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抽动秽语综合征的全基因组连锁扫描

Genome scan for linkage to Gilles de la Tourette syndrome.

作者信息

Barr C L, Wigg K G, Pakstis A J, Kurlan R, Pauls D, Kidd K K, Tsui L C, Sandor P

机构信息

Department of Psychiatry, Toronto Hospital Western Division, Toronto, Ontario, Canada.

出版信息

Am J Med Genet. 1999 Aug 20;88(4):437-45. doi: 10.1002/(sici)1096-8628(19990820)88:4<437::aid-ajmg24>3.0.co;2-e.

Abstract

Gilles de la Tourette Syndrome (TS) is a neuropsychiatric disorder characterized by both motor and vocal tics. Despite clear evidence for a genetic predisposition to TS from family, twin, and adoption studies, there have been no confirmed linkage findings. In this article we test for linkage to TS in multigenerational families segregating TS using a panel of 386 markers with the largest interval between any two markers being 28 cM and an average distance between markers of 10 cM. We tested for linkage using an autosomal dominant model with reduced penetrance and using nonparametric methods. No significant evidence for linkage was found with parametric analysis. A logarithm of the odds (LOD) score of greater or equal to one under the autosomal dominant model was observed in 24 of these markers in at least one of the families tested. No LOD scores greater than two were observed with any of the markers. For the nonparametric analysis, eight markers were observed with a P-value less than 0.00005 for significance evidence of linkage in at least one family. However caution should be used in the interpretation of the nonparametric analyses as this statistic (the affected-pedigree-member method) is know to have a high false-positive rate. Further support for linkage in these regions is required before linkage can be assumed.

摘要

抽动秽语综合征(TS)是一种神经精神障碍,其特征为运动性和发声性抽动。尽管家族、双胞胎和收养研究都有明确证据表明TS存在遗传易感性,但尚未有得到确认的连锁研究结果。在本文中,我们使用一组386个标记对多个世代中患有TS的家族进行TS连锁检测,任意两个标记之间的最大间距为28厘摩(cM),标记之间的平均距离为10 cM。我们采用显性遗传模型(外显率降低)和非参数方法进行连锁检测。参数分析未发现显著的连锁证据。在所检测的家族中,至少有一个家族的24个标记在常染色体显性模型下观察到对数优势(LOD)分数大于或等于1。未观察到任何标记的LOD分数大于2。对于非参数分析,在至少一个家族中观察到8个标记的P值小于0.00005,表明存在连锁的显著证据。然而,在解释非参数分析结果时应谨慎,因为已知该统计方法(患病家系成员法)具有较高的假阳性率。在假定存在连锁之前,需要对这些区域的连锁进行进一步支持性研究。

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