Human Genetics

, Volume 120, Issue 6, pp 847–856

Sequence variant in the laminin γ1 (LAMC1) gene associated with familial pelvic organ prolapse

Authors

  • Ganka Nikolova
    • Department of Human GeneticsUniversity of California
  • Hane Lee
    • Department of Human GeneticsUniversity of California
  • Suzanne Berkovitz
    • Department of Human GeneticsUniversity of California
  • Stanley Nelson
    • Department of Human GeneticsUniversity of California
  • Janet Sinsheimer
    • Department of Human GeneticsUniversity of California
    • Department of BiomathematicsUniversity of California
    • Department of Human GeneticsUniversity of California
    • Department of PediatricsUniversity of California
    • Department of UrologyUniversity of California
  • Larissa V. Rodríguez
    • Department of UrologyUniversity of California
Original Investigation

DOI: 10.1007/s00439-006-0267-1

Cite this article as:
Nikolova, G., Lee, H., Berkovitz, S. et al. Hum Genet (2007) 120: 847. doi:10.1007/s00439-006-0267-1

Abstract

Pelvic organ prolapse is a common condition, affecting up to a third of women throughout their lifetime. Genetic factors are believed to account for about 30% of the incidence, and are the least understood component of the disorder. Familial cases, particularly those in which prolapse manifests in young women, are especially valuable in the effort to find the genes involved. We recently reported autosomal dominant transmission as the most likely mode of inheritance, based on a collection of families with high incidence of prolapse. Of greatest interest was a family in which three generations of female relatives suffered from prolapse at a very young age. A genome-wide linkage scan performed using the Affymetrix GeneChip Human mapping 10K array identified ten regions with a LOD score of 1.5, the maximum possible for this family. Candidate genes within those regions were analyzed for expression in vaginal tissue by RT-PCR. Of the genes confirmed to be expressed, LAMC1 was further evaluated by sequencing and select single nucleotide polymorphism (SNP) genotyping for causative sequence variants in affected family members. We identified one such SNP, rs10911193. The rare T variant segregating with the condition is present at a frequency of 4.9% in the general population and 22% among probands from our cohort of families. It affects the binding site for NFIL3, a transcription factor that we verified to be co-expressed in vaginal tissue. Altogether these data suggest that a polymorphism in the promoter of LAMC1 may increase the susceptibility to early-onset pelvic organ prolapse.

Copyright information

© Springer-Verlag 2006