septum in the hard palate region and with pharyngeal walls in the soft palate region during palate closure in mice and humans. Knowledge of these morphological differences is important for improved translation of findings in mouse models of human cleft lip/palate and, as such, should ultimately enhance our understanding of human palatal morphogenesis and the pathogenesis of cleft lip/palate in humans.

Highlights

  • The palate forms the roof of the mouth and separates the oral and nasal cavities in humans

  • Palatal shelf elevation marks the onset of palate closure, during which the palatal shelves overcome the tongue obstruction and move to a horizontal position for contact and fusion at the midline of the oral-nasal cavity

  • We found that the medial edge epithelium (MEE) of the newly elevated palatal shelves is much closer to the nasal septum than to each other in the anterior and middle region (Figures 4Di,ii), but not in the posterior region (Figure 4Diii), which may explain the earlier contact and fusion of the palatal shelves and nasal septum in humans

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Summary

Introduction

The palate forms the roof of the mouth and separates the oral and nasal cavities in humans. The primary palate constitutes the most anterior part of the palate (anterior to the incisive foramen) and is formed through posterior expansion of the frontal-nasal process. The secondary palate constitutes the majority of the palate (posterior to the incisive foramen) and is formed through fusion of paired palatal shelves that derive from medial outgrowths of the maxillary processes. Defects in any stage of palate development can result in cleft palate, one of the most common human birth defects. Non-syndromic cleft palate, which affects one in every 1,500–2,000 live births worldwide, can have a complex etiology, being caused by genetic abnormalities that have either a primary or secondary affect on palatal development, environmental factors or the combination of both (Dixon et al, 2011; Burg et al, 2016). Significant progress has been made in identifying genetic contributors to cleft palate through human genetic studies (Cobourne, 2004; Stanier and Moore, 2004; Marazita, 2012; Leslie and Marazita, 2013)

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