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Genome\u2010wide association studies (<jats:styled-content style=\"fixed-case\">GWAS<\/jats:styled-content>) on <jats:styled-content style=\"fixed-case\">NSCL<\/jats:styled-content>\/P have consistently identified association for the 1p22 region, in which\u2009<jats:italic><jats:styled-content style=\"fixed-case\">ARHGAP29<\/jats:styled-content><\/jats:italic> has emerged as the main candidate gene. <jats:italic><jats:styled-content style=\"fixed-case\">ARHGAP29<\/jats:styled-content><\/jats:italic> re\u2010sequencing studies in <jats:styled-content style=\"fixed-case\">NSCL<\/jats:styled-content>\/P patients have identified rare variants; however, their clinical impact is still unclear. In this study we identified 10 rare variants in <jats:italic><jats:styled-content style=\"fixed-case\">ARHGAP29<\/jats:styled-content><\/jats:italic>, including five missense, one in\u2010frame deletion, and four loss\u2010of\u2010function (<jats:styled-content style=\"fixed-case\">LoF<\/jats:styled-content>) variants, in a cohort of 188 familial <jats:styled-content style=\"fixed-case\">NSCL<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content> cases. A significant mutational burden was found for <jats:styled-content style=\"fixed-case\">LoF<\/jats:styled-content> (Sequence Kernel Association Test, p\u2009=\u20090.0005) but not for missense variants in\u2009<jats:italic><jats:styled-content style=\"fixed-case\">ARHGAP29<\/jats:styled-content><\/jats:italic>, suggesting that only <jats:styled-content style=\"fixed-case\">LoF<\/jats:styled-content> variants contribute to the etiology of <jats:styled-content style=\"fixed-case\">NSCL<\/jats:styled-content>\/P. Penetrance was estimated as 59%, indicating that heterozygous <jats:styled-content style=\"fixed-case\">LoF<\/jats:styled-content> variants in <jats:italic><jats:styled-content style=\"fixed-case\">ARHGAP29<\/jats:styled-content><\/jats:italic> confer a moderate risk to <jats:styled-content style=\"fixed-case\">NSCL<\/jats:styled-content>\/P. The <jats:styled-content style=\"fixed-case\">GWAS<\/jats:styled-content> hits in\u2009<jats:italic><jats:styled-content style=\"fixed-case\">IRF6<\/jats:styled-content><\/jats:italic> (rs642961) and 1p22 (rs560426 and rs4147811) do not seem to contribute to the penetrance of the phenotype, based on co\u2010segregation analysis. Our data show that rare variants leading to haploinsufficiency of <jats:italic><jats:styled-content style=\"fixed-case\">ARHGAP29<\/jats:styled-content><\/jats:italic> represent an important etiological clefting mechanism, and genetic testing for this gene might be taken into consideration in genetic counseling of familial cases.<\/jats:p>","DOI":"10.1111\/cge.12823","type":"journal-article","created":{"date-parts":[[2016,6,28]],"date-time":"2016-06-28T08:52:42Z","timestamp":1467103962000},"page":"683-689","source":"Crossref","is-referenced-by-count":33,"title":["Impact of rare variants in <i><scp>ARHGAP29<\/scp><\/i> to the etiology of oral clefts: role of loss\u2010of\u2010function <i>vs<\/i> missense variants"],"prefix":"10.1111","volume":"91","author":[{"given":"C.P.","family":"Savastano","sequence":"first","affiliation":[{"name":"Centro de Pesquisa sobre o Genoma Humano e C\u00e9lulas\u2010Tronco, Departamento de Gen\u00e9tica e Biologia Evolutiva, Instituto de Bioci\u00eancias 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