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The pit, the cleft and the web

Orofacial clefts (cleft lip and/or palate) are among the most common birth defects in humans, affecting up to 1 in 500 infants at birth. The cause of the most common syndromic clefting condition, Van der Woude syndrome, has now been identified as haploinsufficiency of the gene encoding interferon regulatory factor 6 (IRF6). Furthermore, dominant-negative mutations of IRF6 lead to webbing of the skin in popliteal pterygium syndrome, demonstrating beyond doubt that these syndromes are allelic.

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Figure 1: Diagram of various types of orofacial clefting.
Figure 2: Individuals with various types of orofacial clefting with known and unknown etiologies.

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Muenke, M. The pit, the cleft and the web. Nat Genet 32, 219–220 (2002). https://doi.org/10.1038/ng1002-219

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