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Genome Scan, Fine-Mapping, and Candidate Gene Analysis of Non-Syndromic Cleft Lip with or without Cleft Palate Reveals Phenotype-Specific Differences in Linkage and Association Results

Identifieur interne : 002E44 ( Pmc/Corpus ); précédent : 002E43; suivant : 002E45

Genome Scan, Fine-Mapping, and Candidate Gene Analysis of Non-Syndromic Cleft Lip with or without Cleft Palate Reveals Phenotype-Specific Differences in Linkage and Association Results

Auteurs : Mary L. Marazita ; Andrew C. Lidral ; Jeffrey C. Murray ; L. Leigh Field ; Brion S. Maher ; Toby Goldstein Mchenry ; Margaret E. Cooper ; Manika Govil ; Sandra Daack-Hirsch ; Bridget Riley ; Astanand Jugessur ; Temis Felix ; Lina Morene ; M. Adela Mansilla ; Alexandre R. Vieira ; Kim Doheny ; Elizabeth Pugh ; Consuelo Valencia-Ramirez ; Mauricio Arcos-Burgos

Source :

RBID : PMC:2709160

Abstract

Objectives

Non-syndromic orofacial clefts, i.e. cleft lip (CL) and cleft palate (CP), are among the most common birth defects. The goal of this study was to identify genomic regions and genes for CL with or without CP (CL/P).

Methods

We performed linkage analyses of a 10 cM genome scan in 820 multiplex CL/P families (6,565 individuals). Significant linkage results were followed by association analyses of 1,476 SNPs in candidate genes and regions, utilizing a weighted false discovery rate (wFDR) approach to control for multiple testing and incorporate the genome scan results.

Results

Significant (multipoint HLOD ≥3.2) or genome-wide-significant (HLOD ≥4.02) linkage results were found for regions 1q32, 2p13, 3q27-28, 9q21, 12p11, 14q21-24 and 16q24. SNPs in IRF6 (1q32) and in or near FOXE1 (9q21) reached formal genome-wide wFDR-adjusted significance. Further, results were phenotype dependent in that the IRF6 region results were most significant for families in which affected individuals have CL alone, and the FOXE1 region results were most significant in families in which some or all of the affected individuals have CL with CP.

Conclusions

These results highlight the importance of careful phenotypic delineation in large samples of families for genetic analyses of complex, heterogeneous traits such as CL/P.


