“…The confusion may have arisen due in part to species differences (e.g., chick vs. mouse and human) in facial morphogenesis and in part to lack of synthesis of the fragmentary and often incomplete information gained from individual studies. Moreover, whereas it has been widely accepted that epithelial-mesenchymal transformation (EMT) of the epithelial seam is the major mechanism for both lip and palate fusion (Fitchett and Hay, 1989;Shuler et al, 1991Shuler et al, , 1992Griffith and Hay, 1992;Hay, 1995Hay, , 2005Sun et al, 2000;Cox, 2004;Nawshad et al, 2004), recent studies have challenged this theory and demonstrated that the palatal epithelial seam gradually regresses by programmed cell death rather than by EMT (Cuervo and Covarrubias, 2004;Vaziri Sani et al, 2005). At the molecular level, recent studies in chick and mice have identified specific roles for several major signaling pathways, including Bmp, Fgf, and Shh signaling pathways in midfacial morphogenesis (Hu and Helms, 1999;Trumpp et al, 1999;Ashique et al, 2002;Trokovic et al, 2003;Jeong et al, 2004;Liu et al, 2005b).…”