TY - JOUR UR - https://doi.org/10.1093/hmg/ddp368 SN - 1460-2083 A1 - Pauws, E A1 - Hoshino, A A1 - Bentley, L A1 - Prajapati, S A1 - Keller, C A1 - Hammond, P A1 - Martinez-Barbera, J-P A1 - Moore, GE A1 - Stanier, P JF - Human Molecular Genetics VL - 18 SP - 4171 IS - 21 N1 - # The Author 2009. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/2.5), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. PB - OXFORD UNIV PRESS N2 - Craniofacial defects involving the lip and/or palate are among the most common human birth defects. X-linked cleft palate and ankyloglossia results from loss-of-function mutations in the gene encoding the T-box transcription factor TBX22. Further studies show that TBX22 mutations are also found in around 5% of non-syndromic cleft palate patients. Although palate defects are obvious at birth, the underlying developmental pathogenesis remains unclear. Here, we report a Tbx22null mouse, which has a submucous cleft palate (SMCP) and ankyloglossia, similar to the human phenotype, with a small minority showing overt clefts. We also find persistent oro-nasal membranes or, in some mice a partial rupture, resulting in choanal atresia. Each of these defects can cause severe breathing and/or feeding difficulties in the newborn pups, which results in ?50% post-natal lethality. Analysis of the craniofacial skeleton demonstrates a marked reduction in bone formation in the posterior hard palate, resulting in the classic notch associated with SMCP. Our results suggest that Tbx22 plays an important role in the osteogenic patterning of the posterior hard palate. Ossification is severely reduced after condensation of the palatal mesenchyme, resulting from a delay in the maturation of osteoblasts. Rather than having a major role in palatal shelf closure, we show that Tbx22 is an important determinant for intramembranous bone formation in the posterior hard palate, which underpins normal palate development and function. These findings could have important implications for the molecular diagnosis in patients with isolated SMCP and/or unexplained choanal atresia. ID - discovery10088184 KW - phenotypecongenital abnormalitymutationchoanal atresiacleft palategenestissue membranemice KW - knockoutosteoblastsosteogenesispalatepalate KW - hardmicenosepersistencex-linked inheritancemental condensationankyloglossiasubmucous cleft of hard palatemesenchymeintramembranous bone formation AV - public Y1 - 2009/11/01/ EP - 4179 TI - Tbx22(null) mice have a submucous cleft palate due to reduced palatal bone formation and also display ankyloglossia and choanal atresia phenotypes ER -