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A study of sex-specific genetic effects underlying risk of orofacial clefts also highlights the potential impact of sequencing errors due to short read mis-mapping.

Bibliographic Details
Title: A study of sex-specific genetic effects underlying risk of orofacial clefts also highlights the potential impact of sequencing errors due to short read mis-mapping.
Authors: Kanchan K; Genomics and Precision Health Section, Laboratory of Allergic Diseases, The National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA., Erdogan-Yildirim Z; Center for Craniofacial and Dental Genetics, Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA., Berke S; Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA., Mukhopadhyay N; Center for Craniofacial and Dental Genetics, Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA., Ray D; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Simpson CL; Department of Genetics, Genomics, and Informatics, University of Tennessee Health Science Center, Memphis, TN, USA., Bidinger JA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Curtis SW; Department of Human Genetics, Emory University, Atlanta, GA, USA., Butali A; Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA, USA., Schwender H; Mathematisches Institut, Heinrich-Heine-Universität, Düsseldorf, Germany., Scott AF; Department of Genetic Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA., Bailey-Wilson JE; National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA., Beaty TH; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA., Leslie-Clarkson E; Department of Human Genetics, Emory University, Atlanta, GA, USA., Marazita ML; Center for Craniofacial and Dental Genetics, Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA., Ruczinski I; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Source: MedRxiv : the preprint server for health sciences [medRxiv] 2026 Jul 09. Date of Electronic Publication: 2026 Jul 09.
Publication Type: Journal Article; Preprint
Language: English
Journal Info: Country of Publication: United States NLM ID: 101767986 Publication Model: Electronic Cited Medium: Internet NLM ISO Abbreviation: medRxiv Subsets: PubMed not MEDLINE
Abstract: Orofacial clefts (OFCs), including cleft lip (CL), cleft palate (CP), and cleft lip with cleft palate (CLP), are among the most common craniofacial malformations in humans, with a birth prevalence of approximately 1 in 1,000 live births globally. Non-syndromic forms of OFC are predominantly genetic, with significant variability in prevalence across populations. Understanding the genetic underpinnings of OFCs remains a key public health priority, given the substantial medical and societal burden of these conditions. Recent genome-wide association studies (GWAS) have implicated numerous genetic loci, but challenges remain due to genetic heterogeneity and complex gene-environment interactions. This study aimed to identify sex-specific genetic risk factors for cleft lip with or without cleft palate (CL/P) through a meta-analysis of whole genome sequencing (WGS) data from 1,922 case-parent trios across eight diverse cohorts. Our approach revealed four SNPs in three distinct regions that showed genome-wide significant sex-specific effects. However, despite each of these SNPs passing standard quality control filters, follow-up analyses showed that these signals most likely were technical artifacts caused by sequencing errors, in particular mis-mapped reads due to sequence similarities with the sex chromo-somes. These findings highlight the necessity for careful scrutiny when studying differences between the sexes in genetic association studies.
Competing Interests: Conflict of Interest The authors do not have any conflicts of interest.
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Grant Information: R01 DE031855 United States DE NIDCR NIH HHS; U01 DE018993 United States DE NIDCR NIH HHS; T90 DE030853 United States DE NIDCR NIH HHS; R01 DE032319 United States DE NIDCR NIH HHS; R01 DE016148 United States DE NIDCR NIH HHS; R01 DE028300 United States DE NIDCR NIH HHS; R01 DE008559 United States DE NIDCR NIH HHS
Contributed Indexing: Keywords: Case-parent trios; genome-wide association studies; meta-analysis; orofacial clefts; read mapping; relative risk ratio; sequencing errors; sex-specific genetic effects; single nucleotide polymorphisms; whole genome sequencing
Entry Date(s): Date Created: 20260717 Date Completed: 20260725 Latest Revision: 20260922
Update Code: 20260922
PubMed Central ID: PMC13370597
DOI: 10.64898/2026.07.07.26357463
PMID: 42465919
Database: MEDLINE
Description
DOI:10.64898/2026.07.07.26357463