Hampe J, Lynch N J, Daniels S, Bridger S, Macpherson A J, Stokkers P, Forbes A, Lennard-Jones J E, Mathew C G, Curran M E, Schreiber S
Ist Medical Department, Christian-Albrechts- University, Kiel, Germany.
Gut. 2001 Feb;48(2):191-7. doi: 10.1136/gut.48.2.191.
Genetic predisposition for inflammatory bowel disease (IBD) has been demonstrated by epidemiological and genetic linkage studies. Genetic linkage of IBD to chromosome 3 has been observed previously. A high density analysis of chromosome 3p was performed to confirm prior linkages and elucidate potential genetic associations.
Forty three microsatellite markers on chromosome 3 were genotyped in 353 affected sibling pairs of North European Caucasian extraction (average marker density 2 cM in the linkage interval). Marker order was defined by genetic and radiation hybrid techniques.
The maximum single point logarithm of odds (LOD) score was observed for Crohn's disease at D3S3591. Peak multipoint LOD scores of 1.65 and 1.40 for the IBD phenotype were observed near D3S1304 (distal 3p) and near D3S1283 in the linkage region previously reported. Crohn's disease contributed predominantly to the linkage. The transmission disequilibrium test showed significant evidence of association (p=0.009) between allele 4 of D3S1076 and the IBD phenotype (51 transmitted v 28 non-transmitted). Two known polymorphisms in the CCR2 and CCR5 genes were analysed, neither of which showed significant association with IBD. Additional haplotype associations were observed in the vicinity of D3S1076.
This study provides confirmatory linkage evidence for an IBD susceptibility locus on chromosome 3p and suggests that CCR2 and CCR5 are unlikely to be major susceptibility loci for IBD. The association findings in this region warrant further investigation.
流行病学和基因连锁研究已证实炎症性肠病(IBD)存在遗传易感性。此前已观察到IBD与3号染色体存在基因连锁。对3p染色体进行了高密度分析,以确认先前的连锁关系并阐明潜在的基因关联。
对353对北欧白种人后裔的患病同胞对进行了3号染色体上43个微卫星标记的基因分型(连锁区间内平均标记密度为2厘摩)。标记顺序通过遗传和辐射杂交技术确定。
在D3S3591处观察到克罗恩病的最大单点对数优势(LOD)得分。在先前报道的连锁区域中,在D3S1304(3p远端)附近和D3S1283附近观察到IBD表型的峰值多点LOD得分分别为1.65和1.40。克罗恩病对连锁的贡献最大。传递不平衡检验显示D3S1076的等位基因4与IBD表型之间存在显著关联证据(p = 0.009)(传递51次对未传递28次)。分析了CCR2和CCR5基因中的两个已知多态性,均未显示与IBD有显著关联。在D3S1076附近观察到其他单倍型关联。
本研究为3p染色体上的IBD易感位点提供了确证性连锁证据,并表明CCR2和CCR5不太可能是IBD的主要易感位点。该区域的关联发现值得进一步研究。