Abstract
Although palatal shelf adhesion is a crucial event during palate development, little work has been carried out to determine which molecules are responsible for this process. Furthermore, whether altered palatal shelf adhesion causes the cleft palate presented by Tgf-β3 null mutant mice has not yet been clarified. Here, we study the presence/distribution of some extracellular matrix and cell adhesion molecules at the time of the contact of palatal shelves in both wild-type and Tgf-β3 null mutant palates of two strains of mice (C57/BL/6J (C57), and MF1) that develop cleft palates of different severity. We have performed immunohistochemistry with antibodies against collagens IV and IX, laminin, fibronectin, the α5- and β1-integrins, and ICAM-1; in situ hybridization with a Nectin-1 riboprobe; and palatal shelf cultures treated or untreated with TGF-β3 or neutralizing antibodies against fibronectin or the α5-integrin. Our results show the location of these molecules in the wild-type mouse medial edge epithelium (MEE) of both strains at the time of the contact of palatal shelves; the heavier (C57) and milder (MF1) alteration of their presence in the Tgf-β3 null mutants; the importance of TGF-β3 to restore their normal pattern of expression; and the crucial role of fibronectin and the α5-integrin in palatal shelf adhesion. We thus provide insight into the molecular bases of this important process and the cleft palate presented by Tgf-β3 null mutant mice.
Keywords: cleft palate, Tgf-β3, mouse, collagen, laminin, fibronectin, α5β1-integrin, ICAM-1, Nectin-1
Introduction
In mammals, the palatal region develops from the embryonic primary and secondary palates. The primary palate builds the anterior palate up to the incisal foramen, while the secondary palate forms the remaining hard and soft palates. The secondary palate starts as two downward extensions—the palatal shelves—that arise from the medial side of the left and right maxillary processes of the first branchial arch. Palatal shelves initially grow along the lateral surface of the tongue, but subsequently they rotate, become horizontally placed over the tongue and approach each other (Ferguson, 1988). Then, the epithelia covering their tips (medial edge epithelium [MEE]) stop proliferating (Hudson and Shapiro, 1973; Brinkley, 1984; Cui et al., 2003), adhere strongly, and form the midline epithelial seam (MES). MES cells rapidly intercalate (Tudela et al., 2002) and eventually disappear by means of cell death (Mori et al., 1994; Taniguchi et al., 1995; Martínez-Álvarez et al., 2000a; Cuervo et al., 2002; Cuervo and Covarrubias, 2004; Vaziri Sani et al., 2005), epithelial to mesenchymal transformation (Fitchett and Hay, 1989; Griffith and Hay, 1992; Shuler et al., 1992; Martínez-Álvarez et al., 2000a; Nawshad et al., 2004; Jin and Ding, 2006), and migration to the oral or nasal epithelium (Carette and Ferguson, 1992; Cuervo and Covarrubias, 2004; Takigawa and Shiota, 2004; Jin and Ding, 2006). Finally, mesenchyme confluence is achieved in the midline, giving rise to the intact secondary palate (Ferguson, 1988).
Several of these mechanisms fail in Tgf-β3 null mutant mice. In these mice, the palatal shelves grow, rotate, approach each other, and contact in the midline as in the wild type, but soon afterwards they separate partially or totally, resulting in cleft palate (Kaartinen et al, 1995; Proetzel et al., 1995). The main alteration in these palates resides in the MEE, whose cells do not cease DNA proliferation at the time of palatal fusion (Cui et al., 2003) and do not die (Martínez-Álvarez et al., 2000a, 2004). These cells neither migrate (unpublished) nor intercalate (Tudela et al., 2002). They express Snail abnormally, and eventually keratinize, as does the palatal oral epithelium (Martínez-Álvarez et al., 2004). In this MEE, Smad-2 is not phosphorylated, contrary to what is observed in the wild-type MEE, while Smad-3 is normal (Cui et al., 2003).
