2008 Barcelona - European Society of Human Genetics

2008 Barcelona - European Society of Human Genetics 2008 Barcelona - European Society of Human Genetics

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Normal variation, population genetics, genetic epidemiology P07.049 Identification of point mutation pattern in the LDLR gene among Bulgarians with severe hypercholesterolemia S. Bichev 1,2 , L. Vladimirova-Kitova 3 , J. Genova 2 , R. Kaneva 2 , I. Kremenski 4 , V. Ganev 5 ; 1 Medical University of Sofia, Sofia, Bulgaria, 2 Molecular Medicine Center, Sofia, Bulgaria, 3 Medical University of Plovdiv, Plovdiv, Bulgaria, 4 National Genetic Laboratory, Sofia, Bulgaria, 5 Sofia University, Sofia, Bulgaria. Familial hypercholesterolemia (FH) is a common, autosomal dominant disorder of lipid metabolism and is a major risk factor for coronary vascular disease . FH affects approximately 1 in 500 individuals worldwide . Mutations in LDLR, APOB and recently described PCSK9 genes have been associated with this disease . The aim of the present study is to provide information about the spectrum of point mutations in the LDLR gene in sample of 200 Bulgarian patients with severe hypercholesterolemia . We applied Single Strand Conformation Polymorphism (SSCP) analysis to screen for sequence variations in the coding regions and splice sites of the LDLR gene . The detected samples with different SSCP patterns were sequenced . In 29 cases the diagnosis FH was genetically confirmed. We found 7 point mutations (ex.4bG>A at 590, ex .9G>A at 1195, ex6C>A at 858, ex .8G>A at 1073 and T>C at 1061-8, ex .5A>C at 761, ex .11G>A at 1646) and 7 polymorphisms, one (ex .11C>T at 1705+23) not previously described . Our results have shown that exons 8, 9, 11 should be considered as “hot- spots” for Bulgarian population . In 3 out of 9 patients with determined mutations in the 11th exon we have observed in addition 2 different polymorphisms - C>T at 1705+23 and C>T at 1617 . On the contrary, exons 16, 17, 18, 2, and the previously described as “hot- spots” exons 3 and 14 did not show aberrant profiles in the SSCP screening. Exons 7, 13 and 15 appear to be very polymorphic, however no mutations were observed in those exons . P07.050 Distribution of FmR1 alleles in two populations with different ethnic background: madeira (caucasian) and Guinea-Bissau (sub-sahara African) A. T. Fernandes1 , A. Ferreira1 , R. Gonçalves1 , R. Vasconcelos2 , A. Brehm1 ; 1 2 Human Genetics Laboratory, University of Madeira, Funchal, Portugal, Pediatric Service, Central Hospital of Funchal, Funchal, Portugal. The fragile X syndrome is the most common cause for inherited mental retardation . This syndrome results from an abnormal expansion of the CGG repeat in FMR1 gene which causes the inactivity of the gene, leading to the absence of the FMRP . The frequency of the alleles of FMR1 polymorphism was analyzed to the Madeira and Guinea-Bissau populations. Madeira and Guinea-Bissau population show significant differences (P 35 CGG), a pattern similar to others observed in African populations but quite different from that of Caucasian populations . In the Madeira population (n=141) no intermediate or permutated alleles were identified while in Guinea-Bissau population (n=104) 4 intermediate alleles (prevalence: 1/26) were observed . These results can explain why there are no X-fragile