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M E L A N I E M C O L L U M 1 A N D P A UL T. S H A R P E 2
" Department of Anatomy, Case Western Reserve University, Cleveland, Ohio, USA, and # Department of Craniofacial
Development, GKT Dental Institute, Kings College London, UK
Teeth as a feeding mechanism in an oral cavity (mouth) are functionally and locationally linked with jaws.
In fossils, teeth found in the oral cavity are usually linked with jaws, although mineralised structures with
the same histology as teeth are known in fossils before jaws appeared. Denticles in the skin occur in both
fossil and extant fish. Pharyngeal denticles also occur in both extant and fossil gnathostomes but in only a
few fossil agnathans (thelodonts). Complex structures with dentine and enamel have been described in the
earliest jawless vertebrates, conodonts. Such fossils have been used to suggest that teeth and jaws have
evolved and developed independently. Our understanding of the developmental biology of mammalian tooth
development has increased greatly in the last few years to a point where we now understand some of the
basic genetic interactions controlling tooth initiation, morphogenesis and patterning. The aim of this review
is to see what this developmental information can reveal about evolution of the dentition.
Correspondence to Dr Paul T. Sharpe, Department of Craniofacial Development, GKT Dental Institute, King’s College London, Floor 28
Guy’s Hospital, London Bridge, London SEI, UK.
154 M. McCollum and P. T. Sharpe
all, genes are similarly expressed in the two species mutants, where development of all teeth is arrested at
(Francis-West et al. 1994 ; Thesleff & Sharpe, 1997 ; the bud stage (van Genderen et al. 1994 ; Kratochwil
Francis-West et al. 1998 ; Tucker et al. 1998 ; Barlow et al. 1996). This indicates that there are genes
et al. 1999). Thus orofacial development in a species required for early development of teeth that are not
that has teeth, cartilage and bone involves the same involved in jaw development and similarly there are
genes as development of a species with cartilage and genes required for jaw skeletal development that are
bone but no teeth. Functional data, principally from not involved in early tooth development. This genetic
gene targeting (knockouts) in mice, show that al- independence of tooth from jaw development suggests
though there are specific genetic pathways involved in they evolved independently. However, the fact that
tooth and jaw development, tooth morphogenesis genes regulating dental patterning, i.e. the devel-
shares many key genes with jaw skeletal morpho- opment of different shapes (types) of teeth, also
genesis. The latter suggests that these 2 tissues evolved regulate jaw skeletal morphogenesis implies that
independently but that the evolution of heterodonty dental patterning, which is a later event in evolution,
(teeth with different shapes) from homodonty (teeth resulted from co-option of genes regulating jaw
with one simple, conical shape) involved co-option of morphogenesis. The ability of developing teeth to
existing genetic pathways controlling jaw skeletal adapt genetic pathways that were in place to regulate
morphogenesis. jaw morphogenesis may have thus represented an
Disruptions that affect dental patterning also pro- important step in the evolution of heterodonty.
duce abnormal skeletal development of the jaws. In humans there are numerous examples of tooth
Thus Dlxl\Dlx2 double mutants and activin βA patterning abnormalities that occur in the absence of
mutants have abnormal dental patterning with no skeletal abnormalities. Thus for example hypodontia
development of maxillary molars and no development (missing teeth) can occur in the absence of any
of incisors and mandibular molars respectively obviously abnormal jaw phenotype. However, this is
(Matsuk et al. 1995 ; Qiu et al. 1995, 1997 ; Thomas et one example where the mouse, which develops only
al. 1997 ; Ferguson et al. 1998). There are, however, one set of teeth, is a poor model for humans in which
many examples of gene knockouts that affect jaw hard deciduous and permanent teeth develop. Significantly,
tissue development but where tooth development is it is the replacement teeth in humans that are almost
normal. Pitx1 is a homeobox gene expressed in jaw always affected in hypodontia, whereas the deciduous
primordia mesenchyme from E9. Pitx1 knockout dentition develops normally. This suggests that there
mice have a very truncated mandible but despite this, are important aspects of the development of per-
teeth are present and appear normal (Lancto# t et al. manent teeth, that involve different genetic control to
1997, 1999). Goosecoid (Gsc) is a homeobox gene deciduous tooth development or jaw skeleton for-
expressed in jaw primordia mesenchyme from E10n5 mation.
