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2008 Barcelona - European Society of Human Genetics

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

growth and cognitive impairment, limb malformations and occasional<br />

multiple organ defects . The NIPBL gene encompasses 47 exons and<br />

produces a 9 .5 kb transcript, which appears in several tissues with<br />

different level <strong>of</strong> expression. Besides, the identification <strong>of</strong> multiple transcripts<br />

in this gene suggest the presence <strong>of</strong> alternative splicing, a feature<br />

that has not been yet studied. Here, we report the first systematic<br />

analysis <strong>of</strong> the NIPBL splicing variants in human normal tissues .<br />

NIPBL cDNA from adult brain, fetal skeletal muscle and leukocytes<br />

was amplified in various overlapping fragments, spanning exons 1 to<br />

47 . PCR products were separated by electrophoresis on agarose gel .<br />

Additional bands <strong>of</strong> different length than expected were sequenced .<br />

Several novel splicing variants bearing one or more skipped exons<br />

were found, but only the variant with skipped exon 12 was found in all<br />

tissues analyzed. This finding was subsequently confirmed by cloning.<br />

The variant with deletion <strong>of</strong> exon 43 was present only in adult brain .<br />

Our results provide a basis for more detailed studies <strong>of</strong> functional<br />

significance <strong>of</strong> these transcripts and might expand our knowledge <strong>of</strong><br />

CDLS1 .<br />

This work is supported by a grant from the Ministry <strong>of</strong> Health <strong>of</strong> Spain<br />

(Ref. PI061343) and from the Diputación General de Aragón (Ref.<br />

B20) .<br />

P07.094<br />

NOTCH mutations in young adult patients with a first stroke:<br />

The PORTYSTROKE study - screening genetic conditions in<br />

PORTuguese Young STROKE patients<br />

S. Ferreira 1 , M. Viana-Baptista 2 , I. Costa 3 , J. M. Ferro 4 , J. P. Oliveira 3 , &. POR-<br />

TYSTROKE Study Group 5 ;<br />

1 Faculdade de Medicina, Porto, Portugal, 2 Hospital Garcia de Orta, Almada,<br />

Portugal, 3 Faculty <strong>of</strong> Medicine, Porto, Portugal, 4 Hospital Santa Maria, Lisboa,<br />

Portugal, 5 (NA), (NA), Portugal.<br />

Background<br />

Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts<br />

and Leukoencephalopathy (CADASIL), a genetic disorder due to mutations<br />

in the NOTCH3 gene, is associated with early onset <strong>of</strong> smallvessel<br />

ischaemic cerebrovascular disease . The clinical spectrum <strong>of</strong><br />

CADASIL varies widely and the disease is probably under-diagnosed<br />

in stroke patients .<br />

Methods<br />

Between 1/November/06 and 31/October/07, all patients aged 18-55<br />

years presenting with a first stroke event to any <strong>of</strong> 12 major neurology<br />

hospital departments in Portugal were <strong>of</strong>fered genetic screening for<br />

CADASIL. Strokes were classified according to usual clinical and brain<br />

imaging criteria. Mutational analysis was limited to PCR amplification<br />

and sequencing <strong>of</strong> NOTCH3 exons 4, 11, 18/19, as these have been<br />

previously shown to contain ~80% <strong>of</strong> the mutations identified in Portuguese<br />

patients with CADASIL .<br />

Results<br />

Out <strong>of</strong> a total <strong>of</strong> 625 eligible patients, 493 (78 .9%) consented to the genetic<br />

analysis . Of these, 74% had ischaemic strokes, <strong>of</strong> which 28 .5%<br />

were cryptogenic . Seven different missense mutations in the NOTCH3<br />

gene were found in 8 patients (prevalence=1 .6%; 95%CI: 0 .8-3 .1%):<br />

p .R163W; p .P167S; p .T577A; p .G595S; p .S978R (n=2); p .H981Y;<br />

p.R1036Q. There was no significant association with any particular<br />

type <strong>of</strong> stroke . None <strong>of</strong> these patients had a previous diagnosis or<br />

family history <strong>of</strong> CADASIL .<br />

Conclusion<br />

The minimal estimate for the prevalence <strong>of</strong> NOTCH3 mutations among<br />

Portuguese young adults presenting with first stroke is at least 1000<br />

times higher than the estimated population prevalence <strong>of</strong> CADASIL .<br />