Url:
DOI: 10.1159/000224636
PubMed: 19521098
PubMed Central: 2709160

Links to Exploration step

PMC:2709160

Le document en format XML

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<name sortKey="Field, L Leigh" sort="Field, L Leigh" uniqKey="Field L" first="L. Leigh" last="Field">L. Leigh Field</name>
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<name sortKey="Maher, Brion S" sort="Maher, Brion S" uniqKey="Maher B" first="Brion S." last="Maher">Brion S. Maher</name>
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<name sortKey="Goldstein Mchenry, Toby" sort="Goldstein Mchenry, Toby" uniqKey="Goldstein Mchenry T" first="Toby" last="Goldstein Mchenry">Toby Goldstein Mchenry</name>
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<name sortKey="Daack Hirsch, Sandra" sort="Daack Hirsch, Sandra" uniqKey="Daack Hirsch S" first="Sandra" last="Daack-Hirsch">Sandra Daack-Hirsch</name>
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<name sortKey="Riley, Bridget" sort="Riley, Bridget" uniqKey="Riley B" first="Bridget" last="Riley">Bridget Riley</name>
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<name sortKey="Jugessur, Astanand" sort="Jugessur, Astanand" uniqKey="Jugessur A" first="Astanand" last="Jugessur">Astanand Jugessur</name>
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<name sortKey="Felix, Temis" sort="Felix, Temis" uniqKey="Felix T" first="Temis" last="Felix">Temis Felix</name>
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<nlm:aff id="aff12">Hospital de Clinicas Porto Allegre-RS, Universidade Federal do Rio Grande do Sul, Brazil</nlm:aff>
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<name sortKey="Morene, Lina" sort="Morene, Lina" uniqKey="Morene L" first="Lina" last="Morene">Lina Morene</name>
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<nlm:aff id="aff5">Department of Orthodontics, College of Dentistry, University of Iowa, Iowa City, Iowa, USA</nlm:aff>
</affiliation>
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<author>
<name sortKey="Mansilla, M Adela" sort="Mansilla, M Adela" uniqKey="Mansilla M" first="M. Adela" last="Mansilla">M. Adela Mansilla</name>
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<nlm:aff id="aff6">Department of Pediatrics College of Medicine, University of Iowa, Iowa City, Iowa, USA</nlm:aff>
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<name sortKey="Vieira, Alexandre R" sort="Vieira, Alexandre R" uniqKey="Vieira A" first="Alexandre R." last="Vieira">Alexandre R. Vieira</name>
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<affiliation>
<nlm:aff id="aff2">Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff4">Department of Pediatric Dentistry, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
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<name sortKey="Doheny, Kim" sort="Doheny, Kim" uniqKey="Doheny K" first="Kim" last="Doheny">Kim Doheny</name>
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<nlm:aff id="aff13">Center for Inherited Disease Research, Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Md., USA</nlm:aff>
</affiliation>
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<name sortKey="Pugh, Elizabeth" sort="Pugh, Elizabeth" uniqKey="Pugh E" first="Elizabeth" last="Pugh">Elizabeth Pugh</name>
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<nlm:aff id="aff13">Center for Inherited Disease Research, Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Md., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Valencia Ramirez, Consuelo" sort="Valencia Ramirez, Consuelo" uniqKey="Valencia Ramirez C" first="Consuelo" last="Valencia-Ramirez">Consuelo Valencia-Ramirez</name>
<affiliation>
<nlm:aff id="aff14">College of Dentistry, Universidad de Antioquia, Medellin, Colombia, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Arcos Burgos, Mauricio" sort="Arcos Burgos, Mauricio" uniqKey="Arcos Burgos M" first="Mauricio" last="Arcos-Burgos">Mauricio Arcos-Burgos</name>
<affiliation>
<nlm:aff id="aff15">Division of Child Psychiatry, Department of Psychiatry and Behavioral Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, Fla., USA</nlm:aff>
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<title xml:lang="en" level="a" type="main">Genome Scan, Fine-Mapping, and Candidate Gene Analysis of Non-Syndromic Cleft Lip with or without Cleft Palate Reveals Phenotype-Specific Differences in Linkage and Association Results</title>
<author>
<name sortKey="Marazita, Mary L" sort="Marazita, Mary L" uniqKey="Marazita M" first="Mary L." last="Marazita">Mary L. Marazita</name>
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<name sortKey="Lidral, Andrew C" sort="Lidral, Andrew C" uniqKey="Lidral A" first="Andrew C." last="Lidral">Andrew C. Lidral</name>
