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

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Genetic analysis, linkage, and association<br />

that carrying of particular mtDNA haplogroup may have some impact<br />

on energetic processes and may be a predisposition factor for arterial<br />

hypertension and its complications. The work was supported by partial<br />

support of Russian Foundation for Basic research (RFBR) grants 04-<br />

04-48792, 04-04-48732, 06-04-08326.<br />

P1033. Mitochondrial DNA depletion syndrome<br />

S. Seneca 1 , I. Liebaers 1 , L. Van Haute 1 , R. Van Coster 2 , J. Smet 2 , G. Van<br />

Goethem 3 , A. Löfgren 4 , J. Jaeken 5 , M. Nassogne 6 , B. François 7 , L. Diogo 8 , W.<br />

Lissens 1 , A. Meulemans 1 , L. De Meirleir 9 ;<br />

1 UZ Brussel, Center for Medical <strong>Genetics</strong>, Brussels, Belgium, 2 UGent, Pediatric<br />

Neurology & Metabolism, Ghent, Belgium, 3 University of Antwerp, Department<br />

of Neurology and Neuromuscular Reference Center, Antwerp, Belgium, 4 University<br />

of Antwerp, Department of Molecular <strong>Genetics</strong>-VIB, Antwerp, Belgium,<br />

5 University of Leuven, Department of Pediatrics, Leuven, Belgium, 6 Saint-Luc<br />

Academic Hospital, Departments of Pediatrics, Brussels, Belgium, 7 Clinique de<br />

l’Espérance, Pinocchio Centre, Montegnée, Belgium, 8 Hospital Pediatrico, Unidade<br />

de Doenças Metabolicas, Coimbra, Portugal, 9 UZ Brussel, Department of<br />

Pediatric Neurology, Brussels, Belgium.<br />

The mitochondrial genome (mt) is a small (<strong>16</strong>.5kb) DNA molecule that<br />

is normally present in multiple copies in individual mitochondria. MtDNA<br />

depletion syndrome (MDDS) is a recently recognized disorder involving<br />

a quantitative defect of mtDNA, that is inherited in an autosomalrecessive<br />

mode. The patients are born after an uneventful pregnancy<br />

and often normal at birth, but deteriorate in the neonatal period or early<br />

childhood. There are two main clinical presentations : myopathic and<br />

hepatocerebral. In the first group children usually present with devasting<br />

myopathy and neurological abnormalities. In the second condition<br />

patients suffer from early progressive hepatic failure with hypotonia,<br />

hypoglycaemia, lactic acidosis and progressive neurodegeneration as<br />

described in Alpers syndrome. We used real-time PCR techniques to<br />

quantify the level of mtDNA in fibroblast, blood, and muscle or liver tissue<br />

of patients suspected clinically and on the basis of the biochemical<br />

data. Of all patients clinical presentation of MDDS, mtDNA depletion<br />

was documented in ten. Molecular analysis of known nuclear mutant<br />

genes was undertaken and the exons of the TK2, DGUOK and polG<br />

genes were sequenced. In two patients DGUOK gene mutations were<br />

revealed, while in four other patients recessive polG mutations were<br />

seen. It is known that mutations in these genes count only for a fraction<br />

of MDDS cases. Recently mutations in two other nuclear genes,<br />

SUCLA and MPV17, segregating with mtDNA depletion were identified<br />

in patients with MDDS.<br />

P1034. Myosin IXB: Initial evidence for association to multiple<br />

sclerosis in Finnish MS study sample<br />

A. Kemppinen 1,2 , M. Daly 3 , A. Palotie 4 , J. Saarela 1,2 , L. Peltonen 1,2 ;<br />

1 Dept of Molecular Medicine, National Public Health Institute, Helsinki, Finland,<br />

2 Research Program in Molecular Medicine at Biomedicum Helsinki, Helsinki,<br />

Finland, 3 Medical and Population <strong>Genetics</strong> Program, Broad Institute of MIT<br />

and Harvard, Cambridge, MA, United States, 4 Finnish Genome Center, Univ of<br />

Helsinki, Helsinki, Finland.<br />

Multiple sclerosis (MS) is a chronic inflammatory disease with a distinct<br />

autoimmune component affecting the myelin of CNS. Our group<br />

has previously identified MS-associated allelic haplotypes of the gene<br />

encoding protein kinase C alpha (PRKCA) in Finnish and Canadian<br />

populations. In vitro evidence suggests that PRKCA is a downstream<br />

target of RhoA in a pathway regulating blood brain barrier permeability.<br />

In this pathway, RhoA is regulated by myosin IX class proteins,<br />

of which MYO9B was recently associated with two autoimmune diseases,<br />

celiac disease and inflammatory bowel disease.<br />

We genotyped 21 single nucleotide polymorphisms (SNPs), covering<br />

the MYO9B gene, in the nationwide collection of 970 Finnish MS families.<br />

Two SNPs (rs17533945 and rs12986130), located 22 kb apart<br />

in introns 2 and 10, provided evidence for linkage (Pseudomarker,<br />

Linkage p-values 0,0004 and 0,001, respectively). rs12986130 also<br />

showed evidence for association assuming linkage in a set of families<br />

stratified based on the PRKCA haplotype (Pseudomarker LD assuming<br />

Linkage p-value 0,001; Gamete competition p-value 0,002).<br />

The results lend support to our hypotheses that PRKCA and MYO9B<br />

may operate in the same biological pathway, potentially relevant for<br />

the disease pathogenesis of MS. The replication effort is ongoing in<br />

217 MS trios and 3000 case-control samples from Denmark, Sweden<br />

and Norway.<br />

P1035. Sequencing: a time consuming but robust highway to<br />

multifactorial diseases associated polymorphisms<br />

I. Cournu-Rebeix1 , M. C. Babron2 , E. Genin2 , L. Guillot-Noël1 , F. Clerget-Darpoux2<br />

, B. Fontaine1,3 ;<br />

1 2 INSERM UMRS546, Paris, France, INSERM UMRS535, Villejuif, France,<br />

3Univ P et M Curie, Paris, France.<br />

The HapMap project has characterized sets of Single Nucleotide polymorphisms<br />

