Michael L Cunningham, MD, PhD

Michael L Cunningham, MD, PhD

Fetal Care and Treatment Center, Craniofacial Center

On staff since October 1991

Children's Title: Division Chief, Craniofacial Medicine; Medical Director, Craniofacial Center

Academic Title: Professor

Foundation Title: Jean Renny Endowed Chair in Pediatric Craniofacial Medicine

Research Center: Center for Developmental Biology and Regenerative Medicine

"The care of a single patient during residency made me realize that I enjoyed helping families work through the difficult time after the birth of a child with complex cleft and craniofacial disorders. After residency, I was given the unique opportunity to train in the longitudinal care of these patients and their families. Encouraged by my mentors, Drs. Ron Lemire and Sterling Clarren, I returned to graduate school to obtain a PhD in Anatomy and Embryology. Now, after this 20-year journey as a physician-scientist, I recognize that it is my patients, their families and my trainees who serve as my teachers. I am dedicated to the advancement of craniofacial research and our unique model of pediatric care for children born with these conditions."

  • Biography

    Michael L. Cunningham, MD, PhD, is chief of the Division of Craniofacial Medicine and professor of pediatrics in the Department of Pediatrics at the University of Washington School of Medicine. He is medical director of Seattle Children's Craniofacial Center and holds the Jean Renny Endowed Chair in Craniofacial Medicine. He is also adjunct professor in the Departments of Biological Structures, Oral Biology and Pediatric Dentistry at the University of Washington.

    Dr. Cunningham balances responsibilities in administration, patient care and research. He does bedside teaching of medical students, pediatrics residents and dental students. His clinical interests focus on the diagnosis and long-term interdisciplinary care of children with craniofacial malformations, with a particular interest in craniosynostosis. He is co-investigator on several clinical research projects, ranging from the epidemiology of positional plagiocephaly to computer modeling of craniofacial conditions.

    Funded through the National Institute of Dental and Craniofacial Research, Dr. Cunningham's basic molecular and developmental biology lab has been open since 1993 and is using human and mouse models to investigate the molecular causes of craniosynostosis and developmental pathogenesis of midface hypoplasia associated with syndromic craniosynostosis.

  • Patient Testimonials

    • Kevin Puyallup 08.30.21

      Dr. Cunningham has been there for both my kids when they were babies and help my daughter with her (6) kids. I would recommend him for any new patient.

  • Awards and Honors

    Award Name Award Description Awarded By Award Date
    SEATTLE MAGAZINE TOP DOCTOR - 2015 Seattle Magazine 2015
    Inaugural Holder, Jean Renny Endowed Chair for Craniofacial Medicine University of Washington 2007
    Parent Choice Award Children’s Hospital and Regional Medical Center 2005
    F. Clarke Fraser New Investigator Award The Teratology Society 2001
    Outstanding Teacher Award University of Washington Pediatric Residency Program 2001
    Member Society for Pediatric Research 1999
    Physician Scientist Research Training Award National Institute of Child Health & Human Development, NIH 1993
    Child Heath Research Center Award University of Washington, Department of Pediatrics 1993
    James G. Wilson Award for Excellence in Research The Teratology Society 1993
  • Publications

