Study of environmental and genetic factors in children with craniosynostosis: A case-control study

Mayadhar Barik1, Minu Bajpai, Rashmi Ranjan Das

  • 1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Insights

Advanced paternal age and higher parental education are linked to increased craniosynostosis risk in India. This study also identified novel FGFR2 gene mutations in affected infants, providing new insights into the condition.

Area of Science:

  • Pediatric Surgery
  • Medical Genetics
  • Epidemiology

Background:

  • Craniosynostosis is a congenital skull defect where sutures close prematurely.
  • Genetic and environmental factors contribute to craniosynostosis pathogenesis.
  • Limited Indian data exists on craniosynostosis risk factors.

Purpose of the Study:

  • To investigate the association between craniosynostosis and parental factors in North India.
  • To identify potential genetic mutations in Indian craniosynostosis cases.

Main Methods:

  • A case-control study involving 50 infants with craniosynostosis.
  • Analysis of parental age and education status.
  • Molecular analysis (sequencing) of the FGFR2 gene.

Main Results:

  • Significant association found between craniosynostosis and advanced paternal age (OR 2.17).
  • Higher parental education levels correlated with increased risk (maternal OR 2.32, paternal OR 2.51).
  • Novel FGFR2 gene mutations identified in both syndromic and non-syndromic cases.

Conclusions:

  • This is the first Indian study suggesting advanced paternal age and higher parental education as risk factors for craniosynostosis.
  • New FGFR2 gene mutations were discovered in syndromic and non-syndromic craniosynostosis.
  • Findings highlight the need for further research into craniosynostosis etiology in the Indian population.
Abstract

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