Abstract
The fibroblast growth factor receptor 1 (FGFR1) gene plays an important role in craniofacial morphogenesis. In our previous study, an association between FGFR1 single nucleotide polymorphisms (SNPs) and craniofacial morphology was demonstrated in Japanese and Korean subjects. The present study aimed to evaluate the relationship between a common FGFR1 SNP (rs13317) with craniofacial morphology, increasing the number of measurements and examining Egyptian subjects (n = 191) in addition to the Japanese (n = 211) and Korean (n = 226) subjects. Genotyping for rs13317 was performed using the TaqMan assay, and its associations with 81 craniofacial measurements derived from lateral and posteroanterior cephalograms were analyzed by multiple regression analysis controlling sex and facial size. The results from each of the populations were then statistically combined. In the Egyptian subjects, rs13317 was significantly associated with the nasion-orbitale depth (P = 0.00040), and a suggestive association was also observed in the Japanese (P = 0.037) and Korean subjects (P = 0.045). The combined analysis revealed that only the nasion-orbitale depth showed a significant association (P = 0.000062) and that several measurements showed a suggestive association. Our results strongly indicate that rs13317 is associated with a smaller depth between the nasion and orbitale, representing a relative protrusion of the cheekbones and retrusion of the nasal root. A similar characteristic is also observed in individuals with Pfeiffer syndrome, which is caused by a dysfunctional FGFR1 mutation.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Johannsdottir B, Thorarinsson F, Thordarson A, Magnusson TE. Heritability of craniofacial characteristics between parents and offspring estimated from lateral cephalograms. Am J Orthod Dentofac Orthop. 2005;127:200–7.
Hartsfield JK Jr., Morford LA, Otero LM. Genetic factors affecting facial growth. In: Bourzgui F, editor. Orthodontics—Basic Aspects and Clinical Considerations. Rijeka, Croatia: InTech; 2012. p. 125–50.
Wilkie AO. Craniosynostosis: genes and mechanisms. Hum Mol Genet. 1997;6:1647–56.
Cunningham ML, Seto ML, Ratisoontorn C, Heike CL, Hing AV. Syndromic craniosynostosis: from history to hydrogen bonds. Orthod Craniofac Res. 2007;10:67–81.
Coussens AK, van Daal A. Linkage disequilibrium analysis identifies an FGFR1 haplotype-tag SNP associated with normal variation in craniofacial shape. Genomics. 2005;85:563–73.
Ornitz DM, Itoh N. The fibroblast growth factor signaling pathway. Wiley Interdiscip Rev Syst Biol Med. 2015;4:215–66.
Chen L, Deng CX. Roles of FGF signaling in skeletal development and human genetic diseases. Front Biosci. 2005;1:1961–76.
Britto JA, Evans RD, Hayward RD, Jones BM. From genotype to phenotype: the differential expression of FGF, FGFR, and TGFbeta genes characterizes human cranioskeletal development and reflects clinical presentation in FGFR syndromes. Plast Reconstr Surg. 2001;108:2026–39.
Ornitz DM, Marie PJ. FGF signaling pathways in endochondral and intramembranous bone development and human genetic disease. Genes Dev. 2002;16:1446–65.
Boehringer S, van der Lijn F, Liu F, et al. Genetic determination of human facial morphology: links between cleft-lips and normal variation. Eur J Hum Genet. 2011;19:1192–7.
Gómez-Valdés JA, Hünemeier T, Contini V, et al. Fibroblast growth factor receptor 1 (FGFR1) variants and craniofacial variation in Amerindians and related populations. Am J Hum Biol. 2013;25:12–19.
Hünemeier T, Gómez-Valdés J, De Azevedo S, et al. FGFR1 signaling is associated with the magnitude of morphological integration in human head shape. Am J Hum Biol. 2014;26:164–75.
Claes P, Liberton DK, Daniels K, et al. Modeling 3D facial shape from DNA. PLoS Genet. 2014;10:e1004224.
Xiong X, Li S, Cai Y, Chen F. Targeted sequencing in FGF/FGFR genes and association analysis of variants for mandibular prognathism. Medicine (Baltim). 2017;96:e7240.
Riley BM, Mansilla MA, Ma J, et al. Impaired FGF signaling contributes to cleft lip and palate. Proc Natl Acad Sci USA. 2007;104:4512–7.
Riley BM, Schultz RE, Cooper ME, et al. A genome-wide linkage scan for cleft lip and cleft palate identifies a novel locus on 8p11-23. Am J Med Genet A. 2007;143A:846–52.
