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2008 Barcelona - European Society of Human Genetics

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Molecular and biochemical basis <strong>of</strong> disease<br />

well-recognized genetic component based on family and twin studies .<br />

However, no genetic variants have been convincingly established for<br />

common forms <strong>of</strong> migraine . In about 30% <strong>of</strong> all migraine attacks visual,<br />

sensory or dysphasic symptoms precede the headache phase<br />

manifesting migraine with aura (MA) . Here, we present the results <strong>of</strong> a<br />

genome-wide linkage scan on 37 Finnish migraine families having visual<br />

aura symptoms . The families were extracted from a large Finnish<br />

migraine patient collection ascertained from neurology clinics nationwide<br />

during the last 15 years . For this study the families presenting<br />

with migraine with typical aura (according to the International Headache<br />

<strong>Society</strong> (IHS) criteria) were selected. Data on IHS defined attack<br />

symptoms as well as other clinical features were collected using the<br />

validated Finnish Migraine Specific Questionnaire for Family Studies<br />

and by a neurologist’s examination <strong>of</strong> index patients . We genotyped<br />

372 individuals using microsatellite markers with an intermarker distance<br />

<strong>of</strong> 10 cM. We detected a locus on 9q31 with significant evidence<br />

<strong>of</strong> linkage (HLOD 4 .5 at 104 cM) using two-point parametric linkage<br />

analysis . Multipoint parametric and non-parametric analyses support<br />

this finding. An additional set <strong>of</strong> microsatellite markers is currently genotyped<br />

to maximize linkage information across the region . In conclusion,<br />

our finding indicates a locus for visual aura on 9q31 region previously<br />

linked to epilepsy in a Belgian family also suffering from MA .<br />

P06.152<br />

Haplotype analysis for 12 loci in 11 small Portuguese families<br />

with autosomal recessive non-syndromic hearing loss<br />

H. Teixeira 1,2 , T. Matos 1 , F. Moreno 2 , G. Fialho 1 , H. Caria 1,3 , I. del Castillo 2 ;<br />

1 Center <strong>of</strong> <strong>Genetics</strong> and Molecular Biology, University <strong>of</strong> Lisbon, Lisbon, Portugal,<br />

2 Unidad de Genética Molecular, Hospital Ramón y Cajal, Madrid, Spain,<br />

3 Higher College <strong>of</strong> Health, Polytechnic Institute <strong>of</strong> Setúbal, Setúbal,, Portugal.<br />

Mutations in DFNB1 were shown to account for ~19% <strong>of</strong> the cases <strong>of</strong><br />

congenital deafness in the Portuguese population . The cause <strong>of</strong> deafness<br />

in the remaining cases, including the GJB2/GJB6 monoallelic<br />

ones, has to be elucidated . We have thus performed linkage analysis<br />

in order to investigate the spectrum <strong>of</strong> genes/mutations responsible for<br />

hearing impairment in the Portuguese population .<br />

This study was conducted in eleven small families with apparent nonsyndromic<br />

congenital deafness . Haplotype analysis was performed for<br />

DFNB1, DFNB4, DFNB7/11, DFNB8/10, DFNB9, DFNB12, DFNB18,<br />

DFNB28, DFNB35, DFNB49, DFNB59 and DFNB67, using at least<br />

three microsatellite markers for each locus . Sequencing analysis <strong>of</strong><br />

the related genes was carried out in the case <strong>of</strong> compatibility with linkage<br />

.<br />

In a consanguineous family we found compatibility with linkage to<br />

DFNB4 with autozygosity for this region . Sequencing <strong>of</strong> the SLC26A4<br />

gene revealed a novel mutation, c.1615 -2 A>G (IVS14 −2 A>G), in<br />

homozygosity in the severely deaf siblings . In a non-consanguineous<br />

family, we found compatibility with linkage to DFNB8/10 in heterozygosity<br />

. Sequencing <strong>of</strong> the TMPRSS3 gene revealed a known mutation,<br />

c .646C>T (p .Arg216Cys), in compound heterozygosity with a novel<br />

mutation that affects the LDLA domain <strong>of</strong> the protease, c .346G>A<br />

