Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate

Abstract Isolated orofacial clefts (OFC) are common with poorly understood aetiology. Heterogeneous phenotypes and subphenotypes confound aetiological variant findings. To improve OFC phenome understanding, population-based, consecutive, pre-treatment infants with isolated unilateral cleft lip (UCL,...

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Autores principales: Mimi Yow, Nuno V. Hermann, Yuan Wei, Agneta Karsten, Sven Kreiborg
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/98a81c2f534e421394660e732601e056
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spelling oai:doaj.org-article:98a81c2f534e421394660e732601e0562021-12-02T16:18:03ZDeep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate10.1038/s41598-020-78602-w2045-2322https://doaj.org/article/98a81c2f534e421394660e732601e0562020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78602-whttps://doaj.org/toc/2045-2322Abstract Isolated orofacial clefts (OFC) are common with poorly understood aetiology. Heterogeneous phenotypes and subphenotypes confound aetiological variant findings. To improve OFC phenome understanding, population-based, consecutive, pre-treatment infants with isolated unilateral cleft lip (UCL, n = 183) and isolated cleft palate (CP, n = 83) of similar ancestry were grouped for deep phenotyping. Subphenotypes stratified by gender and cleft severity were evaluated for primary dental malformations and maturation using radiographs. We found that cleft severity and tooth agenesis were inadequate to distinguish heterogeneity in infants with UCL and CP. Both groups featured slow dental maturity, significantly slower in males and the UCL phenotype. In 32.8% of infants with UCL, supernumerary maxillary lateral incisors were present on the cleft lip side, but not in infants with CP, suggesting a cleft dental epithelium and forme fruste cleft dentoalveolus of the UCL subphenotype. The findings underscored the importance of deep phenotyping to disclose occult OFC subphenotypes.Mimi YowNuno V. HermannYuan WeiAgneta KarstenSven KreiborgNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Mimi Yow
Nuno V. Hermann
Yuan Wei
Agneta Karsten
Sven Kreiborg
Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
description Abstract Isolated orofacial clefts (OFC) are common with poorly understood aetiology. Heterogeneous phenotypes and subphenotypes confound aetiological variant findings. To improve OFC phenome understanding, population-based, consecutive, pre-treatment infants with isolated unilateral cleft lip (UCL, n = 183) and isolated cleft palate (CP, n = 83) of similar ancestry were grouped for deep phenotyping. Subphenotypes stratified by gender and cleft severity were evaluated for primary dental malformations and maturation using radiographs. We found that cleft severity and tooth agenesis were inadequate to distinguish heterogeneity in infants with UCL and CP. Both groups featured slow dental maturity, significantly slower in males and the UCL phenotype. In 32.8% of infants with UCL, supernumerary maxillary lateral incisors were present on the cleft lip side, but not in infants with CP, suggesting a cleft dental epithelium and forme fruste cleft dentoalveolus of the UCL subphenotype. The findings underscored the importance of deep phenotyping to disclose occult OFC subphenotypes.
format article
author Mimi Yow
Nuno V. Hermann
Yuan Wei
Agneta Karsten
Sven Kreiborg
author_facet Mimi Yow
Nuno V. Hermann
Yuan Wei
Agneta Karsten
Sven Kreiborg
author_sort Mimi Yow
title Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
title_short Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
title_full Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
title_fullStr Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
title_full_unstemmed Deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
title_sort deep orofacial phenotyping of population-based infants with isolated cleft lip and isolated cleft palate
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/98a81c2f534e421394660e732601e056
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AT nunovhermann deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate
AT yuanwei deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate
AT agnetakarsten deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate
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