Evidence map›Paper›PMID 41075272›Full record

SynthesisHuman molecular genetics2025

Genetic heterogeneity and homogeneity among orofacial cleft subtypes: genome-wide association studies in the cleft collective.

Kyle Dack, Kerstin U Ludwig, Evie Stergiakouli, Jonathan Sandy, Sethlina Aryee, George Davey Smith, Amy Davies, Yvonne Wren, Gemma C Sharp, Kerry Humphries and 5 more

Abstract readMeta-Analysis
In one paragraph

Synthesis 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. The role of Rho GTPases in facial morphogenesis.Developmental dynamics : an official publication of the American Association of Anatomists · 2026
    Review
  3. Article
  4. 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.

Kyle DackPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, United Kingdom.
Kerstin U LudwigInstitute for Human Genetics, University of Bonn, Karlrobert- Kreitenstr. 13. 53115, Bonn, Germany.ORCID 0000-0002-8541-2519
Evie StergiakouliPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, United Kingdom.ORCID 0000-0003-3586-0927
Jonathan SandyBristol Dental School, University of Bristol, 1 Trinity Quay, Avon Street, Bristol, BS2 0PT, United Kingdom.
Sethlina AryeeInstitute for Social and Economic Research, University of Essex, Wivenhoe Park, Colchester, Essex, CO4 3SQ, United Kingdom.
George Davey SmithPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, United Kingdom.
Amy DaviesBristol Dental School, University of Bristol, 1 Trinity Quay, Avon Street, Bristol, BS2 0PT, United Kingdom.
Yvonne WrenBristol Dental School, University of Bristol, 1 Trinity Quay, Avon Street, Bristol, BS2 0PT, United Kingdom.
Gemma C SharpSchool of Psychology, University of Exeter, Washington Singer Building, Perry Road, Exeter, EX4 4QG, United Kingdom.
Kerry HumphriesBristol Dental School, University of Bristol, 1 Trinity Quay, Avon Street, Bristol, BS2 0PT, United Kingdom.
Elisabeth MangoldInstitute for Human Genetics, University of Bonn, Karlrobert- Kreitenstr. 13. 53115, Bonn, Germany.
Lucy GoudswaardPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, United Kingdom.
Karen HoPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, United Kingdom.
Tom DuddingBristol Dental School, University of Bristol, 1 Trinity Quay, Avon Street, Bristol, BS2 0PT, United Kingdom.ORCID 0000-0003-3756-040X
Sarah J LewisPopulation Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Bristol, BS8 2BN, United Kingdom.ORCID 0000-0003-4311-6890

Funding

Medical Research Council MC_UU_00032/1Medical Research Council MR/T002093/1Medical Research Council MR/W020297/1
6 · The paper itself

Abstract

Several genome wide association studies (GWASs) of orofacial cleft have been conducted. However only a few such studies to date have combined all cleft cases, focused on subtypes other than non-syndromic cleft lip with/without cleft palate, or investigated subtype heterogeneity. We conducted a GWAS of orofacial clefts within 2268 cases from the Cleft Collective and 7913 population-based controls; we performed analyses of all orofacial clefts, plus 7 subgroups. We replicated our findings in a meta-analysis of independent samples and investigated patterns of correlation across subgroups. We identified 27 regions at genome-wide significance, 8 of which were novel. We also conducted the first GWAS of Pierre Robin Sequence, despite the small sample size (n cases = 237), we found one genome wide significant SNP (P < 5 × 10-8), and another 21 suggestive associations (P < 10-5). Novel loci include those mapping to LHX8 and TSBP1 (combined clefts), ARHGEF18 and ARHGEF19 (cleft lip with/without palate), FBN2 (cleft lip only), SLC35B3 (cleft palate only), CASC20 (Pierre Robin Sequence) and CHRM2 (non-syndromic cleft palate only). Several novel hits were in regions previously associated with facial morphology in GWAS or were in regions involved in key developmental processes, including neural crest cell migration and craniofacial development. We identified genetic loci with similar effects across all subgroups and some loci which were subtype specific, we also identified 3 loci with opposing effects on cleft lip and Pierre Robin sequence. Our findings highlight the merit of including all orofacial cleft subtypes in GWAS studies and investigating heterogeneity of effects across subtypes.

Indexed as

Cleft LipCleft PalateGenetic HeterogeneityFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansMalePolymorphism, Single Nucleotidecombined cleftsGWASheterogeneityorofacial cleftPierre Robin sequence

Identifiers

PMID41075272
PMCPMC12627943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.