(p .Val116Met), in the pr<strong>of</strong>oundly deaf siblings . In both families, the<br />

genotype is likely to be the cause <strong>of</strong> deafness .<br />

These are the first DFNB4- and DFNB8/10-related cases <strong>of</strong> deafness<br />

described in Portuguese families, which also provide a first evidence <strong>of</strong><br />

the genetic heterogeneity <strong>of</strong> deafness in the Portuguese population .<br />

P06.153<br />

combined linkage analyses <strong>of</strong> four isolated populations suggest<br />

novel loci for plasma lipid concentrations<br />

A. Isaacs 1 , H. Campbell 2 , U. Gyllensten 3 , T. Meitinger 4 , B. Oostra 1 , P. Pramstaller<br />

5 , I. Rudan 6 , A. Wright 7 , Y. Aulchenko 1 , C. van Duijn 1 ;<br />

1 Erasmus University MC, Rotterdam, The Netherlands, 2 University <strong>of</strong> Edinburgh,<br />

Edinburgh, United Kingdom, 3 University <strong>of</strong> Uppsala, Uppsala, Sweden,<br />

4 Technical University Munich, Munich, Germany, 5 Institute <strong>of</strong> Genetic Medicine,<br />

Eurac Research, Balzano, Italy, 6 University <strong>of</strong> Split Medical School, Split, Croatia,<br />

7 Western General Hospital, Edinburgh, United Kingdom.<br />

Despite considerable progress in elucidating genetic influences underlying<br />

circulating lipid levels, large proportions <strong>of</strong> the variance <strong>of</strong><br />

these traits remain unexplained . In this study, data from four genetically-isolated<br />

populations, located in the Netherlands (n eff =1218), Italy<br />

(n eff =918), Sweden (n eff =409), and Croatia (n eff =537) were synthesized<br />

in an effort to increase statistical power to detect genomic regions<br />

which may be involved in total cholesterol (TC), low-, and high-density<br />

lipoprotein cholesterol (LDL-c and HDL-c) levels . Quantitative multipoint<br />

linkage analyses <strong>of</strong> the four populations were performed individually,<br />

utilizing an integrated map, with SOLAR . LOD scores were combined<br />

post-hoc, and adjusted thresholds were calculated to account<br />

for multiple testing . Diabetics and subjects receiving lipid-lowering<br />

therapy were excluded from analysis . Two models were implemented:<br />

age- and sex-adjusted; and age-, sex-, BMI-, alcohol consumption-<br />

, and smoking-adjusted . Numerous regions surpassed a suggestive<br />

linkage threshold corresponding to LOD=1 .9 in either the combined<br />

sample or in an individual population . For TC, regions centered on<br />

1q21 .3 (LOD max =3 .21) and 9q31 .1 (LOD max =2 .54) were determined;<br />

the chromosome 9 region was also suggestive for LDL (LOD max =3 .22) .<br />

HDL peaks exceeded the threshold at 2p21 (LOD max =3 .77), 10q21 .1<br />

(LOD max =2 .50), 16q12 .2 (LOD max =3 .54), and 21q21 .1 (LOD max =3 .66) .<br />

The HDL peak on chromosome 2 was also detected for TC/HDL-c ratio<br />

(LOD max =2 .48), as was a peak located at 1p31 .2 (LOD max =3 .74) .<br />

The latter was also identified for LDL-c/HDL-c ratio (LOD max =3 .70), in<br />

addition to a peak at 22q11 .2 (LOD max =3 .03) . These peaks, many <strong>of</strong><br />

which are novel, contain numerous promising candidate genes . The<br />

EUROSPAN Consortium is currently analysing dense sets <strong>of</strong> single<br />

nucleotide polymorphisms underlying these peaks .<br />

P06.154<br />

Linkage based on a single family--family size requirement<br />

W. Yang, Y. Lau;<br />

University <strong>of</strong> Hong Kong, Pokfulam,, Hong Kong.<br />

Determination <strong>of</strong> required family size for linkage studies is not a simple<br />

task . With genotyping <strong>of</strong> high-density single nucleotide polymorphism<br />

