Sander T, Kretz R, Schulz H, Sailer U, Bauer G, Scaramelli A, Epplen J T, Riess O, Janz D
Department of Neurology, Virchow Clinic, Humbolt University, Berlin, Germany.
Epilepsia. 1998 Jul;39(7):715-20. doi: 10.1111/j.1528-1157.1998.tb01156.x.
The present replication study was designed to test the validity of a previously mapped susceptibility locus (EGI) for common subtypes of idiopathic generalized epilepsy (IGE) in chromosomal region 8q24.
Thirty-eight multiplex families of probands with common IGE syndromes were included in the present study. Parametric and nonparametric multipoint linkage analyses were conducted between the IGE trait (either "idiopathic" generalized seizure or generalized spike-wave EEG discharges) and three microsatellite polymorphisms (D8S256, D8S284, D8S1128) encompassing the putative EGI locus.
Parametric and nonparametric multipoint linkage analysis provided no evidence for linkage between the IGE trait and the markers encompassing the putative EGI locus. Moreover, we noted no indication favoring linkage to this chromosomal region in two distinct subsets of families subdivided by the absence (n = 18) or presence (n = 20) of family members with juvenile myoclonic epilepsy (JME).
We failed to replicate evidence of a major locus (EGI) for common familial IGE in chromosome region 8q24. On the contrary, our present parametric linkage results provide evidence against linkage across the region under a broad range of genetic models. If there is a susceptibility locus for IGE in this region, the effect size or the proportion of linked families is too small to detect linkage in these families. Taking into account the problems in replicating initial linkage claims in oligogenic traits, further linkage studies in additional family sets are necessary to evaluate the validity of the previous linkage finding.
本重复研究旨在检验先前定位的位于染色体8q24区域的特发性全身性癫痫(IGE)常见亚型易感性位点(EGI)的有效性。
本研究纳入了38个患有常见IGE综合征的先证者多重家庭。对IGE性状(“特发性”全身性癫痫发作或全身性棘波脑电图放电)与包含假定EGI位点的三个微卫星多态性(D8S256、D8S284、D8S1128)进行参数化和非参数化多点连锁分析。
参数化和非参数化多点连锁分析均未提供IGE性状与包含假定EGI位点的标记之间存在连锁的证据。此外,在根据是否存在青少年肌阵挛癫痫(JME)家庭成员分为两个不同亚组的家庭中,我们也未发现有迹象表明与该染色体区域存在连锁。
我们未能重复染色体8q24区域存在常见家族性IGE主要位点(EGI)的证据。相反,我们目前的参数化连锁结果提供了证据,反对在广泛的遗传模型下该区域存在连锁。如果该区域存在IGE的易感性位点,其效应大小或连锁家族的比例太小,以至于在这些家庭中无法检测到连锁。考虑到在寡基因性状中重复初始连锁声明存在的问题,有必要在更多家庭组中进行进一步的连锁研究,以评估先前连锁发现的有效性。