    Other Publications

    • Weinberg SM, Raffensperger ZD, Kesterke MJ, Heike CL, Cunningham ML, Hecht JT, Kau CH, Murray JC, Wehby GL, Moreno LM, Marazita ML
      The 3D Facial Norms Database: Part 1. A Web-Based Craniofacial Anthropometric and Image Repository for the Clinical and Research Community.
      26492185 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2016 Nov. : 53(6)e185-e197 PMCID:PMC4841760
    • Shaffer JR, Orlova E, Lee MK, Leslie EJ, Raffensperger ZD, Heike CL, Cunningham ML, Hecht JT, Kau CH, Nidey NL, Moreno LM, Wehby GL, Murray JC, Laurie CA, Laurie CC, Cole J, Ferrara T, Santorico S, Klein O, Mio W, Feingold E, Hallgrimsson B, Spritz RA, Marazita ML, Weinberg SM
      Genome-Wide Association Study Reveals Multiple Loci Influencing Normal Human Facial Morphology.
      27560520 PLoS genetics, 2016 Aug 25 : 12(8)e1006149 PMCID:PMC4999139
    • McKinney CM, Glass RP, Coffey P, Rue T, Vaughn MG, Cunningham M
      Feeding Neonates by Cup: A Systematic Review of the Literature.
      27016350 Maternal and child health journal, 2016 Aug. : 20(8)1620-33 PMCID:PMC5091933
    • Wenger TL, Dahl J, Bhoj EJ, Rosen A, McDonald-McGinn D, Zackai E, Jacobs I, Heike CL, Hing A, Santani A, Inglis AF, Sie KC, Cunningham M, Perkins J
      Tracheal cartilaginous sleeves in children with syndromic craniosynostosis.
      27228464 Genetics in medicine : official journal of the American College of Medical Genetics, 2016 May 26
    • Allori AC, Kelley T, Meara JG, Albert A, Bonanthaya K, Chapman K, Cunningham M, Daskalagiannakis J, de Gier H, Heggie AA, Hernandez C, Jackson O, Jones Y, Kangesu L, Koudstaal MJ, Kuchhal R, Lohmander A, Long RE Jr, Magee L, Monson L, Rose E, Sitzman TJ, Taylor JA, Thornburn G, van Eeden S, Williams C, Wirthlin JO, Wong KW
      A Standard Set of Outcome Measures for the Comprehensive Appraisal of Cleft Care.
      27223626 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2016 May 25
    • Kesterke MJ, Raffensperger ZD, Heike CL, Cunningham ML, Hecht JT, Kau CH, Nidey NL, Moreno LM, Wehby GL, Marazita ML, Weinberg SM
      Using the 3D Facial Norms Database to investigate craniofacial sexual dimorphism in healthy children, adolescents, and adults.
      27110347 Biology of sex differences, 2016 Apr 22 : 723 PMCID:PMC4841054
    • Al-Rekabi Z, Wheeler MM, Leonard A, Fura AM, Juhlin I, Frazar C, Smith JD, Park SS, Gustafson JA, Clarke CM, Cunningham ML, Sniadecki NJ
      Activation of the IGF1 pathway mediates changes in cellular contractility and motility in single-suture craniosynostosis.
      26659664 Journal of cell science, 2016 Feb 1 : 129(3)483-91 PMCID:PMC4760302
    • Swanson J, Oppenheimer A, Al-Mufarrej F, Pet M, Arakawa C, Cunningham M, Gruss J, Hopper R, Birgfeld C
      Maternofetal Trauma in Craniosynostosis.
      26218396 Plastic and reconstructive surgery, 2015 Aug. : 136(2)214e-222e
    • Swanson J, Oppenheimer A, Al-Mufarrej F, Pet M, Arakawa C, Cunningham M, Gruss J, Hopper R, Birgfeld C
      Maternofetal Trauma in Craniosynostosis.
      26218396 Plastic and reconstructive surgery, 2015 Aug. : 136(2)214e-222e
    • Park SS | Beyer RP | Smyth MD | Clarke CM | Timms AE | Bammler TK | Stamper BD | Mecham BH | Gustafson JA | Cunningham ML
      Osteoblast differentiation profiles define sex specific gene expression patterns in craniosynostosis.
      Bone, 2015 July : 76169-76
    • Park SS, Beyer RP, Smyth MD, Clarke CM, Timms AE, Bammler TK, Stamper BD, Mecham BH, Gustafson JA, Cunningham ML
      Osteoblast differentiation profiles define sex specific gene expression patterns in craniosynostosis.
      25753363 Bone, 2015 July : 76169-76 PMCID:PMC4546839
    • Maga AM, Navarro N, Cunningham ML, Cox TC
      Quantitative trait loci affecting the 3D skull shape and size in mouse and prioritization of candidate genes in-silico.
      25859222 Frontiers in physiology, 2015 Mar 26 : 692 PMCID:PMC4374467
    • Speltz ML, Collett BR, Wallace ER, Starr JR, Cradock MM, Buono L, Cunningham M, Kapp-Simon K
      Intellectual and academic functioning of school-age children with single-suture craniosynostosis.
      25713274 Pediatrics, 2015 March : 135(3)e615-23 PMCID:PMC4338322
    • Leslie EJ, O'Sullivan J, Cunningham ML, Singh A, Goudy SL, Ababneh F, Alsubaie L, Ch'ng GS, van der Laar IM, Hoogeboom AJ, Dunnwald M, Kapoor S, Jiramongkolchai P, Standley J, Manak JR, Murray JC, Dixon MJ
      Expanding the genetic and phenotypic spectrum of popliteal pterygium disorders.
      25691407 American journal of medical genetics. Part A, 2015 March : 167A(3)545-52 PMCID:PMC4423539
    • Smith JD, Hing AV, Clarke CM, Johnson NM, Perez FA, Park SS, Horst JA, Mecham B, Maves L, Nickerson DA, University of Washington Center for Mendelian Genomics, Cunningham ML
      Exome sequencing identifies a recurrent de novo ZSWIM6 mutation associated with acromelic frontonasal dysostosis.
      25105228 American journal of human genetics, 2014 Aug 7 : 95(2)235-40 PMCID:PMC4129399
    • Smith JD, Hing AV, Clarke CM, Johnson NM, Perez FA, Park SS, Horst JA, Mecham B, Maves L, Nickerson DA, University of Washington Center for Mendelian Genomics., Cunningham ML
      Exome sequencing identifies a recurrent de novo ZSWIM6 mutation associated with acromelic frontonasal dysostosis.
