Van der Woude syndrome (VWS) is the most common type of syndromic orofacial cleft, being characterised by variable association of lower lip pits, cleft lip and cleft palate. VWS is transmitted in an autosomal dominant manner, with high penetrance and variable expressivity, and a gene for this disease has been mapped in 1q32-q41. Very recently, mutations of the interferon regulatory factor 6 (IRF6) gene have been found in VWS patients, suggesting that this gene plays an important role in the orofacial development. We report a novel mutation of the IRF6 in an Italian family with six members affected by VWS with different expression. This mutation, the W217X, produces a stop codon within exon 6 of the IRF6 gene, with loss of the SMIR domain of the IRF6 protein.

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http://dx.doi.org/10.1016/j.mrfmmm.2003.11.011DOI Listing

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Van der Woude syndrome (VWS) is an autosomal dominant disorder characterized by lower lip pits and orofacial clefts (OFCs). With a prevalence of approximately 1 in 35,000 live births, it is the most common form of syndromic clefting and may account for ~2% of all OFCs. The majority of VWS is attributed to genetic variants in IRF6 (~70%) or GRHL3 (~5%), leaving up to 25% of individuals with VWS without a molecular diagnosis.

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Article Synopsis
  • This study aimed to investigate the role of IRF6 gene polymorphisms in individuals with Non-syndromic Orofacial Cleft (NSOFC) in Kerala.
  • The research involved analyzing DNA from 100 case-parent triads and specifically focused on the polymorphisms rs2235371 and rs7552506 using PCR and Sanger sequencing.
  • Results indicated a significant association between rs2235371 and NSOFC, particularly linked to paternal ancestry, while rs7552506 exhibited maternal linkage, suggesting IRF6 could be a risk factor for NSOFC in this population.
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