“…Maternal use and exposure to tobacco, alcohol, drugs (e.g., retinoic acid and dexamethasone), and chemicals (e.g., dioxin and heavy metals), as well as mutations in genes related to the degradation/metabolism/release of these teratogens, are considered to be risk factors (Prescott et al, 2002;Chevrier et al, 2005;Ramirez et al, 2007). An increasing number of studies suggest that microRNAs (miRs), which are endogenous small non-coding RNAs (∼22 nucleotides long) that negatively regulate the expression of their target genes (Bartel, 2004;Obernosterer et al, 2006), play important roles in normal palate development and CL/P in humans and mice (Karsy et al, 2010;Shin et al, 2012;Seelan et al, 2014;Chung et al, 2016;Schoen et al, 2017Schoen et al, , 2018Wang et al, 2017;Mukhopadhyay et al, 2019); however, it remains elusive how and which miRs are crucial roles in CL/P. Our recent studies show that overexpression of either miR-140-5p, miR-133b, miR-374a-5p, miR-381-3p, or miR-4680-3p suppresses cell proliferation in cultured human embryonic palatal mesenchymal (HEPM) cells (Li et al, 2019;Suzuki et al, 2019), suggesting that these miRs may be involved in the pathogenesis of cleft palate.…”