Name: method of studying palatal fusion using static organ culture
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Description: Watch this Scientific Journal Video about Method of Studying Palatal Fusion using Static Organ Culture at JoVE.com

The authors do not have any acknowledgements.

All procedures described must be performed in accordance with the guidelines and regulations for the use of vertebrate animals, including prior approval by the local Institutional Animal Care and Use Committee.
1. Preparation of Dissecting Instruments and Culture Media
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	<li>Prewash all instruments to be used in dissection with 3% hydrogen peroxide and then autoclave at 121 &#176;C for 20 min. Filter BGJb media with antibiotic and antimycotic solution using a 0.22 &#181;m pore-sized filt...

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	<li>Nawshad, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Palatal+seam+disintegration+to+die+or+not+to+die+that+is+no+longer+the+question.">Palatal seam disintegration to die or not to die that is no longer the question.</a> Developmental dynamics an official publication of the American Association of Anatomists. 237, 2643-2656 (2008).</li><li>Strong, E. B., Buckmiller, L. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Management+of+the+cleft+palate.">Management of the cleft palate.</a> Facial plastic surgery clinics of North America. 9, 15-25 (2001).</li><li>Witt, P. D., Marsh, J. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Advances+in+assessing+outcome+of+surgical+repair+of+cleft+lip+and+cleft+palate.">Advances in assessing outcome of surgical repair of cleft lip and cleft palate.</a> Plastic and reconstructive surgery. 100, 1907-1917 (1997).</li><li>4miloro, <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> principles of oral and maxillofafcial surgery. 209, 231-249 (1984).</li><li>Mima, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Regulation+of+the+epithelial+adhesion+molecule+CEACAM1+is+important+for+palate+formation.">Regulation of the epithelial adhesion molecule CEACAM1 is important for palate formation.</a> PloS one. 8, e61653 (2013).</li><li>Carette, M. J., Ferguson, M. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+fate+of+medial+edge+epithelial+cells+during+palatal+fusion+in+vitro+an+analysis+by+DiI+labelling+and+confocal+microscopy.">The fate of medial edge epithelial cells during palatal fusion in vitro an analysis by DiI labelling and confocal microscopy.</a> Development (Cambridge, England). 114, 379-388 (1992).</li><li>Ferguson, M. W., Honig, L. S., Slavkin, H. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Differentiation+of+cultured+palatal+shelves+from+alligator+chick+and+mouse+embryos.">Differentiation of cultured palatal shelves from alligator chick and mouse embryos.</a> The Anatomical record. 209, 231-249 (1984).</li><li>San Miguel, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ephrin+reverse+signaling+controls+palate+fusion+via+a+PI3+kinase+dependent+mechanism.">Ephrin reverse signaling controls palate fusion via a PI3 kinase dependent mechanism.</a> Developmental dynamics an official publication of the American Association of Anatomists. 240, 357-364 (2011).</li><li>Kang, P., Svoboda, K. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=PI+3+kinase+activity+is+required+for+epithelial+mesenchymal+transformation+during+palate+fusion.">PI 3 kinase activity is required for epithelial mesenchymal transformation during palate fusion.</a> Developmental dynamics an official publication of the American Association of Anatomists. 225, 316-322 (2002).</li><li>RD, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Histopathologic Technic and Practical Histochemistry. , (1965).</li><li>Kaufman, M. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> The Atlas of Mouse Development. , (1992).</li><li>Taher, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Global+gene+expression+analysis+of+murine+limb+development.">Global gene expression analysis of murine limb development.</a> PloS one. 6, e28358 (2011).</li></ol>

The protocol in this article provides a method of dissecting palatal shelves from embryos at embryonic day 13.5. Palatal shelves from mouse embryos were cultured in a serum-free culture media in an atmosphere of 95% O2 5% CO2 at 37 &#176;C. Successful palatal dissection is critically dependent on multiple factors at each step during the procedure from the embryonic time of the euthanized mice to the completion of the culture. One of the most important factors influencing palatal fusion is the time t...

