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2008 Barcelona - European Society of Human Genetics

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

bolic genes are probably involved in PCOS pathogenesis .<br />

The aim <strong>of</strong> our study was to investigate whether there is a correlation<br />

between variants <strong>of</strong> genes: IRS-1, IGF-2, SHBG, INS and symptoms<br />

<strong>of</strong> PCOS in Polish patients .<br />

Up-to-date 64 PCOS patients (diagnosed on the basis <strong>of</strong> criteria mentioned<br />

above) and 37 health controls were enrolled to our study .<br />

We focused on four polymorphisms G972R (IRS-1), ApaI-rs680A/<br />

G (IGF-2), TAAAAn (SHBG ) and VNTR classI/III (INS) tagged by -<br />

23HphI-rs689 A/T .<br />

Our results indicate that:<br />

- prevalence <strong>of</strong> 972R variant is higher in PCOS group<br />

- allel A <strong>of</strong> ApaI is less frequent in the patient group compared with<br />

controls . On the contrary genotype A/A is more prevalent in patients<br />

group .<br />

- VNTR classI/III distribution in both groups is nearly the same, whereas<br />

class III alleles homozygotes are more frequent among PCOS patients<br />

- TAAAAn - any association with neither PCOS nor its severity was<br />

found .<br />

Our preliminary studies indicate, in consistent with literature, that variants<br />

<strong>of</strong> genes (IRS-1, IGF-2, INS) can be among the factors involved<br />

in PCOS pathogenesis . Nevertheless further analysis on larger cohort<br />

is performed .<br />

Supported by KBN2P05E11729<br />

P06.231<br />

Linking Genetic Susceptibility with clinical findings: a case<br />

study in periodontitis<br />

V. Moustakis 1,2 , G. Potamias 1 , M. Laine 3 , B. Loos 3 , L. Koumakis 1 ;<br />

1 Institute <strong>of</strong> Computer Science, FORTH, Heraklion, Greece, 2 Dept. <strong>of</strong> Production<br />

Engineering and Management, Technical University <strong>of</strong> Crete, Chania,<br />

Greece, 3 Dept. <strong>of</strong> Oral Microbiology and Dept. <strong>of</strong> Periodontology, Academic<br />

Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.<br />

Diagnosis and hypothesis formation in clinical decision making (CDM)<br />

involves the integration <strong>of</strong> patient history, clinical and laboratory findings<br />

. Patient history incorporates genotypic information and carries genetic<br />

susceptibility towards disease manifestation . We present a hybrid<br />

multi-stage computational model which, in the first stage assesses a<br />

genetic susceptibility index (GSI) towards disease, in the second stage<br />

links GSI with phenotypic (clinical and laboratory) parameters and in<br />

the third stage generates comprehensible knowledge patterns that tie<br />

together genotypic and phenotypic information sources . The model integrates<br />

two inductive machine learning methods, namely: association<br />

rule mining (ARM) and decision tree learning (DTL) with behavioral<br />

communication theory . ARM is used to support formation <strong>of</strong> genotypic<br />

patterns which, are taken through a behavioral communication theory<br />

model to establish GSI both at the genotype and phenotype levels .<br />

DTL is included at the third stage to validate learned knowledge .<br />

The model is demonstrated by means <strong>of</strong> a case study on periodontitis .<br />

Data are drawn from the warehouse <strong>of</strong> ACTA and incorporate genotypic<br />

and phenotypic data . Genotypic data include single nucleotide<br />

polymorphisms (SNP) and origin and clinical data include microbial<br />

values, life style habits, and age . The application <strong>of</strong> the model on the<br />

abovementioned data validates the proposed approach .<br />

Presentation is cast in topic “Genetic analysis, linkage, and association”<br />

and documents a generic procedure, which can be used in any<br />

endeavor aimed at genotype - phenotypic data and knowledge integration<br />

.<br />

Work reported was partially supported via the INFOBIOMED NoE, and<br />

to be also used in the GEN2PHEN <strong>European</strong> project .<br />

P06.232<br />

The GATC project: identification <strong>of</strong> novel genetic markers <strong>of</strong><br />

cisplatin induced hearing-loss in children<br />

H. Katzov-Eckert 1,2 , C. J. D. Ross 1,2 , H. Visscher 1,2 , C. Hildebrand 3 , M. Dube 4 ,<br />

R. S. Rassekh 3 , P. Rogers 3 , M. S. Phillips 4 , B. C. Carleton 2,3 , M. R. Hayden 1,2 ;<br />

1 Centre for Molecular Medicine and Therapeutics, Vancouver, BC, Canada,<br />

2 University <strong>of</strong> British Columbia, Vancouver, BC, Canada, 3 Children’s and<br />

Women’s Health Centre <strong>of</strong> B.C., Vancouver, BC, Canada, 4 University <strong>of</strong> Montreal,<br />

Montreal, QC, Canada.<br />

Adverse drug reactions (ADRs) are potentially life-threatening responses<br />

to medications . Children are at greater risk for ADRs, because<br />

>75% <strong>of</strong> approved drugs used in children are untested in pediat-<br />

ric populations . Adverse drug reactions in pediatric oncology regimens<br />

are especially severe and account for 22% <strong>of</strong> all pediatric oncology<br />

hospital admissions . Cisplatin is one <strong>of</strong> the most effective anti-cancer<br />

agents for the treatment <strong>of</strong> solid tumors . However, a major dose-limiting<br />

toxicity <strong>of</strong> cisplatin is severe, permanent hearing loss . In previous<br />

studies the risk <strong>of</strong> developing cisplatin ototoxicity was increased with<br />

younger age and higher cumulative dose, but the contribution <strong>of</strong> genetic<br />

risk factors remains undetermined . We aimed to evaluate genetic<br />

markers predictive <strong>of</strong> hearing loss in children treated with cisplatin .<br />

DNA samples and detailed clinical information from cisplatin induced<br />

hearing-loss cases (n = 60) and drug-matched controls (n = 44) were<br />

collected through the GATC nation-wide ADR surveillance network .<br />

DNA samples were genotyped for a panel <strong>of</strong> 3072 single nucleotide<br />

polymorphisms (SNPs) in 220 genes. A significant genetic association<br />

with increased hearing loss risk was found for patients carrying variants<br />

in a key drug metabolizing enzyme (P-value=0.0001; OR=infinity).<br />

In addition, variants in known drug transporters were also associated<br />

with cislatin ototoxicity (P

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