Little work has been devoted to analyzing MEE cell adhesion in Tgf-β3 null mutant mice. Although a failure of palatal shelf adhesion was initially suggested to explain the cleft palate presented by these mice (Proetzel et al., 1995), further studies in culture discarded this possibility (Taya et al., 1999). However, we found that palatal shelf adhesion is greatly reduced in Tgf-β3 null palate cultures (Gato et al., 2002) and that the presence of several cell adhesion molecules is altered in their MEE (Tudela et al., 2002). These disparities could be due to differences in the adhesion abilities between strains, because Taya's work was performed using Tgf-β3 null mutants of the MF1 strain (Manchester colony [129 × CF1]), while the mutants we used had a C57/BL/6J background. Actually, the cleft palate presented by these mutants has different severities: the great majority of the 129 × CF1 Tgf-β3 null palates show incomplete cleft palate with partial adhesion of palatal shelves while in the C57/BL/6J background about half of the palates are completely cleft (Kaartinen et al., 1995; Proetzel et al., 1995; Taya et al., 1999). In this work, we have postulated that this variation in palatal shelf adhesion between these two strains' Tgf-β3 null mutants correlates with differences in the presence of extracellular (ECM) and cell adhesion (CA) molecules in the MEE just before the contact of palatal shelves. This investigation should help to understand why in some cases the mutation of the TGF-β3 gene in humans leads to the appearance of cleft palate and in others it does not. To investigate our hypothesis, we have looked into the presence/distribution of several ECM and CA molecules in the pre-contact MEE of both C57/BL/6J (C57) and MF1 Tgf-β3 wild-type and null mutant mice. Among all ECM molecules present during palate development, collagens IV and IX, laminin, and fibronectin were selected. Laminin and collagen IV were chosen as representative of MEE basement membrane ECM molecules (Ferguson, 1988; Dixon et al., 1993; Singh et al., 1997; Montenegro et al., 1998). Collagen IX was investigated because it has been proposed as a good candidate to participate in MEE cell adhesion given the time of its appearance in the MEE (Ferguson, 1988). Fibronectin, demonstrated repeatedly in the palatal mesenchyme (Silver et al., 1981; Kurisu et al., 1987; Ohsaki et al., 1995), has also been observed on the MEE surface (Silver et al., 1981). Although it has never been reported to act in palatal shelf adhesion, fibronectin is involved in the adhesion of other epithelial anlagen (Menko et al., 1998). Our results show the location of these molecules in the wild-type mouse pre-contact MEE of both strains, the heavier (C57) and milder (MF1) alteration of their presence in the Tgf-β3 null mutants and the importance of TGF-β3 to restore their normal pattern of expression. The apical location of fibronectin that we found in the wild-type mouse pre-contact MEE prompted us to investigate the presence of its receptor, the α5β1-integrin, in the two mouse strains' MEE. Our results show a differently altered pattern of expression of the two subunits between the two strains' mutants and demonstrate the importance of fibronectin and the α5-integrin for palatal shelf adhesion. We have also analyzed in the two strains contacting MEE the presence of ICAM-1, a ligand of the LFA-1 integrin, whose abnormal appearance was previously observed in the C57 Tgf-β3 null mouse MEE surface at the time of initial contact of palatal shelves (Tudela et al., 2002). We demonstrate that ICAM-1 follows the same pattern of expression of its receptor in the two strains' Tgf-β3 null mutant MEE. Our ultimate objective was to investigate in these mice palates the expression of the Nectin-1 gene, an immunoglobulin-like cell adhesion molecule whose mutation increases the risk to develop cleft palate in humans (Suzuki et al., 2000; Sozen et al., 2001; Scapoli et al., 2006). We show a pattern of expression of Nectin-1 in the wild-type MEE that suggests its involvement in the initial adhesion of opposing MEE and the loss of this pattern in the C57 Tgf-β3 null mutants.
Material and methods
Animals
C57/BL/6J (Jackson Laboratories, Bar Harbor, ME) or MF1 (Manchester Colony (129 × CF1), previously constructed by Proetzel et al., 1995) Tgf-β3 heterozygous mice were mated, and the day of vaginal plug detection was designated as day 0. Time mated pregnant mice were killed by an overdose of chloroform. The embryos were removed by cesarean section, placed in sterile cold 1/1 Dulbecco's modified Eagle's medium/HAM's F12 growth medium (DMEM/F12) (Sigma, Aldrich Inc., St. Louis, MO) supplemented with 1% penicillin/streptomycin, and decapitated. Embryos to be used for culture experiments were removed under sterile conditions. Once heads were obtained, the jaw and tongue were removed. Genotyping was performed as described in Proetzel et al. (1995).