      25105228 American journal of human genetics, 2014 Aug 7 : 95(2)235-40 PMCID:PMC4129399
    • Gordon CT, Cunniff CM, Green GE, Zechi-Ceide RM, Johnson JM, Henderson A, Petit F, Kokitsu-Nakata NM, Guion-Almeida ML, Munnich A, Cunningham ML, Lyonnet S, Amiel J
      Clinical evidence for a mandibular to maxillary transformation in Auriculocondylar syndrome.
      24677549 American journal of medical genetics. Part A, 2014 July : 164A(7)1850-3
    • Keppler-Noreuil KM, Sapp JC, Lindhurst MJ, Parker VE, Blumhorst C, Darling T, Tosi LL, Huson SM, Whitehouse RW, Jakkula E, Grant I, Balasubramanian M, Chandler KE, Fraser JL, Gucev Z, Crow YJ, Brennan LM, Clark R, Sellars EA, Pena LD, Krishnamurty V, Shuen A, Braverman N, Cunningham ML, Sutton VR, Tasic V, Graham JM Jr, Geer J Jr, Henderson A, Semple RK, Biesecker LG
      Clinical delineation and natural history of the PIK3CA-related overgrowth spectrum.
      24782230 American journal of medical genetics. Part A, 2014 July : 164(7)1713-33
    • Lam I, Cunningham M, Speltz M, Shapiro L
      Classifying Craniosynostosis with a 3D Projection-Based Feature Extraction System.
      25343146 Proceedings / IEEE International Symposium on Computer-Based Medical Systems. IEEE International Symposium on Computer-Based Medical Systems, 2014 May : 2014215-220 PMCID:PMC4205084
    • Lam I, Cunningham M, Speltz M, Shapiro L
      Classifying Craniosynostosis with a 3D Projection-Based Feature Extraction System.
      25343146 Proceedings. IEEE International Symposium on Computer-Based Medical Systems, 2014 May : 2014215-220 PMCID:PMC4205084
    • Gordon CT, Cunniff CM, Green GE, Zechi-Ceide RM, Johnson JM, Henderson A, Petit F, Kokitsu-Nakata NM, Guion-Almeida ML, Munnich A, Cunningham ML, Lyonnet S, Amiel J
      Clinical evidence for a mandibular to maxillary transformation in Auriculocondylar syndrome.
      24677549 American journal of medical genetics. Part A, 2014 Mar 26
    • Kim SD, Yagnik G, Cunningham ML, Kim J, Boyadjiev SA
      MAPK/ERK Signaling Pathway Analysis in Primary Osteoblasts From Patients With Nonsyndromic Sagittal Craniosynostosis.
      23566293 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2014 Jan. : 51(1)115-9 PMCID:PMC3708983
    • Lam I, Cunningham M, Birgfeld C, Speltz M, Shapiro L
      Quantification of skull deformity for craniofacial research.
      25570069 Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference, 2014 : 2014758-61 PMCID:PMC4288006
    • Cox TC, Luquetti DV, Cunningham ML
      Perspectives and challenges in advancing research into craniofacial anomalies.
      24142870 American journal of medical genetics. Part C, Seminars in medical genetics, 2013 Nov. : 163(4)213-7
    • Kido Y, Gordon CT, Sakazume S, Ben Bdira E, Dattani M, Wilson LC, Lyonnet S, Murakami N, Cunningham ML, Amiel J, Nagai T
      Further characterization of atypical features in auriculocondylar syndrome caused by recessive PLCB4 mutations.
      23913798 American journal of medical genetics. Part A, 2013 Sept. : 161(9)2339-46
    • Luquetti DV, Cox TC, Lopez-Camelo J, Dutra Mda G, Cunningham ML, Castilla EE
      Preferential associated anomalies in 818 cases of microtia in South America.
      23554119 American journal of medical genetics. Part A, 2013 May : 161A(5)1051-7 PMCID:PMC3634880
    • Luquetti DV, Cox TC, Lopez-Camelo J, Dutra Mda G, Cunningham ML, Castilla EE
      Preferential associated anomalies in 818 cases of microtia in South America.
      23554119 American journal of medical genetics. Part A, 2013 May : 161A(5)1051-7 PMCID:PMC3634880
    • Gordon CT, Vuillot A, Marlin S, Gerkes E, Henderson A, AlKindy A, Holder-Espinasse M, Park SS, Omarjee A, Sanchis-Borja M, Bdira EB, Oufadem M, Sikkema-Raddatz B, Stewart A, Palmer R, McGowan R, Petit F, Delobel B, Speicher MR, Aurora P, Kilner D, Pellerin P, Simon M, Bonnefont JP, Tobias ES, García-Miñaúr S, Bitner-Glindzicz M, Lindholm P, Meijer BA, Abadie V, Denoyelle F, Vazquez MP, Rotky-Fast C, Couloigner V, Pierrot S, Manach Y, Breton S, Hendriks YM, Munnich A, Jakobsen L, Kroisel P, Lin A, Kaban LB, Basel-Vanagaite L, Wilson L, Cunningham ML, Lyonnet S, Amiel J
      Heterogeneity of mutational mechanisms and modes of inheritance in auriculocondylar syndrome.
      23315542 Journal of medical genetics, 2013 March : 50(3)174-86
    • Menendez L, Kulik MJ, Page AT, Park SS, Lauderdale JD, Cunningham ML, Dalton S
      Directed differentiation of human pluripotent cells to neural crest stem cells.
      23288320 Nature protocols, 2013 Jan 3 : 8(1)203-12
    • Luquetti DV, Hing AV, Rieder MJ, Nickerson DA, Turner EH, Smith J, Park S, Cunningham ML
      "Mandibulofacial dysostosis with microcephaly" caused by EFTUD2 mutations: expanding the phenotype.
      23239648 American journal of medical genetics. Part A, 2013 Jan. : 161A(1)108-13 PMCID:PMC3535578
    • Gallagher ER, Evans KN, Hing AV, Cunningham ML
      Bathrocephaly: a head shape associated with a persistent mendosal suture.
      21970727 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2013 Jan. : 50(1)104-8
    • Collett BR, Gray KE, Starr JR, Heike CL, Cunningham ML, Speltz ML
      Development at age 36 months in children with deformational plagiocephaly.
      23266929 Pediatrics, 2013 Jan. : 131(1)e109-15 PMCID:PMC3529956
