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Cited by 344

The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.

Epidemiologic and genetic aspects of spina bifida and other neural tube defects

Open access
Au, Kit Sing, Ashley‐Koch, Allison, Northrup, Hope·2010·Developmental Disabilities Research Reviews

Abstract

The worldwide incidence of neural tube defects (NTDs) ranges from 1.0 to 10.0 per 1,000 births with almost equal frequencies between two major categories: anencephaly and spina bifida (SB). Epidemiological studies have provided valuable insight for (a) researchers to identify nongenetic and genetic factors contributing to etiology, (b) public health officials to design and implement policies to prevent NTD pregnancies, and (c) individuals to take precautions to reduce the chance of having an NTD‐affected pregnancy. Despite extensive research, our knowledge of the genetic etiology of human NTDs is limited. Although more than 200 small animal models with NTDs exist, most of these models do not replicate the human disease phenotype. Over a hundred candidate genes have been examined for risk association to human SB. The candidate genes studied include those important in folic acid metabolism, glucose metabolism, retinoid metabolism, and apoptosis. Many genes that regulate transcription in early embryogenesis and maintain planar cell polarity have also been tested as candidates. Additionally, genes identified through mouse models of NTDs have been explored as candidates. We do not know how many genes in the human genome may confer risk for NTDs in human. Less than 20% of the studied candidate genes have been determined to confer even a minor effect on risk association. Many studies have provided conflicting conclusions due to limitations in study design that potentially affect the power of statistical analysis. Future directions such as genomewide association studies (GWAS) and whole exome or even whole genome sequencing are discussed as possible avenues to identify genes that affect risk for human NTDs. © 2010 Wiley‐Liss, Inc. Dev Disabil Res Rev 2010;16:6–15.

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Metadata

Authors
Au, K. S., Ashley‐Koch, A., & Northrup, H.
Venue
Developmental Disabilities Research Reviews
Publisher
Wiley
Published
2010-01
Volume
16
Issue
1
Pages
6-15
ISSN
  • 1940-5510 (ISSN-L)
  • 1940-5529
OpenAlex
W2118607035
Cited by
344
References
63
FWCI
23.85
Type
journal article
Language
en
Open access
green

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