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2008 Barcelona - European Society of Human Genetics

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Concurrent Sessions<br />

c13.5<br />

the genetic control <strong>of</strong> microRNA expression variation in<br />

<strong>Human</strong>s<br />

C. Borel, S. Deutsch, H. Attar, M. Gagnebin, C. Gehrig, E. Falconnet, Y. Dupré,<br />

S. E. Antonarakis;<br />

Department <strong>of</strong> Genetic Medicine and Development, University <strong>of</strong> Geneva Medical<br />

School, CH, Geneva, Switzerland.<br />

C .B . and S .D . contributed equally to this work .<br />

MicroRNAs (miRNAs) are small non-coding RNA molecules that regulate<br />

the expression <strong>of</strong> protein-coding . Each miRNA is thought to have<br />

multiple target genes that are regulated at the post-transcriptional<br />

level .Inter-individual variation <strong>of</strong> miRNA gene expression is likely to<br />

influence the levels <strong>of</strong> target genes, and may therefore contribute to<br />

some phenotypic differences, including susceptibility to common disorders<br />

. The aim <strong>of</strong> this study was to characterize the natural variation in<br />

miRNA expression levels present in different individuals, and to identify<br />

loci that control this variation .<br />

We established primary fibroblasts from 200 unrelated umbilical cord<br />

samples <strong>of</strong> Caucasian origin (GenCord collection) .All <strong>of</strong> these samples<br />

have been genotyped using the Illumina Hap550 SNP array . After multiple<br />

filtering steps 433’000 were retained for statistical analyses. Taqman<br />

real-time PCR in all cell lines was used to measure the expression<br />

<strong>of</strong> 365 known mature microRNAs in each sample . This revealed<br />

substantial differences in miRNA expression levels between individuals,<br />

which were up to 50-fold in some cases . Normalized miRNA levels<br />

for each individual were used to perform quantitative whole genome<br />

association studies using the Plink s<strong>of</strong>tware . We will present the detailed<br />

genome-wide association analysis <strong>of</strong> SNPs that control in cis- or<br />

trans- miRNA expression .<br />

This is the first attempt to characterize the genetic regulation <strong>of</strong> miRNA<br />

expression levels. Loci identified through this approach are likely to be<br />

important determinants <strong>of</strong> human phenotypes .<br />

c13.6<br />

comparison <strong>of</strong> different methods to estimate genetic ancestry<br />

and control for stratification in genome-wide association studies<br />

E. Salvi 1,2 , G. Guffanti 1 , A. Orro 2 , F. Torri 1 , S. Lupoli 3 , J. Turner 4 , D. Keator 4 , J.<br />

Fallon 4 , S. Potkin 4 , C. Barlassina 1 , D. Cusi 1 , L. Milanesi 2 , F. Macciardi 1 ;<br />

1 Department <strong>of</strong> Science and Biomedical Technology, University <strong>of</strong> Milan, Milan,<br />

Italy, 2 ITB CNR, Segrate, Milan, Italy, 3 INSPE, Milan, Italy, 4 Department <strong>of</strong> Psychiatry<br />

and <strong>Human</strong> Behavior University <strong>of</strong> California, Irvine, CA, United States.<br />

In case-control association studies, population subdivision or admixture<br />

can lead to spurious associations between a phenotype and unlinked<br />

candidate loci. Population stratification can occur in case-control<br />

association studies when allele frequencies differ between cases<br />

and controls because <strong>of</strong> ancestry .<br />

We evaluated five methods (Fst, Genomic Control, STRUCTURE,<br />

PLINK and EIGENSTRAT) using 317K SNPs (Illumina <strong>Human</strong>Hap300)<br />

in a case-control sample <strong>of</strong> 200 American subjects with different races<br />

(Caucasian, African and Asian) in order to identify and to correct for<br />

stratification. Fst, Structure and Genomic Control are based on the<br />

usage <strong>of</strong> few genetic markers while PLINK and EIGENSTRAT are<br />

computationally tractable on a genome-wide scale . Fst, STRUCTURE<br />

and Genomic Control did not detect a significant stratification in our<br />

sample, as well as EIGENSTRAT and PLINK . However, these last two<br />

methods, using a much larger information from the whole set <strong>of</strong> SNPs,<br />

graphically suggested the presence <strong>of</strong> a partial stratification, due to<br />

African and Asian individuals while the estimated inflation factor <strong>of</strong> 1<br />

didn’t statistically confirm stratification. This brought to the decision to<br />

further enlarge the sample with hundreds <strong>of</strong> controls coming from Caucasian<br />

populations . When we enlarged the sample to 650 individuals<br />

we found a high value <strong>of</strong> inflation factor as statistical confirmation <strong>of</strong><br />

the population stratification. The substructure still depends only on African<br />

and Asian subjects that are separated from the Caucasian homogeneous<br />

sample . Therefore the sample size is crucial to get enough<br />

power to detect a possible stratification.<br />

c14.1<br />

the ethics <strong>of</strong> undertaking research in other countries<br />

L. Skene;<br />

University <strong>of</strong> Melbourne, University <strong>of</strong> Melbourne, Australia.<br />