    • Yagnik G, Ghuman A, Kim S, Stevens CG, Kimonis V, Stoler J, Sanchez-Lara PA, Bernstein JA, Naydenov C, Drissi H, Cunningham ML, Kim J, Boyadjiev SA
      ALX4 gain-of-function mutations in nonsyndromic craniosynostosis.
      22829454 Human mutation, 2012 Dec. : 33(12)1626-9 PMCID:PMC3495992
    • Justice CM, Yagnik G, Kim Y, Peter I, Jabs EW, Erazo M, Ye X, Ainehsazan E, Shi L, Cunningham ML, Kimonis V, Roscioli T, Wall SA, Wilkie AO, Stoler J, Richtsmeier JT, Heuzé Y, Sanchez-Lara PA, Buckley MF, Druschel CM, Mills JL, Caggana M, Romitti PA, Kay DM, Senders C, Taub PJ, Klein OD, Boggan J, Zwienenberg-Lee M, Naydenov C, Kim J, Wilson AF, Boyadjiev SA
      A genome-wide association study identifies susceptibility loci for nonsyndromic sagittal craniosynostosis near BMP2 and within BBS9.
      23160099 Nature genetics, 2012 Dec. : 44(12)1360-4
    • Lindhurst MJ, Parker VE, Payne F, Sapp JC, Rudge S, Harris J, Witkowski AM, Zhang Q, Groeneveld MP, Scott CE, Daly A, Huson SM, Tosi LL, Cunningham ML, Darling TN, Geer J, Gucev Z, Sutton VR, Tziotzios C, Dixon AK, Helliwell T, O'Rahilly S, Savage DB, Wakelam MJ, Barroso I, Biesecker LG, Semple RK
      Mosaic overgrowth with fibroadipose hyperplasia is caused by somatic activating mutations in PIK3CA.
      22729222 Nature genetics, 2012 Jun 24 : 44(8)928-33 PMCID:PMC3461408
    • Collett BR, Heike CL, Atmosukarto I, Starr JR, Cunningham ML, Speltz ML
      Longitudinal, three-dimensional analysis of head shape in children with and without deformational plagiocephaly or brachycephaly.
      22082953 The Journal of pediatrics, 2012 April : 160(4)673-678.e1 PMCID:PMC3290708
    • Nelsen LM, Shields KE, Cunningham ML, Stoler JM, Bamshad MJ, Eng PM, Smugar SS, Gould AL, Philip G
      Congenital malformations among infants born to women receiving montelukast, inhaled corticosteroids, and other asthma medications.
      22000568 The Journal of allergy and clinical immunology, 2012 Jan. : 129(1)251-4.e1-6
    • Hing AV, Mefford HC, Cunningham ML
      New developments in genetic diagnosis: implications for the craniofacial surgeon.
      22337411 The Journal of craniofacial surgery, 2012 Jan. : 23(1)212-6
    • Stamper BD, Park SS, Beyer RP, Bammler TK, Cunningham ML
      Unique sex-based approach identifies transcriptomic biomarkers associated with non-syndromic craniosynostosis.
      22654505 Gene regulation and systems biology, 2012 : 681-92 PMCID:PMC3362332
    • McCarthy JG, Warren SM, Bernstein J, Burnett W, Cunningham ML, Edmond JC, Figueroa AA, Kapp-Simon KA, Labow BI, Peterson-Falzone SJ, Proctor MR, Rubin MS, Sze RW, Yemen TA, Craniosynostosis Working Group
      Parameters of care for craniosynostosis.
      21848431 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2012 Jan. : 49 Suppl1S-24S
    • Luquetti DV, Heike CL, Hing AV, Cunningham ML, Cox TC
      Microtia: Epidemiology and genetics.
      22106030 American journal of medical genetics. Part A, 2011 Nov.
    • Fairfield H, Gilbert GJ, Barter M, Corrigan RR, Curtain M, Ding Y, D'Ascenzo M, Gerhardt DJ, He C, Huang W, Richmond T, Rowe L, Probst FJ, Bergstrom DE, Murray SA, Bult C, Richardson J, Kile BT, Gut I, Hager J, Sigurdsson S, Mauceli E, Di Palma F, Lindblad-Toh K, Cunningham ML, Cox TC, Justice MJ, Spector MS, Lowe SW, Albert T, Donahue LR, Jeddeloh J, Shendure J, Reinholdt LG
      Mutation discovery in mice by whole exome sequencing.
      21917142 Genome biology, 2011 Sep 14 : R86
    • Vissers LE, Cox TC, Maga AM, Short KM, Wiradjaja F, Janssen IM, Jehee F, Bertola D, Liu J, Yagnik G, Sekiguchi K, Kiyozumi D, van Bokhoven H, Marcelis C, Cunningham ML, Anderson PJ, Boyadjiev SA, Passos-Bueno MR, Veltman JA, Smyth I, Buckley MF, Roscioli T
      Heterozygous mutations of FREM1 are associated with an increased risk of isolated metopic craniosynostosis in humans and mice.
      21931569 PLoS genetics, 2011 Sept. : e1002278 PMCID:PMC3169541
    • Hochheiser H, Aronow BJ, Artinger K, Beaty TH, Brinkley JF, Chai Y, Clouthier D, Cunningham ML, Dixon M, Donahue LR, Fraser SE, Hallgrimsson B, Iwata J, Klein O, Marazita ML, Murray JC, Murray S, de Villena FP, Postlethwait J, Potter S, Shapiro L, Spritz R, Visel A, Weinberg SM, Trainor PA
      The FaceBase Consortium: a comprehensive program to facilitate craniofacial research.
      21458441 Developmental biology, 2011 Jul 15 : 175-82
    • Parhizkar N, Saltzman B, Grote K, Starr J, Cunningham M, Perkins J, Sie K
      Nasopharyngeal airway for management of airway obstruction in infants with micrognathia.
      20815716 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2011 July : 478-82
    • Purushothaman R, Cox TC, Muga AM, Cunningham ML
      Facial suture synostosis of newborn Fgfr1(P250R/+) and Fgfr2(S252W/+) mouse models of Pfeiffer and Apert syndromes.
      21538817 Birth defects research. Part A, Clinical and molecular teratology, 2011 July : 603-9
    • Collett BR, Starr JR, Kartin D, Heike CL, Berg J, Cunningham ML, Speltz ML
      Development in toddlers with and without deformational plagiocephaly.
      21727278 Archives of pediatrics & adolescent medicine, 2011 July : 653-8
    • Evans KN, Sie KC, Hopper RA, Glass RP, Hing AV, Cunningham ML
      Robin sequence: from diagnosis to development of an effective management plan.