reported patients in the Madeira population of 250 .000 inhabitants . (cGG)n mA (N =141) GB ( N =104) 7 0 .007 - 8 0 .007 0 .009 13 0 .007 - 14 0 .035 - 16 0 .007 - 19 0 .028 - 20 0 .071 0 .009 21 0 .028 0 .009 22 - 0 .019 23 0 .064 0 .077 24 0 .014 0 .019 25 0 .014 0 .019 27 0 .007 0 .009 28 0 .100 0 .067 29 0 .262 0 .231 30 0 .248 0 .221 31 0 .057 0 .144 32 0 .021 0 .019 33 - 0 .009 34 - 0 .019 35 - 0 .019 36 0 .007 0 .009 38 0 .014 0 .038 39 - 0 .009 40 - 0 .009 41 - 0 .029 43 - 0 .009 He 0 .849 0 .870 P07.051 The genome-wide patterns of variation confirms significant substructure in a founder population K. Rehnström 1,2 , E. Jakkula 1,3 , T. Varilo 1,2 , O. Pietiläinen 1 , T. Paunio 1 , N. Pedersen 4 , M. Järvelin 5 , S. Ripatti 1,4 , S. Purcell 3 , M. Daly 3 , A. Palotie 3,6 , L. Peltonen 1,6 ; 1 National Public Health Institute, Helsinki, Finland, 2 University of Helsinki, Helsinki, Finland, 3 Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA, United States, 4 Karolinska Institute, Stockholm, Sweden, 5 Imperial College, London, United Kingdom, 6 Wellcome Trust Sanger Institute, Cambridge, United Kingdom. The genome-wide SNP genotyping platforms enable detailed association studies, but at the same time offer new insight into population genetics . Here we present an example of a founder population by scrutinizing nine geographically distinct Finnish subpopulations representing different eras in the population history to study the effect of bottlenecks and isolation using high-density SNP data . We demonstrate that population substructure and even individual ancestry are detectable at high resolution and support the concept of multiple historical bottlenecks resulting from founder effects . We performed multidimensional scaling (MDS) of pairwise identityby state (IBS) sharing data to delineate population structure . Within Finland the two primary dimensions of the MDS-analysis correspond remarkably with the east-west and north-south directions, respectively, showing a distribution of individuals corresponding closely with the geographical distribution of parents’ birthplaces . The youngest subisolates showed higher IBS similarity compared to other subgroups and separation using an extremely fine resolution. We analyzed linkage disequilibrium (LD) and extended regions of homozygosity (ROHs) to further explore the genomic structure of the subpopulations . Highest LD and the largest number of long (>10Mb) ROHs was identified in the youngest regional population and showed a gradual decline of these measures in older and more outbred, subpopulations . The study shows the power of GWA data to trace the population history and also exemplifies the power to identify stratification even within homogeneous populations. A deeper insight into fine-scale population substructure also emphasizes the importance of adjustment of GWA studies aiming at identifying smaller and smaller genetic effects to avoid confounding . P07.052 Epidemiological study of Fraser syndrome in Europe L. Odak 1 , I. Barisic 1 , V. Tokic 1 , M. Loane 2 , F. Bianchi 3 , E. Calzolari 4 , E. Garne 5 , D. Wellesley 6 , H. Dolk 2 ; 1 Childrens Univ. Hospital Zagreb, Zagreb, Croatia, 2 EUROCAT Central Registry, University of Ulster, Newtonabbey, Co Antrim, United Kingdom, 3 Unit of Epidemiology, CNR Institute of Clinical Physiology, Pisa, Italy, 4 Department of

