Baltic Dental and Maxillofacial Journal | ||||||||||
June, 2008, Vol. 10, No. 2 CONTENTS REVIEWS SCIENTIFIC ARTICLES © 2008 Stomatologija |
Stomatologija 2008; 10 (2): 62-66 332 KB Barx1, growth factors and apoptosis in facial tissue of children with clefts Benita Krivicka-Uzkurele, Mara Pilmane, Ilze Akota Summary Objective. Clefts of lip and palate belong to the most common birth defects worldwide. Growth factors and genes play an important role in tissue growth, differentiation and induction and upregulation of growth factors, apoptosis and matrix metalloproteinases might be involved in pathogenesis of facial clefts. The aim of this study was investigation of palate tissue in children with unilateral cleft lip palate for detection of local tissue growth factors, barx1 and apoptosis. Materials and methods.We investigated soft and hard palate tissue from 36 children with complete unilateral cleft lip and palate from cleft area.14 children were in age before and primary dentition, but 22 children were in mixed dentition period. We examined the localization of barx1, FGFR1, NGFR, TGFβ, BMP2/4, MMP2, PGP 9,5 by immunohistochemistry. TUNEL method was performed for detection of apoptotic cells. Results. Abundance of FGFR1 positive cells was seen almost in all cases. FGFR richly stained cells of soft and hard palate tissue. Abundance of NGFR positive cells was detected in basal epithelium, hair follicles, nerve fibers in wall of blood vessels and subepithelium, and was more often seen in children before mixed dentition. TGFβ has showed intensive expression in epithelium, cartilage and bone in both dentition ages. Chondrocytes, fibroblasts and macrophages expressed MMP2 predominant before mixed dentition. Regional expression of barx1 was observed in epithelium before the mixed dentition, while during mixed dentition gene appeared in hyaline cartilage. TUNEL discovered apoptosis in both dentition ages. Conclusions. FGFR1 and TGFβ are main tissue stimulating growth factors in both dentition ages. Expression of barx1 appears in cleft lip palate affected structures mainly in mixed dentition ages. NGFR and neuropeptides-containing structures are mainly characteristic in cleft tissue before mixed dentition. Distribution of genes, GF and apoptosis seem to correlate rather with dentition age than to type of CLP. Key words: barx1, growth factors, apoptosis, cleft lip and palate. Received: 24 03 2008 Accepted for publishing: 21 06 2008 1Institute of Anatomy and Anthropology, Riga Stradins University, Latvia 2Institute of Stomatology, Riga Stradins University, Latvia Benita Krivicka-Uzkurele1 PhD student, lecturer Mara Pilmane1 Dr. med., Dr. hab. med., Corresponding member of Latvian Academy of Science, Director of Institute of Anatomy and Anthropology Ilze Akota2 D.D.S., MSc (Oslo), Dr.Med., prof. Address correspondence to Benita Krivicka - Uzkurele, Institute of Anatomy and Anthropology, Riga Stradins University, 9 Kronvalda boulevard, Riga, Latvia, LV-1010. E-mail: b.krivicka@inbox.lv |
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