      21464188 Pediatrics, 2011 May : 936-48
    • Milunsky JM, Maher TM, Zhao G, Wang Z, Mulliken JB, Chitayat D, Clemens M, Stalker HJ, Bauer M, Burch M, Chénier S, Cunningham ML, Drack AV, Janssens S, Karlea A, Klatt R, Kini U, Klein O, Lachmeijer AM, Megarbane A, Mendelsohn NJ, Meschino WS, Mortier GR, Parkash S, Ray CR, Roberts A, Roberts A, Reardon W, Schnur RE, Smith R, Splitt M, Tezcan K, Whiteford ML, Wong DA, Zori R, Lin AE
      Genotype-phenotype analysis of the branchio-oculo-facial syndrome.
      21204207 American journal of medical genetics. Part A, 2011 Jan. : 22-32
    • Stamper BD, Park SS, Beyer RP, Bammler TK, Farin FM, Mecham B, Cunningham ML
      Differential expression of extracellular matrix-mediated pathways in single-suture craniosynostosis.
      22028906 PloS one, 2011 : e26557
    • Cunningham ML, Horst JA, Rieder MJ, Hing AV, Stanaway IB, Park SS, Samudrala R, Speltz ML
      IGF1R variants associated with isolated single suture craniosynostosis.
      21204214 American journal of medical genetics. Part A, 2011 Jan. : 91-7 PMCID:PMC3059230
    • Horst JA, Wang K, Horst OV, Cunningham ML, Samudrala R
      Disease Risk of Missense Mutations using Structural Inference from Predicted Function.
      20887259 Current protein & peptide science, 2010 Nov 4
    • Lam DJ, Jensen CC, Mueller BA, Starr JR, Cunningham ML, Weaver EM
      Pediatric sleep apnea and craniofacial anomalies: a population-based case-control study.
      20824784 The Laryngoscope, 2010 Oct. : 2098-105
    • Mefford HC, Shafer N, Antonacci F, Tsai JM, Park SS, Hing AV, Rieder MJ, Smyth MD, Speltz ML, Eichler EE, Cunningham ML
      Copy number variation analysis in single-suture craniosynostosis: multiple rare variants including RUNX2 duplication in two cousins with metopic craniosynostosis.
      20683987 American journal of medical genetics. Part A, 2010 Sept. : 2203-10
    • Starr JR, Lin HJ, Ruiz-Correa S, Cunningham ML, Ellenbogen RG, Collett BR, Kapp-Simon KA, Speltz ML
      Little evidence of association between severity of trigonocephaly and cognitive development in infants with single-suture metopic synostosis.
      20644427 Neurosurgery, 2010 Aug. : 408-15; discussion 415-6
    • Perkins JA, Manning SC, Tempero RM, Cunningham MJ, Edmonds JL Jr, Hoffer FA, Egbert MA
      Lymphatic malformations: review of current treatment.
      20493348 Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2010 June : 795-803, 803.e1
    • Speltz ML, Collett BR, Stott-Miller M, Starr JR, Heike C, Wolfram-Aduan AM, King D, Cunningham ML
      Case-control study of neurodevelopment in deformational plagiocephaly.
      20156894 Pediatrics, 2010 March : e537-42
    • Collett BR, Stott-Miller M, Kapp-Simon KA, Cunningham ML, Speltz ML
      Reading in children with orofacial clefts versus controls.
      19509183 Journal of pediatric psychology, 2010 March : 199-208 PMCID:PMC2902832
    • Dana A, Buchanan KM, Goss MA, Seminack MM, Shields KE, Korn S, Cunningham ML, Haupt RM
      Pregnancy outcomes from the pregnancy registry of a human papillomavirus type 6/11/16/18 vaccine.
      19935016 Obstetrics and gynecology, 2009 Dec. : 1170-8
    • Heike CL, Cunningham ML, Hing AV, Stuhaug E, Starr JR
      Picture perfect? Reliability of craniofacial anthropometry using three-dimensional digital stereophotogrammetry.
      19935311 Plastic and reconstructive surgery, 2009 Oct. : 1261-72
    • McKinney CM, Cunningham ML, Holt VL, Leroux B, Starr JR
      A case-control study of infant, maternal and perinatal characteristics associated with deformational plagiocephaly.
      19523080 Paediatric and perinatal epidemiology, 2009 July : 332-45
    • Hing AV, Click ES, Holder U, Seto ML, Vessey K, Gruss J, Hopper R, Cunningham ML
      Bilateral lambdoid and sagittal synostosis (BLSS): a unique craniosynostosis syndrome or predictable craniofacial phenotype?
      19396832 American journal of medical genetics. Part A, 2009 May : 1024-32
    • Atmosukarto I, Shapiro LG, Cunningham ML, Speltz M
      Automatic 3D Shape Severity Quantification and Localization for Deformational Plagiocephaly.
      21103039 Proceedings of SPIE, 2009 Jan 1 : PMCID:PMC2947834
    • Ploplys EA, Hopper RA, Muzaffar AR, Starr JR, Avellino AM, Cunningham ML, Ellenbogen RG, Gruss JS
      Comparison of computed tomographic imaging measurements with clinical findings in children with unilateral lambdoid synostosis.
      19116566 Plastic and reconstructive surgery, 2009 Jan. : 300-9
    • Ruiz-Correa S, Starr JR, Lin HJ, Kapp-Simon KA, Sze RW, Ellenbogen RG, Speltz ML, Cunningham ML
      New severity indices for quantifying single-suture metopic craniosynostosis.
      18797362 Neurosurgery, 2008 Aug. : 318-24; discussion 324-5
    • McKinney CM, Holt VL, Cunningham ML, Leroux BG, Starr JR
      Maternal and infant characteristics associated with prone and lateral infant sleep positioning in Washington state, 1996-2002.
      18534224 The Journal of pediatrics, 2008 Aug. : 194-8, 198.e1-3
    • Ruiz-Correa S, Starr JR, Lin HJ, Kapp-Simon KA, Sze RW, Ellenbogen RG, Speltz ML, Cunningham ML
      New severity indices for quantifying single-suture metopic craniosynostosis.
      18797362 Neurosurgery, 2008 Aug. : 318-24; discussion 324-5