Normal variation, population genetics, genetic epidemiology Experimental and Diagnostic Medicine, Division of Medical Genetics, University of Ferrara, Ferrara, Italy, 5 Epidemiology, University of Southern Denmark, Odense, Denmark, 6 Wessex Clinical Genetics Service, Princess Anne Hospital, Southampton, United Kingdom. Fraser syndrome (FS) is rare autosomal recessive condition with classical features of cryptophthalmos, syndactyly, and genitourinary malformations . Abnormalities of the skull, ears, nose, and larynx are often present as well . Due to the rarity of FS, population-based epidemiological studies are lacking . We present the results of analysis of 24 cases of FS identified among 10 318 446 pregnancies registered in the EUROCAT network of congenital malformation registries in 1980- 2004 period . This corresponds to a prevalence of 0 .23/100000 or 1 in 429 .935 births . Prenatal ultrasound examination detected abnormalities in 13/24 (54 .2%) fetuses . Mean gestational age at discovery of an abnormality by prenatal ultrasound was 22 .3±3 .2 (18-27) gestational weeks . There were 2/24 (8 .3%) fetal deaths, 9/24 (37 .5%) pregnancy terminations and 13/24 (54 .2%) were live born . One third of live births did not survive the first week of life. Male:female ratio was 3.4 (17/5). The mean birth weight in live births was 2363 ±622 g for males and 2133±413 g for females . The mean gestational age at birth was 37 weeks for both sexes . The most frequent associated congenital malformations were urogenital (81 .8%; 18/22), eye (72 .7%; 16/22), and limb (59 .1%; 13/22) anomalies . The mean maternal age at birth was 28 ± 5 years and the mean paternal age 31±4 years . Parental consanguinity was present in 7/14 cases, and four families head already one affected child (4/13) . All cases were registered in the Western part of Europe, 12/24 (50%) cases being from Great Britain and Portugal (prevalence 0 .49/100000 or 1 in 202859 births) . P07.053 Analysis of frequencies of 35delG mutation in connexine 26 gene in different ethnic groups of Russia E. I. Sharonova, S. P. Zinchenko, R. A. Zinchenko; Research Centre for Medical Genetics, Russian Academy of Medical Sciences, Moscow, Russian Federation. Mutations in the GJB2 gene are a major cause of autosomal recessive and sporadic non-syndromic hearing loss in many populations . This study aims to determine the frequencies of 35delG mutation in different ethnic groups of Russia . The patients with non-syndromic hereditary hearing loss from four ethnic groups (Chuvashs, Udmurths, Bashkirs and Russians from Rostov Regions) were analyzed for 35delG mutation in connexine 26 gene . Analysis of 60 patients with non-syndromic hereditary hearing loss from Chuvash Republic, 85 patients from Rostov Region, 36 patients from Republic of Bashkortostan, 58 patients from Udmurt Republic, showed that frequency for 35delG mutation was specific to Russian ethnic group (42 .86%, 45%, 8 .33%, 62 .5%, respectively) . Among the patients with non-syndromic hereditary hearing loss from other ethnic groups, frequencies of 35delG mutation were 5% for Chuvashs, 2 .44% for Udmurths, 6 .06% for Bashkirs . More then 2574 healthy donors from five ethnic groups from Russia (Chuvashs, Maries, Udmurths, Bashkirs and Russians from Tver and Rostov Regions) were analyzed for 35delG mutation in GJB2 gene . Significant differencies in mutation frequencies between different ethnic groups were discovered . Analysis showed that frequency of 35delG mutation for Chuvashs ethnic group was 0 .48% (5 chromosomes with mutation 35delG out of 1040 analysed (5/1040)), for Maries - 0 .99% (8/804), for Udmurths - 0 .25% (3/1184), for Bashkirs - 0 .25% (2/792), for Russian - 1 .44% (19/1320) . According to this research, contribution of 35delG mutation in connexine 26 gene to the development of non-syndromic hereditary hearing loss in various ethnic groups of Russia is different . P07.054 N680s and -29 (G->A) FsH-R polymorphisms in czech fertile male and female population M. Macek sr. 1 , H. Kluckova 1 , P. Norambuena 1 , T. Piskackova 1 , M. Balascakova 1 , M. Koudova 1 , A. Stambergova 1 , M. Macek jr. 1 , J. Gromoll 2 ; 1 Department of Biology and Medical Genetics, Charles University, Second Medical School and University Hospital Motol, Prague, Czech Republic, 2 Institute of Reproductive Medicine, Muenster, Germany. The aim of this study was the determination of the genotype characteristics of FSH-R polymorphism in position -29 (G->A) and exon 10 N680S in fertile couples in families indicated for prenatal diagnosis, or with risk of cystic fibrosis, risk of trombophilic disorders and chronic pancreatitis dispositon in male and female Czech population . Polymorphism -29 (G->A) was examined in 318 females and 303 males, exon 10 N680S in 317 females and 304 males . The exon 10 and promotor polymorphisms were analyzed by allelic discrimination on ABI Prism 7000 detection system (Applied Biosystems) . The promotor polymorphism A/A in females was 5 .03 %, in males 6 .93 %; A/G in females 37 .74 %, in males 35 .31 %; G/G in females 57 .23 %, in males 57 .76 % . Exon 10 polymorphism Asn/Asn was 37 .22 % in females, 27 .96 % in males; Asn/Ser in 47 .32 % for females, 50 .33 % for males; Ser/Ser in 15 .46 % in females and 21 .71 % in males . It is apparent, that in both types of FSH-R polymorphisms no differences were disclosed between males and females . The genotype 680 exon 10 polymorphism Asn/Asn, Asn/Ser, Ser/Ser are not different from so far published prevalence in Caucasian population . These data provide possibility to compare the genotype characteristic of FSH-R polymorphisms for association studies in male and female reproductive disorders and for the pharmacogenetic strategy in hormonal treatment and stimulation in male and female patients . Supported by grants NR9448-3/2007 and 00000064203 . P07.055 Epidemiologic study of isolated gastroschisis in mexican population: 1978-2006 J. Arteaga, L. Luna, O. M. Mutchinick; National Institute of Medical Sciences and Nutrition “Salvador Zubirán”, Mexico city, Mexico. Isolated gastroschisis (IGC) cluster in the offspring of very young mothers . Incidence reported range between 0 .40 and 4 .49 per 10000 births . Recently has been observed an increase in the frequency without a clear explanation, although several studies have identified consistent risk factors (RF) . The increasing prevalence in newborns observed in a sample of the Mexican populations prompted us to analyze the secular trend for IGC and the following RF: maternal age, primigravidity, socioeconomic status, use of vasoactive medications and change of paternity . The information was obtained from the RYVEMCE; a hospital based multicentric case-control study . We studied IGQ in a sample of 1’066,542 newborns analyzing time trends prevalence from January 1978 to December 2006 and the mentioned RF in both, mothers of IGC cases and controls. P

