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唇腭裂:了解遗传和环境的影响。

Cleft lip and palate: understanding genetic and environmental influences.

机构信息

Faculty of Medical and Human Sciences, Manchester Academic Health Sciences Centre, Michael Smith Building, University of Manchester, Oxford Road, Manchester M13 9PT, UK.

出版信息

Nat Rev Genet. 2011 Mar;12(3):167-78. doi: 10.1038/nrg2933.

Abstract

Clefts of the lip and/or palate (CLP) are common birth defects of complex aetiology. CLP can occur in isolation or as part of a broad range of chromosomal, Mendelian or teratogenic syndromes. Although there has been marked progress in identifying genetic and environmental triggers for syndromic CLP, the aetiology of the more common non-syndromic (isolated) forms remains poorly characterized. Recently, using a combination of epidemiology, careful phenotyping, genome-wide association studies and analysis of animal models, several distinct genetic and environmental risk factors have been identified and confirmed for non-syndromic CLP. These findings have advanced our understanding of developmental biology and created new opportunities for clinical translational research.

摘要

唇腭裂(CLP)是一种常见的先天性复杂畸形。CLP 可孤立发生,也可作为多种染色体、孟德尔或致畸综合征的一部分出现。尽管在确定综合征性 CLP 的遗传和环境触发因素方面已经取得了显著进展,但更常见的非综合征性(孤立)形式的病因仍未得到很好的描述。最近,通过结合流行病学、仔细的表型分析、全基因组关联研究和动物模型分析,已经确定并证实了几个不同的非综合征性 CLP 的遗传和环境风险因素。这些发现增进了我们对发育生物学的理解,并为临床转化研究创造了新的机会。

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