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2008 Barcelona - European Society of Human Genetics

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Normal variation, population genetics, genetic epidemiology 0<br />

forms - 1:1600 . The most frequently autosomal dominant diseases<br />

were Ehlers-Danlos’ syndrome -1:6400, Marfan’s syndrome - 1:20000,<br />

idiopathic scoliosis - 1:20000, polydactylia postaxialis - 1:21400, syndactyly,<br />

type I - 1:26700, osteogenesis imperfecta - 1:32000 . In autosomal<br />

recessive, it was Spondiloepiphysial dysplasia Tarda - 1:64200,<br />

Spondiloepiphysial dysplasia with mental retardation - 1:80200, Langer<br />

type mesomelic dysplasia - 1:107000 . In X-linked, it was Aarskog syndrome<br />

- 1:53500, C<strong>of</strong>fin-Lowry syndrome - 1:53500, Proud syndrome<br />

- 1:80200 . Therefore, our research is enabling to improve genetic consultation’s<br />

activity, directed to decrease <strong>of</strong> hereditary disease’s pressure<br />

in Rostov region <strong>of</strong> Russian Federation .<br />

P07.116<br />

smith-Lemli-Opitz syndrome mutations in recurrent miscarriage<br />

E. Dimitriadou 1 , I. Lalou 1 , S. Kalantaridou 2 , M. Pavlou 2 , A. Sotiriadis 2 , M. Tzoufi<br />

3 , I. Georgiou 2 , M. Witsch-Baumgartner 4 , M. Syrrou 1 ;<br />

1 <strong>Genetics</strong> Unit, Laboratory <strong>of</strong> General Biology, Medical School, University <strong>of</strong><br />

Ioannina, Ioannina, Greece, 2 Department <strong>of</strong> Obstetrics and Gynaecology, Medical<br />

School, University <strong>of</strong> Ioannina, Ioannina, Greece, 3 Child Health Department,<br />

Medical School, University <strong>of</strong> Ioannina, Ioannina, Greece, 4 Department for<br />

Medical <strong>Genetics</strong>, Molecular and Clinical Pharmacology, Innsbruck, Austria.<br />

Recurrent miscarriage (RM) is defined as >3 (or >2) consecutive pregnancy<br />

losses before 20 weeks <strong>of</strong> gestation and affects 1-3% <strong>of</strong> all<br />

women . More than 40% <strong>of</strong> RM are <strong>of</strong> unknown etiology and assumed<br />

to be genetic in origin .<br />

Smith-Lemli-Opitz Syndrome (SLOS, MIM270400) is an autosomal<br />

recessive disorder <strong>of</strong> cholesterol biosynthesis caused by mutations in<br />

the gene DHCR7 . The prevalence <strong>of</strong> SLOS ranges between 1:15000<br />

and 1:60000 in <strong>European</strong> populations, but there is a discrepancy between<br />

expected and observed incidence <strong>of</strong> SLOS mutations that might<br />

be in part explained by first trimester miscarriages <strong>of</strong> affected fetuses.<br />

Aim: 1 .To compare the prevalence <strong>of</strong> common SLOS mutations in<br />

Greek women with unexplained RM and in a control group . 2 . To<br />

correlate common SLOS mutations with RM in order to conclude if<br />

screening for common SLOS mutations in couples with >2 spontaneous<br />

miscarriages should be added in the evaluation <strong>of</strong> RM .<br />

Study group: 124 women aged 2 consecutive first trimester<br />

miscarriages . Controls: 75 healthy age-matched women, with<br />

proven fertility . The three most common for the Greek population mutations<br />

<strong>of</strong> the DHCR7 gene (IVS8-1G>C, p .Trp151X and p .Thr93Met)<br />

were studied using allele-specific PCR.<br />

Two out <strong>of</strong> 124 women with unexplained RM were heterozygous for<br />

null IVS8-1G>C mutation . No carriers were found among the control<br />

group . This is an ongoing study .<br />

P07.117<br />

Prevalence <strong>of</strong> functional sNPs in candidate genes for common<br />

diseases in four siberian populations<br />

M. V. Golubenko1 , M. S. Nazarenko1 , A. N. Kucher1 , E. Y. Bragina1 , N. P.<br />

Babushkina1 , I. A. Goncharova1 , V. V. Pogrebenkova1 , O. Y. Bychkova1 , O. G.<br />

Ivanova1 , T. V. Zheykova1 , I. V. Saltykova2 , A. R. Simakina2 , L. A. Koneva1 , S. V.<br />

Buikin1 , O. A. Makeeva1 , V. P. Puzyrev1,2 ;<br />

1 2 Institute for Medical <strong>Genetics</strong>, Tomsk, Russian Federation, Siberian State<br />

Medical University, Tomsk, Russian Federation.<br />

<strong>Genetics</strong> <strong>of</strong> common diseases deals with common polymorphisms (in<br />

most cases SNPs) . There are differences in the common diseases<br />

prevalence between human populations which may be explained in<br />

part by variation in frequencies <strong>of</strong> some predisposing SNPs depending<br />

on population descent . Furthermore, linkage disequilibrium is also<br />

known to be different in diverse populations . We studied twelve known<br />

candidate genes for common diseases <strong>of</strong> cardiovascular and immune<br />

systems, in four Siberian populations <strong>of</strong> different ethnic origin, namely<br />