Normal variation, population genetics, genetic epidemiology<br />

P07.049<br />

Identification <strong>of</strong> point mutation pattern in the LDLR gene among<br />

Bulgarians with severe hypercholesterolemia<br />

S. Bichev 1,2 , L. Vladimirova-Kitova 3 , J. Genova 2 , R. Kaneva 2 , I. Kremenski 4 , V.<br />

Ganev 5 ;<br />

1 Medical University <strong>of</strong> S<strong>of</strong>ia, S<strong>of</strong>ia, Bulgaria, 2 Molecular Medicine Center, S<strong>of</strong>ia,<br />

Bulgaria, 3 Medical University <strong>of</strong> Plovdiv, Plovdiv, Bulgaria, 4 National Genetic<br />

Laboratory, S<strong>of</strong>ia, Bulgaria, 5 S<strong>of</strong>ia University, S<strong>of</strong>ia, Bulgaria.<br />

Familial hypercholesterolemia (FH) is a common, autosomal dominant<br />

disorder <strong>of</strong> lipid metabolism and is a major risk factor for coronary vascular<br />

disease . FH affects approximately 1 in 500 individuals worldwide .<br />

Mutations in LDLR, APOB and recently described PCSK9 genes have<br />

been associated with this disease . The aim <strong>of</strong> the present study is<br />

to provide information about the spectrum <strong>of</strong> point mutations in the<br />

LDLR gene in sample <strong>of</strong> 200 Bulgarian patients with severe hypercholesterolemia<br />

. We applied Single Strand Conformation Polymorphism<br />

(SSCP) analysis to screen for sequence variations in the coding regions<br />

and splice sites <strong>of</strong> the LDLR gene . The detected samples with<br />

different SSCP patterns were sequenced . In 29 cases the diagnosis<br />

FH was genetically confirmed. We found 7 point mutations (ex.4bG>A<br />

at 590, ex .9G>A at 1195, ex6C>A at 858, ex .8G>A at 1073 and T>C<br />

at 1061-8, ex .5A>C at 761, ex .11G>A at 1646) and 7 polymorphisms,<br />

one (ex .11C>T at 1705+23) not previously described . Our results have<br />

shown that exons 8, 9, 11 should be considered as “hot- spots” for Bulgarian<br />

population . In 3 out <strong>of</strong> 9 patients with determined mutations in<br />

the 11th exon we have observed in addition 2 different polymorphisms<br />

- C>T at 1705+23 and C>T at 1617 . On the contrary, exons 16, 17,<br />

18, 2, and the previously described as “hot- spots” exons 3 and 14 did<br />

not show aberrant pr<strong>of</strong>iles in the SSCP screening. Exons 7, 13 and 15<br />

appear to be very polymorphic, however no mutations were observed<br />

in those exons .<br />

P07.050<br />

Distribution <strong>of</strong> FmR1 alleles in two populations with different<br />

ethnic background: madeira (caucasian) and Guinea-Bissau<br />

(sub-sahara African)<br />

A. T. Fernandes1 , A. Ferreira1 , R. Gonçalves1 , R. Vasconcelos2 , A. Brehm1 ;<br />

1 2 <strong>Human</strong> <strong>Genetics</strong> Laboratory, University <strong>of</strong> Madeira, Funchal, Portugal, Pediatric<br />

Service, Central Hospital <strong>of</strong> Funchal, Funchal, Portugal.<br />

The fragile X syndrome is the most common cause for inherited mental<br />

retardation . This syndrome results from an abnormal expansion <strong>of</strong> the<br />

CGG repeat in FMR1 gene which causes the inactivity <strong>of</strong> the gene,<br />

leading to the absence <strong>of</strong> the FMRP . The frequency <strong>of</strong> the alleles <strong>of</strong><br />

FMR1 polymorphism was analyzed to the Madeira and Guinea-Bissau<br />

populations. Madeira and Guinea-Bissau population show significant<br />

differences (P 35 CGG), a pattern similar to others observed in African<br />

populations but quite different from that <strong>of</strong> Caucasian populations .<br />

