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Defining predictors of cleft lip and palate risk.

Abstract

Individuals with clefts present considerably more dental anomalies than individuals without clefts. We also have shown that these individuals report cancer in their families more often than do unaffected individuals. We investigated how these conditions correlated with genetic variants associated with clefts to ascertain if specific molecular signatures exist that could help identify individuals at risk for having offspring with these defects. We examined 573 individuals, 158 with clefts, 254 unaffected family members, and 161 non-related controls. Several clinical features, such as laterality, the presence of dental anomalies, medical history, and pregnancy history, were used to assess each individual's cleft status. Then, we performed molecular studies with genes that have been independently associated with oral clefts. We analyzed two datasets: nuclear families and case-control individuals where the case was the child from the family and controls were unrelated non-clefted individuals. In the family data, we confirmed association between clefts and rs987525 on chromosome 8 (p = 0.007) and found an association with rs987525 and tooth agenesis (p = 0.0003). In the case-control data, clefts, supernumerary teeth and familial cancer history were associated with ABCA4-rs481931 on chromosome 1 (p = 2E-19, 0.0007, 2E-06, respectively), and clefts and microdontia were associated with rs1325474 on chromosome 6 (p = 1E-06, 0.0002, respectively).

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  • Publisher Full Text
  • Authors

    Yildirim M, Seymen F, Deeley K, Cooper ME, Vieira AR

    Institution

    Department of Pedodontics, Istanbul University, Istanbul, Turkey.

    Source

    Journal of dental research 91:6 2012 Jun pg 556-61

    MeSH

    Adolescent
    Adult
    Case-Control Studies
    Chi-Square Distribution
    Child
    Child, Preschool
    Chromosomes, Human, Pair 1
    Chromosomes, Human, Pair 6
    Chromosomes, Human, Pair 8
    Cleft Lip
    Cleft Palate
    Family Health
    Female
    Genetic Markers
    Genome-Wide Association Study
    Humans
    Linkage Disequilibrium
    Logistic Models
    Male
    Medical History Taking
    Middle Aged
    Neoplasms
    Polymorphism, Single Nucleotide
    Pregnancy
    Prenatal Exposure Delayed Effects
    Risk Factors
    Smoking
    Tooth Abnormalities
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    22496123