Immunohistochemistry
E14.5 wild-type and Tgf-β3 null mutant C57 or MF1 mouse heads were fixed overnight in either buffered formaldehyde (for anti-fibronectin, -collagen IV, -laminin, and -β1-integrin), cold acetone, following the AMeX protocol described in Sato et al., 1986 (for anti-collagen IX and -α5-integrin), or Zinc fixative (BD PharMingen, San Diego, CA) (for anti-ICAM-1). Because we aimed to study the presence of ECM molecules immediately before palatal shelf adhesion, only specimens where palatal shelves had close approach were selected, with the exception of those to be labeled with anti-ICAM-1, in which initial contact between opposing MEE was required. To avoid regional differences along the anterior–posterior axis of the palate, all sections were taken from its middle third. TGF-β3-treated or untreated Tgf-β3 null palatal shelf cultures were fixed in buffered formaldehyde for 2 hr. Standard paraffin embedding was then performed. Epitope was unmasked in 5-μm-thick sections using a 0.2% solution of pepsin (Sigma-Aldrich) in HCl 0.1 N (for anti-collagen IV) or 1 mM EDTA (Sigma-Aldrich) (for anti-fibronectin, -laminin, and -β1-integrin). Sections were then incubated for 2 hr at room temperature with either 1:75 monoclonal mouse IgG anti-human fibronectin (BD Transduction Laboratories, Franklin Lakes, NJ), 1:50 policlonal rabbit IgG anti-mouse laminin (Sigma-Aldrich), 1:50 monoclonal mouse IgG anti-sheep collagen IX (Developmental Studies Hybridoma Bank, Iowa City, IA), 1:100 policlonal rabbit IgG anti-human collagen IV (ICN Biomedicals Inc., Aurora, OH), 1:20 monoclonal mouse IgG anti-human β1-integrin (BD Transduction Laboratories), 1:50 monoclonal mouse IgG anti-hamster α5-integrin (Developmental Studies Hybridoma Bank), or 1:10 policlonal hamster IgG anti-mouse ICAM-1 (CD-54) (BD PharMingen). Negative controls were performed using mouse or rabbit IgG (controls) (Santa Cruz Biotechnology Inc., Santa Cruz, CA), at the same concentrations and conditions used for the respective experimental studies.
Labeling was developed using the Rabbit/Mouse EnVision™ Peroxidase System, a peroxidase-conjugated dextran polymer (Dako Corp., Carpinteria, CA), and 3,3′-diaminobenzidine (DAB kit) as chromogen (Dako Corp.).
Some sections were counterstained with hematoxylin for a few seconds before mounting. No less than four different specimens per antibody and experimental condition were analyzed.
Palatal shelf organ cultures
Under sterile conditions, E13.5 C57 wild-type or E14 C57 Tgf-β3 null mutant mouse palatal shelves were extracted microsurgically, placed on a 2 × 2 mm Millipore filter (0.8 μm pore size) (Millipore Corp., Bedford, MA), and cultured in Trowell's tissue culture in DMEM/F12 supplemented with 2% penicillin/streptomycin and 1% ascorbic acid, at 37°C in a 5% CO2 incubator. Wild-type palatal shelves were cultured in close apposition and used to block the action of fibronectin or the α5-integrin. In these cultures medium, 1:50 rabbit anti-fibronectin (Novotec, Lyon, France), 40 μg/ml rat anti-α5-integrin (BD PharMingen), or similar amounts of PBS, rabbit IgG (control) (Calbiochem, Darmstadt, Germany), or rat IgG (control) (BD Pharmingen) at similar concentrations (controls) were added. Cultures were maintained for 36 hr, changing the medium after 24 hr. Tgf-β3 null palatal shelf cultures were added 10 ng/ml rhTGF-β3 (R&D Systems Inc., Minneapolis, MN) (n = 6) or a similar amount of PBS (controls, n = 5), and they were cultured for 12 hr. Specimens for each group were taken from three different experiments.
Assessment of palatal shelf adhesion in palate cultures
Wild-type paired palatal shelf cultures treated with either PBS (n = 11), rabbit IgG control (n = 9), rat IgG (control) (n = 10), anti-fibronectin (n = 8), or anti-α5-integrin (n = 10) were used (Table 1). Cultures were fixed in buffered formaldehyde, dehydrated in a graded ethanol series and embedded in paraffin. They were then sectioned along the anterior–posterior axis. 7 μm-thick sections were hematoxylin and eosin stained following standard procedures. Sections were studied using a Nikon Optiphot light microscope (Nikon Corp., Tokyo, Japan) and photographed with a Nikon Coolpix 995 camera (Nikon Corp.). To measure the length of the adhered opposing MEE in all palate cultures, a measuring grid inserted in a × 10 ocular lens was used. Because in the areas where palatal shelf adhesion fails ulterior fixation causes separation of opposing MEE, all places where opposing MEE were in full contact were considered adhered. Likewise, those areas where fusion had occurred (mesenchymal confluence) were also taken as places where opposing MEE had adhered previously, and were included for measurement. Therefore, the length of adhered MEE was the sum of the length of contacted opposing MEE and “disappeared” MEE, if applicable. Figure 1 shows an example on how measures were taken. The length of the adhered MEE was measured in one of every 10 sections taken from the middle hundred sections of each palate culture, and measures from cultures of each experimental group were added. The average length of adhered MEE for each group was then calculated. The final values are expressed as the arithmetic mean ± standard error. For comparison of the average measurements between experimental and control samples, data were entered into a computer database and statistically analyzed using SPSS for Windows (version 12.5; SPSS Inc., Chicago, IL). The Student t-test was used to determine any significant difference. Criterion for statistical significance was set at p<0.01.