In the Madeira population (n=141) no intermediate or permutated alleles<br />

were identified while in Guinea-Bissau population (n=104) 4 intermediate<br />

alleles (prevalence: 1/26) were observed . These results can<br />

explain why there are no X-fragile reported patients in the Madeira<br />

population <strong>of</strong> 250 .000 inhabitants .<br />

(cGG)n<br />

mA<br />

(N =141)<br />

GB<br />

( N =104)<br />

7 0 .007 -<br />

8 0 .007 0 .009<br />

13 0 .007 -<br />

14 0 .035 -<br />

16 0 .007 -<br />

19 0 .028 -<br />

20 0 .071 0 .009<br />

21 0 .028 0 .009<br />

22 - 0 .019<br />

23 0 .064 0 .077<br />

24 0 .014 0 .019<br />

25 0 .014 0 .019<br />

27 0 .007 0 .009<br />

28 0 .100 0 .067<br />

29 0 .262 0 .231<br />

30 0 .248 0 .221<br />

31 0 .057 0 .144<br />

32 0 .021 0 .019<br />

33 - 0 .009<br />

34 - 0 .019<br />

35 - 0 .019<br />

36 0 .007 0 .009<br />

38 0 .014 0 .038<br />

39 - 0 .009<br />

40 - 0 .009<br />

41 - 0 .029<br />

43 - 0 .009<br />

He 0 .849 0 .870<br />

P07.051<br />

The genome-wide patterns <strong>of</strong> variation confirms significant<br />

substructure in a founder population<br />

K. Rehnström 1,2 , E. Jakkula 1,3 , T. Varilo 1,2 , O. Pietiläinen 1 , T. Paunio 1 , N. Pedersen<br />

4 , M. Järvelin 5 , S. Ripatti 1,4 , S. Purcell 3 , M. Daly 3 , A. Palotie 3,6 , L. Peltonen 1,6 ;<br />

1 National Public Health Institute, Helsinki, Finland, 2 University <strong>of</strong> Helsinki,<br />

Helsinki, Finland, 3 Broad Institute <strong>of</strong> Harvard and Massachusetts Institute <strong>of</strong><br />

Technology, Cambridge, MA, United States, 4 Karolinska Institute, Stockholm,<br />

Sweden, 5 Imperial College, London, United Kingdom, 6 Wellcome Trust Sanger<br />

Institute, Cambridge, United Kingdom.<br />

The genome-wide SNP genotyping platforms enable detailed association<br />

studies, but at the same time <strong>of</strong>fer new insight into population<br />

genetics . Here we present an example <strong>of</strong> a founder population by scrutinizing<br />

nine geographically distinct Finnish subpopulations representing<br />

different eras in the population history to study the effect <strong>of</strong> bottlenecks<br />

and isolation using high-density SNP data . We demonstrate that<br />

population substructure and even individual ancestry are detectable<br />

at high resolution and support the concept <strong>of</strong> multiple historical bottlenecks<br />

resulting from founder effects .<br />

We performed multidimensional scaling (MDS) <strong>of</strong> pairwise identityby<br />

state (IBS) sharing data to delineate population structure . Within<br />

Finland the two primary dimensions <strong>of</strong> the MDS-analysis correspond<br />

remarkably with the east-west and north-south directions, respectively,<br />

showing a distribution <strong>of</strong> individuals corresponding closely with the<br />

geographical distribution <strong>of</strong> parents’ birthplaces . The youngest subisolates<br />

showed higher IBS similarity compared to other subgroups and<br />

separation using an extremely fine resolution. We analyzed linkage<br />

disequilibrium (LD) and extended regions <strong>of</strong> homozygosity (ROHs) to<br />

further explore the genomic structure <strong>of</strong> the subpopulations . Highest<br />

LD and the largest number <strong>of</strong> long (>10Mb) ROHs was identified in the<br />

youngest regional population and showed a gradual decline <strong>of</strong> these<br />

measures in older and more outbred, subpopulations .<br />

The study shows the power <strong>of</strong> GWA data to trace the population history<br />

and also exemplifies the power to identify stratification even within<br />

homogeneous populations. A deeper insight into fine-scale population<br />

substructure also emphasizes the importance <strong>of</strong> adjustment <strong>of</strong> GWA<br />

studies aiming at identifying smaller and smaller genetic effects to<br />

avoid confounding .<br />

P07.052<br />

Epidemiological study <strong>of</strong> Fraser syndrome in Europe<br />

L. Odak 1 , I. Barisic 1 , V. Tokic 1 , M. Loane 2 , F. Bianchi 3 , E. Calzolari 4 , E. Garne 5 ,<br />

D. Wellesley 6 , H. Dolk 2 ;<br />

1 Childrens Univ. Hospital Zagreb, Zagreb, Croatia, 2 EUROCAT Central Registry,<br />

University <strong>of</strong> Ulster, Newtonabbey, Co Antrim, United Kingdom, 3 Unit <strong>of</strong><br />

Epidemiology, CNR Institute <strong>of</strong> Clinical Physiology, Pisa, Italy, 4 Department <strong>of</strong>

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