Tuvinians, Yakuts, Buryats, and Russians (384 individuals in total) .<br />

ACE, AGTR1, NOS3, GNB3, TNF and LTA, TNFRSF1A, ADRB2, IL4,<br />

IL4RA, IL12A, IL12B, IL12RB1 genes were studied . Few SNPs in each<br />

gene were picked for genotyping on the basis <strong>of</strong> known associations<br />

with common diseases and/or possible functional effect . We have<br />

found significant differences between populations in both frequencies<br />

and LD estimates for most <strong>of</strong> genotyped SNPs . Few SNP positions<br />

were not polymorphic in our samples. We confirmed the fact that some<br />

SNPs within ACE, NOS3, TNF, IL4RA genes are in strong linkage<br />

disequilibrium. Taking into account that significant differences were<br />

found between related populations <strong>of</strong> Asian origin, as well as between<br />

Russians and other <strong>European</strong> populations, our results emphasize<br />

need for further investigations <strong>of</strong> prevalence <strong>of</strong> candidate SNPs for<br />

common diseases in different populations . Differences in functional<br />

SNPs frequencies suggest population specific character <strong>of</strong> genetic<br />

structure <strong>of</strong> predisposition to common diseases which should be taken<br />

into account during development <strong>of</strong> genetic tests for common diseases<br />

predisposition in different regions .<br />

P07.118<br />

Application <strong>of</strong> mLPA in multiplex sNP genotyping for genetic<br />

epidemiology<br />

C. Brasch-Andersen 1,2 , L. Christiansen 3,2 ;<br />

1 Clinical Pharmacology, Institute <strong>of</strong> Public Health, University <strong>of</strong> Southern Denmark,<br />

Odense, Denmark, 2 Dept. <strong>of</strong> Biochemistry, Pharmacology and <strong>Genetics</strong>,<br />

Odense University Hospital, Odense, Denmark, 3 Epidemiology, Institute <strong>of</strong><br />

Public Health, University <strong>of</strong> Southern Denmark, Odense, Denmark.<br />

A method for simple and cost-effective medium-scale genotyping in<br />

large epidemiological studies is <strong>of</strong>ten needed, for instance when investigating<br />

the entire genetic variation in a single or a few genes .<br />

The multiplex ligation-dependent probe amplification assay (MLPA)<br />

was initially developed for detection <strong>of</strong> DNA deletions or duplications,<br />

but is also suitable for genotyping single point polymorhisms (SNPs) .<br />

We designed an allele discrimination assay for simultaneous genotyping<br />

<strong>of</strong> at least 10-20 SNPs in a large number <strong>of</strong> samples using the<br />

MLPA technology . Based on the MLPA probe design protocol we constructed<br />

3 probes per SNP: 2 allele specific and 1 locus specific, which<br />

after ligation were PCR amplified and size-separated using capillary<br />

electrophoresis. In addition to the template specific sequence each <strong>of</strong><br />

the MLPA probes contain a variable length stuffer sequence enabling<br />

both SNPs and alleles to be discriminated by size, and a primer specific<br />

sequence common to all probes, thus permitting multiplex PCR<br />

using only one primer set .<br />

We applied the method on two genes for which the genetic variation<br />

was covered by 12 and 19 tagging SNPs, respectively . Genotyping<br />

results were verified using CEPH controls with known genotypes.<br />

Applying the MLPA method will enable most labs to genotype SNPs in<br />

a medium scale without investing in new lab equipment as the method<br />

only requires a PCR machine and a capillary electrophoresis system .<br />

P07.119<br />

Large scale screening for spinal muscular atrophy (smA) - effect<br />

<strong>of</strong> ethnicity on frequency <strong>of</strong> exon 7 deletion v.s duplication<br />

R. Sukenik-Halevy 1,2 , R. Pesso 3 , N. Garbian 3 , N. Magal 1,2 , M. Shohat 1,2,3 ;<br />

1 Recanati Institute <strong>of</strong> Medical <strong>Genetics</strong>, Petach Tikva, Israel, 2 Rabin Medical<br />

Center, Petach Tikva, Israel, 3 Maccabi Health Insurance Genetic Institutes,<br />

Rehovot, Israel.<br />

Approximately 95% <strong>of</strong> SMA patients have homozygous deletions <strong>of</strong><br />

exon 7 and/or 8 <strong>of</strong> the SMN1 gene and 5% are compound for deletion<br />

<strong>of</strong> exon 7 and a point mutation . The carrier frequency varies between<br />

1:150 and 1:35 .<br />

We undertook a survey to assess the carrier rate among healthy individuals<br />

with no family history, evaluate the false negative rate (individuals<br />

with three copies <strong>of</strong> exon 7), and determine any ethnic differences<br />

.<br />

We analysed data from two medical centres in Israel that conduct carrier<br />

screening among the normal population using the MLPA kit . We<br />

studied the copy number <strong>of</strong> exons 7 and 8 and divided the subjects into<br />

six ethnic groups: Ashkenazi, North African, Iranian/Iraqi, Yemenite,<br />

Balkan, other Jewish . Statistical analysis was performed using chisquare<br />

.<br />

Between February-October 2007, 7308 subjects were tested in Maccabi<br />

clinics and 1729 at Rabin Medical Center . The carrier rate (deletion<br />

<strong>of</strong> exon 7) was 1:62 and was not statistically different among the<br />

various ethnic groups .<br />

Duplication <strong>of</strong> exon 7 was found in 1 in 9 individuals - a false negative<br />

rate <strong>of</strong> 5.5%. There was a significant difference between the ethnic<br />

groups: 12% among Ashkenazim, 4 .4% among North African Jews<br />

and 6%-8% in other groups (p

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