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Genetics of cleft lip and palate : a review
Zainul Ahmad Rajion1, Zilfalil Alwi
1School of Dental Sciences.
Insights
Non-syndromic cleft lip with or without cleft palate (CL/P) are common birth defects. The genetic causes of CL/P remain complex and controversial, despite numerous research efforts.
Area of Science:
- Craniofacial development and genetics
Background:
- Orofacial clefts, specifically non-syndromic cleft lip with or without cleft palate (CL/P), are prevalent craniofacial deformities affecting 1 in 700-1000 newborns globally.
- Understanding the etiology of CL/P is crucial for prediction and prevention strategies.
Purpose of the Study:
- To review current understanding of the genetic basis of non-syndromic cleft lip with or without cleft palate (CL/P).
- To highlight the challenges and complexities in identifying causative genetic factors.
Main Methods:
- Review of various genetic approaches, including genome-wide association studies, candidate gene studies, and linkage analysis.
- Analysis of published literature on the genetic etiology of CL/P.
Main Results:
- Genetic studies have yielded inconclusive or contradictory results, suggesting etiological heterogeneity.
- Multiple genes are likely involved in the complex genetic architecture of CL/P.
- Several genes have been implicated, but definitive causative factors remain elusive.
Conclusions:
- The genetic basis of CL/P is complex and not fully understood.
- Ongoing research is necessary to resolve the controversies surrounding the genetic etiology of CL/P.
Abstract:
Orofacial clefts, particularly non-syndromic cleft lip with or without cleft palate (CL/P) are the most common craniofacial deformities, affecting one in every 700 to 1000 newborns worldwide. Numerous efforts have been made to understand the etiology of CL/P so as to predict its occurrence and to prevent it from occurring in the future. In the recent years, advances in genetics and molecular biology have begun to reveal the basis of craniofacial development. Various genetic approaches, including genome-wide and candidate gene association studies as well as linkage analysis, have been undertaken to identify aetiologic factors, but results have often been inconclusive or contradictory. These results may support the presence of aetiologic heterogeneity among populations and the presence of multiple genes involved in the aetiology of CL/P. Despite these difficulties, several different genes have been implicated in harbouring genes that contribute to the aetiology of CL/P. In conclusion, the genetic basis of CL/P is still controversial because of genetic complexity of clefting.
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