Volume 119, Issue 9 pp. 1759-1764
Original Study

The association between interferon regulatory factor 6 (IRF6) and nonsyndromic cleft lip with or without cleft palate in a Honduran population

Gillian R. Diercks BA

Gillian R. Diercks BA

Columbia University College of Physicians and Surgeons, New York, New York, U.S.A.

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Tom T. Karnezis MD

Tom T. Karnezis MD

Columbia University College of Physicians and Surgeons, New York, New York, U.S.A.

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David T. Kent BA

David T. Kent BA

Columbia University College of Physicians and Surgeons, New York, New York, U.S.A.

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Carlos Flores MD

Carlos Flores MD

Department of Plastic Surgery, Hospital Escuela, The University of Honduras, Tegucigalpa, Honduras

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Gloria H. Su PhD

Gloria H. Su PhD

Department of Otolaryngology/Head and Neck Surgery, Columbia University Medical Center, New York, New York, U.S.A.

Department of Pathology, Columbia University Medical Center, New York, New York, U.S.A.

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Joseph H. Lee DrPH

Joseph H. Lee DrPH

Sergievsky Center, Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Epidemiology, Columbia University, New York, New York, U.S.A.

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Joseph Haddad Jr. MD

Corresponding Author

Joseph Haddad Jr. MD

Department of Otolaryngology/Head and Neck Surgery, Columbia University Medical Center, New York, New York, U.S.A.

Department of Pediatric Otolaryngology, Morgan Stanley Children's Hospital, Columbia University Medical Center, New York, New York, U.S.A.

Department of Pediatric Otolaryngology, Columbia University Medical Center, 3959 Broadway, 5th floor, New York, NY 10032Search for more papers by this author
First published: 17 June 2009
Citations: 7

Abstract

Objectives/Hypothesis:

Interferon regulatory factor 6 (IRF6), the gene that causes van der Woude syndrome (VWS), is a candidate gene for nonsyndromic cleft lip with or without cleft palate (NSCLP) because a number of studies have supported an association between NSCLP and single nucleotide polymorphisms (SNPs) in IRF6 in several populations. This project investigated the contribution of IRF6 to NSCLP in the Honduran population, a previously unstudied group with a high prevalence of NSCLP.

Study Design:

Family-based joint linkage and association study.

Methods:

A set of five SNPs in and around IRF6 previously reported to be associated with NSCLP were tested for association with NSCLP in 276 affected and unaffected Honduran individuals from 59 families with at least two members affected by clefting and at least one member with confirmed NSCLP.

Results:

We observed support of linkage for three SNPs—rs1856161, rs2235371, and rs2235377—under a dominant model (log of odds [LODs] = 1.97, 1.56, 1.73, respectively). Subsequent single-point, haplotype, and joint linkage and association analyses continued to support the association with NSCLP (P ≤ .05) at these three SNPs. When analysis was restricted to NSCLP cases, excluding cleft palate only cases, support for association strengthened.

Conclusions:

This is the first study to demonstrate that three candidate SNPs within IRF6 are significantly associated with NSCLP in the Honduran population, providing the first genetic clue to NSCLP observed in the Honduran population and confirming findings from populations in other parts of the world. Further studies are needed to identify the putative variant(s). Laryngoscope, 2009

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