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Exploring the genomic basis of early childhood caries: a pilot study
Journal article   Open access   Peer reviewed

Exploring the genomic basis of early childhood caries: a pilot study

Jami L Ballantine, Jenna C Carlson, Andrea G Ferreira Zandoná, Cary Agler, Leslie P Zeldin, Richard Gary Rozier, Michael W Roberts, Patricia V Basta, Jason Luo, Mikafui E Antonio-Obese, …
International journal of paediatric dentistry, Vol.28(2), pp.217-225
03/2018
DOI: 10.1111/ipd.12344
PMCID: PMC5811369
PMID: 29057527
url
https://doi.org/10.1111/ipd.12344View
Published (Version of record) Open Access

Abstract

A genetic component in early childhood caries (ECC) is theorized, but no genome-wide investigations of ECC have been conducted. This pilot study is part of a long-term research program aimed to: (1) determine the proportion of ECC variance attributable to the human genome and (2) identify ECC-associated genetic loci. The study's community-based sample comprised 212 children (mean age=39 months; range = 30-52 months; males = 55%; Hispanic/Latino = 35%, African-American = 32%; American Academy of Pediatric Dentistry definition of ECC prevalence = 38%). Approximately 2.4 million single nucleotide polymorphisms (SNPs) were genotyped using DNA purified from saliva. A P < 5 × 10 criterion was used for genome-wide significance. SNPs with P < 5 × 10 were followed-up in three independent cohorts of 921 preschool-age children with similar ECC prevalence. SNPs with minor allele frequency ≥5% explained 52% (standard error = 54%) of ECC variance (one-sided P = 0.03). Unsurprisingly, given the pilot's small sample size, no genome-wide significant associations were found. An intergenic locus on 4q32 (rs4690994) displayed the strongest association with ECC [P = 2.3 × 10 ; odds ratio (OR) = 3.5; 95% confidence interval (CI) = 2.1-5.9]. Thirteen loci with suggestive associations were followed-up - none showed evidence of association in the replication samples. This study's findings support a heritable component of ECC and demonstrate the feasibility of conducting genomics studies among preschool-age children.
Gene Frequency - genetics Genetic Predisposition to Disease - genetics Prevalence Genetic Association Studies Humans Child, Preschool Male Dental Caries - genetics Pilot Projects Dental Caries - epidemiology Polymorphism, Single Nucleotide - genetics Female North Carolina - epidemiology

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