    • McKinney CM, Cunningham ML, Holt VL, Leroux B, Starr JR
      Characteristics of 2733 cases diagnosed with deformational plagiocephaly and changes in risk factors over time.
      18333652 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2008 March : 208-16
    • Sanchez-Lara PA, Graham JM Jr, Hing AV, Lee J, Cunningham M
      The morphogenesis of wormian bones: a study of craniosynostosis and purposeful cranial deformation.
      18000970 American journal of medical genetics. Part A, 2007 Dec 15 : 3243-51
    • Toth K, Collett B, Kapp-Simon KA, Cloonan YK, Gaither R, Cradock MM, Buono L, Cunningham ML, Dawson G, Starr J, Speltz ML
      Memory and Response Inhibition in Young Children with Single-Suture Craniosynostosis.
      17899471 Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence, 2007 Sep 26 : 1-14
    • Zhang H, Somerman MJ, Berg J, Cunningham ML, Williams B
      Dental anomalies in a child with craniometaphysial dysplasia.
      18027777 Pediatric dentistry, 2007 Sept. : 415-9
    • Ruiz-Correa S, Starr JR, Lin HJ, Kapp-Simon KA, Cunningham ML, Speltz ML
      Severity of skull malformation is unrelated to presurgery neurobehavioral status of infants with sagittal synostosis.
      17760493 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2007 Sept. : 548-54
    • Zhang H, Somerman MJ, Berg J, Cunningham ML, Williams B
      Dental anomalies in a child with craniometaphysial dysplasia.
      18027777 Pediatric dentistry, 2007 Sept. : 415-9
    • Starr JR, Kapp-Simon KA, Cloonan YK, Collett BR, Cradock MM, Buono L, Cunningham ML, Speltz ML
      Presurgical and postsurgical assessment of the neurodevelopment of infants with single-suture craniosynostosis: comparison with controls.
      18459881 Journal of neurosurgery, 2007 Aug. : 103-10
    • Cunningham ML
      Is cleft lip and palate ever isolated? Phenotype is in the eye of the beholder.
      17679666 Archives of pediatrics & adolescent medicine, 2007 Aug. : 811-2
    • Starr JR, Kapp-Simon KA, Cloonan YK, Collett BR, Cradock MM, Buono L, Cunningham ML, Speltz ML
      Presurgical and postsurgical assessment of the neurodevelopment of infants with single-suture craniosynostosis: comparison with controls.
      18459881 Journal of neurosurgery, 2007 Aug. : 103-10
    • Speltz ML, Kapp-Simon K, Collett B, Keich Y, Gaither R, Cradock MM, Buono L, Cunningham ML
      Neurodevelopment of infants with single-suture craniosynostosis: presurgery comparisons with case-matched controls.
      17440368 Plastic and reconstructive surgery, 2007 May : 1874-81
    • Seto ML, Hing AV, Chang J, Hu M, Kapp-Simon KA, Patel PK, Burton BK, Kane AA, Smyth MD, Hopper R, Ellenbogen RG, Stevenson K, Speltz ML, Cunningham ML
      Isolated sagittal and coronal craniosynostosis associated with TWIST box mutations.
      17343269 American journal of medical genetics. Part A, 2007 Apr 1 : 678-86
    • Kapp-Simon KA, Speltz ML, Cunningham ML, Patel PK, Tomita T
      Neurodevelopment of children with single suture craniosynostosis: a review.
      17186250 Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2007 March : 269-81
    • Cunningham ML
      Three-dimensional ultrasonography is superior to 2-dimensional ultrasonography in the detection of orofacial clefts during the second trimester of pregnancy.
      17174252 The journal of evidence-based dental practice, 2006 Dec. : 278-9
    • Hatch NE, Hudson M, Seto ML, Cunningham ML, Bothwell M
      Intracellular retention, degradation, and signaling of glycosylation-deficient FGFR2 and craniosynostosis syndrome-associated FGFR2C278F.
      16844695 The Journal of biological chemistry, 2006 Sep 15 : 27292-305
    • Ruiz-Correa S, Sze RW, Starr JR, Lin HT, Speltz ML, Cunningham ML, Hing AV
      New scaphocephaly severity indices of sagittal craniosynostosis: a comparative study with cranial index quantifications.
      16526927 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2006 March : 211-21
    • Cunningham ML, Seto ML, Hing AV, Bull MJ, Hopkin RJ, Leppig KA
      Cleidocranial dysplasia with severe parietal bone dysplasia: C-terminal RUNX2 mutations.
      16463420 Birth defects research. Part A, Clinical and molecular teratology, 2006 Feb. : 78-85
    • Tempero RM, Hannibal M, Finn LS, Manning SC, Cunningham ML, Perkins JA
      Lymphocytopenia in children with lymphatic malformation.
      16415437 Archives of otolaryngology--head & neck surgery, 2006 Jan. : 93-7
    • Ruiz-Correa S, Shapiro LG, Meila M, Berson G, Cunningham ML, Sze RW
      Symbolic signatures for deformable shapes.
      16402621 IEEE transactions on pattern analysis and machine intelligence, 2006 Jan. : 75-90
    • Pollack PS, Shields KE, Burnett DM, Osborne MJ, Cunningham ML, Stepanavage ME
      Pregnancy outcomes after maternal exposure to simvastatin and lovastatin.
      16163683 Birth defects research. Part A, Clinical and molecular teratology, 2005 Nov. : 888-96
    • Sze RW, Hopper RA, Ghioni V, Gruss JS, Ellenbogen RG, King D, Hing AV, Cunningham ML
      MDCT diagnosis of the child with posterior plagiocephaly.
      16247160 AJR. American journal of roentgenology, 2005 Nov. : 1342-6
    • Collett B, Breiger D, King D, Cunningham M, Speltz M
      Neurodevelopmental implications of "deformational" plagiocephaly.