Table 1.
Type of palate culture | No. of cultures studied | No. of sections studied | Average length of adhered MEE |
---|---|---|---|
Control (PBS) | 11 | 110 | 275.03 ± 34.01 μm (100%) |
Control (rabbit IgG) | 9 | 90 | 259.86 ± 71.06 μm (100%) |
Control (rat IgG) | 10 | 100 | 286.75 ± 29.92 μm (100%) |
Anti-fibronectin treated | 8 | 80 | 115.85 ± 48.16 μm1 (42%–44%)2 |
Anti-α5-integrin treated | 10 | 100 | 194.51 ± 35.08 μm1 (67%–70%)3 |
Statistically significant with respect to the controls. Measurements are mean ± standard error. In all cases p<0.01 by two-tailed Student's test.
Percentage of adhesion respecting the controls (PBS and rabbit IgG, respectively).
Percentage of adhesion respecting the controls (rat IgG and PBS, respectively).
MEE, medial edge epithelium.
In situ hybridization
The Nectin-1 probe was kindly provided by Dr. Lars Haarr, University of Bergen, Norway, and constructed as in Haarr et al., 2001. E14.5 C57 wild-type (n = 5) and Tgf-β3 null (n = 5), and MF1 wild-type (n = 4) and Tgf-β3 null (n = 4) mouse heads were extracted in ice-cold PBS/DEPC and fixed overnight in 4% paraformaldehyde in PBS/DEPC. All mandibles, cranial vaults, and encephala were then removed. In situ hybridization was performed in toto as described in Martínez-Álvarez et al. (2004). After hybridization, heads were subsequently incubated with an alkaline phosphatase-conjugated anti-digoxigenin antibody. After developing, whole-mount heads were embedded in gelatin, sectioned with a Leica VT 1000M vibratome (Leica Geosystems AG., St. Gallen, Switzerland), and stored in PBS containing 50% glycerol. Sections were studied using a Leica DMR microscope (Leica Geosystems) and photographed with a Leica DFC 320 digital camera (Leica Geosystems).
Results
Presence of extracellular matrix molecules in the pre-contact MEE of C57 and MF1 Tgf-β3 wild-type and null mutant mice
We labeled E14.5 wild-type and Tgf-β3 null mutant C57 and MF-1 mouse heads with antibodies against collagen IV, laminin, collagen IX, and fibronectin (Figs. 2 and 3). A thick layer of collagen IV was observed in the MEE basement membrane of C57 wild-type palates (Fig. 2A), while this layer was thinner in the MF1 strain (Fig. 2C). When compared with the wild type, the presence of collagen IV in the basement membrane of C57 null palates was very scarce and curled (Fig. 2B). Collagen IV immunostaining in the MF1 null mutant MEE was only slightly reduced when compared with the wild type (compare Figs. 2C and 2D). Laminin was present intercellularly in the wild-type MEE of both strains (Figs. 2E,2G). A careful observation of its distribution revealed that its presence in the pre-contact MEE basement membrane is disrupted (Figs. 2E,2G). However, laminin was continuous at this location in both strains Tgf-β3 null mouse MEE (Figs. 2F,2H). Interestingly, the apical surface of the two strains' wild-type mouse MEE superficial cells was unlabeled (Figs. 2E,2G), while it was labeled in the Tgf-β3 null palates (Figs. 2F,2H). In the Tgf-β3 null MF-1 mouse, a small part of the pre-contact MEE showed both anti-laminin labeling in the MEE surface and morphological appearance closely resembling that observed in the wild type, although the presence of laminin in the basement membrane was continuous in this small area (Fig. 2H). Labeling with a rabbit IgG (control) at the same dilutions used for experiments was negative (Figs. 2I,2J).
Collagen IX was intercellularly located in the wild-type pre-contact MEE of both strains and absent in the MEE surface (Figs. 3A,3D). Its presence was somewhat weaker in the MF-1 Tgf-β3 null mutant (Fig. 3E), but it was absent in the mutant of the C57 strain (Fig. 3B). Both strains wild-type mouse pre-contact MEE showed strong anti-fibronectin labeling around its cells, mostly located at the apical layers (Figs. 3F,3I). Interestingly, both bulging MEE cells and the MEE apical surface were strikingly anti-fibronectin positive (Figs. 3F,3I). Tgf-β3 null MF-1 MEE showed a weaker but still positive anti-fibronectin staining at the location observed in the wild type (Fig. 3J). However, fibronectin was totally absent around MEE cells and on the MEE apical surface in the C57 Tgf-β3 null mouse (Fig. 3G). Labeling with a mouse IgG (control) at the same dilution used for experiments was negative (Figs. 3C,3H).
