Mangold, Elisabeth, Boehmer, Anne C., Ishorst, Nina, Hoebel, Ann-Kathrin, Gueltepe, Pinar, Schuenke, Hannah, Klamt, Johanna, Hofmann, Andrea, Goelz, Lina, Raff, Ruth, Tessmann, Peter, Nowak, Stefanie, Reutter, Heiko, Hemprich, Alexander, Kreusch, Thomas, Kramer, Franz-Josef, Braumann, Bert, Reich, Rudolf, Schmidt, Guel, Jaeger, Andreas, Reiter, Rudolf, Brosch, Sibylle, Stavusis, Janis, Ishida, Miho, Seselgyte, Rimante, Moore, Gudrun E., Noethen, Markus M., Borck, Guntram, Aldhorae, Khalid A., Lace, Baiba ORCID: 0000-0001-5371-6756, Stanier, Philip ORCID: 0000-0001-9340-8117, Knapp, Michael and Ludwig, Kerstin U. (2016). Sequencing the GRHL3 Coding Region Reveals Rare Truncating Mutations and a Common Susceptibility Variant for Nonsyndromic Cleft Palate. Am. J. Hum. Genet., 98 (4). S. 755 - 763. CAMBRIDGE: CELL PRESS. ISSN 1537-6605

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Abstract

Nonsyndromic cleft lip with/without cleft palate (nsCL/P) and nonsyndromic cleft palate only (nsCPO) are the most frequent subphenotypes of orofacial clefts. A common syndromic form of orofacial clefting is Van der Woude syndrome (VWS) where individuals have CL/P or CPO, often but not always associated with lower lip pits. Recently, similar to 5% of VWS-affected individuals were identified with mutations in the grainy head-like 3 gene (GRHL3). To investigate GRHL3 in nonsyndromic clefting, we sequenced its coding region in 576 Europeans with nsCL/P and 96 with nsCPO. Most strikingly, nsCPO-affected individuals had a higher minor allele frequency for rs41268753 (0.099) than control subjects (0.049; p = 1.24 x 10(-2)). This association was replicated in nsCPO/control cohorts from Latvia, Yemen, and the UK (p(combined) = 2.63 x 10(-5); ORallelic = 2.46 [95% CI 1.6-3.7]) and reached genome-wide significance in combination with imputed data from a GWAS in nsCPO triads (p = 2.73 x 10(-9)). Notably, rs41268753 is not associated with nsCL/P (p = 0.45). rs41268753 encodes the highly conserved p.Thr454Met (c.1361C>T) (GERP = 5.3), which prediction programs denote as deleterious, has a CADD score of 29.6, and increases protein binding capacity in silico. Sequencing also revealed four novel truncating GRHL3 mutations including two that were de novo in four families, where all nine individuals harboring mutations had nsCPO. This is important for genetic counseling: given that VWS is rare compared to nsCPO, our data suggest that dominant GRHL3 mutations are more likely to cause nonsyndromic than syndromic CPO. Thus, with rare dominant mutations and a common risk variant in the coding region, we have identified an important contribution for GRHL3 in nsCPO.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Mangold, ElisabethUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boehmer, Anne C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ishorst, NinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoebel, Ann-KathrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gueltepe, PinarUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuenke, HannahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klamt, JohannaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hofmann, AndreaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goelz, LinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Raff, RuthUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tessmann, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nowak, StefanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reutter, HeikoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hemprich, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kreusch, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kramer, Franz-JosefUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Braumann, BertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reich, RudolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmidt, GuelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jaeger, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Reiter, RudolfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brosch, SibylleUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stavusis, JanisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ishida, MihoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Seselgyte, RimanteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Moore, Gudrun E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Noethen, Markus M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Borck, GuntramUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aldhorae, Khalid A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lace, BaibaUNSPECIFIEDorcid.org/0000-0001-5371-6756UNSPECIFIED
Stanier, PhilipUNSPECIFIEDorcid.org/0000-0001-9340-8117UNSPECIFIED
Knapp, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ludwig, Kerstin U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-278795
DOI: 10.1016/j.ajhg.2016.02.013
Journal or Publication Title: Am. J. Hum. Genet.
Volume: 98
Number: 4
Page Range: S. 755 - 763
Date: 2016
Publisher: CELL PRESS
Place of Publication: CAMBRIDGE
ISSN: 1537-6605
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
GENOME-WIDE ASSOCIATION; RISK LOCI; LIP; GENE; SCAN; METAANALYSIS; POPULATIONS; INHERITANCE; EFFICIENT; HISTORYMultiple languages
Genetics & HeredityMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/27879

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