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Updated: Jan 8, 2026

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Variants Near NOG and SOX9 Are Associated with Mandibular Retrognathia
E Juuri1,2, S Strausz1,2,3,4, Md R Hasan1
1Orthodontics, Deparment of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Journal of Dental Research
|December 17, 2025
Summary
Genetic factors contribute to mandibular retrognathia, a common craniofacial anomaly. Genome-wide association studies identified key genetic loci, particularly in females, highlighting the role of NOG and SOX9 in development.
Area of Science:
- Genetics
- Craniofacial Biology
- Human Development
Background:
- Mandibular retrognathia is a common craniofacial anomaly affecting oral function and aesthetics.
- Its hereditary component is recognized, but the precise genetic etiology remains poorly understood.
- Understanding the genetic basis is crucial for elucidating causes and potential interventions.
Purpose of the Study:
- To identify genetic loci associated with mandibular retrognathia.
- To elucidate the underlying genetic causes of this skeletal anomaly.
- To explore the role of regulatory elements in craniofacial development.
Main Methods:
- Genome-wide association study (GWAS) using the FinnGen cohort (2,647 cases, 497,020 controls).
- Replication analysis in an independent Icelandic cohort.
- Functional annotation of single-nucleotide polymorphisms (SNPs) and morphological analysis in Nog knockout mice.
Main Results:
- GWAS identified two significant loci: NOG (rs227727) and SOX9 (rs7225448), primarily in females.
- rs227727 disrupts an enhancer regulating NOG, a gene crucial for bone and cartilage development.
- Nog knockout mice exhibited mandibular retrognathia-like features; SOX9 variants were near regulatory elements essential for cartilage development.
- Regional prevalence of mandibular retrognathia in Finland correlated with the rs227727 risk allele.
Conclusions:
- Genetic factors, including regulatory elements near NOG and SOX9, contribute significantly to mandibular retrognathia.
- The findings underscore the importance of long-range regulatory elements in craniofacial development.
- Integration of genetic, functional, and epidemiological data advances understanding of craniofacial anomaly genetics.
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