Palatal clefting is often associated with premature fusion of cranial sutur
es in human craniosynostosis syndromes, many of wh ich are characterised by
mutations affecting the fibroblast growth factor receptor (FGFR) gene fami
ly. In palatal fusion, epithelio-mesenchymal transition (EMT) contributes t
o the dispersion of the midline epithelial seam. EMT has also been observed
in neoplastic epithelial cells in relation to the acquisition of malignant
characteristics where morphological changes are accompanied by rapid switc
hing in the expression of fgfr2 from the epithelial type (kgfr) to the mese
nchymal type (bek). The twist gene codes for a basic helix-loop-helix trans
cription factor putatively involved in regulation of transcription of fgfr2
. Mutations in the TWIST gene have been described as being responsible for
the Saethre-Chotzen syndrome, an autosomal dominant craniosynostosis associ
ated with cleft palate as well as other disturbances of the facial skeleton
. In this study we have analysed the distribution of twist transcripts duri
ng rat palatogenesis in vivo from 14.5 to 17.5 days post coitum by in situ
hybridisation with digoxygenin-labelled ssDNA probes. twist transcripts wer
e found to be concentrated in mesenchymal cells beneath the epithelium at t
he tip of the palatal shelves immediately prior to, and during fusion as we
ll as in a localised epithelial area at the tip of the shelves prior to fus
ion, thereby implicating twist gene expression in the process of palatogene
sis. This pattern of expression illuminates the disturbances of maxillary g
rowth that occur in human craniosynostotic syndromes.