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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Nature Portfolio
2020
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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) |
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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 |
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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 |
work_keys_str_mv |
AT mimiyow deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate AT nunovhermann deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate AT yuanwei deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate AT agnetakarsten deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate AT svenkreiborg deeporofacialphenotypingofpopulationbasedinfantswithisolatedcleftlipandisolatedcleftpalate |
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1718384187003633664 |