Document Detail


Craniofacial birth defects: The role of neural crest cells in the etiology and pathogenesis of Treacher Collins syndrome and the potential for prevention.
MedLine Citation:
PMID:  20734335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Of all the babies born with birth defects, approximately one-third display anomalies of the head and face [Gorlin et al., 1990] including cleft lip, cleft palate, small or absent facial and skull bones and improperly formed nose, eyes, ears, and teeth. Craniofacial disorders are a primary cause of infant mortality and have serious lifetime functional, esthetic, and social consequences that are devastating to both children and parents alike. Comprehensive surgery, dental care, psychological counseling, and rehabilitation can help ameliorate-specific problems but at great cost over many years which dramatically affects national health care budgets. For example, the Center for Disease Control and Prevention estimates that the lifetime cost of treating the children born each year with cleft lip and/or cleft palate alone to be US$697 million. Treating craniofacial malformations, of which in excess of 700 distinct syndromes have been described, through comprehensive, well-coordinated and integrated strategies can provide satisfactory management of individual conditions, however, the results are often variable and rarely fully corrective. Therefore, better techniques for tissue repair and regeneration need to be developed and therapeutic avenues of prevention need to be explored in order to eliminate the devastating consequences of head and facial birth defects. To do this requires a thorough understanding of the normal events that control craniofacial development during embryogenesis. This review therefore focuses on recent advances in our understanding of the basic etiology and pathogenesis of a rare craniofacial disorder known as Treacher Collins syndrome and emerging prospects for prevention that may have broad application to congenital craniofacial birth defects.
Authors:
Paul A Trainor
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review     Date:  2010-08-23
Journal Detail:
Title:  American journal of medical genetics. Part A     Volume:  152A     ISSN:  1552-4833     ISO Abbreviation:  Am. J. Med. Genet. A     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-25     Completed Date:  2011-03-15     Revised Date:  2011-05-16    
Medline Journal Info:
Nlm Unique ID:  101235741     Medline TA:  Am J Med Genet A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2984-94     Citation Subset:  IM    
Affiliation:
Stowers Institute for Medical Research, Kansas City, Missouri 64110, USA. pat@stowers-institute.org
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MeSH Terms
Descriptor/Qualifier:
Child
Forecasting
Humans
Infant
Mandibulofacial Dysostosis / etiology*,  pathology,  prevention & control*
Neural Crest / embryology*
Neural Tube Defects / complications,  pathology
Grant Support
ID/Acronym/Agency:
R0 DE016082-01/DE/NIDCR NIH HHS; R01 DE016082-01/DE/NIDCR NIH HHS; R01 DE016082-02/DE/NIDCR NIH HHS; R01 DE016082-03/DE/NIDCR NIH HHS; R01 DE016082-04/DE/NIDCR NIH HHS; R01 DE016082-05/DE/NIDCR NIH HHS; R01 DE016082-06/DE/NIDCR NIH HHS; R01 DE016082-07/DE/NIDCR NIH HHS

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