(SNPs) to be picked for disease association studies. However,<br />

divergence of opinion still exists on how to optimise the selection<br />

of markers to capture the genetic variation underlying complex traits.<br />

Cytokine gene polymorphisms are known to influence susceptibility<br />

and disease course of many autoimmune diseases. Interleukin 4 (IL4),<br />

Interleukin 13 (IL13) and their receptor (IL4R) have been partially investigated<br />

as candidate genes for MS by linkage and association studies<br />

with contradictory results.<br />

In order to perform an exhaustive investigation of Il4-IL13 cluster and<br />

IL4R gene polymorphisms in susceptibility to MS we sequenced the<br />

complete region of each gene (promoter, exons and introns), in collaboration<br />

with the National Center of Sequencing (Evry, France) in<br />

128 MS trio families.<br />

Among the 145 SNPs within the IL13-IL4 cluster, 63 were newly identified<br />

by our study. Note that 54 previously reported SNPs were monomorphic<br />

in our sample. Using pairwise linkage disequilibrium (LD) we<br />

determined that 93 SNPs would need to be genotyped to represent<br />

the 145 SNPs with r2=0.8. Concerning IL4R gene, 71 sites were newly<br />

identified, 44 previously reported are not polymorphic in our sample,<br />

leading to a total of 157 SNPs which can be tagged by 74 SNPs.<br />

Comparison with the tags proposed by HapMap is in progress. Preliminary<br />

results show that at least 10 of the 43 common SNPs of the<br />

IL13-IL4 cluster would not have been tagged if markers were selected<br />

based on the HapMap CEU data.<br />

P1036. Investigation of the IL4-IL13/IL4R pathway in French<br />

Multiple Sclerosis patients<br />

M. C. Babron 1,2 , E. Génin 1,2 , I. Cournu-Rebeix 3,4 , H. Perdry 1,2 , F. Clerget-Darpoux<br />

1,2 , B. Fontaine 3,5 ;<br />

1 INSERM U535, Villejuif, France, 2 Univ Paris Sud, Villejuif, France, 3 INSERM<br />

U546, Paris, France, 4 Univ Pierre et Marie Curie 6, Paris, France, 5 Fédération<br />

de Neurologie- Hop de la Pitié-Salpêtrière, Paris, France.<br />

Multiple Sclerosis (MS) is a multifactorial disease, in which genetic<br />

and environmental factors intervene. Apart from HLA, little is known<br />

on the other genetic factors involved. Two genome scans [Broadley et<br />

al, 2001; Babron et al, 2004] suggested the presence of a risk factor in<br />

the chromosomal region 5q31. The location of the IL4 and IL13 genes,<br />

coding for cytokines involved in the immune response, in this region<br />

makes them good candidates for susceptibility to MS. Previous studies<br />

on type I diabetes, another autoimmune disease have suggested<br />

interactions between IL4/IL13 and their receptor IL4R [Bugawan et al,<br />

2003].<br />

We investigated the role of this pathway in a sample of 124 French<br />

trios (an affected child and his two parents). Sequencing of all the individuals<br />

allowed identification of a total of 249 SNPS. Among them,<br />

14, 23 and 86 for IL13, IL4 and IL4R, respectively, had a minor allele<br />

frequency greater than 1%. None of these, taken individually, showed<br />

significant association with MS.<br />

However, in multifactorial diseases such as MS, combinations of two<br />

or more variants in the same pathway may be involved. Thus, as proposed<br />

by Jannot et al [2003], we investigated combinations of two<br />

variants, one in IL4 or IL13 and one in IL4R. Among the 32<strong>19</strong> combinations<br />

tested, 12 were significant at the nominal 1% level, and were<br />

more significant than each SNP analysed separately. These combinations<br />

will need to be tested in independent samples for replication.<br />

We thank REFGENSEP for data sharing and ARSEP for funding.<br />

P1037. A Multiple Imputation approach to test the role of<br />

the CD28-CTLA4-ICOS gene cluster in Multiple Sclerosis<br />

susceptibility<br />

P. Croiseau 1,2 , M. Alizadeh 3 , M. Babron 2,1 , F. Clerget-Darpoux 2,1 , G. Semana 3 ,<br />

E. Génin 2,1 ;<br />

1 Univ Paris-Sud, UMR-S535, Villejuif, F-94817, France, 2 INSERM, Villejuif, F-<br />

94817, France, 3 UPRES EA 1257, Faculté de médecine, Rennes, France.<br />

Genes involved in Multiple Sclerosis (MS) are difficult to identify because<br />

of their small effect and their possible interaction with other<br />

2

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