Orofacial clefts are the most predominant craniofacial birth defects. Also, taking in consideration all possible craniofacial defects, these are the second most common birth anomaly in newborns 2. Cleft palates occur at approximately 1 in every 700 births in the United States (US) every year, the incidence of cleft palate is equal to 475 children born with cleft palates per month or 15 children with clefts per day 3. Approximately 1% of kids born around the world each year exhibit some form of craniofacial dysmorphology.
Clefts of the palate and the lip need a very expensive and complicated procedure with lifelong implications for patients who have this anomaly. The estimated cost for each patient with oral cleft is approximately $100,0004. The treatment of a patient with cleft lip and palate requires a team of doctors including craniofacial surgeons, otolaryngologists, geneticists, anesthesiologists, speech-language pathologists, nutritionists, orthodontists, prosthodontists, psychologists, neurosurgeons, and ophthalmologists.
In palatogenesis, the secondary palate arises as paired outgrowths, which initially grow vertically and undergo palatal shelf elevation above the dorsum of the tongue. Following elevation, the paired palatal shelves grow towards the midline (at E14.5 &#8211;E15 in mice and week 9 in humans). The medial edge epithelium (MEE) that covers the shelf tip adheres forming the midline epithelial seam.
This is followed by epithelial to mesenchymal transition and/or apoptosis to allow mesenchymal confluence. Adhesion of opposing MEE is an essential event whose alteration causes cleft palate. However, only few studies investigated the initial adhesion of palatal shelves5. The hard palate forms by differentiation of mesenchymal cells into osteoblast. The abnormal development of the palate can produce cleft palates with or without involvement of the lip.
Palate organ culture techniques had been used widely for many labs over the past 30 years6,7.
In this protocol we describe in details a method of palatal dissection and static organ culture. The advantage of a motionless organ culture is that it allows palatal shelves to fuse. This technique had been used successfully in our laboratory for many fusion and signaling experiments8,9. However the scope of the technique is vast and can be used whenever static organ culture system is required, including the evaluation of responses to exogenous chemical agents, the effects of regulatory growth factors in different pathways and specific proteins.
<img alt="Figure 1" src="/files/ftp_upload/53063/53063fig1.jpg" /> 
Figure 1. Mouse Palatogenesis. Developmental stages of the mice palate. (B-F) Scanning electron micrographs (SEM) of the secondary palate at representative developmental times. Red arrows: show the initial part of palatal adhesion and fusion. Yellow arrows: point to the space between the primary and secondary palates that will disappear after fusion (reprinted from Kaufman11 with permission from PLOS one).