Summarizing, there are little or no differences in the presence of collagen IV, IX, laminin, and fibronectin in the pre-contact MEE of both strains wild-type palates. Tgf-β3 null mice MEE show an altered presence/localization of collagen IV and IX, laminin, and fibronectin when compared with the wild type, which is much weaker in the strain with less-severe cleft palate.
Presence of the fibronectin receptor in C57 and MF1 Tgf-β3 wild-type and null mutant pre-contact MEE
Fibronectin was the only ECM molecule studied here that was located in the most apical pre-contact MEE cells, which strongly suggested its participation in opposing MEE adhesion. We thus focused on fibronectin and studied the presence/distribution of its receptor, the α5β1-integrin, in the two mouse strains. We investigated the two subunits independently and immunolabeled E14.5 C57 and MF-1 wild-type and Tgf-β3 null mutant mouse palates with antibodies against the α5- and β1-integrins (Fig. 4). The α5-integrin was located apically in both strains' wild-type mouse MEE (Figs. 4A,4C). Its presence was strikingly reduced in the MF1 Tgf-β3 null mutant (Fig. 4D) but it was absent in the C57 mutant (Fig. 4B). The localization pattern of the β1-integrin was similar in the two strains' wild-type mice: β1-integrin was present around all MEE cell surfaces, including the apical surface of the most apical cells (Figs. 4F,4H). In the C57 Tgf-β3 null mutant, the few bulging cells present and the basal MEE surface were anti-β1-integrin negative (Fig. 4G), although the rest of the MEE was positive. However, the MF-1 Tgf-β3 null mouse MEE showed no differences with the wild type (compare Figs. 4H and 4I). Labeling with a mouse IgG (control) at the concentrations used for experiments was negative (Figs. 4E,4J).
Summarizing, our results reveal no changes in the localization of the α5 and β1-integrins between the pre-contact MEE of both strains' wild-type palates with differences for both subunits between the Tgf-β3 null and wild-type MEE in the C57 strain and for the α5 subunit in the MF1 strain.
Tgf-β3 rescue of extracellular matrix and cell adhesion molecules in the Tgf-β3 null mutant pre-contact MEE
To demonstrate the influence of TGF-β3 on the presence/distribution of these molecules in the MEE, we cultured palatal shelves from E14 C57 Tgf-β3 null mutant mice in the presence or absence of TGF-β3. To perform these experiments, we chose the C57 strain because it had the most marked alterations of any strain in the presence of these molecules. Cultures were maintained for 12 hr to impede the MEE disappearance that occurs in isolated cultured palatal shelves in longer period cultures (Takigawa and Shiota, 2004). We immunolabeled these palate cultures with antibodies directed against collagen IV, laminin, and fibronectin, as representatives of ECM molecules located at the MEE basal membrane, intercellularly and on the MEE surface, respectively, and the α5- and β1-integrins (Fig. 5). As expected, immunolabeling of Tgf-β3 null palate cultures with these antibodies showed a pattern of presence/distribution of the molecules studied similar to the one observed in vivo (compare Figs. 5A,5C,5E,5G,5I with 2B,2F,3G,4B,4G, respectively). The addition of TGF-β3 for 12 hr to these cultures' medium resulted in a great increment in collagen IV in the basement membrane (compare Figs. 5A with 5B) and the appearance of fibronectin and the α5-integrin on the MEE apical surface (compare Fig. 5E with 5F, 5G with 5H). These 12 hr TGF-β3-treated Tgf-β3 null palate cultures developed bulging cells on their MEE surface, whose apical surfaces were anti-laminin negative (Fig. 5D) and anti-β1-integrin positive (Fig. 5J), although the presence of laminin in the basal membrane was unchanged (compare Figs. 5D and 5C). The amount of β1-integrin greatly increased in these cultures' MEE basal surface (compare Figs. 5J and 5I).
Thus, our results demonstrate the importance of TGF-β3 for the correct amount and distribution of collagen IV, laminin, fibronectin, and the α5- and β1-integrins in the pre-contact MEE.
Role of fibronectin and its receptor in palatal shelf adhesion
Because the superficial presence of fibronectin and its receptor, the α5-integrin, in the wild-type mouse pre-contact MEE strongly suggested its participation in their initial adhesion, we performed experiments blocking their action. We added antibodies that had proved to efficiently neutralize their activity in other organs' culture (Sakai et al., 2003) to E13.5 C57 wild-type paired palatal shelf cultures (Fig. 6). We then measured palatal shelf adhesion as described in ‘Material and methods.’ As expected, the addition of the anti-fibronectin antibody at a concentration of 1:50 resulted in a palatal shelf adhesion of 42%–44% with respect to the controls (Figs. 6A–6D and Table 1). A significant reduction of palatal shelf adhesion (67%–70%) compared with controls was appreciated when the antibody against the α5-integrin was added to the culture medium (Figs. 6E,6F and Table 1).
