Among the most prevalent and devastating types of human birth defects are those affecting the mouth and face, such as orofacial clefts1. Children with malformed orofacial structures undergo multiple surgeries throughout their lifetime and struggle with facial disfigurements, speech, hearing and eating problems. Therefore, facilitating new research in cranio- and orofacial development is paramount to prevention and treatment of these types of birth defects in humans. Xenopus laevis has emerged as a new tool for dissecting the mechanisms governing craniofacial development (some examples include2,3,4-11). Therefore, a quantitative method to analyze size and shape changes during development of the head and face of this species could be very powerful 3.
Here, we present such a method; combining traditional size measurements with geometric morphometrics adapted from a Xenopus study12 and a wealth of studies analyzing human facial form13-15. The goal of this protocol is to allow researchers to quantify facial size and shapes to distinguish between different orofacial phenotypes during normal and abnormal development. This analysis will allow for better differentiation between subtle craniofacial defects such as those arising from synergistic effects of genes and/or environmental factors. Additionally, this quantification method could also reveal even slight improvement or rescue of an orofacial defect. This therefore makes it a useful guide in analyzing potential therapeutics.
The combination of facial measurements and geometric morphometrics that we present here allows for a more comprehensive statistical analysis of both size and shape of the orofacial region than current protocols which largely utilize only one or the other15-18. Further, we present a simple way to assess both the medial and lateral planes of the face without requiring sophisticated three-dimensional imaging equipment used in current studies13,19.
We demonstrate this protocol on Xenopus laevis embryos treated with a retinoic acid receptor inhibitor that induces abnormal orofacial development and a median cleft palate2,3. Quantification of the dimensions and shape of the orofacial region in these embryos has revealed changes in the midface that is analogous to humans with similar palatal clefts and mouse models 20,21. However, this protocol can be utilized to assess the effects of other compounds on orofacial development such as natural substances, herbicides, or proteins such as growth factors. Further, orofacial size and shape changes arising from perturbation of gene expression via loss or gain of function experiments (using antisense morpholinos or Crispers/Talens) can also be quantified using this protocol. Finally, we developed this method specifically to assess Xenopus morphology; however, it is easily modified for analysis of any vertebrate. Other applications could also include using this protocol for comparing closely related species for evolutionary or ecological studies. While the example we provide here utilizes this protocol to describe analysis of the orofacial region, it could easily be modified for analysis of other regions, organs, or structures.
This orofacial quantification protocol will become a valuable resource for the research community, as well as an excellent teaching tool for undergraduate students as a video demonstration.