The mechanisms whereby X irradiation induces palatal clefting were investig
ated in vivo and in an in vitro organ culture system. When pregnant mice at
day 12.5 of gestation were exposed to a 4-Gy dose of whole-body X radiatio
n, the incidence of palatal clefting in their offspring was 91%, The volume
of the irradiated palatal shelves was too low for them to make contact wit
h each other. On gestational day 13.5 after labeling, bromodeoxyuridine-pos
itive cells were sparse and apoptotic cells were abundant in the irradiated
shelves, To prevent secondary effects of irradiation from the injured mate
rnal body, fetal palatal explants were immediately transferred to an organ
culture system after X irradiation in utero. The incidence of palatal cleft
ing was 24%, much lower than the incidence in vivo. The addition of 10(-4)
M of dexamethasone to the culture medium increased the incidence of palatal
clefting to 56%. These findings indicated that X irradiation inhibited cel
l proliferation and induced apoptosis, resulting in small-volume palatal sh
elves that could not fuse with each other. The organ culture data also indi
cated that 4 Gy of irradiation appears to produce its effects both by a dir
ect action on the fetus and indirectly by affecting the metabolism of the p
regnant dam. (C) 2000 by Radiation Research Society.