Thus, our results show the importance of fibronectin and its receptor for palatal shelf adhesion.
ICAM-1 in C57 and MF1 Tgf-β3 wild-type and null mutant MEE
The abnormal presence of the LFA-1 integrin between contacting opposing MEE in C57 Tgf-β3 null mouse palates, which was absent in the wild type (Tudela et al., 2002), prompted us to investigate the presence of its ligand, ICAM-1, in the two mouse strains' contacting palatal shelves (Fig. 7). As expected, ICAM-1 was absent in both strains' wild-type mouse contacting MEE (Figs. 7A,7D) but was observed on the apical surface in the null mutants (Figs. 7B,7E). This suggests that the presence of ICAM-1 in the MEE is an abnormal condition associated with the appearance of cleft palate. Labeling with a mouse IgG (control) at the same concentration used for experiments was negative (Fig. 7C).
Nectin-1 during palatal shelf adhesion and fusion
On the basis of epidemiological observation that mutations of the Nectin-1 gene increase the risk of developing cleft palate (Suzuki et al., 2000; Sozen et al., 2001; Scapoli et al., 2006), we looked into the expression of Nectin-1 in the MEE before and during palatal shelf contact in C57 and MF1 wild-type and Tgf-β3 null mouse palates (Fig. 8). In situ hybridization with a Nectin-1 probe showed that in the two strains' wild-type palate Nectin-1 was expressed in the most apical MEE cells at the time of the contact of palatal shelves (Figs. 8A–8C). Staining still persisted in the multilayered MES cells (Figs. 8F,8H), but it disappeared as the MES developed (Figs. 8G,8I,8J). Nectin-1 was absent in the Tgf-β3 null mouse MEE of the C57 strain (Fig. 8D) but present in the most apical MEE cells in the MF1 (Fig. 8E). Interestingly, there was Nectin-1 expression in these MF1 mutants' developed MES cells (Fig. 8K).
Discussion
In this work we have analyzed the presence and distribution of several ECM and CA molecules in the MEE of two strains of Tgf-β3 null mutant mice presenting cleft palates of different severity and have compared their presence with that observed in wild-type palates. A scheme summarizing these results is shown in Figure 9. We have also investigated the influence of TGF-β3 in their appearance and the importance of fibronectin and its receptor in palatal shelf adhesion.
Palatal shelf adhesion is a crucial event during palate development in which two different and practically simultaneous processes occur. The first is the redistribution of the MEE cells that takes place immediately before the contact of palatal shelves (Brinkley, 1984) to produce the great mass of cells needed in opposing MEE adhesion. Up to this moment, the MEE is formed by an inner layer of cuboidal cells covered by an outer layer of flat cells, the superficial periderm (Fitchett and Hay, 1989), and only when palatal shelves approach each other does the MEE become multilayered (Brinkley, 1984; Tudela et al., 2002). These pre-contact MEE cells are round, develop many focal contacts, and show a patchy presence of vinculin, thus suggesting small movements among them (Tudela et al., 2002). As we demonstrate here, these cells have a basement membrane with a clear presence of collagen IV but where laminin is discontinuous. This discontinuity could be related to the occurrence of cell death in the MEE basal cell layer (Martínez-Álvarez et al., 2000a; Takigawa and Shiota, 2004), which motivates laminin disintegration in isolated palatal shelf cultures (Cuervo and Covarrubias, 2004). In this pre-contact MEE we note the presence of laminin and the β1 integrin intercellularly, which had not been documented earlier, and that of collagen IX, previously reported by Ferguson (1988). Laminin and collagen IX are ligands of β1-integrins, and because of their location among MEE cells, their role could be to ensure pre-contact MEE cells redistribution. E-cadherin, α-, and β-catenin have been identified as well among pre-contact MEE cells (Tudela et al., 2002; Martínez-Álvarez et al., 2004) and could also cooperate.
The importance of these molecules in the pre-contact MEE cells redistribution is supported by the fact that in the C57 Tgf-β3 null mutant, with severe cleft palate, the MEE is unable to become multilayered (Tudela et al., 2002) and the presence of most of these molecules is strikingly altered: the distribution pattern of E-cadherin, α-, and β-catenin (Tudela et al., 2002; Martínez-Álvarez et al., 2004), laminin and collagen IV (this work) is greatly distorted, while collagen IX is totally absent (this work). Interestingly, collagen IX was strongly suggested to play a role in palatal epithelial cell adhesion (Ferguson, 1988), and mutations of CDH1/E-cadherin, which delete the extracellular cadherin repeat domains required for cell–cell adhesion, have been recently associated with the appearance of cleft lip and palate (Frebourg et al., 2006).
