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From Fly to Man Page 1 of 2 ne of the most exciting discoveries to occur in developmental biology in recent years was the recognition that some of the major genes that determine body shape in lower animals, such as the fruit fly, play a similar role in mammals, including man. Researchers at NIDCR's craniofacial research centers at Johns Hopkins University and the University of Southern California have taken this finding a step further by discovering the first human birth defect to be caused by a mutation in one of these genes. The birth defect is another form of craniosynostosis, called Boston type. The culprit gene, known as MSX2, is a member of the "homeobox" family of genes, a designation that refers to a characteristic DNA sequence shared by these genes. These master control genes code for proteins that bind to DNA and direct the activity of still other genes. Homeobox genes determine the pattern in which embryos develop, directing the formation of specialized body regions - from simple body segments to complex structures like the head, thorax, abdomen, limbs and digits. MSX2-like genes were first identified and studied in the fruit fly, and have since been traced back to prehistoric worms that crawled on earth over 600 million years ago. In the case of Boston type craniosynostosis, a single misstatement in the MSX2 DNA code was responsible for the early closing of the skull's sutures. Very recently, a second homeobox gene (MSX1) was linked to a human craniofacial disorder known as familial tooth agenesis. People affected with this disorder are missing their second premolars and third molars (wisdom teeth). This exciting finding is the first direct evidence that a homeobox gene controls dental patterning (tooth number, size, and shape). The latest chapter in the homeobox gene story involves Rieger syndrome. This disorder strikes many parts of the body, producing facial abnormalities, missing teeth, and serious eye chamber defects that can lead to glaucoma. Researchers at the NIDCR-supported craniofacial research center at the University of Iowa have found the responsible gene, named RGS, which is a previously unknown human homeobox gene. A distant relative of RGS is found in the fly, and performs the very basic function of determining which end of the egg-shaped embryo will become the head. Earlier work by this research group linked another major group of developmental genes to a human birth defect that strikes the head and face. Mutations in the PAX-3 gene were identified as the cause of Waardenburg's syndrome. This disorder affects eye position and produces deafness, differently colored eyes, and splotches of variously colored hair and skin. PAX-3 is a member of the PAX family of genes, which share similarities with homeobox genes in that they are developmental genes that code for DNAbinding proteins. The PAX genes are intimately involved in neurological development, including neural crest cell migration. file:///S:/Development/Marketing/Online/Medpro%20Site/doc/ge005.htm 11/15/2011 From Fly to Man Page 2 of 2 Linking craniofacial defects to key developmental genes, such as the MSX and PAX genes and the newly discovered RGS gene, is an important step in unraveling the complex genetic interplay that forms the head, face, and teeth. Next Chapter Craniofacial Research -Table of Contents file:///S:/Development/Marketing/Online/Medpro%20Site/doc/ge005.htm 11/15/2011