(Gaunt et al. 1993 ; Tucker et al. 1999). Gsc null mice
have abnormal mandibular bone development but
teeth are normal and, in addition, formation of
Meckel’s cartilage, the template for mandible bone
formation, is normal. Gsc is thus a gene required for During development of the mammalian mandible,
mandibular bone development but not for tooth or different hard tissues, teeth (dentine and cementum),
Meckels cartilage development (Riverez-Pe! rez et al. bone and cartilage develop from neural crest-derived
1995, 1999 ; Yamada et al. 1997). ectomesenchyme cells. The mechanisms that deter-
There are also examples of genes such as Lef1 and mine which cells differentiate into these different
Pax9 which are required for the early development of tissues are beginning to be elucidated. It is now clear
all mammalian teeth but which appear to have little that the ectomesenchyme cells of the developing
effect on jaw skeletal development. Pax9 is expressed mandible, (and presumably other orofacial pri-
in early odontogenic mesenchyme from E10 and mordia), are capable of differentiating into any of
marks the sites of future tooth formation (Neubu$ ser et these different hard tissue producing cell types,
al. 1995). In Pax9 knockout mice, in which all tooth odontoblasts (dentine), osteoblasts (bone), and chon-
development is arrested at the bud stage, the jaws drocytes (cartilage) and the signals that direct differ-
develop fairly normally except that the coronoid entiation come from the overlying epithelium. Cranial
process of the mandible and the alveolar ridges of neural crest cells that populate each facial primordium
both jaws are missing (Neubu$ ser et al. 1997). Lef-1 do not appear to be prepatterned into specific
mutant mice have a very similar phenotype to Pax9 odontogenic, osteogenic or chondrogenic populations
Evolution and development of teeth 155
but rather are directed down the appropriate differ- Genes such as Msxl and members of the Alx family
entiation pathway under the influence of ectodermal have roles in directing cells to follow a monocuspid
signals. (incisor) pathway. An additional key feature of this
Evidence for how the early specification of odon- model is that it is not only the expression of these
togenic from skeletogenic cells occurs in the develop- genes in particular mesenchymal cells that is im-
ing mandible comes from expression of the Lim- portant but also the absence of expression of other
domain homeobox genes Lhx6 and Lhx7 and Gsc. genes. Thus maxillary molar morphogenesis not only
Expression of Lhx6 and Lhx7 is restricted to the requires the presence of Barx1, Dlx1 and Dlx2 but
ectomesenchyme closest to the oral epithelium (oral) also the absence of Msx1 and Alx genes (McCollum &
that forms teeth whereas Gsc is expressed more Sharpe, 2001).
posteriorly (aboral) in ectomesenchyme cells that do Functional evidence for this model comes from
not form teeth but which do form skeletal cells both gain- and loss-of-function experiments in mice.
(Grigoriou et al. 1998 ; Tucker et al. 1999). This early Mice with null mutations in both Dlx1 and Dlx2 genes
oral\aboral division of the mandibular primordium is fail to develop maxillary molars but all other teeth are
regulated by FGF8 from the oral epithelium. FGF8 is normal (Qiu et al. 1997 ; Thomas et al. 1997). The
required for expression of Lhx6\7 and Gsc and development of mandibular molars in these mice is
Lhx6\7 repress Gsc expression (Fig. 1). The mech- believed to result from the expression Dlx5 and Dlx6
anism that restricts Lhx6\7 expression to oral ecto- that are functionally redundant for Dlx1 and Dlx2.
mesenchyme is not known but does not involve Gsc Interestingly, each of these Dlx genes individually
since Lhx6\7 expression is unaltered in Gsc mutant does have an essential role in jaw skeletal development
embryos. These interactions suggest that Lhx6\7 fall but not in tooth development (Qiu et al. 1997 ;
into the category of essential odontogenic genes that Acampora et al. 1999 ; Depew et al. 1999). Ectopic
are also required for jaw skeletal development, in this expression of Barx1 in distal mandibular primordia
case indirectly via their influence on Gsc expression. mesenchyme, accompanied by loss of Msx1 expression
Functional evidence for their role awaits the gen- results in a transformation of incisor teeth into molars
eration of Lhx6\7 double mutants (Zhao et al. 1999). (Tucker et al. 1998). Significantly the Dlx1\2 double
mutant mice also have defects in maxillary proximal
skeletal tissues and Msx1 mutant mice have defects in
distal jaw skeletal tissues (Satokata & Maas, 1994 ;
Qiu et al. 1997). Thus genes that regulate molar
Tooth shape is indelibly linked to position in the jaws. morphogenesis also regulate proximal jaw skeletal
Tooth shapes have evolved for particular functions. development and genes that regulate incisor mor-
Incisors and canines are grasping\cutting teeth, phogenesis also regulate distal jaw development. The
premolars and molars are both grinding and cutting indication from these data is that jaw morphogenesis
teeth. In heterodont dentitions there is little point in and tooth patterning are controlled by the same genes.
having grasping\cutting teeth at the rear of the mouth Since heterodont dentitions (different tooth shapes in
and grinding teeth at the front. the same dentition) evolved after homodont dentitions
Although mice only possess only two types of teeth, (teeth of all one shape), this suggests that different
incisors and molars, experiments in this model system tooth shapes evolved by co-opting genes that were
have identified genes that have a role in the de- already expressed in facial primordia development to
termination of tooth type (MacKenzie et al. 1991, regulate jaw skeletal morphogenesis.