The most important event in palatal shelf adhesion is the process of opposing MEE adhesion. To achieve it, the MEE surface increases its area by developing bulging cells and filopodia (Taya et al., 1999; Martínez-Álvarez et al., 2000a, 2000b), while desmosomes form on the MEE surface (Ferguson, 1988). In parallel, cell adhesion molecules are synthesized by the most apical MEE cells. This is the case with the chondroitin sulfate proteoglycan (CSPG), which appears on the MEE surface just before the contact of palatal shelves, increases as this contact becomes imminent, and disappears once palatal shelf adhesion occurs (Gato et al., 2002). As its timely presence suggests, altering the synthesis of CSPG results in a reduction of palatal shelf adhesion (Gato et al., 2002). We show here that fibronectin, its receptor (the α5β1-integrin), and Nectin-1 are all especially evident at the MEE apical surface at the time of contact of palatal shelves. The presence of small amounts of fibronectin on the MEE surface at this time point was previously reported, but it was considered amniotic fluid fibronectin without activity in this process (Silver et al., 1981). Together with a patchy distribution of fibronectin on the MEE surface, a regular distribution of fibronectin all around the superficial MEE cells clearly rules out this possibility. The importance in palatal shelf adhesion of fibronectin on the MEE surface is confirmed by the fact that fibronectin neutralization in culture and that of its receptor, the α5-integrin, results in a significant reduction of palatal shelf adhesion. In agreement with this, mutations of the MID1 gene, which encodes for a protein with a fibronectin type III domain, are associated with the Opitz phenotype, which includes cleft palate (Perry et al., 1999). The presence of the α5- and β1-integrins in the pre-contact MEE is described here for the first time. Interestingly, the α5-integrin is only present on the MEE surface, consistent with the role that we demonstrate in palatal shelf adhesion, while the β1-integrin has a broader presence in the MEE. This means that β1-integrins other than the α5β1-integrin are present in the MEE. This may play other functions in MEE cells, as suggested earlier. The expression of Nectin-1 in the MEE is compatible with a role in initial palatal shelf adhesion. Nectin-1 is expressed in MEE cells before the contact of palatal shelves (Suzuki et al., 2000), but we show here that it is especially evident in the most superficial MEE cells both immediately before and during the initial contact of palatal shelves. Once the MES becomes bi- or monolayered, Nectin-1 disappears, thus indicating that it does not participate in the developed MES intercellular adhesion. Although Nectin-1-deficient mice do not develop cleft palate (Irie et al., 2004 and references therein), the mutation of the PVRL-1 gene, codifying for the nectin-1 receptor, seems to constitute a genetic risk factor for non-syndromic cleft palate (Suzuki et al., 2000; Sozen et al., 2001; Scapoli et al., 2006), demonstrating the importance of this molecule in palate fusion.
It thus seems that opposing MEE adhesion results from the cooperation of different cell adhesion molecules (fibronectin, the α5β1-integrin, nectin-1, CSPG), all working together to guarantee the process. All of them are absent in the C57 Tgf-β3 null pre-contact MEE apical surface (this work; Gato et al., 2002). In addition, other molecules such as laminin, ICAM-1, and the LFA-1 integrin appear abnormally in this surface, while E-cadherin, β-, and α-catenin lose their apicobasal polarity (this work; Tudela et al., 2002; Martínez-Álvarez et al., 2004). This important alteration of the ECM molecules in the Tgf-β3 null cleft palate is congruent with the changes of both the presence of ECM molecules and Tgf-β3 expression observed in palate fibroblasts of cleft lip and palate patients (Baroni et al., 2006). It is clear that the C57 Tgf-β3 null pre-contact MEE is very different from its wild type-counterpart regarding its morphology (altered epithelial redistribution, absence of bulging cells) and the presence of ECM and CA molecules, which justifies the great impairment of palatal shelf adhesion occurring in these mice. All this suggests a role for TGF-β3 on the differentiation of the C57 pre-contact MEE toward a pre-fusion epithelium and, in fact, the addition of TGF-β3 to these null mice palate cultures not only normalizes the presence of most of the molecules studied (Gato et al., 2002; this work), but also the development of bulging cells (this work), palatal shelf adhesion (Gato et al., 2002), cell intercalation (Tudela et al., 2002), and epithelial to mesenchymal transformation (Kaartinen et al., 1997). Actually, the eventual fate of the C57 Tgf-β3 null mutant MEE is identical to that of the palatal oral epithelium (Martínez-Álvarez et al., 2004), which is not influenced by TGF-β3 (Fitzpatrick et al., 1990; Pelton et al., 1990). We do not know whether the altered MEE differentiation in these mice is the primary consequence of the absence of TGF-β3 or, as observed in other systems (Adams and Watt, 1993; Hay, 1993), it is due to a primary failure of cell–ECM adhesion caused by this absence. Nor do we know whether the lack of TGF-β3 causes the abnormal or null presence of only one of the studied molecules and the alteration of the others' results. It is accepted that ECM and CA molecules greatly interact among themselves (reviewed in Chen and Gumbiner, 2006). Another possibility is that the primary effects of the TGF-β3 absence was a disregulation of MEE cell matrix metalloproteinases, whose expression is altered in Tgf-β3 null palates (Blavier et al., 2001), leading to the ECM-CA alteration observed here. This needs to be clarified with further investigation.
