When a cleft runs in a family: Van der Woude
Mateo's aunt has small pits on her lower lip, and a cousin was born with a . Could the same gene be moving through the family, and what pattern would that follow?
Some clefts run in families. , usually caused by an IRF6 , is the most common single-gene cause of clefting. It follows an autosomal dominant pattern, often shows , and reminds us to separate syndromic from non-syndromic clefts.
Prerequisite check
- Several genes are linked to clefts, including IRF6, , CDH3, MSX1, and .
- These genes act in different steps: some are factors, one is a signal, and one helps cells stick together.
What to learn
Goal: Explain autosomal dominant inheritance and penetrance, distinguish syndromic from non-syndromic clefts, and identify Van der Woude as the most common single-gene cause.
- In autosomal dominant inheritance, one altered copy of the gene is enough to cause the condition.
- Penetrance is the fraction of people with the disease-linked who actually show the trait, so a family pattern can look uneven.
- Syndromic clefts come with other features as part of a named syndrome; non-syndromic clefts occur on their own.
- , usually from an IRF6 , is the most common single-gene cause of clefting and often shows small lower-.
Guided notes
Reading the pattern
- Define autosomal dominant in your own words.
- On a simple pedigree, mark who could carry the altered IRF6 copy if it is dominant.
Why the family looks uneven
- Define penetrance and explain how it can make a dominant condition skip a person who still carries the gene.
- The aunt has but no . Explain how that fits one IRF6 family.
Syndromic or not
- Write the difference between a syndromic and a non-.
- Open the Van der Woude page and list the feature, besides the , that points toward this syndrome.
Reading the Research
- Skim the title and abstract first to get the gist.
- Circle the one sentence that states the main claim.
- Box the evidence the authors give for that claim.
- Mark one sentence that confuses you, and move on.
Using the database (what to capture)
Plain-language explanations of a gene or condition, written for patients and families.
- 1Open medlineplus.gov/genetics and search the gene or condition (IRF6).
- 2Read the summary written in everyday words.
- 3Note the conditions the gene is linked to at the bottom of the page.
- Topic: IRF6 gene
- Plain-language summary: IRF6 helps the tissues of the face join correctly before birth.
- Linked conditions: Van der Woude syndrome; nonsyndromic cleft
The full reference record for a gene: its official symbol, ID, location, and what it does.
- 1Go to ncbi.nlm.nih.gov/gene and type the gene symbol IRF6 in the search box, then press Search.
- 2Open the top result whose organism is Homo sapiens (human).
- 3At the top of the record, read three things and write them down: the official symbol, the Gene ID number, and the location ( band).
- Symbol (official gene name): IRF6
- Gene ID (the stable number): 3664
- Location (chromosome band): 1q32.2
- Summary (one line on its job): A transcription factor needed for the skin-surface cells that let the lip and palate fuse.
Lists DNA variants that have been reported, the condition each is linked to, and a clinical-significance call.
- 1Open ncbi.nlm.nih.gov/clinvar and search IRF6[gene].
- 2Open one variant from the list (for example R84C).
- 3Read its clinical significance and the review status (how many labs agree).
- Variant name: R84C (or c.250C>T)
- Condition: Popliteal pterygium syndrome
- Clinical significance: Pathogenic
- VUS vs pathogenic call: Pathogenic, not a VUS, because it recurs in many affected families
Vetted links for this session
- Van der Woude syndrome (MedlinePlus Genetics, NLM)
- IRF6 gene (plain-language gene card) (MedlinePlus Genetics, NLM)
- IRF6, Gene ID 3664 (the full gene record) (NCBI Gene, NLM)
- Talking Glossary of Genomic and Genetic Terms (NHGRI)
- Peer-reviewed literature on IRF6 in clefting (PubMed) (PubMed, NLM)
- ClinVar variants reported in IRF6 (ClinVar, NLM)
Pick your level
Use the sentence starters, a word bank from the vocabulary, a labeled diagram, and the exact source link.
Complete a partly blank model or table and explain it.
Make a claim from a new example or an unfamiliar entry in the same database.
Work as a research team
- Manager: keeps the group moving
- Recorder: writes the shared model or table
- Evidence checker: verifies each claim against the source
- Reporter: explains the group's reasoning
- What evidence changed your thinking today?
- What did your group disagree about, and how did you resolve it?
- What question is still unresolved?
Demonstration of learning
By the end of this session, submit ONE of: a labeled diagram with a 2-sentence explanation; a claim, evidence, reasoning paragraph; a completed data table from a real database; or a one-question exit ticket using today's vocabulary.
| Criterion | Proficient | Developing | Beginning |
|---|---|---|---|
| Complete | Every required part of the artifact is present and filled in. | Most parts are present, but one is missing or left blank. | Several parts are missing. |
| Accurate | The science and data are correct and match the evidence. | Mostly correct, with a small factual slip. | Key science or data is wrong. |
| Scientific reasoning (CER) | States a claim, backs it with specific evidence, and explains the reasoning. | Has a claim and evidence, but the reasoning is thin or missing. | Gives an answer with no evidence or reasoning. |
| Professional communication | Clear, organized, and labeled the way a clinician or scientist would write it. | Readable but disorganized or missing labels. | Hard to follow. |
| Submitted | Turned in the right way (Schoology for routine work) and confirmed. | Turned in, but in the wrong place or unconfirmed. | Not turned in. |
- CompleteProficient: Nothing is left blank: the model fills every part of "Explain autosomal dominant inheritance and penetrance, distinguish syndromic from non-syndromic clefts, and identify Van der Woude as the most common single-gene cause.".
- AccurateProficient: Every number and claim matches the case evidence.
- Scientific reasoning (CER)Proficient: It names a claim, cites the specific evidence, and explains the reasoning, not just the answer.
- Professional communicationProficient: It is organized and labeled like a real chart note.
- SubmittedProficient: It would be turned in on Schoology and confirmed.
