Use of Homozygosity Mapping to Identify a Region on Chromosome 1 Bearing a Defective Gene That Causes Autosomal Recessive Homozygous Hypercholesterolemia.

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Use of Homozygosity Mapping to Identify a Region on Chromosome 1 Bearing a Defective Gene That Causes Autosomal Recessive Homozygous Hypercholesterolemia in Two Unrelated Families  Emily R. Eden, Rossitza P. Naoumova, Jemima J. Burden, Mark I. McCarthy, Anne K. Soutar  The American Journal of Human Genetics  Volume 68, Issue 3, Pages 653-660 (March 2001) DOI: 10.1086/318795 Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 1 Pedigrees of families with autosomal recessive hypercholesterolemia not caused by mutations in the LDL-receptor gene. The pretreatment plasma cholesterol concentration (mM/l) of each individual is indicated below each symbol; the plasma cholesterol level for individual 14 in pedigree 1 was reported to be in the normal range. Symbols enclosing dotted lines indicate affected individuals, and symbols containing numbers indicate individuals who were included in the genetic analysis. Arrows indicate probands. The American Journal of Human Genetics 2001 68, 653-660DOI: (10.1086/318795) Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 2 Haplotypes for the region of homozygosity on chromosome 1p36-35. Haplotypes for individuals in pedigrees 1 and 2, with the affected individuals shown as filled symbols, were as constructed by GENEHUNTER (Kruglyak and Lander 1995); the approximate genetic distances between the markers were taken from the Généthon human linkage map (Dib et al. 1996) or from the LDB. Markers accompanied by an asterisk (*) were taken from the LDB and are shown on the left of the markers. Boxes indicate the region of homozygosity in affected individuals. Also indicated is the region on chromosome 1p32 that has been mapped in pedigrees with autosomal dominant hypercholesterolemia (Hunt et al. 2000; Varret el al. 1999). The American Journal of Human Genetics 2001 68, 653-660DOI: (10.1086/318795) Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 3 Linkage of the defect to chromosome 1p36-1p35. Parametric LOD scores for linkage on chromosome 1 were determined by GENEHUNTER (Kruglyak and Lander 1995), under an autosomal recessive model of inheritance in which it was assumed that the disease phenotype was 98% penetrant and that the disease-gene frequency was .002. Pedigree 1, solid line; pedigree 2, dashed line. Individuals 15, 16, and 18 in pedigree 1 could not be included because of the constraints of the software. The American Journal of Human Genetics 2001 68, 653-660DOI: (10.1086/318795) Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 4 Combined LOD scores obtained in a genomewide screen with polymorphic markers in pedigrees 1 and 2. A genomewide screen, with markers located at ∼8-cM intervals, was performed for the individuals as indicated in figure 1. Combined LOD scores were determined by GENEHUNTER analysis, but individuals 15, 16, and 18 in pedigree 1 could not be included because of the limitations of the software. The linkage analyses were performed under an autosomal recessive model of inheritance in which it was assumed that the disease phenotype was 98% penetrant and that the disease gene frequency was .002. The American Journal of Human Genetics 2001 68, 653-660DOI: (10.1086/318795) Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 5 Exclusion of homozygosity in pedigrees 1 and 2 on chromosome 15q25-q26. Genotyping was performed with markers spanning a region on chromosome 15 that has recently been mapped in Sardinian families with a variant form of inherited autosomal recessive hypercholesterolemia (Ciccarese et al. 2000); the markers that delineate the 16-cM region of linkage on 15q25-q26 in that study are underlined. X indicates recombination events. The American Journal of Human Genetics 2001 68, 653-660DOI: (10.1086/318795) Copyright © 2001 The American Society of Human Genetics Terms and Conditions