| The rapid rate of synthesis and degradation
of glycosaminoglycans (GAG) in developing palatal tissue highlights their
potential role in palatal morphogenesis. Synthesis and hydration of palatal
GAG is implicated in the generation of the shelf elevating force. GAG are
anioinic, heteropolysaccharide structures involved in hydration of connective
tissue. They have a high ability to bind water.
Singh et al carried out a studies in 1994
to find the changes in the composition of GAG during normal palatogenesis
in the rat. These are their findings...
The GAG found in the palatal shelves are
hyaluronic acid, heparan sulphate and chondroitin-4-sulphate. The GAG composition
varies with the stage of palatal development. However, the significant
changes in the amount and composition of GAG in the shelves occur after
shelf elevation and are in association with histogenesis.
The time of maximal GAG synthesis is in the post-elevation, early histogenesis
stage.
Overall, the amount and composition of
the various GAG does not differ much between pre-elevation and post-elevation
stages. This suggests that changes in GAG relate more to histogenesis than
to production of a shelf-elevating force.
There is however a decrease in hyaluronic
acid immediately after elevation. Hyaluronic acid starts at a level of
45% before elevation and decreases to about 30% after elevation. It is
possible that the production of greater amounts of it prior to elevation
could be the major influence at this stage of morphogenesis and its decrease
after elevation may reflect that this task has been completed.
Also, despite the apparent lack of change
in amount and composition of GAGs during pre and post elevation, there
may be differences in the rates of synthesis and degradation in these stages.
Slower rates before elevation would allow a greater degree of hydration,
therefore a greater shelf volume and pressure to be achieved and this may
contribute to an elevating force. The GAG activity after elevation may
be required to maintain the shelf in its new position.
As the sulphated GAG, heparan sulphate
and chondroitin-4-sulphate, show no difference in composition during shelf
elevation they may have other functions in palate development. Heparan
sulphate may contribute to shelf volume and differentiation processes.
Chondroitin-4-sulphate may be related to cartilage formation. In non-elevating
palatal systems (such as avian) the sulphated GAG are the dominant GAG
whereas in mammals, hyaluronic acid is the predominant GAG.
In 1997, Singh et al looked at GAG synthesis
in rats with cleft palates induced by 5-fluoro-2-deoxyuridine (FUDR). In
rats with FUDR induced cleft palate, shelf elevation fails to occur and
this is the cause of the cleft palate. If GAG synthesis is found to be
disturbed in the palatal shelves of these FUDR treated rats, this points
to GAG synthesis producing the shelf elevating force.
The GAG found in the normal palate
were the same as those found in the FUDR induced cleft palates. The total
amount of GAG is significantly decreased by about 32% during cleft development
compared with normal palatogenesis. Unlike normal palatogenesis, during
cleft formation, the pattern of maximal GAG synthesis in the post-elevation,
early histogenesis stage does not occur. There is approximately 50% less
GAG at a time equivalent to the crucial stage of pre-elevation in cleft
formation. This seems to indicate that GAG is needed for shelf elevation
and to maintain elevation if it occurs.
In cleft formation, the presence of hyaluronic
acid begins at a lower level compared with normal. It may be that it is
a deficiency of hyaluronic acid in particular which impedes the elevating
force. The percentage composition of the sulphated GAG was similar to normal
palatogenesis showing that they may have less importance in actual shelf
elevation.
In conclusion, insufficient GAG synthesis
and subsequent deficient extracellular matrix accumulation might lead to
inadequate palatal shelf volume which is incompatible with normal shelf
elevation. |