PMID- 20213699 OWN - NLM STAT- MEDLINE DCOM- 20100721 LR - 20181113 IS - 1542-0760 (Electronic) IS - 1542-0752 (Print) IS - 1542-0752 (Linking) VI - 88 IP - 4 DP - 2010 Apr TI - Cleft lip and palate results from Hedgehog signaling antagonism in the mouse: Phenotypic characterization and clinical implications. PG - 232-40 LID - 10.1002/bdra.20656 [doi] AB - BACKGROUND: The Hedgehog (Hh) pathway provides inductive signals critical for developmental patterning of the brain and face. In humans and in animal models interference with this pathway yields birth defects, among the most well-studied of which fall within the holoprosencephaly (HPE) spectrum. METHODS: Timed-pregnant C57Bl/6J mice were treated with the natural Hh signaling antagonist cyclopamine by subcutaneous infusion from gestational day (GD) 8.25 to 9.5, or with a potent cyclopamine analog, AZ75, administered by oral gavage at GD 8.5. Subsequent embryonic morphogenesis and fetal central nervous system (CNS) phenotype were respectively investigated by scanning electron microscopy and high resolution magnetic resonance imaging (MRI). RESULTS: In utero Hh signaling antagonist exposure induced a spectrum of craniofacial and brain malformations. Cyclopamine exposure caused lateral cleft lip and palate (CLP) defects attributable to embryonic deficiency of midline and lower medial nasal prominence tissue. The CLP phenotype was accompanied by olfactory bulb hypoplasia and anterior pituitary aplasia, but otherwise grossly normal brain morphology. AZ75 exposure caused alobar and semilobar HPE with associated median facial deficiencies. An intermediate phenotype of median CLP was produced infrequently by both drug administration regimens. CONCLUSIONS: The results of this study suggest that interference with Hh signaling should be considered in the CLP differential and highlight the occurrence of CNS defects that are expected to be present in a cohort of patients having CLP. This work also illustrates the utility of fetal MRI-based analyses and establishes a novel mouse model for teratogen-induced CLP. CI - (c) 2010 Wiley-Liss, Inc. FAU - Lipinski, Robert J AU - Lipinski RJ AD - Molecular and Environmental Toxicology Center, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA. Lipinski@med.unc.edu FAU - Song, Chihwa AU - Song C FAU - Sulik, Kathleen K AU - Sulik KK FAU - Everson, Joshua L AU - Everson JL FAU - Gipp, Jerry J AU - Gipp JJ FAU - Yan, Dong AU - Yan D FAU - Bushman, Wade AU - Bushman W FAU - Rowland, Ian J AU - Rowland IJ LA - eng GR - P50 DK065303/DK/NIDDK NIH HHS/United States GR - AA007573/AA/NIAAA NIH HHS/United States GR - T32-ES007015/ES/NIEHS NIH HHS/United States GR - P60 AA011605/AA/NIAAA NIH HHS/United States GR - P60 AA011605-090004/AA/NIAAA NIH HHS/United States GR - R01 DK056238-08/DK/NIDDK NIH HHS/United States GR - T32 AA007573-13/AA/NIAAA NIH HHS/United States GR - AA011605/AA/NIAAA NIH HHS/United States GR - T32 ES007015-28/ES/NIEHS NIH HHS/United States GR - P50 AA011605/AA/NIAAA NIH HHS/United States GR - U01 AA017124/AA/NIAAA NIH HHS/United States GR - T32 AA007573/AA/NIAAA NIH HHS/United States GR - R01 DK056238/DK/NIDDK NIH HHS/United States GR - U01 AA017124-03/AA/NIAAA NIH HHS/United States GR - AA017124/AA/NIAAA NIH HHS/United States GR - P50 DK065303-05/DK/NIDDK NIH HHS/United States GR - P60 AA011605-110004/AA/NIAAA NIH HHS/United States GR - T32 ES007015/ES/NIEHS NIH HHS/United States GR - DK065303/DK/NIDDK NIH HHS/United States GR - DK056238/DK/NIDDK NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Birth Defects Res A Clin Mol Teratol JT - Birth defects research. Part A, Clinical and molecular teratology JID - 101155107 RN - 0 (Hedgehog Proteins) RN - 0 (Veratrum Alkaloids) RN - ZH658AJ192 (cyclopamine) SB - IM MH - Abnormalities, Drug-Induced/embryology/*etiology/physiopathology MH - Abnormalities, Multiple/*chemically induced/embryology/physiopathology MH - Administration, Oral MH - Animals MH - Cells, Cultured/drug effects MH - Cleft Lip/*chemically induced/embryology/physiopathology MH - Cleft Palate/*chemically induced/embryology/physiopathology MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Female MH - Fetal Resorption/chemically induced MH - Fetus/drug effects/ultrastructure MH - Hedgehog Proteins/*antagonists & inhibitors/physiology MH - Holoprosencephaly/*chemically induced/embryology/physiopathology MH - Maternal Exposure/*adverse effects MH - Mice MH - Mice, Inbred C57BL MH - Microscopy, Electron, Scanning MH - NIH 3T3 Cells/drug effects MH - Olfactory Bulb/*abnormalities/embryology MH - Phenotype MH - Pituitary Gland, Anterior/*abnormalities/embryology MH - Veratrum Alkaloids/administration & dosage/pharmacology/*toxicity PMC - PMC2922848 MID - NIHMS224153 EDAT- 2010/03/10 06:00 MHDA- 2010/07/22 06:00 PMCR- 2011/04/01 CRDT- 2010/03/10 06:00 PHST- 2010/03/10 06:00 [entrez] PHST- 2010/03/10 06:00 [pubmed] PHST- 2010/07/22 06:00 [medline] PHST- 2011/04/01 00:00 [pmc-release] AID - 10.1002/bdra.20656 [doi] PST - ppublish SO - Birth Defects Res A Clin Mol Teratol. 2010 Apr;88(4):232-40. doi: 10.1002/bdra.20656.