There are many reasons for scientists to undertake research with colleagues<br />

in other countries: to share knowledge and experience with<br />

colleagues; to obtain funding directed to transnational projects; to gain<br />

access to facilities and research participants; to acquire kudos, academic<br />

advancement, or commercial benefits; or to undertake activities<br />

that would not be permitted in their own country, due to legal or ethical<br />

constraints .<br />

This paper considers the last reason and when it is ethical for scientists<br />

to do research abroad that is banned at home . The author argues<br />

that such research may sometimes be ethical, provided it is scientifically<br />

rigorous and accords with international ethical principles and<br />

ethical oversight requirements . But it is not ethical when the proposed<br />

research is widely regarded as unethical in the home country . The author<br />

uses her own image <strong>of</strong> Skene’s Ethico-Legal Barometer to gauge<br />

the activities that attract this degree <strong>of</strong> sensitivity and would be unethical<br />

wherever they are done . This research is in the red zone <strong>of</strong> the barometer<br />

and the closer an activity falls to the red zone, the greater the<br />

need for ethical review and oversight before being ethically acceptable<br />

in the home country .<br />

The author illustrates these arguments with examples like human embryonic<br />

stem cell research, somatic cell nuclear transfer and research<br />

involving human subjects .<br />

c14.2<br />

Direct-to-consumer services. A review <strong>of</strong> the debate<br />

P. Borry;<br />

Centre for Biomedical Ethics and Law, Leuven, Belgium.<br />

Background . The rapid expansion <strong>of</strong> the internet has meant that there<br />

is now a global marketplace for a multitude <strong>of</strong> health care products and<br />

services that are available directly to the consumer . Related to this, in<br />

the field <strong>of</strong> genetics, the rapid expansion <strong>of</strong> knowledge about the relationship<br />

between genetics and human disease has set the groundwork<br />

for commercial enterprises that use direct-to-consumer (DTC) advertising<br />

for genetic tests and, in some cases, bypass the supervision<br />

<strong>of</strong> a health pr<strong>of</strong>essional to <strong>of</strong>fer DTC purchase <strong>of</strong> the tests . Various<br />

companies (e .g . Sciona (UK), DNA direct (US), Genelink (US), Test<br />

Kimball <strong>Genetics</strong> (US), Geneticom (The Netherlands)…) have been<br />

identified where direct-to-consumer tests are <strong>of</strong>fered (e.g. for paternity<br />

testing, ancestry testing, susceptibility tests for cardiovascular diseases,<br />

hereditary hemocromatosis, osteoporosis, Factor V Leiden, type 2<br />

diabetes…) .<br />

Objective . This paper wants to investigate the existing ethical and legal<br />

framework <strong>of</strong> direct-to-consumer services .<br />

Method . It will <strong>of</strong>fer a review <strong>of</strong> the debate through a systematic analysis<br />

<strong>of</strong> the position papers, reports, guidelines or statements emanating<br />

from international and national organisations, bioethics committees,<br />

and pr<strong>of</strong>essional associations, together with the academic literature<br />

identified after an extensive literature search.<br />

Results. This paper <strong>of</strong>fers an overview <strong>of</strong> the debate. It identified weaknesses<br />

in the existing regulatory framework and suggested further<br />

pathways for research .<br />

c14.3<br />

Preventive genetic screening in the isolated community: lessons<br />

learned<br />

L. Basel-Vanagaite 1,2 , E. Taub 3 , L. Rainshtein 3 , V. Drasinover 3 , N. Magal 3 , J.<br />

Zlotogora 4 , M. Shohat 3 ;<br />

1 SCMCI and Rabin Medical Center, Petah Tikva, Israel, 2 Tel Aviv University, Tel<br />

Aviv, Israel, 3 Rabin Medical Center, Petah Tikva, Israel, 4 Department <strong>of</strong> Community<br />

<strong>Genetics</strong>, Ministry <strong>of</strong> Health and Hadassah Medical School Hebrew<br />

University, Jerusalem, Israel, Tel Hashomer, Israel.<br />

In the countries with high rates <strong>of</strong> consanguinity, many inherited diseases<br />

are present with a high frequency only in a limited geographical<br />

region . We present a comprehensive strategy for genetic diseases<br />

prevention program in the isolated community in Israel and examine<br />

the impact <strong>of</strong> the screening on the population .<br />

During years 2003-2007, we carried out carrier screening among the<br />

residents <strong>of</strong> an isolated village <strong>of</strong> 10,500 inhabitants with a high frequency<br />

<strong>of</strong> non-syndromic mental retardation (MRT3), spinal muscular<br />

atrophy, spinal muscular atrophy with respiratory distress and cystic<br />

fibrosis. The subjects were pregnant women visiting the women’s<br />

health station for routine monitoring . The medical geneticist or genetic<br />

counselor provided counseling . A three-generation pedigree was constructed<br />

by interviewing the women and the nurses . The screening was<br />

provided free <strong>of</strong> charge, financed by the Israeli Ministry <strong>of</strong> Health . We

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