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European Human Genetics Conference 2007 June 16 – 19, 2007 ...

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Genetic analysis, linkage, and association<br />

P0966. Novel gene loci for the Enlarged Vestibular Aqueduct<br />

Syndrome<br />

R. Birkenhäger, K. Jaekel, R. Laszig, A. Aschendorff;<br />

University, Freiburg, Germany.<br />

Background: Enlarged Vestibular Aqueduct Syndrome (EVA-Syndrome)<br />

(MIM 603545) is the most common form of congenital inner<br />

ear abnormality seen in radiological assessment, associated with sensorineural<br />

hearing impairment or syndromic forms of deafness such<br />

as Pendred syndrome (MIM 274600). Up to now only mutations in<br />

the SLC26A4 gene, located on Chromosome 7q31, have been made<br />

responsible for Pendred- and EVA-Syndrome. This gene product, a<br />

transporter of iodide and chloride, is called pendrin. In this study we<br />

analyzed 64 patients with EVA and hearing loss to distinguish between<br />

the Pendred- and EVA-syndrome.<br />

Methods: Individual exon and intron transitions of the SLC26A4 gene<br />

of patients were PCR amplified. Direct automatic sequencing of variant<br />

fragments was performed with the same primers. A genome-wide<br />

linkage analysis was accomplished using the Affymetrix 10K/50K XbaI<br />

SNP GeneChip® mapping array.<br />

Results: In the analysed patient collective with Pendred syndrome<br />

and/or enlargement of the vestibular aqueduct, a total of eighteen<br />

SCL26A4 mutations were detected. A mutation could not be detected<br />

in 36 % of the cases. With a genomewide linkage analysis, of these<br />

families, using SNP technology, it was possible to identify potential<br />

new gene loci for the EVA-Syndrome.<br />

Conclusions: The novel gene loci will be analyzed for additional genes<br />

involved in the development of the EVA-Syndrome. Our results indicate<br />

evidences of a accessory gene for this Syndrome.<br />

P0967. Clinical and genetic familial study of 61 children showing<br />

different epileptic phenotypes<br />

R. Combi 1 , S. Redaelli 2 , D. Grioni 3 , M. Contri 2,3 , D. Barisani 4 , M. L. Lavitrano 5 ,<br />

G. Tredici 2 , M. L. Tenchini 6 , M. Bertolini 2,3 , L. Dalprà 2 ;<br />

1 Dept. Biotechnologies and Biosciences, University of Milano-Bicocca, Milano,<br />

Italy, 2 Dept. Neurosciences and Biomedical Technologies, University of Milano-<br />

Bicocca, Monza, Italy, 3 Infantile Neuropsychiatry Clinic, S Gerardo Hospital,<br />

Monza, Italy, 4 Dept. Experimental Medicine, University of Milano-Bicocca, Monza,<br />

Italy, 5 Dept. of Surgical Sciences and Intensive Therapy, University of Milano-Bicocca,<br />

Monza, Italy, 6 Dept. Biology and <strong>Genetics</strong> for Medical Sciences,<br />

University of Milano, Milano, Italy.<br />

During the last 10 years many advances in the genetics of epilepsies<br />

have been done. In particular, several mutations have been detected<br />

in genes encoding ion-channels, suggesting that epilepsies are “channelopathies”.<br />

Nevertheless, the genetic basis of idiopathic epilepsies<br />

remain unknown for a large number of cases and the genetic transmission<br />

of these diseases appear to be “complex” because of the great<br />

genetic heterogeneity and the coexistence of different epileptic types<br />

in each familial cluster. Moreover, in different epilepsies, mutations in<br />

the same gene have been reported.<br />

We performed a clinical and genetic study on 60 Italian families (61<br />

probands) showing idiopathic epilepsies by sequencing DNA regions<br />

previously associated to epilepsies in order to collect data on the type<br />

and frequency of ion channel mutations. Partial epilepsies represented<br />

28% of the sample, whereas the remaining 72% was constituted by<br />

generalised epilepsies, subdivided in myoclonic (JME, BMEI, MAE,<br />

SMEI) and non-myoclonic (GEFS+, GTCS, CAE, FS) epilepsies.<br />

We observed a genetic complexity in all phenotype groups: any epileptic<br />

type may be transmitted in either an autosomal dominant or a recessive<br />

manner, and furthermore even within a single family, epilepsy<br />

can be transmitted in either manner.<br />

No significant phenotype identity among generations was observed.<br />

Moreover, we found an excess of transmitting mothers but no differences<br />

in the sex of children, suggesting a possible role of mitochondria<br />

in the disease pathogenesis. The frequency of known mutations in the<br />

analyzed regions resulted very low, while a new missense mutation in<br />

SCN1A was identified in one subject.<br />

P0968. The analysis of association of six polymorphisms with<br />

development of ESRD in Romanian population - a preliminary<br />

report<br />

D. Cimponeriu 1 , P. Apostol 2 , D. Ungureanu 3 , C. Moldovan 3 , A. Craciun 1 , C. Serafinceanu<br />

1 , D. Usurelu 2 , M. Stavarachi 2 , M. Toma 2 , L. Cherry 1 , L. Dumitrescu 2 ,<br />

P. Cimponeriu 1 , L. Gavrila 2 ;<br />

1 2 N Paulescu Institute, Bucharest, Romania, Institute of <strong>Genetics</strong>, Bucharest,<br />

Romania, 3Titu Maiorescu University, Bucharest, Romania.<br />

Diabetic nephropathy is the leading cause of ESRD. The literature<br />

suggests that genetic predisposition to ESRD is very complex.<br />

In this study we assessed the association of six polymorphisms with<br />

ESRD in Caucasian subjects from South part of Romania.<br />

We analyzed blood samples from unrelated dialyzed patients (etiology:<br />

T1DM: 83, T2DM: 87, chronic glomerulonephritis: 84) and healthy controls<br />

(n=494). Six genes polymorphisms associated with extracellular<br />

matrix proliferation (HSPG BamH1, TGF-beta-509C/T) or regulation<br />

of blood flow and vascular function (ACE ID, AGTR1, eNOS, MTHFR)<br />

were genotyped by PCR or PCR - RFLP. Genotype distribution for both<br />

cases and controls is in respect with Hardy-Weinberg equilibrium for<br />

all studied polymorphisms.<br />

Our results showed that eNOS ID polymorphism increases the risk<br />

for ESRD in all groups. The highest value was observed in T1DM patients<br />

(OR :3.9844, CI95%:1.9<strong>19</strong>8

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