Orofacial Cleft 4

For a phenotypic description and a discussion of genetic heterogeneity of nonsyndromic cleft lip/palate (CL/P), see 119530.

Mapping

Using 13 microsatellite markers specific for 4q in a study of 7 of 8 persons with CL/P in a 5-generation family, Beiraghi et al. (1994) found evidence of linkage between the phenotype and 2 markers, D4S175 (maximum lod = 2.27 at theta = 0) and D4S192 (maximum lod = 1.93 at theta = 0). No linkage with markers on chromosome 6 was found in this family.

In linkage studies of 36 multiplex Chinese families with CL/P, Marazita et al. (2002) found the highest multipoint heterogeneity lod score (2.5) at 4q with marker D4S1629 under a recessive inheritance model. In addition, there was a positive identity-by-descent result with D4S2361.

Cytogenetics

In a father and son with cleft lip, Beiraghi et al. (2003) identified a balanced pericentric inversion of chromosome 4, inv(4)(p13q21). They found that the breakpoint at 4q21 interrupts the SCD5 gene (608370) at exon 2.