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Research Report 2000 - MDC

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Twin studies as a strategy to<br />

identify quantitative trait loci<br />

Andreas Busjahn and Hans-Dieter<br />

Faulhaber have recruited over 200<br />

pairs of monozygotic (MZ) and 120<br />

dizygotic (DZ) normotensive young<br />

twins and the parents of the DZ twins.<br />

The subjects were carefully phenotyped<br />

in terms of blood pressure, blood<br />

pressure in response to provocative<br />

maneuvers, psychological testing, and<br />

serum lipid concentrations. The<br />

strategy is to use a standard twin<br />

analysis to determine heritability<br />

estimates and to distinguish between<br />

hereditary and environmental<br />

influences. This allows us to perform<br />

a standard IBD linkage analysis in the<br />

DZ twins and their parents, as well as<br />

association studies in the entire twin<br />

cohort.<br />

With this approach, we recently<br />

identified a series of quantitative trait<br />

loci (QTL) relevant to blood pressure<br />

regulation. The strongest linkage was<br />

found to the IGF-1 gene locus. In<br />

collaboration with Margret Hoehe, we<br />

have gained new insight into the<br />

contribution of the β-2 adrenergic<br />

receptor gene. Margret Hoehe’s team<br />

sequenced the entire β-2 adrenergic<br />

receptor gene in our twin cohort and<br />

found 15 SNPs, including numerous<br />

new mutations. Finally, we have an<br />

active cooperation with Per Lund-<br />

Johansen’s group in Bergen, Norway.<br />

From the Bergen Hypertension Study,<br />

we have genotyped offspring from<br />

two normotensive and hypertensive<br />

parents and have been able to<br />

associate the Arg16->Gly variant to<br />

blood pressure in this cohort.<br />

We have used the QTL approach to<br />

show that the loci for the long QTc<br />

genes, which code for ion channels<br />

and their regulators, are all linked to<br />

electrocardiogram components. The<br />

long QTc syndromes are monogenic<br />

diseases associated with sudden<br />

cardiac death. Showing relevance of<br />

these genes to arrhythmias or risk of<br />

arrhythmias in the general population,<br />

is the first step in identifying common<br />

variants indicating a risk to ventricular<br />

arrhythmia. The topic is also highly<br />

relevant to the tragic sudden infant<br />

death (SID) syndrome. Further studies<br />

are in progress to investigate this<br />

issue.<br />

34<br />

Finally, the twin studies have been<br />

helpful in identifying a new candidate<br />

gene for FCHL. We first looked for<br />

linkage between the loci for the<br />

peroxisome proliferator-activating<br />

protein receptor (PPAR) γ gene and its<br />

binding partner, the retinoid X<br />

receptor (RXR) gene. The former<br />

gene is strongly implicated in the<br />

development of obesity. We found that<br />

the PPAR γ gene locus is linked to<br />

HDL cholesterol and body mass<br />

index. Furthermore, the RXR gene<br />

locus was strongly linked to<br />

triglycerides. Since RXR is located<br />

precisely at the chromosome 1q locus<br />

linked to FCHL, RXR immediately<br />

becomes a very attractive candidate<br />

gene for this condition.<br />

New perspectives<br />

Katrin Hoffmann is studying an<br />

isolated population in Germany,<br />

namely the Sorbs. She has collected<br />

60 families with hypertension and is<br />

in the process of performing a total<br />

genome scan in cooperation with<br />

André Reis. Tom Lindner, who has<br />

collected 350 sibpairs with type 2<br />

diabetes from eastern Germany, joins<br />

the group after a fellowship with<br />

Graeme Bell at the University of<br />

Chicago. He is funded to conduct<br />

family studies involving a cohort of<br />

dialysis patients with type 2 diabetes.<br />

5,0<br />

4,0<br />

3,0<br />

2,0<br />

1,0<br />

0,0<br />

-1,0<br />

-2,0<br />

-3,0<br />

D13S175<br />

LOD<br />

D13S217<br />

D13S171<br />

D13S263<br />

D13S153<br />

D13S1306 D13S789<br />

D13S156<br />

D13S795 D13S1300<br />

D13S794<br />

D13S265<br />

D13S170 D13S271<br />

Figure 18: The results of linkage analysis using<br />

MLB and MLBQTL in the FH pedigree are<br />

shown together with the linkage results for LDL<br />

in the DZ twins (p values transformed into LOD<br />

scores). In the twins, the peak level of<br />

significance was 0.0002, right on marker<br />

D13S1241 (Am J Hum Genet 66, 157-166,<br />

<strong>2000</strong>).<br />

D13S1241 D13S786<br />

D13S129 D13S125 D13S254 D13S154<br />

D13S159<br />

D13S158<br />

D13S173<br />

LOD MLB affected sib pairs<br />

LOD MLB QTL<br />

LOD twins<br />

D13S285

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