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<name sortKey="Murray, Jeffrey C" sort="Murray, Jeffrey C" uniqKey="Murray J" first="Jeffrey C." last="Murray">Jeffrey C. Murray</name>
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<name sortKey="Field, L Leigh" sort="Field, L Leigh" uniqKey="Field L" first="L. Leigh" last="Field">L. Leigh Field</name>
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</affiliation>
</author>
<author>
<name sortKey="Maher, Brion S" sort="Maher, Brion S" uniqKey="Maher B" first="Brion S." last="Maher">Brion S. Maher</name>
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<nlm:aff id="aff8">Department of Psychiatry, Virginia Commonwealth University, Richmond, Va., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Goldstein Mchenry, Toby" sort="Goldstein Mchenry, Toby" uniqKey="Goldstein Mchenry T" first="Toby" last="Goldstein Mchenry">Toby Goldstein Mchenry</name>
<affiliation>
<nlm:aff id="aff1">Center for Craniofacial and Dental Genetics, Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
</author>
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<name sortKey="Cooper, Margaret E" sort="Cooper, Margaret E" uniqKey="Cooper M" first="Margaret E." last="Cooper">Margaret E. Cooper</name>
<affiliation>
<nlm:aff id="aff1">Center for Craniofacial and Dental Genetics, Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Govil, Manika" sort="Govil, Manika" uniqKey="Govil M" first="Manika" last="Govil">Manika Govil</name>
<affiliation>
<nlm:aff id="aff1">Center for Craniofacial and Dental Genetics, Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Daack Hirsch, Sandra" sort="Daack Hirsch, Sandra" uniqKey="Daack Hirsch S" first="Sandra" last="Daack-Hirsch">Sandra Daack-Hirsch</name>
<affiliation>
<nlm:aff id="aff7">College of Nursing, University of Iowa, Iowa City, Iowa, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Riley, Bridget" sort="Riley, Bridget" uniqKey="Riley B" first="Bridget" last="Riley">Bridget Riley</name>
<affiliation>
<nlm:aff id="aff10">New York University School of Medicine, New York, N.Y., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Jugessur, Astanand" sort="Jugessur, Astanand" uniqKey="Jugessur A" first="Astanand" last="Jugessur">Astanand Jugessur</name>
<affiliation>
<nlm:aff id="aff11">Craniofacial Development, Musculoskeletal Disorders, Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Felix, Temis" sort="Felix, Temis" uniqKey="Felix T" first="Temis" last="Felix">Temis Felix</name>
<affiliation>
<nlm:aff id="aff12">Hospital de Clinicas Porto Allegre-RS, Universidade Federal do Rio Grande do Sul, Brazil</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Morene, Lina" sort="Morene, Lina" uniqKey="Morene L" first="Lina" last="Morene">Lina Morene</name>
<affiliation>
<nlm:aff id="aff5">Department of Orthodontics, College of Dentistry, University of Iowa, Iowa City, Iowa, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mansilla, M Adela" sort="Mansilla, M Adela" uniqKey="Mansilla M" first="M. Adela" last="Mansilla">M. Adela Mansilla</name>
<affiliation>
<nlm:aff id="aff6">Department of Pediatrics College of Medicine, University of Iowa, Iowa City, Iowa, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vieira, Alexandre R" sort="Vieira, Alexandre R" uniqKey="Vieira A" first="Alexandre R." last="Vieira">Alexandre R. Vieira</name>
<affiliation>
<nlm:aff id="aff1">Center for Craniofacial and Dental Genetics, Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff2">Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="aff4">Department of Pediatric Dentistry, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Doheny, Kim" sort="Doheny, Kim" uniqKey="Doheny K" first="Kim" last="Doheny">Kim Doheny</name>
<affiliation>
<nlm:aff id="aff13">Center for Inherited Disease Research, Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Md., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pugh, Elizabeth" sort="Pugh, Elizabeth" uniqKey="Pugh E" first="Elizabeth" last="Pugh">Elizabeth Pugh</name>
<affiliation>
<nlm:aff id="aff13">Center for Inherited Disease Research, Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Md., USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Valencia Ramirez, Consuelo" sort="Valencia Ramirez, Consuelo" uniqKey="Valencia Ramirez C" first="Consuelo" last="Valencia-Ramirez">Consuelo Valencia-Ramirez</name>
<affiliation>
<nlm:aff id="aff14">College of Dentistry, Universidad de Antioquia, Medellin, Colombia, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Arcos Burgos, Mauricio" sort="Arcos Burgos, Mauricio" uniqKey="Arcos Burgos M" first="Mauricio" last="Arcos-Burgos">Mauricio Arcos-Burgos</name>
<affiliation>
<nlm:aff id="aff15">Division of Child Psychiatry, Department of Psychiatry and Behavioral Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, Fla., USA</nlm:aff>
