Variants of developmental genes (<i>TGFA, TGFB3</i>, and <i>MSX1</i>) and their associations with orofacial clefts: A case‐parent triad analysis

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<jats:title>Abstract</jats:title><jats:p>We selected 262 case‐parent triads from a population‐based study of orofacial clefts in Norway, and examined variants of developmental genes <jats:italic>TGFA, TGFB3</jats:italic>, and <jats:italic>MSX1</jats:italic> in the etiology of orofacial clefts. One hundred seventy‐four triads of cleft lip cases (CL±P) and 88 triads of cleft palate only cases (CPO) were analyzed. There was little evidence for an association of any of these genes with CL±P. The strongest association was a 1.7‐fold risk with two copies of the <jats:italic>TGFB3</jats:italic>‐CA variant (95% CI=0.9–3.0). Among CPO cases, there was a 3‐fold risk with two copies of the <jats:italic>TGFA</jats:italic> TaqI A2 allele, and no increase with one copy. Assuming this to be a recessive effect, we estimated a 3.2‐fold risk among babies homozygous for the variant (95% CI=1.1–9.2). Furthermore, there was strong evidence of gene‐gene interaction. While there was only a weak association of the <jats:italic>MSX1</jats:italic>‐CA variant with CPO, the risk was 9.7‐fold (95% CI=2.9–32) among children homozygous for both the <jats:italic>MSX1</jats:italic>‐CA A4 allele and the <jats:italic>TGFA</jats:italic> A2 allele. No association of CPO with the <jats:italic>TGFA</jats:italic> variant was seen among the other <jats:italic>MSX1</jats:italic>‐CA genotypes. In conclusion, no strong associations were found between CL±P and variants at these three genes. There was a possible recessive effect of the <jats:italic>TGFA</jats:italic> TaqI variant on the risk of CPO, with a 3‐fold risk among children homozygous for the variant. The effect of this <jats:italic>TGFA</jats:italic> genotype was even stronger among children homozygous for the <jats:italic>MSX1</jats:italic>‐CA A4 allele, raising the possibility of interaction between these two genes. <jats:italic>Genet Epidemiol</jats:italic> 24:230–239, 2003. © 2003 Wiley‐Liss, Inc.</jats:p>

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