| In 1999, Taya et al conducted a study
of palatogenesis in TGFB3 knockout mice. They knew that TGFB3 expression
is localised in the medial edge epithelia just before shelf fusion and
that mutation of the TGFB3 gene causes cleft palate in all homozygous
null mice (-/-). The palatal shelves still grow vertically and elevate
to the horizontal position at the correct time but the shelves fail to
fuse.
Their findings were as follows...
Scanning electron microscopy (SEM) of
MEE cells in normal mice (+/+) show that just before shelf fusion, at day
14.5, many
filopodia-like structures appear
on the surface of the cells. These do not appear in the homozygous null
mutants. The appearance of these filopodia correlates with the timing and
presence of TGFbeta3 in normal mice (between E13.5 and 15.5). This
suggests that TGFbeta3 may regulate palatal fusion by inducing filopodia
on the outer cell membrane of palatal medial edge epithelial cells prior
to shelf contact. The filopodia greatly increase the surface area of the
MEE available for fusion. Transmission electron microscopy (TEM) shows
that the filopodia are covered in proteoglycan. These proteoglycan structures
may function as cell adhesion molecules.
There is evidence that TGFbeta3 is normally
only active for a very short time to induce changes in the MEE to allow
fusion. This makes sense in view of normal morphogenesis - otherwise the
MEE of vertical palatal shelves may fuse with the floor of the oral cavity.
It also means that timing of fusion is critical and if disrupted can result
in cleft palate.
Inhibition of TGFbeta3 by neutralising
antibody at a specific time window of development, results in failure of
palatal fusion in vitro, lending weight to its role in this aspect of palate
development. With TGFbeta1 or 2 inhibition there is no such effect, indicating
an isoform specific role for TGFbeta3. (Brunet et al 1995)
TGFB1 knockout mice do not develop cleft
palate and TGFB2 knockout mice develop cleft palate but at a much lower
incidence.
In culture conditions, treatment of the
explanted mutant palatal shelves with exogenous TGFbeta3 induces complete
fusion. TGFbeta1 or TGFbeta2 induce nearly normal fusion. This suggests
that TGFbeta3 is recognised by a specific receptor in the MEE which can
distinguish TGFbeta3 from the other TGFbetas.
This also raises interesting therapeutic
ideas. In some cases of human cleft palate caused by TGFB3 mutation, if
such cases could be detected by monitoring high risk pregnancies (established
by a positive family history) using high resolution ultrasound scanning,
then in theory, cleft palate could be treated by giving intravenous recombinant
TGFbeta3 to the mother. This would cross the placenta and rescue palatal
fusion.
TGFbeta3 may also play a part disruption
of the midline seam. TGFB3 -/- shelves show poor seam degeneration and
epithelial triangle formation when they partially fuse after partial rescue
with TGFbeta2 or 1. |