</affiliation>
</author>
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<title level="j">Human Heredity</title>
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<div type="abstract" xml:lang="en">
<sec>
<title>Objectives</title>
<p>Non-syndromic orofacial clefts, i.e. cleft lip (CL) and cleft palate (CP), are among the most common birth defects. The goal of this study was to identify genomic regions and genes for CL with or without CP (CL/P).</p>
</sec>
<sec>
<title>Methods</title>
<p>We performed linkage analyses of a 10 cM genome scan in 820 multiplex CL/P families (6,565 individuals). Significant linkage results were followed by association analyses of 1,476 SNPs in candidate genes and regions, utilizing a weighted false discovery rate (wFDR) approach to control for multiple testing and incorporate the genome scan results.</p>
</sec>
<sec>
<title>Results</title>
<p>Significant (multipoint HLOD ≥3.2) or genome-wide-significant (HLOD ≥4.02) linkage results were found for regions 1q32, 2p13, 3q27-28, 9q21, 12p11, 14q21-24 and 16q24. SNPs in
<italic>IRF6</italic>
(1q32) and in or near
<italic>FOXE1</italic>
(9q21) reached formal genome-wide wFDR-adjusted significance. Further, results were phenotype dependent in that the
<italic>IRF6</italic>
region results were most significant for families in which affected individuals have CL alone, and the
<italic>FOXE1</italic>
region results were most significant in families in which some or all of the affected individuals have CL with CP.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These results highlight the importance of careful phenotypic delineation in large samples of families for genetic analyses of complex, heterogeneous traits such as CL/P.</p>
</sec>
</div>
</front>
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<article-title>Genome Scan, Fine-Mapping, and Candidate Gene Analysis of Non-Syndromic Cleft Lip with or without Cleft Palate Reveals Phenotype-Specific Differences in Linkage and Association Results</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Marazita</surname>
<given-names>Mary L.</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="aff" rid="aff2">b</xref>
<xref ref-type="aff" rid="aff3">c</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lidral</surname>
<given-names>Andrew C.</given-names>
</name>
<xref ref-type="aff" rid="aff5">e</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Murray</surname>
<given-names>Jeffrey C.</given-names>
</name>
<xref ref-type="aff" rid="aff6">f</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Field</surname>
<given-names>L.Leigh</given-names>
</name>
<xref ref-type="aff" rid="aff9">i</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maher</surname>
<given-names>Brion S.</given-names>
</name>
<xref ref-type="aff" rid="aff8">h</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Goldstein McHenry</surname>
<given-names>Toby</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cooper</surname>
<given-names>Margaret E.</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Govil</surname>
<given-names>Manika</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Daack-Hirsch</surname>
<given-names>Sandra</given-names>
</name>
<xref ref-type="aff" rid="aff7">g</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Riley</surname>
<given-names>Bridget</given-names>
</name>
<xref ref-type="aff" rid="aff10">j</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jugessur</surname>
<given-names>Astanand</given-names>
</name>
<xref ref-type="aff" rid="aff11">k</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Felix</surname>
<given-names>Temis</given-names>
</name>
<xref ref-type="aff" rid="aff12">l</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Morene</surname>
<given-names>Lina</given-names>
</name>
<xref ref-type="aff" rid="aff5">e</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mansilla</surname>
<given-names>M.Adela</given-names>
</name>
<xref ref-type="aff" rid="aff6">f</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vieira</surname>
<given-names>Alexandre R.</given-names>
</name>
<xref ref-type="aff" rid="aff1">a</xref>
<xref ref-type="aff" rid="aff2">b</xref>
<xref ref-type="aff" rid="aff4">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Doheny</surname>
<given-names>Kim</given-names>
</name>
<xref ref-type="aff" rid="aff13">m</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pugh</surname>
<given-names>Elizabeth</given-names>
</name>
<xref ref-type="aff" rid="aff13">m</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Valencia-Ramirez</surname>
<given-names>Consuelo</given-names>
</name>
<xref ref-type="aff" rid="aff14">n</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arcos-Burgos</surname>
<given-names>Mauricio</given-names>
</name>
