Evidence of genetic heterogeneity in the long QT syndrome.
Evidence of genetic heterogeneity in the long QT syndrome.
复制标题
长 QT 综合征遗传异质性的证据。
DOI:
10.1126/science.8316839
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发表时间:
1993
期刊:
影响因子:
--
通讯作者:
Kerem,BS
中科院分区:
文献类型:
--
作者:
Benhorin,J;Kalman,YM;Medina,A;Towbin,J;Rave-Harel,N;Dyer,TD;Blangero,J;MacCluer,JW;Kerem,BS
0 Fig. 2. Profile lod functions for linkage of H-ras-1 to LOT. Bottom curve shows lod scores from combined linkage and segregation analy-sis (0= 0.494). Top curve shows lod scores from conventional linkage analysis (8= 0.500). completely dominant allele (7). We used this major locus and the H-ras-1 marker in a combined linkage and segregation analysis. This analysis (Fig. 2, bottom curve) shows that the major LQT locus is not tightly linked to H-ras-1 for the family in our study. The best estimate of the recombination fraction is 0.494, which is close to the value of0. 50 that corresponds to no linkage. Linkage can be excluded fore< 0.13 by conventional exclusion criteria (lod score of-2.0, which corresponds to a P value of 0.0024) or for 0< 0.23 by chi-square with P= 0.05. Second, for comparison with the results of Keating et al.(3), we performed conventional linkage analysis using their assumptions (dominant disease allele with a frequency of 0.001 and 0.9 penetrance) and their phenotypic definition. The use of their phenotypic definition, which is slightly different from the definition used by us (Table 1), resulted in a change in the status of 18 individuals from our studied pedigree, 17 from unaffected to equivocal, and one from affected to equivocal. Conventional linkage analysis (Fig. 2, top curve) also excludes linkage to H-ras-1 for 0< 0.095 according to the lod score criterion and yields an estimated recombination fraction of 0.500. Our pedigree differs in several ways from the large Utah pedigree analyzed by Keating et al.(3). One difference is ethnicity; because different Jewish ethnic groups tended to live as relatively isolated populations until recent times, specific genetic defects might be expected in theirgene pool that are different from those in other popula-tions. Second, in the Israeli pedigree there are several consanguineous marriages. Although inbreeding creates a computational burden for linkageanalysis, we were able to retain four of the five inbreeding loops in the pedigree. Only one inbreeding loop, in the third generation, has been broken. The major consequence of not accounting for