Evidence map›Paper›PMID 40662303›Full record

ArticleHuman molecular genetics2025

Copy number variants and their implications for developmental and behavioural problems in cleft lip and/or palate.

Alexandros Rammos, Rachel Blakey, Charlotte A Dennison, Sarah J Lewis, Nabila Ali, Amy Davies, Yvonne Wren, Kerry Humphries, Jonathan Sandy, Elliott Rees and 5 more

Abstract read
In one paragraph

Article in Human molecular genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Alexandros RammosCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.ORCID 0000-0001-7491-9659
Rachel BlakeyCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.
Charlotte A DennisonWolfson Centre for Young People's Mental Health, Hadyn Ellis Building, Maindy Road, Cardiff University, Cardiff CF24 1TP, United Kingdom.ORCID 0000-0002-7493-2041
Sarah J LewisCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.ORCID 0000-0003-4311-6890
Nabila AliThe Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Hadyn Ellis Building, Maindy Road, Cardiff CF24 1TP, United Kingdom.
Amy DaviesCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.
Yvonne WrenCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.
Kerry HumphriesCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.
Jonathan SandyCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.
Elliott ReesThe Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Hadyn Ellis Building, Maindy Road, Cardiff CF24 1TP, United Kingdom.
Kimberley Marie KendallThe Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Hadyn Ellis Building, Maindy Road, Cardiff CF24 1TP, United Kingdom.ORCID 0000-0002-6755-6121
Gemma C SharpDepartment of Psychology, Faculty of Health and Life Sciences, University of Exeter, St Luke's Campus, Heavitree Road, Exeter EX4 4PY, United Kingdom.
Michael J OwenThe Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Hadyn Ellis Building, Maindy Road, Cardiff CF24 1TP, United Kingdom.ORCID 0000-0003-4798-0862
Marianne B M van den BreeThe Centre for Neuropsychiatric Genetics and Genomics, Division of Psychological Medicine and Clinical Neurosciences, Cardiff University, Hadyn Ellis Building, Maindy Road, Cardiff CF24 1TP, United Kingdom.
Evie StergiakouliCleft Collective, University of Bristol, Oakfield House, Oakfield Grove, Bristol BS8 2BN, United Kingdom.ORCID 0000-0003-3586-0927

Funding

Medical Research Council MR/W020297/1MRC Integrative Epidemiology Unit MC_UU_00032/1Wolfson Centre for Young People's Mental Health
6 · The paper itself

Abstract

Cleft lip and/or palate (CL/P) is the most common craniofacial congenital anomaly and has been associated with higher risk of neurodevelopmental and behavioural problems indicating potential shared genetic factors between CL/P and neurodevelopmental disorders. In this study, we aimed to determine the prevalence of neurodevelopmental copy number variants (CNV) in children with CL/P and their link to early developmental and behavioural problems. Using data from the Cleft Collective, the largest UK-based national cohort study of children with CL/P, we determined the rates of neurodevelopmental CNVs in children with CL/P comparing them to the general population, explored differences by cleft type and investigated risk of developmental delays and behavioural problems among those with CL/P and neurodevelopmental CNVs. Children with CL/P had a higher prevalence of neurodevelopmental CNVs than participants in four population-based samples (3.7% vs 2.3% in the Avon Longitudinal Study of Parents and Children (ALSPAC), 2.0% in Born in Bradford (BiB), 2.3% in Millenium Cohort Study (MCS), 1.7% in UK Biobank, ORs(95%CIs): ALSPAC = 1.56(1.18-2.06), BiB = 1.84(1.37-2.45), MCS = 1.59(1.19-2.11), UK Biobank = 2.15(1.68-2.71). Children with cleft palate only were 3 times more likely to have a neurodevelopmental CNV (95%CIs1.50-6.59, p = 0.03) than children with cleft lip only. Furthermore, children with CL/P and neurodevelopmental CNVs were more likely to experience early developmental delays and behavioural problems by age 5 compared to children with CL/P and without neurodevelopmental CNVs. These findings highlight that genetic testing ascertaining the presence of neurodevelopmental CNVs might be helpful in early identification of developmental needs in children with CL/P.

Indexed as

Child Behavior DisordersCleft LipCleft PalateDevelopmental DisabilitiesDNA Copy Number VariationsBehaviorChild, PreschoolFemaleHumansInfantMalePrevalenceRiskUnited Kingdombehavioural problemscleft collectivecleft lip and/or palatecopy number variantslongitudinal outcomes

Identifiers

PMID40662303
PMCPMC12409624

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.