<xref ref-type="aff" rid="aff15">o</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>a</sup>
Center for Craniofacial and Dental Genetics, Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</aff>
<aff id="aff2">
<sup>b</sup>
Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pa., USA</aff>
<aff id="aff3">
<sup>c</sup>
Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</aff>
<aff id="aff4">
<sup>d</sup>
Department of Pediatric Dentistry, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa., USA</aff>
<aff id="aff5">
<sup>e</sup>
Department of Orthodontics, College of Dentistry, University of Iowa, Iowa City, Iowa, USA</aff>
<aff id="aff6">
<sup>f</sup>
Department of Pediatrics College of Medicine, University of Iowa, Iowa City, Iowa, USA</aff>
<aff id="aff7">
<sup>g</sup>
College of Nursing, University of Iowa, Iowa City, Iowa, USA</aff>
<aff id="aff8">
<sup>h</sup>
Department of Psychiatry, Virginia Commonwealth University, Richmond, Va., USA</aff>
<aff id="aff9">
<sup>i</sup>
Department of Medical Genetics, University of British Columbia, and B.C. Research Institute for Children's and Women's Health, Vancouver, BC, Canada</aff>
<aff id="aff10">
<sup>j</sup>
New York University School of Medicine, New York, N.Y., USA</aff>
<aff id="aff11">
<sup>k</sup>
Craniofacial Development, Musculoskeletal Disorders, Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia</aff>
<aff id="aff12">
<sup>l</sup>
Hospital de Clinicas Porto Allegre-RS, Universidade Federal do Rio Grande do Sul, Brazil</aff>
<aff id="aff13">
<sup>m</sup>
Center for Inherited Disease Research, Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Md., USA</aff>
<aff id="aff14">
<sup>n</sup>
College of Dentistry, Universidad de Antioquia, Medellin, Colombia, USA</aff>
<aff id="aff15">
<sup>o</sup>
Division of Child Psychiatry, Department of Psychiatry and Behavioral Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, Fla., USA</aff>
<author-notes>
<corresp id="cor1">Mary L. Marazita, PhD, Center for Craniofacial and Dental Genetics, University of Pittsburgh, Suite 500 Bridgeside Point, 100 Technology Dr., Pittsburgh, PA 15219 (USA), Tel. +1 412 648 8380, Fax +1 412 648 8779, E-Mail
<email>marazita@pitt.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub">
<day>11</day>
<month>6</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>7</month>
<year>2010</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>68</volume>
<issue>3</issue>
<fpage>151</fpage>
<lpage>170</lpage>
<history>
<date date-type="received">
<day>02</day>
<month>12</month>
<year>2008</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>2</month>
<year>2009</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2009 by S. Karger AG, Basel</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<abstract>
<sec>
<title>Objectives</title>
<p>Non-syndromic orofacial clefts, i.e. cleft lip (CL) and cleft palate (CP), are among the most common birth defects. The goal of this study was to identify genomic regions and genes for CL with or without CP (CL/P).</p>
</sec>
<sec>
<title>Methods</title>
<p>We performed linkage analyses of a 10 cM genome scan in 820 multiplex CL/P families (6,565 individuals). Significant linkage results were followed by association analyses of 1,476 SNPs in candidate genes and regions, utilizing a weighted false discovery rate (wFDR) approach to control for multiple testing and incorporate the genome scan results.</p>
</sec>
<sec>
<title>Results</title>
<p>Significant (multipoint HLOD ≥3.2) or genome-wide-significant (HLOD ≥4.02) linkage results were found for regions 1q32, 2p13, 3q27-28, 9q21, 12p11, 14q21-24 and 16q24. SNPs in
<italic>IRF6</italic>
(1q32) and in or near
<italic>FOXE1</italic>
(9q21) reached formal genome-wide wFDR-adjusted significance. Further, results were phenotype dependent in that the
<italic>IRF6</italic>
region results were most significant for families in which affected individuals have CL alone, and the
<italic>FOXE1</italic>
region results were most significant in families in which some or all of the affected individuals have CL with CP.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>These results highlight the importance of careful phenotypic delineation in large samples of families for genetic analyses of complex, heterogeneous traits such as CL/P.</p>
</sec>
</abstract>
<kwd-group>
<title>Key Words</title>
<kwd>Cleft lip</kwd>
<kwd>Cleft palate</kwd>
<kwd>Linkage</kwd>
<kwd>Association</kwd>
<kwd>wFDR</kwd>
<kwd>
<italic>IRF6</italic>
</kwd>
<kwd>
<italic>FOXE1</italic>
</kwd>
<kwd>Genetics</kwd>
</kwd-group>
<counts>
<fig-count count="4"></fig-count>
<table-count count="5"></table-count>
<ref-count count="110"></ref-count>
<page-count count="20"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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