(SNP) markers replacing that <strong>of</strong> microsatellite markers in linkage studies,<br />

it is possible to accurately determine the genomic regions shared<br />

by family members, including remote relatives . This may allow linkage<br />

studies to be conducted in a more deterministic fashion . Based on<br />

this advancement, we developed a simple method to allow the users<br />

to evaluate the inheritance information that can be extracted from<br />

their diseased family collection in linkage studies . This includes the<br />

total number <strong>of</strong> linked regions expected to be identified for the family<br />

under study, the expected sizes for the linked regions, and the portion<br />

<strong>of</strong> the genome that can be excluded from consideration . We presented<br />

a detailed discussion on family size requirement for linkage<br />

studies by analyzing some typical family structures, and demonstrated<br />

the feasibility <strong>of</strong> linkage studies on smaller families which are thought<br />

not sufficient by classical linkage analysis methods. Simulation results<br />

by our program showed that the linked regions containing true mutations<br />

are usually larger than regions linked due to random chance . We<br />

have made use <strong>of</strong> this feature in our program to allow evaluation <strong>of</strong> the<br />

linked regions through a Bayesian probability calculation .<br />

P06.155<br />

Genetic diversity and structure <strong>of</strong> linkage disequilibrium in the<br />

mtHFR locus<br />

E. Trifonova, M. Spiridonova, V. Stepanov;<br />

Institute for Medical <strong>Genetics</strong>, Siberian Branch <strong>of</strong> Russian Academy <strong>of</strong> Medical<br />

Sciences, Tomsk, Russian Federation.<br />

Methylenetetrahydr<strong>of</strong>olate reductase (MTHFR) is a key ferment <strong>of</strong> folate<br />

cycle, which catalyzes for the conversion <strong>of</strong> 5,10-methylenetetrahydr<strong>of</strong>olate<br />

to 5-methyltetrahydr<strong>of</strong>olate . The reduction to activities <strong>of</strong> this enzyme,<br />

<strong>of</strong>ten conditioned presence <strong>of</strong> the certain combinations <strong>of</strong> alleles <strong>of</strong> MTH-<br />

FR gene, brings to increase the concentrations <strong>of</strong> homocystein in blood .<br />

In the presented work we explored genetic differentiation and structure<br />

<strong>of</strong> linkage disequilibrium in MTHFR gene in population <strong>of</strong> the Russians,<br />

Tuvinians, north and south Kirghizes, using the set <strong>of</strong> SNPs: rs17037397,<br />

rs4846052, rs1801133, rs1801131 and rs1537516 . In the total sample<br />

19 out <strong>of</strong> 32 possible haplotypes were found (from 10 + 16 per population)<br />

. The majority <strong>of</strong> genetic diversity is comprised by 8 main haplotypes,<br />

which accounted for 78% <strong>of</strong> all chromosomes. The population-specific<br />

patterns <strong>of</strong> linkage disequilibrium (LD) at MTHFR locus was revealed . In<br />

populations <strong>of</strong> the Russians, Tuvinians and north Kirghizes 2 LD blocks<br />

were found, where as south Kirghizes demonstrates strong linkage <strong>of</strong><br />

all SNPs, within the single block. The significant genetic differences are<br />

discovered between population south Kirghizes and all explored group,<br />

as well as between Russians and Tuvinians . Genetic and demographic<br />

mechanisms <strong>of</strong> LD formation in local populations are discussed .

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