背景:全球唇裂伴或不伴腭裂(CL/P)是最常见的颅面出生缺陷。除了面部外观的变化,另外受影响的个体通常患有各种相关的合并症,需要复杂的多学科治疗,总体费用很高.了解CL/P的完整致病机制可能有助于开发新的预防策略和治疗方法。帮助遗传咨询,提高生活质量。许多基因与口面裂痕的发展有关;然而,大多数需要进一步研究。基于PAX7、PAX9、SHH、SOX3,WNT3A,和WNT9B在口面发育中,目的是使用显色原位杂交技术检测出生后CLP影响的腭突组织中的6个基因,并比较它们在组织样本中的分布.
结果:PAX7,PAX9,WNT3A,观察到WNT9B。总的来说,注意到19对中度到非常强的正相关。
结论:受裂隙影响的腭上皮的变化似乎主要与PAX7基因有关;然而,PAX9,WNT3A,WNT9B,而SOX3的作用似乎更为有限。虽然结缔组织变化似乎仅取决于PAX7,SHH似乎单独和模糊地参与。许多正相关反映了途径及其成分在口面裂形态发生中的复杂相互作用。
BACKGROUND: Worldwide cleft lip with or without a cleft palate (CL/P) is the most common craniofacial birth defect. Apart from changes in facial appearance, additionally affected individuals often suffer from various associated comorbidities requiring complex multidisciplinary treatment with overall high expenses. Understanding the complete pathogenetic mechanisms of CL/P might aid in developing new preventative strategies and therapeutic approaches, help with genetic counselling, and improve quality of life. Many genes have been associated with the development of orofacial clefts; however, the majority require further research. Based on the role of
PAX7, PAX9, SHH, SOX3, WNT3A, and WNT9B in orofacial development, the intention was to use chromogenic in situ hybridization to detect the six genes in postnatal CLP-affected palatine tissue and compare their distribution within the tissue samples.
RESULTS: Statistically significant differences in the distribution of
PAX7, PAX9, WNT3A, and WNT9B were observed. In total, 19 pairs of moderate to very strong positive correlations were noted.
CONCLUSIONS: Changes in the cleft-affected palatine epithelium primarily seem to be associated with the
PAX7 gene; however, PAX9, WNT3A, WNT9B, and SOX3 role seems to be more limited. Whilst connective tissue changes seem to depend on
PAX7 only, SHH seems to participate individually and indistinctly. Numerous positive correlations reflect the complicating interactions of the pathways and their components in the orofacial cleft morphopathogenesis.