      16222180 Journal of developmental and behavioral pediatrics : JDBP, 2005 Oct. : 379-89
    • Kapp-Simon KA, Leroux B, Cunningham M, Speltz ML
      Multisite study of infants with single-suture craniosynostosis: preliminary report of presurgery development.
      16001919 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2005 July : 377-84
    • Ratisoontorn C, Seto ML, Broughton KM, Cunningham ML
      In vitro differentiation profile of osteoblasts derived from patients with Saethre-Chotzen syndrome.
      15781003 Bone, 2005 April : 627-34
    • Yeung LC, Cunningham ML, Allpress AL, Gruss JS, Ellenbogen RG, Zerr DM
      Surgical site infections after pediatric intracranial surgery for craniofacial malformations: frequency and risk factors.
      15792512 Neurosurgery, 2005 April : 733-9; discussion 733-9
    • Lin HJ, Ruiz-Correa S, Shapiro LG, Cunningham ML, Sze RW
      A symbolic shaped-based retrieval of skull images.
      16779317 AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2005 : 1030
    • Speltz ML, Kapp-Simon KA, Cunningham M, Marsh J, Dawson G
      Single-suture craniosynostosis: a review of neurobehavioral research and theory.
      15491988 Journal of pediatric psychology, 2004 Dec. : 651-68
    • Hing AV, Syed N, Cunningham ML
      Familial acromelic frontonasal dysostosis: autosomal dominant inheritance with reduced penetrance.
      15264282 American journal of medical genetics. Part A, 2004 Aug 1 : 374-82
    • Hu S, Michels DA, Fazal MA, Ratisoontorn C, Cunningham ML, Dovichi NJ
      Capillary sieving electrophoresis/micellar electrokinetic capillary chromatography for two-dimensional protein fingerprinting of single mammalian cells.
      15253641 Analytical chemistry, 2004 Jul 15 : 4044-9
    • Ngo AV, Sze RW, Parisi MT, Sidhu M, Paladin AM, Weinberger E, Seidel KD, Cunningham ML
      Cranial suture simulator for ultrasound diagnosis of craniosynostosis.
      15105977 Pediatric radiology, 2004 July : 535-40
    • Ngo AV, Sze RW, Parisi MT, Sidhu M, Paladin AM, Weinberger E, Seidel KD, Cunningham ML
      Cranial suture simulator for ultrasound diagnosis of craniosynostosis.
      15105977 Pediatric radiology, 2004 July : 535-40
    • Heinloth AN, Irwin RD, Boorman GA, Nettesheim P, Fannin RD, Sieber SO, Snell ML, Tucker CJ, Li L, Travlos GS, Vansant G, Blackshear PE, Tennant RW, Cunningham ML, Paules RS
      Gene expression profiling of rat livers reveals indicators of potential adverse effects.
      15084756 Toxicological sciences : an official journal of the Society of Toxicology, 2004 July : 193-202
    • Schecter A, Lucier GW, Cunningham ML, Abdo KM, Blumenthal G, Silver AG, Melnick R, Portier C, Barr DB, Barr JR, Stanfill SB, Patterson DG Jr, Needham LL, Stopford W, Masten S, Mignogna J, Tung KC
      Human consumption of methyleugenol and its elimination from serum.
      15121510 Environmental health perspectives, 2004 May : 678-80
    • Connolly JP, Gruss J, Seto ML, Whelan MF, Ellenbogen R, Weiss A, Buchman SR, Cunningham ML
      Progressive postnatal craniosynostosis and increased intracranial pressure.
      15060342 Plastic and reconstructive surgery, 2004 Apr 15 : 1313-23
    • Ehret FW, Whelan MF, Ellenbogen RG, Cunningham ML, Gruss JS
      Differential diagnosis of the trapezoid-shaped head.
      14697075 The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2004 Jan. : 13-9
    • Cai J, Goodman BK, Patel AS, Mulliken JB, Van Maldergem L, Hoganson GE, Paznekas WA, Ben-Neriah Z, Sheffer R, Cunningham ML, Daentl DL, Jabs EW
      Increased risk for developmental delay in Saethre-Chotzen syndrome is associated with TWIST deletions: an improved strategy for TWIST mutation screening.
      14513358 Human genetics, 2003 Dec. : 68-76
    • Sze RW, Parisi MT, Sidhu M, Paladin AM, Ngo AV, Seidel KD, Weinberger E, Ellenbogen RG, Gruss JS, Cunningham ML
      Ultrasound screening of the lambdoid suture in the child with posterior plagiocephaly.
      12879318 Pediatric radiology, 2003 Sept. : 630-6
    • Cunningham ML, Perry RJ, Eby PR, Gibson RL, Opheim KE, Manning SC
      Primary pulmonary dysgenesis in velocardiofacial syndrome: a second patient.
      12910501 American journal of medical genetics. Part A, 2003 Aug 30 : 177-9
    • Jaeger A, Kapur R, Whelan M, Leung E, Cunningham M
      Cleft-palate lateral synechia syndrome: insight into the phenotypic spectrum of Fryns syndrome?
      12962292 Birth defects research. Part A, Clinical and molecular teratology, 2003 June : 460-6
    • Simon GE, Cunningham ML, Davis RL
      Outcomes of prenatal antidepressant exposure.
      12450956 The American journal of psychiatry, 2002 Dec. : 2055-61
    • Conway K, Gibson R, Perkins J, Cunningham ML
      Pulmonary agenesis: expansion of the VCFS phenotype.
      12400071 American journal of medical genetics, 2002 Nov 15 : 89-92
    • Sze RW, Paladin AM, Lee S, Cunningham ML
      Hemifacial microsomia in pediatric patients: asymmetric abnormal development of the first and second branchial arches.
      12034632 AJR. American journal of roentgenology, 2002 June : 1523-30
    • Bonadio J, Cunningham ML
      Genetic approaches to craniofacial tissue repair.
      12081863 Annals of the New York Academy of Sciences, 2002 June : 48-57
  • Research Funding

