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.
Background:
Craniosynostosis is a congenital defect that causes one or more sutures on an infant's skull to close earlier than normal. Though both genetic and environmental factors play a role in its pathogenesis, there is no published Indian data to verify this.
Materials And Methods:
In this case-control study, we investigated the association of craniosynostosis with parental age in 50 children with craniosynostosis attending the surgical outpatient department of a tertiary care institution in North India.
Results:
There was a significant association of craniosynostosis with advanced parental [OR 2.17 (95% CI 1.08 to 4.36)] but not maternal age. Education status of parents also revealed that those having a higher education had an increased risk of having a child with craniosynostosis [maternal education, OR 2.32 (95% CI 1.2 to 4.76); paternal education, OR 2.51 (95% CI 1.21 to 5.0)]. Molecular analysis by sequencing confirmed following amino-acid substitution in different Exons of the FGFR2 gene. Besides these, we found other novel identical mutations in FGFR2 gene in both syndromic and non-syndromic craniosynostoses.
Conclusion:
This is the first epidemiological study in India that provides evidence that, advanced paternal age and higher parental education level might be associated with an increased risk of craniosynostosis. New mutations were identified in cases of both syndromic and non-syndromic craniosynostosis.
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