Damaging Mutations in AFDN Contribute to Risk of Nonsyndromic Cleft Lip With or Without Cleft Palate

  • Waheed Awotoye
  • , Peter A. Mossey
  • , Jacqueline B. Hetmanski
  • , Lord J. J. Gowans
  • , Mekonen A. Eshete
  • , Wasiu L. Adeyemo
  • , Azeez Alade
  • , Erliang Zeng
  • , Olawale Adamson
  • , Olutayo James
  • , Azeez Fashina
  • , Modupe O. Ogunlewe
  • , Thirona Naicker
  • , Chinyere Adeleke
  • , Tamara Busch
  • , Mary Li
  • , Aline Petrin
  • , Abimbola Oladayo
  • , Sami Kayali
  • , Joy Olotu
  • Veronica Sule, Mohaned Hassan, John Pape, Emmanuel T. Aladenika, Peter Donkor, Fareed K. N. Arthur, Solomon Obiri-Yeboah, Daniel K. Sabbah, Pius Agbenorku, Debashree Ray, Gyikua Plange-Rhule, Alexander Acheampong Oti, Daniah Albokhari, Nara Sobreira, Martine Dunnwald, Terri H. Beaty, Margaret Taub, Mary L. Marazita, Adebowale A. Adeyemo, Jeffrey C. Murray, Azeez Butali (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)
422 Downloads (Pure)

Abstract

Objectives : Novel or rare damaging mutations have been implicated in the developmental pathogenesis of nonsyndromic cleft lip with or without cleft palate (nsCL ± P). Thus, we investigated the human genome for high-impact mutations that could explain the risk of nsCL ± P in our cohorts.

Materials and Methods: We conducted next-generation sequencing (NGS) analysis of 130 nsCL ± P case-parent African trios to identify pathogenic variants that contribute to the risk of clefting. We replicated this analysis using whole-exome sequence data from a Brazilian nsCL ± P cohort. Computational analyses were then used to predict the mechanism by which these variants could result in increased risks for nsCL ± P. Results : We discovered damaging mutations within the AFDN gene, a cell adhesion molecule (CAMs) that was previously shown to contribute to cleft palate in mice. These mutations include p.Met1164Ile, p.Thr453Asn, p.Pro1638Ala, p.Arg669Gln, p.Ala1717Val, and p.Arg1596His. We also discovered a novel splicing p.Leu1588Leu mutation in this protein. Computational analysis suggests that these amino acid changes affect the interactions with other cleft-associated genes including nectins (PVRL1, PVRL2, PVRL3, and PVRL4) CDH1, CTNNA1, and CTNND1.

Conclusion: This is the first report on the contribution of AFDN to the risk for nsCL ± P in humans. AFDN encodes AFADIN, an important CAM that forms calcium-independent complexes with nectins 1 and 4 (encoded by the genes PVRL1 and PVRL4). This discovery shows the power of NGS analysis of multiethnic cleft samples in combination with a computational approach in the understanding of the pathogenesis of nsCL ± P.

Original languageEnglish
Pages (from-to)697-705
Number of pages9
JournalCleft Palate-Craniofacial Journal
Volume61
Issue number4
Early online date16 Nov 2022
DOIs
Publication statusPublished - Apr 2024

Keywords

  • AFDN
  • cell adhesion molecule
  • cleft
  • craniofacial genetics
  • damaging mutations
  • next-generation sequencing
  • pathogenic variants
  • thermodynamics

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology

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