Orofacial clefts, parental cigarette smoking, and transforming growth factor-alpha gene variants

Results of studies to determine whether women who smoke during early pregnancy are at increased risk of delivering infants with orofacial clefts have been mixed, and recently a gene-environment interaction between maternal smoking, transforming growth factor-alpha (TGFa), and clefting has been repor...

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Veröffentlicht in:American journal of human genetics 1996-03, Vol.58 (3), p.551-561
Hauptverfasser: SHAW, G. M, WASSERMAN, C. R, LAMMER, E. J, O'MALLEY, C. D, MURRAY, J. C, BASART, A. M, TOLAROVA, M. M
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container_end_page 561
container_issue 3
container_start_page 551
container_title American journal of human genetics
container_volume 58
creator SHAW, G. M
WASSERMAN, C. R
LAMMER, E. J
O'MALLEY, C. D
MURRAY, J. C
BASART, A. M
TOLAROVA, M. M
description Results of studies to determine whether women who smoke during early pregnancy are at increased risk of delivering infants with orofacial clefts have been mixed, and recently a gene-environment interaction between maternal smoking, transforming growth factor-alpha (TGFa), and clefting has been reported. Using a large population-based case-control study, we investigated whether parental periconceptional cigarette smoking was associated with an increased risk for having offspring with orofacial clefts. We also investigated the influence of genetic variation of the TGFa locus on the relation between smoking and clefting. Parental smoking information was obtained from telephone interviews with mothers of 731 (84.7% of eligible) orofacial cleft case infants and with mothers of 734 (78.2%) nonmalformed control infants. DNA was obtained from newborn screening blood spots and genotyped for the allelic variants of TGFa. We found that risks associated with maternal smoking were most elevated for isolated cleft lip with or without cleft palate, (odds ratio 2.1 [95% confidence interval 1.3-3.6]) and for isolated cleft palate (odds ratio 2.2 [1.1-4.5]) when mothers smoked > or =20 cigarettes/d. Analyses controlling for the potential influence of other variables did not reveal substantially different results. Clefting risks were even greater for infants with the TGFa allele previously associated with clefting whose mothers smoked > or =20 cigarettes/d. These risks for white infants ranged from 3-fold to 11-fold across phenotypic groups. Paternal smoking was not associated with clefting among the offspring of nonsmoking mothers, and passive smoke exposures were associated with at most slightly increased risks. This study offers evidence that the risk for orofacial clefting in infants may be influenced by maternal smoke exposures alone as well as in combination (gene-environment interaction) with the presence of the uncommon TGFa allele.
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M ; WASSERMAN, C. R ; LAMMER, E. J ; O'MALLEY, C. D ; MURRAY, J. C ; BASART, A. M ; TOLAROVA, M. M</creator><creatorcontrib>SHAW, G. M ; WASSERMAN, C. R ; LAMMER, E. J ; O'MALLEY, C. D ; MURRAY, J. C ; BASART, A. M ; TOLAROVA, M. M</creatorcontrib><description>Results of studies to determine whether women who smoke during early pregnancy are at increased risk of delivering infants with orofacial clefts have been mixed, and recently a gene-environment interaction between maternal smoking, transforming growth factor-alpha (TGFa), and clefting has been reported. Using a large population-based case-control study, we investigated whether parental periconceptional cigarette smoking was associated with an increased risk for having offspring with orofacial clefts. We also investigated the influence of genetic variation of the TGFa locus on the relation between smoking and clefting. Parental smoking information was obtained from telephone interviews with mothers of 731 (84.7% of eligible) orofacial cleft case infants and with mothers of 734 (78.2%) nonmalformed control infants. DNA was obtained from newborn screening blood spots and genotyped for the allelic variants of TGFa. We found that risks associated with maternal smoking were most elevated for isolated cleft lip with or without cleft palate, (odds ratio 2.1 [95% confidence interval 1.3-3.6]) and for isolated cleft palate (odds ratio 2.2 [1.1-4.5]) when mothers smoked &gt; or =20 cigarettes/d. Analyses controlling for the potential influence of other variables did not reveal substantially different results. Clefting risks were even greater for infants with the TGFa allele previously associated with clefting whose mothers smoked &gt; or =20 cigarettes/d. These risks for white infants ranged from 3-fold to 11-fold across phenotypic groups. Paternal smoking was not associated with clefting among the offspring of nonsmoking mothers, and passive smoke exposures were associated with at most slightly increased risks. 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Using a large population-based case-control study, we investigated whether parental periconceptional cigarette smoking was associated with an increased risk for having offspring with orofacial clefts. We also investigated the influence of genetic variation of the TGFa locus on the relation between smoking and clefting. Parental smoking information was obtained from telephone interviews with mothers of 731 (84.7% of eligible) orofacial cleft case infants and with mothers of 734 (78.2%) nonmalformed control infants. DNA was obtained from newborn screening blood spots and genotyped for the allelic variants of TGFa. We found that risks associated with maternal smoking were most elevated for isolated cleft lip with or without cleft palate, (odds ratio 2.1 [95% confidence interval 1.3-3.6]) and for isolated cleft palate (odds ratio 2.2 [1.1-4.5]) when mothers smoked &gt; or =20 cigarettes/d. 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These risks for white infants ranged from 3-fold to 11-fold across phenotypic groups. Paternal smoking was not associated with clefting among the offspring of nonsmoking mothers, and passive smoke exposures were associated with at most slightly increased risks. This study offers evidence that the risk for orofacial clefting in infants may be influenced by maternal smoke exposures alone as well as in combination (gene-environment interaction) with the presence of the uncommon TGFa allele.</abstract><cop>Chicago, IL</cop><pub>University of Chicago Press</pub><pmid>8644715</pmid><tpages>11</tpages></addata></record>
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subjects Adult
Biological and medical sciences
California
Case-Control Studies
Cleft Lip - etiology
Cleft Palate - etiology
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Genetic Variation - genetics
Genotype
Humans
Infant, Newborn
Interviews as Topic
Male
Maternal Age
Maternal Exposure
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Paternal Exposure
Polymorphism, Restriction Fragment Length
Risk Factors
Smoking - adverse effects
Transforming Growth Factor alpha - genetics
title Orofacial clefts, parental cigarette smoking, and transforming growth factor-alpha gene variants
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