1992 ; Sharpe, 1995 ; Thomas et al. 1997 ; Tucker et al. The generation of tooth shapes other than incisors
1998). The observations that a number of different and molars is suggested to involve overlapping
homeobox genes are expressed in distinct spatial domains of homeobox genes. Thus for example the
domains in early jaw primordia mesenchyme has led mesenchyme cells that express Msx1, Dlx1 and Dlx2
to the suggestion that determination of tooth type is might correspond to development of canines or
regulated by these genes. The Odontogenic Homeo- premolars.
box Code model of tooth patterning (Fig. 2) that has
been proposed states that in mice, genes such as
Barx1, Dlx1 and Dlx2 have specific roles in directing
mesenchyme cells to follow a multicuspid (molar)
pathway of tooth morphogenesis (Sharpe, 1995 ; In many respects, tooth patterning is very similar to
Thomas & Sharpe 1998 ; Tucker & Sharpe, 1998). patterning of the axial skeleton. Vertebral bodies are
156 M. McCollum and P. T. Sharpe
In recent years, the widespread application of the face, large mandibular cross-sectional area, con-
quantitative cladistic methods has resulted in the cave nasoalveolar process, heavily inflated mastoid
reliance of an increased number of cranial characters process and a thick palate, indicates that they are all
to infer phylogenetic relationships. Such atomisation more reasonably interpreted as the correlated de-
of cranial morphology, in which the independence of velopmental by-products of the unusual dental prop-
large numbers of cranial and dental traits is necessarily ortions characteristic of the robust taxa (McCollum,
implied (usually between 50 and 100), as alien to a 1999).
developmental biologist as it is at odds with our The inclusion of developmentally redundant cranial
emerging knowledge of cranial morphogenesis. As characters such as these in cladistic studies of early
discussed here, tooth morphogenesis shares many hominid phylogeny overshadows the far more phylo-
genes with jaw skeletal morphogenesis. Therefore genetically relevant variation in dental morphology
selective change of the dentition may well be genetic- expressed by these taxa. For example, although A.
ally correlated with other changes in the face and robustus and A. boisei share the character of an
skull. From a different perspective, cranial features extremely large postcanine dentition, they do not
may be functionally correlated with the dentition as share identical postcanine tooth morphologies.
well. For example, postcanine tooth size varies Rather, A. boisei displays a number of non-size-
considerably among mammalian taxa. Functionally, related features of the postcanine dentition (e.g.
selective increase in the size of the postcanine dentition distinctive morphology of the lower fourth premolar,
lowers the amount of occlusal pressure generated distinct lower molar cusp proportions) not observed
during chewing. It is therefore little surprise that taxa in A. robustus. In addition, the teeth of A. robustus,
characterized by selective enlargement of postcanine while large in comparison to those of most non-robust
occlusal areas also display evidence that the cross- early hominid taxa, are nevertheless notably smaller
sectional area of their masticatory musculature was than those of the East African forms (Fig. 3). This
enlarged as well. variation in tooth size implies either that a reduction
The contribution of the dentition to the shaping of in tooth size occurred during the evolution of A.
the mammalian face and skull is often overlooked in robustus from an A. aethiopicus ancestor, or that the
cladistic studies, leading to erroneous phylogenetic East and South African robust taxa evolved in-
relationship interpretations. An excellent example of dependently. In this particular case teeth give a very
this comes from the field of palaeoanthropology, the different perspective of robust australopithecine phy-
study of hominid evolution. One of the most enigmatic logeny.
aspects of the human fossil record is the origin and
evolution of the robust australopithecines. These
highly specialised, long-extinct side-branches of the
human family tree are characterised by a dental We thank Moya Smith for her many useful comments
pattern which combined absolutely large postcanine on the manuscript.
teeth (premolars and molars) with relatively and
absolutely small canines and incisors. Three species of
robust australopithecine are currently recognised : A.
aethiopicus and A. boisei in East Africa (Lake Turkana ACAMPORA D, MERLO GR, PALEARI L, ZEREGA B,
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