The spectrum <strong>of</strong> pathogenic NOTCH3 mutations may be more varied<br />

than previously recognised .<br />

P07.095<br />

Neuropeptide Y gene variation and association with alcohol<br />

consumption in a spanish mediterranean population<br />

F. Frances, J. V. Sorli, O. Portolés, P. Guillem-Sáiz, J. I. González, D. Corella;<br />

Preventive Medicine Dept. and CIBER obn, Valencia, Spain.<br />

Background and objective: Neuropeptide Y (NPY) is a neurotransmitter<br />

widely distributed in the central nervous system . Both intraamygdalar<br />

injection and overexpression experiments in animals have<br />

demonstrated that increases <strong>of</strong> NPY in the amygdala reduces alcohol<br />

intake and anxiety manifestations in anxious rats . In humans, some<br />

studies have associated the Leu7Pro polymorphism in the NPY with<br />

alcohol consumption, but the evidence is scarce . In the Spanish Mediterranean<br />

population, the Leu7Pro variant is not polymorphic . Thus,<br />

our aim was to identify novel exonic variants in the NPY as well as the<br />

study previously described intronic variants, and their association with<br />

alcohol consumption in this population .<br />

Methods: 911 subjects (321 men and 590 women) from the Spanish<br />

Mediterranean population were recruited . Alcohol consumption and<br />

demographic and lifestyle variables were measured . Nucleotide sequence<br />

determination and SNP analyses were carried out .<br />

Results: Only one exonic SNP was detected by direct sequencing<br />

(1258G>A or rs9785023; allele frequency 0 .47) . From the intronic<br />

markers chosen (483A>G or rs13235938, 2517A>G or rs4722342 and<br />

7065A>G or rs 4722343), only the last ones were polymorphic (allele<br />

frequencies 0 .46 and 0 .40 respectively), and none <strong>of</strong> them were associated<br />

with alcohol consumption . However, the 1258G>A SNP was associated<br />

(recessive pattern) with higher alcohol intake in drinkers . This<br />

association was particularly relevant in men with a moderate intake<br />

(40±9 g/d in GG, 41±8 g/d in GA and 59±5 g/day in AA; pA in the NPY is associated with alcohol consumption<br />

in the Mediterranean population .<br />

P07.096<br />

splitting <strong>of</strong> large and complex pedigrees for linkage analysis <strong>of</strong><br />

quantitative traits<br />

A. V. Kirichenko, T. I. Axenovich;<br />

Institute <strong>of</strong> Cytology and <strong>Genetics</strong>, Russian Academy <strong>of</strong> Science, Novosibirsk,<br />

Russian Federation.<br />

Pedigree splitting is applied when large pedigrees are used for linkage<br />

analysis . Several algorithms <strong>of</strong> pedigree splitting have been proposed .<br />

They are adapted to MCMC, but not to Lander-Green based methods .<br />

The latter methods are sensitive to the pedigree size . None <strong>of</strong> the existing<br />

methods restrict the fragment size, and thus, they do not guarantee<br />

that all <strong>of</strong> the resultant sub-pedigrees can be efficiently analyzed<br />

by the Lander-Green algorithm . Earlier we proposed a fast automatic<br />

algorithm for splitting large pedigrees for subsequent Lander-Green<br />

based analysis (Liu et al, <strong>2008</strong>). The algorithm is specifically aimed to<br />

deal with pedigrees obtained in disease-oriented studies in genetically<br />

isolated populations, where affected individuals are remotely related to<br />

each other through multiple lines <strong>of</strong> descent .<br />

In contrast to pedigrees with rare diseases, in the pedigrees collected<br />

for quantitative trait analysis many close relatives having measured<br />

phenotypes and genotypes are considered as individuals <strong>of</strong> interest .<br />

We present a graph theory based algorithm for automatic splitting such<br />

pedigrees on the fragments <strong>of</strong> restricted size . This algorithm iteratively<br />

selects the clique with maximum weight <strong>of</strong> its edges from the cliques<br />

<strong>of</strong> restricted size. Weight <strong>of</strong> edge is defined as kinship between two<br />

individuals corresponding to clique nodes . The algorithm is implemented<br />

in a s<strong>of</strong>tware package PedStr (http://mga .bionet .nsc .ru/s<strong>of</strong>t/index .<br />

html) .<br />

We compared our program PedStr and the Greffa (Falchi et al, 2004)<br />

program and demonstrated that linkage power calculated on the base<br />

<strong>of</strong> sub-pedigrees obtained by PedStr was higher than for sub-pedigrees<br />

obtained by Greffa .<br />

P07.097<br />

Association <strong>of</strong> interleukin-1 polymorphisms with periodontal<br />

disease in mentally retarded<br />

F. S. Bayoumi, E. H. A. Abouel-Ezz, H. M. Goumaa;<br />

National Research Center, Cairo, Egypt.<br />

Association between Interleukin (IL-1) gene polymorphisms & increased<br />

susceptibility to periodontitis were suggested . The intent <strong>of</strong><br />

this study was determining prevalence <strong>of</strong> IL- 1 α & β genotype polymorphisms<br />

among normal & mentally retarded Egyptian individuals .<br />

Thirty normal volunteers(NV) (15-30 y) & 25 mentally retarded individuals<br />

(MR) (6-16 y) were subjected to dental examination with recording<br />

Gingival index scores (GI). IL -1 α and IL-1β loci were genotyped<br />

by standard PCR restriction fragment length polymorphism assay .<br />

Ten <strong>of</strong> (NV) showed good GI scores (70% were healthy & 30% had<br />

initial periodontitis); .The remaining (20) had fair GI score (15 % with<br />

initial periodontitis, 35% had moderate periodontitis&50% with severe

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