Mutations in BMP4 are associated with subepithelial, microform, and overt cleft lip.

Suzuki, Satoshi; Marazita, Mary L; Cooper, Margaret E; Miwa, Nobutomo; Hing, Anne; Jugessur, Astanand; Natsume, Nagato; Shimozato, Kazuo et al. · Am J Hum Genet · 2009

case_control · Level III

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Abstract

Cleft lip with or without cleft palate (CL/P) is a complex trait with evidence that the clinical spectrum includes both microform and subepithelial lip defects. We identified missense and nonsense mutations in the BMP4 gene in 1 of 30 cases of microform clefts, 2 of 87 cases with subepithelial defects in the orbicularis oris muscle (OOM), 5 of 968 cases of overt CL/P, and 0 of 529 controls. These results provide confirmation that microforms and subepithelial OOM defects are part of the spectrum of CL/P and should be considered during clinical evaluation of families with clefts. Furthermore, we suggest a role for BMP4 in wound healing.

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