Department of Oral and Maxillofacial Surgery

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Browsing Department of Oral and Maxillofacial Surgery by Subject "Africa"

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    Open Access
    Association of Dickkopf-1 (DKK1) Mutations with Non-syndromic Orofacial Clefts in African Populations
    (Pan Arab Human Genetics Conference 2018, 2018-01-18) Adeyemo, W.L.; Lo, C.; James, O.; Busch, T.; Butali, A.
    Background and Purpose: Orofacial cleft (OFC) has both genetic and environmental. In studies with mice, when the TGFβ gene was knocked out, orofacial clefts resulted because the absence of the TGFβ gene led to upregulation of DKK1. However, the role of DKK1 in human orofacial clefts remains unclear. The purpose of this study was to identify certain loci in the DKK1 gene associated with non-syndromic OFCs in humans in order to further research about the genetic aetiology of clefts. Method: Two hundred and eighty-eight cleft lip and palate (CLP) samples and 192 cleft palate only (CPO) saliva samples were collected from Ghana, Ethiopia, and Nigeria and sequenced. Then, using the programs Primer 3, UCSC Genome Browser, and BLAT, primers were designed for the four DKK1 exons to be used for PCR. DNA was extracted from the collected saliva samples and underwent PCR to be amplified and used for sequencing. Using the computer program Consed, each individual’s nucleotide sequence acquired from Sanger Sequencing was compared to a reference sequence to identify variants. Once variants were identified, SIFT and Polyphen and HOPE were used to predict the degree of damage caused by the mutation. Results: One novel missense mutation was found on the fourth exon of DKK1 in an individual from the Ghana CLP population, and one known missense mutation (rs140471040) was found on the first exon of DKK1 in two individuals from the Ghana CLP population and four individuals from the Africa CPO population. The known missense mutation resulted in the amino acid change p. Met16Leu, and was predicted to be tolerated and benign. Conclusions: The novel variant found in one individual from the Ghana CLP population creates an association between DKK1 and non-syndromic orofacial clefts in humans, demonstrating the interactions between multiple signaling pathways in the aetiology of orofacial clefts. Keywords: DKK1; Orofacial clefts; Africans
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    Open Access
    Descriptive Epidemiology of Orofacial Clefts in Africa Using data from 46,502 Smile Train Surgeries
    (Academic, 2017-05-01) Butali, A.; Pagan-Rivera, K.; Dawson, D.V.; Munger, R.; Eshete, M.A.; Adeyemo, W.L.; Mossey, P.A.
    The descriptive epidemiology of orofacial clefts (OFC) is an essential prerequisite towards improved care, investigations into the etiology, and eventually prevention. In the present study the distribution of OFC in sub-Saharan Africa using post-surgical data from the Smile Train organization, was examined. Data from 46,502 individuals from Ethiopia (16,049), Nigeria (8,209), Uganda (5,138), Kenya (4,084), Tanzania (2,750), Congo DR (1,371), Zambia (1,319), Somalia (1,039), and a total of 6,543 individuals from another 26 African countries were available for analysis. Individuals without a cleft diagnosis and those who indicated non-black African as their racial group were excluded, and a total of 46,502 individuals were available for analysis. There was a significant difference in frequency between unilateral cleft lip and palate (70.24%) versus bilateral cleft lip and palate (29.76%; p < 0.0001), and these were also significant within each sex (p < 0.0001). In the database, there were more females (53.50%) with cleft palate only than males (46.50%) (p = 0.0002). Data reported here did not take into account infant mortality during the perinatal period. Nonetheless, this study provides estimates from the largest recorded body of data for clefts in the continent, therefore providing valuable information on the need for comprehensive cleft registries in Africa.
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    Open Access
    Genome-wide analysis refines the genetic architecture of orofacial clefts and identifies novel risk loci in the african population.
    (Unilag Press, 2018, 2018-08-28) Adeyemo, W.L.; James, O.; Ogunlewe, M.O.; Oseni, G.O.; Jain, D.; Mossey, P.A.; Busch, T.; Gowans, L.J.J.; Eshete, M.A.; Laurie, C.A.; Olaitan, P.B.; Aregbesola, B.S.; Bello, S.A.; Abdur-Rahman, L.; Marazita, M.L.; Murray, J.C.; Adeyemo, A.A.; Butali, A.
    BACKGROUND: Orofacial clefts (OFCs) are the most common birth defects in the head and neck region, affecting one out of every 700 live births worldwide. These defects lead to significant financial, educational, medical, psychological, and cultural problems. OBJECTIVE: To conduct genome wide association study (GWAS) for OFC in Africa. METHODS: A total of 3,353 participants were genotyped on the pre-release consortium version of Illumina Multi Ethnic Genotyping Array (MEGA). Imputation was done into the 1000 Genomes Phase 3 reference imputation panel using IMPUTE2. The final dataset that passed quality control consisted of 3,178 participants enrolled from Ethiopia (30%), Ghana (43%), and Nigeria (27%). They included 814 cases of CLP, 205 cases of isolated CP, and 2,159 related and unrelated controls. Over 45million SNPs were imputed including the 2.2million SNPs in the Multi Ethnic Genotyping Array. Of these SNPs, only 16 million passed our quality control filter and were included in the final analyses. Given the known differences in the developmental and genetic basis of CL/P versus isolated CP, we conducted two separate GWAS (one for each phenotype). RESULTS: The GWAS for CL/P showed that the most significant hits are on chromosomes 8 and 3. The chromosome 8 locus (leading SNP, rs72728755, p = 1.52 × 10–6) is in the 8q.24 region that has been previously reported to be associated with CL/P in Europeans. The GWAS for isolated CP revealed one genome-wide significant locus on chromosome 2 (leading SNP rs140938806, p = 2.76 × 10–9). CONCLUSIONS: Our study has refined the genetic architecture of OFC in Africa, identified new loci and demonstrated genetic heterogeneity for the two cleft sub-phenotypes. This will lead to additional insights into craniofacial development and biology. Keywords: Orofacial clefts; GWAS, Africa
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    Open Access
    Multidisciplinary approach to genomics research in Africa: the AfriCRAN model
    (PAMJ, 2015-07-01) Butali, A.; Mossey, P.; Tiffin, N.; Adeyemo, W.; Eshete, M.; Mumena, C.; Audu, R.; Onwuamah, C.; Agbenorku, P.; Ogunlewe, M.; Adebola, A.; Olasoji, H.; Aregbesola, B.; Braimah, R.; Oladugba, A.; Onah, I.; Adebiyi, E.; Olaitan, P.; Abdur-Rahman, L.; Adeyemo, A.
    This article is an outcome of the African Craniofacial Anomalies Research Network (AfriCRAN) Human Hereditary and Health (H3A) grant planning meeting in 2012 in Lagos, Nigeria. It describes the strengths of a multidisciplinary team approach to solving complex genetic traits in the craniofacial region. It also highlights the different components and argues for the composition of similar teams to fast track the discovery of disease genes, diagnostic tools, improved clinical treatment and ultimately prevention of diseases.