Craniofacial development Flashcards
What is TCS?
Treacher Collins syndrome
What causes TCS?
An abnormal formation of the first and second branchial arches during the 5th to 8th weeks of human fetal development, leading to profound facial dysmorphism.
Which gene results in TCS?
Most cases caused by loss-of-function mutations in the gene TCOF1 which encodes the protein Treacle.
Other TCS cases caused by mutations to the genes POLR1D and POLR1C which encode subunits of the enzymes RNA Polymerase I and III, important RNA synthesis.
What are the mutations of the TCOF1 gene that cause TCS?
The majority are deletions, which range in size from 1- 40 nucleotides.
however others have been found; splicing, insertions and non-sense mutations.
What is the Treacle protein responsible for?
Protein is active during embryonic development in structures that become bones and other tissues in the face.
What is the Treacle protein responsible for?
Protein is active during embryonic development in structures that become bones and other tissues in the face.
What is the effect of removal of TGF β-3 in knockout mice?
Failure of fusion of the palatal shelves - cleft palate
Key known teratogens involved in congenital malformations
ethanol, tetracycline, phenytoin sodium, lithium, methotrexate…etc
Cephalocaudal gradient
Neural features develop early, make up 50% of fetus.
Three distinct regions of embryonic origins of the skull
- Desmocranium
- Chondrocranium
- Viscerocranium
Fontanelles
The space where 2 sutures join forms a membrane-covered “soft spot” called a fontanelle. The fontanelles allow for growth of the brain and skull during an infant’s first year.
1
Coronal suture
2
Lambdoid suture
3
Sagittal suture
Describe the mechanism for remodelling of the skull
Bones move apart, theres infill mechanism. Within the skulls there’s resorption on the inside, and deposition on the outside.
Increase in intra-cranial pressure causes
Hydrocephaly
How did the Zika virus effect head size?
Causes microcephaly due to disruption with brain growth.
Craniosynostosis
Premature fusion of cranial sutures, prevents the brain expanding normally, can cause protrusion of the eyeballs.
Turricephaly
The head appears tall with a small length and width. It is due to premature closure of the coronal suture plus any other suture, like the lambdoid, or it may be used to describe the premature fusion of all sutures.
Plagiocephaly
The head is flattened on one side, causing it to look asymmetrical; the ears may be misaligned and the head looks like a parallelogram when seen from above, and sometimes the forehead and face may bulge a little on the flat side.
Trigonocephaly
The premature fusion of the metopic suture leading to deformation of anterior calvarium causing keel shaped deformity of forehead.
Cloverleaf skull
Cloverleaf deformity is a genetic disorder that children inherit from parents. Mutated genes cause sutures to fuse together prematurely (craniosynostosis). The coronal (from ear to ear) and lambdoid (across the back of the head) sutures are most commonly involved.