Table 2.
Results of the meta-analysis performed to determine the associations between the genetic markers and the different non-syndromic orofacial cleft phenotypes in populations of European ancestry; results for the genes where there were significant associations with moderate effect sizes.
| Gene | Varianta | A/a | Phenotype | N | NCA | NCO | Allelic modelb | Dominant modelc | Recessive modeld | Overdominant modele | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OR (95% CI) | p-value | OR (95% CI) | p-value | OR (95% CI) | p-value | OR (95% CI) | p-value | |||||||
| ABCA4 | rs560426 | G/A | CL/P | 2 | 582 | 846 | 1.16 (0.70–1.94) | 0.570 | 1.14 (0.66–1.97) | 0.642 | 1.31 (0.58–2.96) | 0.523 | 0.89 (0.72–1.11) | 0.298 |
| rs481931** | C/A | CL/P | 2 | 589 | 849 | 0.78 (0.67–0.91) | 0.002 | 0.74 (0.60–0.92) | 0.008 | 0.70 (0.52–0.96) | 0.025# | 0.92 (0.60–1.41) | 0.709 | |
| WNT3a | rs708111** | T/C | OFC | 2 | 673 | 547 | 1.16 (0.99–1.37) | 0.068 | NA | NA | NA | NA | NA | NA |
| CL/P | 2 | 582 | 547 | 1.20 (1.02–1.42) | 0.032# | NA | NA | NA | NA | NA | NA | |||
| rs752107 | C/T | OFC | 2 | 673 | 547 | 0.91 (0.76–1.08) | 0.290 | NA | NA | NA | NA | NA | NA | |
| CL/P | 2 | 582 | 547 | 0.88 (0.74–1.06) | 0.170 | NA | NA | NA | NA | NA | NA | |||
| WNT5a | rs566926** | C/A | OFC | 2 | 673 | 547 | 1.24 (1.04–1.49) | 0.020 | NA | NA | NA | NA | NA | NA |
| CL/P | 2 | 582 | 547 | 1.28 (1.06–1.54) | 0.010 | NA | NA | NA | NA | NA | NA | |||
| FOXE1 | rs4460498** | C/T | OFC | 2 | 1206 | 1302 | 0.79 (0.71–0.89) | < 0.0001 | 0.77 (0.55–1.08) | 0.131 | 0.78 (0.62–0.98) | 0.034# | 0.82 (0.70–0.96) | 0.012# |
| CL/P | 2 | 1060 | 1302 | 0.77 (0.68–0.87) | < 0.0001 | 0.76 (0.53–1.11) | 0.153 | 0.73 (0.57–0.93) | 0.010# | 0.82 (0.70–0.97) | 0.019# | |||
| rs3758249** | G/A | OFC | 2 | 1200 | 1301 | 0.81 (0.72–0.91) | 0.0004 | 0.85 (0.52–1.40) | 0.530 | 0.79 (0.63–1.00) | 0.053 | 0.97 (0.58–1.61) | 0.908 | |
| CL/P | 2 | 1055 | 1302 | 0.84 (0.65–1.08) | 0.168 | 0.84 (0.50–1.42) | 0.524 | 0.74 (0.58–0.94) | 0.016# | 0.97 (0.59–1.61) | 0.919 | |||
| GREM1 | rs1258763** | A/G | CL/P | 2 | 435 | 1203 | 0.71 (0.60–0.84) | < 0.0001 | 0.60 (0.48–0.75) | < 0.00001 | 0.78 (0.53–1.13) | 0.186 | 0.66 (0.53–0.82) | 0.0002 |
| DVL2 | rs35594616** | C/T | OFC | 2 | 705 | 630 | 1.14 (0.97–1.33) | 0.106 | 1.46 (1.16–1.83) | 0.001 | 0.78 (0.39–1.55) | 0.476 | 1.58 (1.11–2.23) | 0.010 |
| rs2074222** | G/A | OFC | 2 | 744 | 615 | 1.08 (0.92–1.27) | 0.331 | 1.29 (1.03–1.61) | 0.026# | 0.74 (0.29–1.89) | 0.533 | 1.42 (0.90–2.24) | 0.134 | |
| rs222836* | C/T | OFC | 2 | 702 | 616 | 1.18 (1.01–1.37) | 0.038# | 1.38 (0.75–2.53) | 0.296 | 1.15 (0.90–1.47) | 0.277 | 1.13 (0.61–2.11) | 0.692 | |
| NOG | rs227731** | A/C | OFC | 3 | 471 | 1020 | 1.38 (1.18–1.62) | < 0.0001 | 1.59 (1.24–2.03) | 0.0002 | 1.47 (1.13–1.91) | 0.004 | 1.13 (0.91–1.41) | 0.269 |
| CL/P | 2 | 306 | 694 | 1.33 (1.10–1.61) | 0.003 | 1.63 (1.20–2.23) | 0.002 | 1.25 (0.75–2.06) | 0.392 | 1.23 (0.94–1.61) | 0.137 | |||
| AXIN2 | rs2240308** | G/A | OFC | 2 | 369 | 513 | 0.94 (0.77–1.13) | 0.505 | 0.75 (0.55–1.02) | 0.067 | 1.13 (0.82–1.56) | 0.452 | 0.74 (0.56–0.97) | 0.027# |
| CL/P | 2 | 359 | 513 | 0.94 (0.77–1.14) | 0.525 | 0.74 (0.54–1.01) | 0.057 | 1.15 (0.83–1.59) | 0.392 | 0.72 (0.55–0.95) | 0.020# | |||
A/a, major and minor alleles, where major allele is listed first and risk allele is underlined; Phenotype, non-syndromic orofacial cleft phenotype studied (CL/P, cleft lip with or without cleft palate; CPO, cleft palate only; OFC, all phenotypes combined); N, number of studies included in the analysis (allelic model); NCA, total number of cases included in the analysis (allelic model); NCO, total number of controls included in the analysis (allelic model); NA, not available; OR (95% CI), pooled odds ratio with 95% confidence interval for each analysis.
Abbreviations of gene names are given in Supplementary Table S4 and further details about the meta-analysis are presented in Supplementary Table S6.
*Significant results with moderate (**) and small (*) effect sizes; the largest values for the variant were considered, regardless of the phenotype studied or genetic model used.
#Results that did not remain significant after applying Bonferroni correction.
aGenetic variants found in named genes or in their close proximity; listed based on chromosomal location; bminor allele (a) vs. major allele (A); cAa + aa vs. AA; daa vs. Aa + AA; eAa vs. AA + aa. Statistically significant results are in bold.