Rafiqdoost Z, Rafiqdoost A, Rafiqdoost H, Hashemi M, Khayatzadeh J, Eskandari-Nasab E. Investigation of FGF1 and FGFR gene polymorphisms in a group of Iranian patients with nonsyndromic cleft lip with or without cleft palate. Int J Pediatr Otorhinolaryngol. 2014;78:731–6.
Adel M, Yamaguchi T, Tomita D, et al. Contribution of FGFR1 variants to craniofacial variations in East Asians. PLoS ONE. 2017;12:e0170645.
Dahlberg G. Statistical methods for medical and biological students. BMJ. 1940;2:358–9.
Harris EF,Smith RN, Accounting for measurement error: a critical but often overlooked process. Arch Oral Biol. 2009;54 Suppl 1:S107–17.
Vogels A, Fryns JP. Pfeiffer syndrome. Orphanet J Rare Dis. 2006;1:19.
Jacob AL, Smith C, Partanen J, Ornitz DM. Fibroblast growth factor receptor 1 signaling in the osteo-chondrogenic cell lineage regulates sequential steps of osteoblast maturation. Dev Biol. 2006;296:315–28.
Dode C, Levilliers J, Dupont JM, et al. Loss-of-function mutations in FGFR1 cause autosomal dominant Kallmann syndrome. Nat Genet. 2003;33:463–5.
Sato N, Katsumata N, Kagami M, et al. Clinical assessment and mutation analysis of Kallmann syndrome 1 (KAL1) and fibroblast growth factor receptor 1 (FGFR1, or KAL2) in five families and 18 sporadic patients. J Clin Endocrinol Metab. 2004;89:1079–88.
Albuisson J, Pêcheux C, Carel JC, et al. Kallmann syndrome: 14 novel mutations in KAL1 and FGFR1 (KAL2). Hum Mutat. 2005;25:98–105.
Boutros S, Shetye PR, Ghali S, Carter CR, McCarthy JG, Grayson BH. Morphology and growth of the mandible in Crouzon, Apert, and Pfeiffer syndromes. J Craniofac Surg. 2007;18:146–50.
Ali N, Brustowicz K, Hosomura N, Bruun RA, Padwa BL. Change in mandibular position in patients with syndromic craniosynostosis after mid-facial advancement with distraction osteogenesis. Cleft Palate Craniofac J. 2015;52:506–11.
Katzen JT, McCarthy JG. Syndromes involving craniosynostosis and midface hypoplasia. Otolaryngol Clin N Am. 2000;33:1257–84.
Anantheswar YN, Venkataramana NK. Pediatric craniofacial surgery for craniosynostosis: our experience and current concepts: Parts 2. J Pediatr Neurosci. 2009;4:100–7.
Durãoa A, Bolstad N, Pittayapat P, Lambrichts I, Ferreira A, Jacobsc R. Accuracy and reliability of 2D cephalometric analysis in orthodontics. Rev Port Estomatol Med Dent Cir Maxilofac. 2014;55:135–41.
Lindner C, Wang CW, Huang CT, Li CH, Chang SW, Cootes TF. Fully automatic system for accurate localisation and analysis of cephalometric landmarks in lateral cephalograms. Sci Rep. 2016;20:33581.
Durão AR, Pittayapat P, Rockenbach MI, Olszewski R, Ng S, Ferreira AP, Jacobs R. Validity of 2D lateral cephalometry in orthodontics: a systematic review. Prog Orthod. 2013;20:31.
Hennessy RJ, Stringer CB. Geometric morphometric study of the regional variation of modern human craniofacial form. Am J Phys Anthropol. 2002;117:37–48.
Acknowledgements
We thank all the study participants and supporting medical and dental staff. This work was supported by JSPS KAKENHI (17K17338; Grant-in-Aid for Young Scientists (B) to SH, 17K11947; Grant-in-Aid for Scientific Research (C) to KM, and 17H07109; Grant-in-Aid for Research Activity start-up to DT, and 25251042; Grant-in-Aid for Scientific Research (A) to HI).
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Adel, M., Yamaguchi, T., Tomita, D. et al. Association between the FGFR1 rs13317 single nucleotide polymorphism and orbitale-nasion depth based on cephalometric images. J Hum Genet 63, 901–909 (2018). https://doi.org/10.1038/s10038-018-0471-6
Received:
Revised:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s10038-018-0471-6