The alteration of pre-contact MEE cell redistribution and opposing MEE adhesion is milder in the MF1 Tgf-β3 null MEE. In this strain, the pre-contact MEE achieves some degree of stratification, and opposing MEE adhesion occurs in part of the palate. However, in the adhered area the MES is formed by a reduced number of cells and persists until birth as either a bilayered or a multilayered epithelium (Kaartinen et al., 1995; Proetzel et al., 1995; Taya et al., 1999; Martínez-Álvarez et al., 2000a). Contrary to the observed in the C57 strain (Gato et al., 2002), MF1 Tgf-β3 null palatal shelves adhere properly in vitro (Taya et al., 1999). Consistent with this, the presence of the molecules studied in the pre-contact MEE is less altered than in the C57 strain. Collagens IV and IX, fibronectin, and the α5-integrin are less reduced, while the β1-integrin and the expression of Nectin-1 are normal. However, laminin and ICAM-1 are still present in the MEE basal and apical surfaces, respectively, while the expression of Nectin-1 persists in the developed MES, which may be the reason as to why MF1 Tgf-β3 null mutant MES cells never disappear (Kaartinen et al., 1995, 1997; Proetzel et al., 1995). The question raised is why the absence of TGF-β3 leads to these dissimilarities depending on the strain. Undoubtedly, TGF-β3 is important to the differentiation of the MF1 Tgf-β3 null pre-contact MEE toward the pre-fusion phenotype, because otherwise these mutants would not develop cleft palate. However, in this strain, growth factors other than TGF-β3 could be also involved in the process. Both TGF-β1 and TGF-β2 have been seen to improve palatal shelf fusion in MF1 Tgf-β3 null palate cultures (Taya et al., 1999) and are potent inductors of the synthesis of ECM molecules during palate development (Ferguson, 1988; Dixon and Ferguson, 1992). Interestingly, TGF-β1 is overexpressed in the mesenchyme of the C57 Tgf-β3 null mice immediately before the contact of palatal shelves (Martínez-Álvarez et al., 2004), probably as an attempt to compensate the absence of TGF-β3. However, Taya et al. (1999) did not find any difference in the intensity or distribution of TGF-β1 or TGF-β2 immunostaining in the heads of MF1 wild-type and Tgf-β3 null mutant mice, which may indicate a higher participation of these growth factors in palate fusion in this strain wild type and less impact caused by the absence of TGF-β3. Likewise, other growth factors could be involved in palatal shelf adhesion and participate differently in this process in both strains. In fact, although somewhat impaired, palatal shelf adhesion occurs between opposing Tgf-βr2 ablated MEE, where TGF-β signaling is blocked (Xu et al., 2006). TGF-α, EGF, or FGF, expressed during palatal fusion (Ferguson, 1988; Citterio and Gaillard, 1994; Britto et al., 2002; Rice et al., 2004), increase the presence of collagens, fibronectin, and glycosaminoglycans in palate cultures (Foreman et al., 1991; Dixon et al., 1993) and can modify the expression of matrix metalloproteinases (Miettinen et al., 1999), thus changing ECM molecules composition. Interestingly, their mutation or that of their receptors has been associated with increased risk to develop cleft palate (Miettinen et al., 1999; Jugessur et al., 2003). Investigations on the role of these growth factors in palatal shelf adhesion and on their expression in the two strains' Tgf-β3 null mutants need to be carried out to give more insight on the pathogenesis of the cleft palate produced by mutations of the Tgf-β3 gene.
Acknowledgments
The authors wish to thank Dr. Lars Haarr, University of Bergen, Norway, for kindly providing the Nectin-1 riboprobe, Mrs. Alicia Cerro and Mrs. Dolores Arroyo for help with histology, Mr. Kevin Wood (Linguistic Centre of University Complutense of Madrid [CSIM]) and the anonymous referees for revision of the manuscript. This work was supported by grants from the Fondo de Investigación Sanitaria (PI03/0185), Comunidad Autónoma de Madrid (08.6/0001/2003 and GR/SAL/0539/2004) and University Complutense-Comunidad Autónoma de Madrid to the Complutense Research Group 920202 in 2005.
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