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2008 Barcelona - European Society of Human Genetics

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Plenary Lectures<br />

ESHG PLENARY LECTURES<br />

PL1.1<br />

Understanding the Influence <strong>of</strong> Conditional Host-Karyomemicrobiome<br />

interactions in Health and Disease<br />

J. K. Nicholson;<br />

Department <strong>of</strong> Biomolecular Medicine, Imperial College, London, United Kingdom.<br />

Post-genomic technologies are being widely applied to improve the<br />

understanding <strong>of</strong> adverse drug reactions and the molecular basis <strong>of</strong><br />

human disease . Metabonomics is an approach that enables multivariate<br />

pr<strong>of</strong>iling <strong>of</strong> the integrated metabolic responses <strong>of</strong> complex systems<br />

to patho-physiological stress, and so involves understanding the way<br />

the whole metabolic regulatory system varies with interventions thus<br />

providing complementary information to genomics and proteomics .<br />

Mammalian biochemistry is strongly influenced by the host karyome<br />

(genome) and gut microbiome symbionts that can alter drug metabolism<br />

and toxicity; the study <strong>of</strong> these transgenomic interactions is termed<br />

“global systems biology” . Because these interactions are mediated by<br />

a large number <strong>of</strong> co-metabolic processes the system state integrity<br />

can be evaluated via metabolic pr<strong>of</strong>iling <strong>of</strong> bi<strong>of</strong>luids. With the growing<br />

desire to apply systems biology tools to understanding human disease<br />

processes at the population level where massive cohorts need to be<br />

investigated, it is necessary to use analytical and statistical methods<br />

that report on whole system state non-invasively, hence the attraction<br />

<strong>of</strong> bi<strong>of</strong>uid analyses described here .<br />

NMR spectroscopy and chromatographic linked MS methods have<br />

been applied to characterize and quantify a wide range <strong>of</strong> metabolites<br />

in biological fluids and tissues to explore the biochemical consequences<br />

<strong>of</strong> drug-induced toxicity and human disease . In disease<br />

or toxicity states metabolic pr<strong>of</strong>iles and NMR and mass spectra are<br />

changed characteristically in different toxicity or disease conditions<br />

according to the exact site and mechanism <strong>of</strong> the lesion . The use <strong>of</strong><br />

chemometrics allows interrogation <strong>of</strong> spectroscopic data and can give<br />

direct diagnostic information and aid the detection <strong>of</strong> novel biomarkers<br />

<strong>of</strong> disease and the integration <strong>of</strong> metabolic data with other omics sets .<br />

Such diagnostics can be extremely sensitive for the detection <strong>of</strong> low<br />

level damage in a variety <strong>of</strong> organ systems and is potentially a powerful<br />

new adjunct to conventional procedures for disease assessment<br />

and can help explain environment-gene interactions that give rise to<br />

idiosyncratic toxicity <strong>of</strong> drugs in man . Examples <strong>of</strong> the application <strong>of</strong><br />

metabonomics to personalised healthcare (1) and population screening<br />

to detect new “Metabolome-Wide Associations” with disease risk<br />

factors (2) .<br />

1 . Clayton, T .A . Nicholson, J .K . et al (2006) Pharmaco-metabonomic<br />

phenotyping and personalised drug treatment . Nature 440 (20) 1073-<br />

1077 .<br />

2 . Holmes, E . Nicholson, J .K . et al (<strong>2008</strong>) <strong>Human</strong> Metabolic Phenotype<br />

Diversity and its Association with Diet and Blood Pressure . Nature<br />

(in press) .<br />

PL1.2<br />

cell competition, apoptosis and tumour progression in<br />

Drosophila<br />

G. Morata;<br />

Centro de Biologia Molecular Severo Ochoa, CSIC-UAM - Campus de Cantoblanco,<br />

Madrid, Spain.<br />

Larvae homozygous for mutations at the tumour suppressor genes <strong>of</strong><br />

Drosophila lethal giant larvae (lgl), scribble (scribb) or disc large (dlg)<br />

develop extensive neoplastic tumours that affect principally the central<br />

nervous system and the imaginal discs . Thus the lack <strong>of</strong> any <strong>of</strong> these<br />

products is sufficient to transform normal imaginal cells into tumorous<br />

cells . However, imaginal cells mutant for any <strong>of</strong> these genes are unable<br />

to develop a tumour if they are surrounded by non-tumour cells .<br />

We have been studying the behaviour <strong>of</strong> clones <strong>of</strong> lgl mutant cells<br />

in the wing disc to study the interactions between tumour and nontumour<br />

cells. We find that as a rule lgl clones are eliminated from the<br />

wing disc by a process akin to cell competition: they enter apoptosis<br />

mediated by the JNK pathway and the interactions leading to the disappearance<br />

<strong>of</strong> the mutant cells take place at the border <strong>of</strong> the clones .<br />

We have also found that when these cells contain an additional factor<br />

conferring a high proliferation rate, the lgl mutant cells are transformed<br />

into “supercompetitors”, which are able to eliminate surrounding non-<br />

tumour cells and give rise to invasive neoplastic tumours that colonise<br />

the entire disc<br />

PL1.3<br />

<strong>Human</strong> evolution: palaeontology and ancient DNA<br />

J. L. Arzuaga;<br />

Centro de evolucion y comportamientos humanos, Instituto de salud de la Universidad<br />

Carlos III, Madrid, Spain.<br />

PL2.1<br />

mutations in the pericentrin (PcNt) gene cause primordial<br />

dwarfism<br />

A. Rauch 1 , C. T. Thiel 1 , U. Wick 1 , Y. J. Crow 2 , D. Schindler 3 , A. Ekici 1 , C.<br />

Zweier 1 , A. J. van Essen 4 , T. O. Goecke 5 , L. Al-Gazali 6 , K. H. Chrzanowska 7 ,<br />

