Abstract

BackgroundGenome wide association studies (GWAS) already have identified tens of susceptible loci for nonsyndromic cleft lip with or without cleft palate (NSCL/P). However, whether these loci associated with nonsyndromic cleft palate only (NSCPO) remains unknown.Material and MethodsIn this study, we replicated 38 SNPs (Single nucleotide polymorphisms) which has the most significant p values in published GWASs, genotyping by using SNPscan among 144 NSCPO trios from Western Han Chinese. We performed the transmission disequilibrium test (TDT) on individual SNPs and gene-gene (GxG) interaction analyses on the family data; Parent-of-Origin effects were assessed by separately considering transmissions from heterozygous fathers versus heterozygous mothers to affected offspring.ResultsAllelic TDT results showed that T allele at rs742071 (PAX7) (p=0.025, ORtransmission=3.00, 95%CI: 1.09-8.25) and G allele at rs2485893 (10kb 3’ of SYT14) were associated with NSCPO (p=0.0036, ORtransmission= 0.60, 95%CI: 0.42-0.85). Genotypic TDT based on 3 pseudo controls further confirmed that rs742071 (p-value=0.03, ORtransmission=3.00, 95%CI: 1.09-8.25) and rs2485893 were associated with NSCPO under additive model (p-value= 0.02, ORtransmission= 0.66, 95%CI: 0.47-0.92). Genotypic TDT for epistatic interactions showed that rs4844913 (37kb 3’ of DIEXF) interacted with rs11119388 (SYT14) (p-value=1.80E-08) and rs6072081 (53kb 3’ of MAFB) interacted with rs6102085 (33kb 3’ of MAFB) (p-value=3.60E-04) for NSCPO, suggesting they may act in the same pathway in the etiology of NSCPO.ConclusionsIn this study, we found that rs742071 and rs2485893 were associated NSCPO from Han Chinese population; also, interactions of rs4844913:rs11119388 and rs6072081:rs6102085 for NSCPO were identified, gene-gene interactions have been proposed as a potential source of the remaining heritability, these findings provided new insights of the previous GWAS. Key words:GWAS, NSCPO, TDT, parent-of-origin effects, epistatic interactions.

Highlights

  • Cleft palate (CP) is a common birth defect, which has a lower birth prevalence compared to cleft lip with/ without cleft palate (CL/P): 1/2500 live births vs. 1/700; but CP shows less variability in birth prevalence across populations compared to CL/P [1]

  • Genotypic transmission disequilibrium test (TDT) based on 3 pseudo controls further confirmed that rs742071 (p-value=0.03, ORtransmission=3.0, 95%CI: 1.09-8.25) and rs2485893 are associated with nonsyndromic cleft palate only (NSCPO) under additive model (p-value=0.02, ORtransmission=0.66, 95%CI: 0.470.92) (Table 3). - Parent-of-Origin Effects There was no significant difference of minor allele transmissions between the maternal and paternal for all SNPs

  • We found an excess of maternal transmission of the allele G at rs2485893 (p=0.026), allele A at rs8001641 (p=0.018) and allele G at rs17563 (p=0.045) compared with the paternal (Table 4), which might warrant future investigations. - Gene by Gene Interactions The Genotypic TDT for epistatic interactions showed that rs4844913 (43kb 3’ of DIEXF) interacted with rs11119388 (SYT14) (p=1.80E-08) and rs6072081 (53kb 3’ of MAFB) interacted with rs6102085 (33kb 3’ of MAFB) (p= 3.60E-04) for NSCPO (Fig. 1). - Pair-wise Linkage Disequilibrium and Haplotype Analysis We calculated the pair-wise linkage disequilibrium (LD) of SNPs on chromosome 1 based the association results above

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Summary

Introduction

Cleft palate (CP) is a common birth defect, which has a lower birth prevalence compared to cleft lip with/ without cleft palate (CL/P): 1/2500 live births vs. 1/700; but CP shows less variability in birth prevalence across populations compared to CL/P [1]. Whether these loci associated with nonsyndromic cleft palate only for Han Chinese remains unknown.

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