Maternal smoking, genetic variation of glutathione s-transferases, and risk for orofacial clefts

Lammer, EJ; Shaw, GM; Iovannisci, DM; Finnell, RH

HERO ID

732716

Reference Type

Journal Article

Year

2005

Language

English

PMID

16135950

HERO ID 732716
In Press No
Year 2005
Title Maternal smoking, genetic variation of glutathione s-transferases, and risk for orofacial clefts
Authors Lammer, EJ; Shaw, GM; Iovannisci, DM; Finnell, RH
Journal Epidemiology
Volume 16
Issue 5
Page Numbers 698-701
Abstract Maternal smoking is a known risk factor for orofacial clefts. We investigated whether risk is greater among offspring who lack the genetic capacity to produce glutathione S-transferase enzymes relevant to detoxification of chemicals in cigarette smoke.<br /><br /> Using a population-based case-control design, we genotyped 423 California infants with an isolated cleft and 294 nonmalformed controls for null variants of the glutathione S-transferases GSTT1 and GSTM1.<br /><br /> If a mother smoked during pregnancy and her fetus was homozygous null for GSTT1, the risk of isolated cleft lip with or without cleft palate was tripled (odds ratio = 2.9; 95% confidence interval = 1.2-7.2). For fetuses who were homozygous null for GSTM1 and whose mothers smoked >/=20 cigarettes per day, we found nearly a 7-fold increased risk (6.8; 0.82-57). Combined absence of GSTM1 and GSTT1 enzymes among the offspring of smoking mothers was associated with a nearly 6-fold increased risk for cleft lip (6.3; 1.3-42). A similar increased risk for cleft palate was associated with absence of GSTM1, but not for absence of GSTT1.<br /><br /> Maternal smoking during pregnancy increases risks for clefts among fetuses lacking enzymes involved in the detoxification of tobacco-derived chemicals.
Pmid 16135950
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Dupe Override No
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Language Text English
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