H. G. Brunner 8 , K. Becker 9 , C. J. Curry 10 , B. Dallapiccola 11 , K. Devriendt 12 , E.<br />

Kinning 13 , A. Megarbane 14 , P. Meinecke 15 , R. K. Semple 16 , A. Toutain 17 , R. Hennekam<br />

18 , R. Trembath 19 , H. G. Dörr 20 , A. Reis 1 ;<br />

1 Insitute <strong>of</strong> <strong>Human</strong> <strong>Genetics</strong>, Erlangen, Germany, 2 Leeds Institute <strong>of</strong> Molecular<br />

Medicine, Leeds, United Kingdom, 3 Insitute <strong>of</strong> <strong>Human</strong> <strong>Genetics</strong>, Würzburg,<br />

Germany, 4 Department <strong>of</strong> <strong>Genetics</strong>, Groningen, The Netherlands, 5 Insitute <strong>of</strong><br />

<strong>Human</strong> <strong>Genetics</strong>, Düsseldorf, Germany, 6 Faculty <strong>of</strong> Medicine, Al-Ain, United<br />

Arab Emirates, 7 Department <strong>of</strong> Medical <strong>Genetics</strong>, Erlangen, Poland, 8 Department<br />

<strong>of</strong> <strong>Human</strong> <strong>Genetics</strong>, Nijmegen, The Netherlands, 9 North Wales Clinical<br />

<strong>Genetics</strong> Service, Rhyl, United Kingdom, 10 Genetic Medicine Central California,<br />

San Francisco, CA, United States, 11 IRCCS-CSS, Rome, Italy, 12 Centre for <strong>Human</strong>-<strong>Genetics</strong>,<br />

Leuven, Belgium, 13 Department <strong>of</strong> Clinical <strong>Genetics</strong>, Leicester,<br />

United Kingdom, 14 Unité de Génétique Médicale, Beirut, Lebanon, 15 Abteilung<br />

für Medizinische Genetik, Hamburg, Germany, 16 Department <strong>of</strong> Clinical Biochemistry,<br />

Cambridge, United Kingdom, 17 Department <strong>of</strong> <strong>Genetics</strong>, Tours,<br />

France, 18 Department <strong>of</strong> Clinical <strong>Genetics</strong>, London, United Kingdom, 19 Department<br />

<strong>of</strong> Medical and Molecular <strong>Genetics</strong>, London, United Kingdom, 20 Department<br />

<strong>of</strong> Pediatrics and Adolescent Medicine, Erlangen, Germany.<br />

The growth <strong>of</strong> an individual grossly depends on regulation <strong>of</strong> cell size<br />

and cell division and dysfunction <strong>of</strong> the pathways involved not only<br />

results in somatic undergrowth but contributes to a wide variety <strong>of</strong><br />

pathological conditions .<br />

Using positional cloning, we found in a total <strong>of</strong> 25 patients that biallelic<br />

loss-<strong>of</strong>-function mutations in the pericentrin (PCNT) gene cause microcephalic<br />

osteodysplastic primordial dwarfism type Majewski II (MOPD<br />

II, MIM 210720) . Adults with this rare inherited condition belong to the<br />

shortest <strong>of</strong> the short having a height <strong>of</strong> about 100 centimeters and a<br />

brain size comparable to that <strong>of</strong> a three-month old baby, but are <strong>of</strong><br />

near-normal intelligence . Truncal obesity, type 2 diabetes and a high<br />

risk <strong>of</strong> stroke have been noted in older individuals with MOPD II .<br />

PCNT is known to mediate nucleation <strong>of</strong> microtubules by anchoring<br />

the γ-tubulin ring complex, thus initiating the assembly <strong>of</strong> the mitotic<br />

spindle apparatus . We show that PCNT mutations cause absence <strong>of</strong><br />

the protein resulting in disorganized mitotic spindles, premature sister<br />

chromatid separation and missegregation <strong>of</strong> chromosomes in patient<br />

cells. Our findings thus characterize MOPD II as a distinct clinical entity<br />

linking a key protein <strong>of</strong> the centrosome to dwarfism and a high risk<br />

<strong>of</strong> diabetes and stroke .<br />

Similarities between MOPD II individuals and the Late Pleistocene<br />

hominid fossils from the island <strong>of</strong> Flores, Indonesia, also known as<br />

“hobbits”, suggest that these do not represent a diminutive, smallbrained<br />

new species, Homo floresiensis, but are pathological modern<br />

humans .<br />

Rauch et al . <strong>2008</strong>, Science Feb 8, 319:816-9 .<br />

PL2.2<br />

meta-analysis <strong>of</strong> genome-wide association data and large-scale<br />

replication identifies several additional susceptibility loci for<br />

type 2 diabetes<br />

E. Zeggini 1 , R. Saxena 2 , L. J. Scott 3 , B. F. Voight 2 , for the DIAGRAM Consortium;<br />

1 University <strong>of</strong> Oxford, Oxford, United Kingdom, 2 Harvard and Massachusetts<br />

Institute <strong>of</strong> Technology, Cambridge, MA, United States, 3 University <strong>of</strong> Michigan,<br />

Ann Arbor, MI, United States.<br />

Genome-wide association (GWA) studies have identified multiple new<br />

loci at which common variants modestly but reproducibly contribute to<br />

risk <strong>of</strong> type 2 diabetes (T2D) . However, established variants, common<br />

and rare, explain only a small proportion <strong>of</strong> the heritability <strong>of</strong> T2D . To<br />

increase the power to discover alleles <strong>of</strong> modest effect, we performed

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