Bai Dongsheng, Alonso Maria E, Medina Marco T, Bailey Julia N, Morita Ryoji, Cordova Sergio, Rasmussen Astrid, Ramos-Peek Jaime, Ochoa Adriana, Jara Aurelio, Donnadieu Francisco R, Cadena Gilbert, Yamakawa Kazuhiro, Delgado-Escueta Antonio V
Epilepsy Genetics/Genomics Lab, Comprehensive Epilepsy Program/UCLA, Los Angeles, California, USA.
Am J Med Genet. 2002 Dec 1;113(3):268-74. doi: 10.1002/ajmg.10724.
Juvenile myoclonic epilepsy is a common subtype of idiopathic epilepsy accounting for 4-11% of all epilepsies. We reported previously significant evidence of linkage between chromosome 6p12-11 microsatellites and the clinical epilepsy and EEG traits of JME families from Belize and Los Angeles. To narrow the JME region, we ascertained and genotyped 31 new JME families from Mexico using a later generation of Généthon microsatellites. Two point linkage analyses obtained significant Z(max) values of 3.70 for D6S1573 and 2.65 for D6S1714 at theta(m = f) = 0.10, and 3.49 for D6S465, 2.11 for D6S1960 at theta(m = f) = 0.05 assuming autosomal dominant inheritance with 70% age-dependent penetrance. Multipoint LOD score curve peaked at 4.21 for D6S1573. Haplotype and recombination analysis reduced the JME region to 3.5 cM flanked by D6S272 and D6S1573. These results provide confirmatory evidence that a major susceptibility gene for JME exists in chromosome 6p12 in Spanish-Amerinds of Mexico.
青少年肌阵挛性癫痫是特发性癫痫的一种常见亚型,占所有癫痫病例的4%-11%。我们之前报道过,来自伯利兹和洛杉矶的青少年肌阵挛性癫痫(JME)家系中,6号染色体p12-11微卫星与临床癫痫及脑电图特征之间存在显著的连锁证据。为了缩小JME相关区域,我们使用新一代的Généthon微卫星对来自墨西哥的31个新的JME家系进行了确定和基因分型。两点连锁分析显示,在假设常染色体显性遗传且年龄依赖性外显率为70%的情况下,对于D6S1573,在θ(m = f) = 0.10时Z(max)值为3.70;对于D6S1714,在θ(m = f) = 0.10时Z(max)值为2.65;对于D6S465,在θ(m = f) = 0.05时Z(max)值为3.49;对于D6S1960,在θ(m = f) = 0.05时Z(max)值为2.11。多点LOD评分曲线在D6S1573处达到峰值4.21。单倍型和重组分析将JME相关区域缩小至3.5厘摩,两侧分别为D6S272和D6S1573。这些结果提供了确凿证据,表明在墨西哥的西班牙裔美洲印第安人中,6号染色体p12区域存在一个JME的主要易感基因。