    Grant Title Grantor Amount Award Date
    Long-Term Outcomes in Children with Positional Plagiocephaly/Brachycephaly NIH NICHD $2,461,904 2014 - 2019
    Nonsyndromic Craniosynostosis: Phenotype/Genotype Study NIH NIDCR $96,470 Subcontract 2014 - 2016
    Ontology-Based Integration, Visualization and Exploration of Craniofacial Data NIH NIDCR $375,507 Subcontract 2014 - 2019

Overview

Board Certification(s)

Pediatrics

Medical/Professional School

University of Vermont College of Medicine, Burlington, VT
University of Washington, Seattle, WA

Residency

University of Washington School of Medicine, Seattle, WA

Fellowship

Seattle Children's Hospital, Seattle, WA

Clinical Interests

Diagnosis and management of craniofacial malformation syndromes, Molecular developmental biology of craniosynostosis and other craniofacial conditions

Research Description

Craniosynostosis Research Program

Isolated craniosynostosis (premature fusion of the skull bones) occurs in approximately 1 out of 2500 births. The sutures of the skull are the areas of expansion during normal brain growth. Premature suture fusion results in abnormalities in head shape due to restriction of growth in the region of a fused suture. These changes of head shape can be associated with increased intracranial pressure (pressure within the skull) that can result in permanent brain injury.

In addition to the risks of brain injury, craniosynostosis is often associated with alteration of craniofacial growth leading to mid-facial hypoplasia, dental malocclusion, and orbital deformation. The combination of craniosynostosis and its associated facial malformations leads to significant health problems. Patients with craniosynostosis require one or more reconstructive surgeries to correct the functional deficits associated with their malformations.

Craniosynostosis remains a significant medical and dental health issue deserving of aggressive scientific investigation. The Cunningham Laboratory and members of the Children's Craniofacial Center use both basic science and clinical science to answer important questions about the etiology, diagnosis, treatment, and prevention of craniosynostosis.

Dr. Cunningham and his lab group use bone cell lines and animal models to study the molecular and developmental causes of human malformations. Their primary interest is a condition called craniosynostosis. Their research is focused on the molecular and developmental causes of several hereditary craniosynostosis syndromes including Apert, Crouzon, Saethre-Chotzen, and Muenke syndromes. These conditions are caused by mutations in members of the fibroblast growth factor receptor family (FGFRs) or TWIST.

In addition to these relatively rare forms of synostosis, the Cunningham lab investigates the molecular and developmental causes of isolated single suture craniosynostosis. Through the use of modern techniques of molecular biology, mutational analysis, expression analysis, and cell biology the Cunningham lab investigates the normal development of the human skull and pathogenesis of craniosynostosis as a mechanism to identify alternative treatment and prevention strategies.

Research Focus Area

Craniofacial