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	<tbody>
		<tr>
			<td>BGJb</td>
			<td>Invitrogen</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Penicillin/Streptomycin</td>
			<td>Lonza Inc.</td>
			<td>17-602E</td>
			<td>100X</td>
		</tr>
		<tr>
			<td>Petri dishes</td>
			<td>VWR</td>
			<td>25384-088</td>
			<td>100x15mm</td>
		</tr>
		<tr>
			<td>Center-well organ culture dish</td>
			<td>Falcon&#160;</td>
			<td>#353037</td>
			<td>60x15 mm</td>
		</tr>
		<tr>
			<td>Wire triangular grid</td>
			<td>Custom made with stainless steel wire mesh to fit the organ culture dish well.&#160;&#160;</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Polycarbonate filter</td>
			<td>GE&#38; Water and Process Technologies</td>
			<td>K04BP04700</td>
			<td>Black 0.4 micron, 47 mm</td>
		</tr>
		<tr>
			<td>Stereo microscope</td>
			<td>ZEISS&#160; Stemi SR</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Culture hood</td>
			<td>NUAIRE Laminar Flow</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Microdissecting forceps</td>
			<td>Dumont Medical&#160;</td>
			<td></td>
			<td>#5</td>
		</tr>
		<tr>
			<td>Microdissecting scissors</td>
			<td>Kent Scientific Corporation</td>
			<td>INS14003-G</td>
			<td>Vannas Scissors, straight, 8cm long, 0.1mm tips, 5mm blades, German made</td>
		</tr>
		<tr>
			<td>Microdissecting scissors</td>
			<td>Kent Scientific Corporation</td>
			<td>INS500086</td>
			<td>Vannas Scissors, straight, 8.5cm long, 0.025mm x 0.015mm tips, 7mm blades</td>
		</tr>
		<tr>
			<td rowspan="2">Microdissecting scissors</td>
			<td rowspan="2">Kent Scientific Corporation</td>
			<td rowspan="2">INS14127-G</td>
			<td rowspan="2">Spring scissors curved curved, 10.5cm long, 8mm blades, German made</td>
		</tr>
		<tr>
		</tr>
		<tr>
			<td>Surgical currete (spoon spatula)</td>
			<td>Hu-friedy</td>
			<td></td>
			<td>CM 2/4</td>
		</tr>
		<tr>
			<td>Protector laboratory hood</td>
			<td>Labconco</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td rowspan="3">Incubator</td>
			<td rowspan="3">Thermo Scientific</td>
			<td rowspan="3"></td>
			<td>Farma</td>
		</tr>
		<tr>
			<td>Series11 water Jacket</td>
		</tr>
		<tr>
			<td>Co2 incubator</td>
		</tr>
		<tr>
			<td>PBS&#160;</td>
			<td>GIBCO</td>
			<td>10010-023&#160;</td>
			<td>1X</td>
		</tr>
		<tr>
			<td>Fiber optic Light source</td>
			<td>Fiber-light&#160; Dolan-Jenner</td>
			<td>PL-750</td>
			<td></td>
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		<tr>
			<td>Embedding cassette&#160;</td>
			<td>Statlab</td>
			<td>EC301</td>
			<td></td>
		</tr>
		<tr>
			<td rowspan="2">Kim Wipes</td>
			<td rowspan="2">VWR</td>
			<td rowspan="2">470173-504</td>
			<td rowspan="2"></td>
		</tr>
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method of studying palatal fusion using static organ culture

Cleft lip and palate are among the most common of all birth defects. The secondary palate forms from mesenchymal shelves covered with epithelium that adheres to form the midline epithelial seam (MES). The theories suggest that MES cells follow an epithelial to mesenchymal transition (EMT), apoptosis and migration, making a fused palate 1. Complete disintegration of the MES is the final essential phase of palatal confluence with surrounding mesenchymal cells. We provide a method for palate organ culture. The developed in vitro protocol allows the study of the biological and molecular processes during fusion. The applications of this technique are numerous, including evaluating responses to exogenous chemical agents, effects of regulatory and growth factors and specific proteins. Palatal organ culture has a number of advantages including manipulation at different stages of development that is not possible using in vivo studies.

The technique can be applied to different kinds of experiments.The following study was designed to test the teratogenic effect of nicotine in vitro on palatal fusion. Two strains of mice were utilized for this experiment, CD1 and C57.Palatal tissue was treated with 0.06 and 6 mM concentrations of nicotine hemisulfate. It was observed that palatal fusion patterns and timing were different in the two different strains. In CD1 mice, palatal shelves from the control group continued fusion in time dependent manner. H...

Watch this Scientific Journal Video about Method of Studying Palatal Fusion using Static Organ Culture at JoVE.com

Method of Studying Palatal Fusion using Static Organ Culture

Studies of palate development are motivated by the incidence of cleft palate, a birth defect that imposes a tremendous health burden and can leave lasting disfigurement. We demonstrate here a technique to culture palatal shelves that can be used to study different signaling pathways involved in palatal development and fusion.

Cleft lip and palate are among the most common of all birth defects. The secondary palate forms from mesenchymal shelves covered with epithelium that ...

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