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The Questions of Developmental Biology

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Soon afterward, the expression pattern <strong>of</strong> BMP4 and FGF8 changes, and the sites <strong>of</strong> the<br />

tooth primordia are determined by the interactions between these same molecules in the<br />

epithelium. FGF8 induces Pax9 expression in the underlying ectomesenchyme, while BMP4<br />

inhibits Pax9 expression. Pax9 is a transcription factor whose expression in the ectomesenchyme<br />

is critical for the initiation <strong>of</strong> tooth morphogenesis, and in Pax9-deficient mice, tooth<br />

development ceases early. <strong>The</strong> only places where ectomesenchyme condense and teeth develop<br />

are where FGF8 is present and BMPs are absent (Vainio et al. 1993; Neubüser et al. 1997). Thus,<br />

spaces develop between the teeth.<br />

At this time, the epithelium possesses the potential to generate tooth structures out <strong>of</strong><br />

several types <strong>of</strong> mesenchyme cells (Mina and Kollar 1987; Lumsden 1988b). However, this<br />

tooth-forming potential soon becomes transferred to the ectomesenchyme that has aggregated<br />

beneath it. <strong>The</strong>se ectomesenchymal cells form the dental papilla and are now able to induce<br />

tooth morphogenesis in other epithelia (Kollar and Baird 1970). At this stage, the jaw epithelium<br />

has lost its ability to instruct tooth formation in other mesenchymes. Thus, the "odontogenic<br />

potential" has shifted from the epithelium to the mesenchyme. This shift in the odontogenic<br />

potential coincides with a shift in the synthesis <strong>of</strong> BMP4 from the epithelium to the<br />

ectomesenchyme.<br />

As the dental mesenchyme cells condense, they are induced to synthesize the membrane<br />

protein syndecan and the extracellular matrix protein tenascin. <strong>The</strong>se proteins (which can bind<br />

each other) appear at the time the epithelium induces mesenchymal aggregation, and <strong>The</strong>sleff and<br />

her colleagues (1990) have proposed that these two molecules may interact to bring about this<br />

condensation. Moreover, after the ectomesenchyme has aggregated, it begins to secrete BMP4 as<br />

well as other growth and differentiation factors (FGF3, BMP3, HGF, and activin) (Wilkinson et<br />

al. 1989; <strong>The</strong>sleff and Sahlberg 1996). <strong>The</strong>se proteins from the ectomesenchyme induce a critical<br />

structure in the epithelium. This structure is called the enamel knot, and it functions as the major<br />

signaling center for tooth development (Jernvall et al. 1994). This group <strong>of</strong> cells appears as a<br />

nondividing population <strong>of</strong> cells in the center <strong>of</strong> the growing cusps. Moreover, in situ<br />

hybridization has demonstrated that the enamel knot is the source <strong>of</strong> Sonic hedgehog, FGF4,<br />

BMP7, BMP4, and BMP2 secretion (Figure 13.9B; Koyama et al. 1996; Vaahtokari et al. 1996a).<br />

As a nondividing population secreting growth factors capable <strong>of</strong> being received by both the<br />

epithelium and the ectomesenchyme, the enamel knot is thought to direct the cusp morphogenesis<br />

<strong>of</strong> the tooth and to be critical in directing the evolutionary changes <strong>of</strong> tooth structure in mammals<br />

(Jernvall 1995).<br />

<strong>The</strong> mesenchyme cells begin to differentiate into odontoblasts, and tenascin expression is<br />

induced at much higher levels and at the same sites as alkaline phosphatase expression. Both <strong>of</strong><br />

these proteins have been associated with bone and cartilage differentiation, and they may promote<br />

the mineralization <strong>of</strong> the extracellular matrix (Mackie et al. 1987). Finally, as the odontoblast<br />

phenotype emerges, osteonectin and type I collagen are secreted as components <strong>of</strong> the<br />

extracellular matrix. <strong>The</strong> enamel knot disappears through apoptosis, responding to its own BMP4<br />

(Vaahtokari et al. 1996b; Jernvall et al. 1998). By this steplike process, the cranial neural crest<br />

cells <strong>of</strong> the jaw are transformed into the dentin-secreting odontoblasts.<br />

Neuronal Specification and Axonal Specificity<br />

Not only do neuronal precursor cells and neural crest cells migrate to their place <strong>of</strong><br />

function, but so do the axons extending from the cell bodies <strong>of</strong> neurons. Unlike most cells, whose<br />

parts all stay in the same place, the neuron is able to produce axons that may extend for meters.

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