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2009 Vienna - European Society of Human Genetics

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Concurrent Sessions<br />

University <strong>of</strong> Washington, Seattle, WA, United States, 8 Department <strong>of</strong> Twin<br />

research & Genetic Epidemiology, King’s College, London, United Kingdom,<br />

9 Institute <strong>of</strong> Biomedical and Clinical Science, Peninsula Medical School, Exter,<br />

United Kingdom, 10 Department <strong>of</strong> Medicine, University <strong>of</strong> Maryland School <strong>of</strong><br />

Medicine, Baltimore, MD, United States, 11 Department <strong>of</strong> Biostatistics University<br />

<strong>of</strong> Washington, Seattle, WA, United States, 12 <strong>Human</strong> <strong>Genetics</strong> Center, University<br />

<strong>of</strong> Texas Health Science Center, Houston, TX, United States, 13 Longitudinal<br />

Studies Section, Clinical Research Branch, Gerontology Research Center,<br />

National Institute on Aging, Baltimore, MD, United States, 14 University <strong>of</strong> Iceland,<br />

Reykjavik, Iceland, 15 Hebrew Senior-Life Institute for Aging Research and<br />

Harvard Medical School, Boston, MA, United States, 16 Department <strong>of</strong> Epidemiology,<br />

University <strong>of</strong> Washington, Seattle, WA, United States, 17 Laboratory<br />

<strong>of</strong> Epidemiology, Demography, and Biometry, Intramural Research Program,<br />

National Institute on Aging, Bethesda, MD, United States, 18 Division <strong>of</strong> Epidemiology<br />

and Community Health, School <strong>of</strong> Public Health, University <strong>of</strong> Minnesota,<br />

Minneapolis, MN, United States, 19 Department <strong>of</strong> Biostatistics, Boston University<br />

School <strong>of</strong> Public Health, Boston, MA, United States.<br />

Menopause, defined by the cessation <strong>of</strong> the menstrual cycle due to<br />

depletion <strong>of</strong> the follicle pool, influences a woman’s well-being and is an<br />

important risk factor for several major age-related diseases including<br />

cardiovascular diseases, osteoarthritis and osteoporosis. The heritability<br />

<strong>of</strong> age at natural menopause is estimated to be ~60%, suggesting a<br />

strong genetic component. While few candidate gene polymorphisms<br />

are associated with age at menopause, the genetic risk factors are<br />

largely unknown.<br />

We conducted a meta-analysis <strong>of</strong> genome-wide association studies<br />

with >2,500,000 SNPs for age at natural menopause in 10,399 postmenopausal<br />

Caucasian women from 9 population-based cohorts.<br />

We identified 20 SNPs on chromosome 19q13.4 and chromosome<br />

20p12.3 that reached genome-wide significance (p-value < 5*10-8).<br />

The chromosome 19 SNPs are located on the same locus in BRSK1<br />

and LOC284417, the most significant SNP is associated with 0.47<br />

year earlier menopause per allele copy (SE: 0.05, p-value 1.9*10-18).<br />

BRSK1 is a brain-specific serine-threonine kinase, for which no link<br />

with menopause could be established. The top hit on chromosome<br />

20 is located in MCM8, and is associated with an 0.89 year earlier<br />

menopause per copy <strong>of</strong> the minor allele (SE: 0.11, p-value: 2.2*10-15).<br />

MCM8 is expressed in mouse ovaries and is involved in DNA replication.<br />

No other loci reached genome-wide significance.<br />

Our results provide evidence for common genetic variants regulating<br />

the timing <strong>of</strong> ovarian aging although the precise mechanisms are unknown.<br />

Additional studies are warranted to identify the causal variants<br />

at these loci and to characterize their functional significance.<br />

c10.4<br />

Genome-wide association scan for bilirubin levels in a sardinian<br />

population<br />

S. Sanna 1 , F. Busonero 1 , A. Maschio 1 , P. F. McArdle 2 , G. Usala 1 , M. Dei 1 , S.<br />

Lai 1 , A. Mulas 1 , M. Piras 1 , L. Perseu 1 , M. Masala 1 , M. Marongiu 1 , L. Crisponi 1 , S.<br />

Naitza 1 , R. Galanello 3 , G. R. Abecasis 4 , A. R. Shuldiner 5,2 , D. Schlessinger 6 , A.<br />

Cao 1 , M. Uda 1 ;<br />

1 Istituto di Neurogenetica e Neur<strong>of</strong>armacologia, CNR, Monserrato, Italy,<br />

2 Division <strong>of</strong> Endocrinology, Diabetes and Nutrition, University <strong>of</strong> Maryland<br />

School <strong>of</strong> Medicine, Baltimore, MD, United States, 3 Clinica Pediatrica, Ospedale<br />

Regionale delle Microcitemie, Dipartimento di Scienze Biomediche e<br />

Biotecnologie,Università degli Studi di Cagliari, Cagliari, Italy, 4 Center for Statistical<br />

<strong>Genetics</strong>, Department <strong>of</strong> Biostatistics, University <strong>of</strong> Michigan, Ann Arbor,<br />

MI, United States, 5 Geriatric Research and Education Clinical Center, Veterans<br />

Administration Medical Center, Baltimore, MD, United States, 6 Laboratory <strong>of</strong><br />

<strong>Genetics</strong>, National Institute on Aging, Baltimore, MD, United States.<br />

Bilirubin is the final product <strong>of</strong> heme degradation. Unconjugated bilirubin<br />

is transported into hepatocytes, where it is glucuronidated by<br />

UGT1A1 and secreted into the bile canaliculi in its conjugated form.<br />

Recent studies have shown that elevated bilirubin levels in adults are<br />

inversely associated with the risk <strong>of</strong> developing coronary artery disease<br />

and directly with gallstones, while unconjugated hyperbilirubinemia<br />

may be associated with susceptibility to drug toxicity. The genetic factors<br />

so far identified cannot fully explain the trait heritability, estimated<br />

to be around 45%. To identify additional loci, we conducted a genomewide<br />

association scan (GWAS) in 4300 Sardinians from the SardiNIA<br />

project, genotyped using the Affymetrix 500K and 10K Arrays, and<br />

evaluated the additive effect <strong>of</strong> 362,129 SNPs that passed quality control<br />

tests. The GWAS results revealed, in addition to two known loci,<br />

UGT1A1 (p=6.2x10 -62 ) and G6PD (p=2.5x10 -8 ), a strong association on<br />

chromosome 12p12.2 (p=3.9x10 -9 ). The findings were replicated in an<br />

independent sample <strong>of</strong> 1860 Sardinians and in 832 Amish individuals<br />

from the HAPI Heart Study (overall pvalue

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