Abstract
Basal Cell Nevus Syndrome (BCNS) is an autosomal dominant disease. PTCH1 gene mutations have been found responsible in many but not all pedigrees. Inflammatory Bowel Disease (IBD) is a complex genetic disorder, disproportionate in Ashkenazim, and characterized by chronic intestinal inflammation. We revisited a large Ashkenazim pedigree, first reported in 1968, with multiple diagnoses of BCNS and IBD, and with a common genetic cause for both disorders proposed. We expanded the pedigree to four generations and performed a genome-wide linkage study for BCNS and IBD traits. Twelve members with BCNS, seven with IBD, five with both diagnoses and eight unaffected were genotyped. Both non-parametric (GENEHUNTER 2.1) and parametric (FASTLINK) linkage analyses were performed and a validation through simulation was performed. BCNS linked to chromosome 9q22 (D9S1120) just proximal to the PTCH1 gene (NPL=3.26, P=0.003; parametric two-point LOD=2.4, parametric multipoint LOD=3.7). Novel IBD linkage evidence was observed at chromosome 1p13 (D1S420, NPL 3.92, P=0.0047; parametric two-point LOD=1.9). Linkage evidence was also observed to previously reported IBD loci on 4q, (D4S2623, NPL 3.02, P=0.012; parametric two-point LOD=2.15), 10q23 (D10S1225 near DLG5, NPL 3.33, P=0.0085; parametric two-point LOD=1.3), 12 overlapping the IBD2 locus (D12S313, NPL 2.6, P=0.018; parametric two-point LOD=1.52), and 7q (D7S510 and D7S3046, NPL 4.06, P=0.0035; parametric two-point LOD=2.18). In this pedigree affected by both BCNS and IBD, the two traits and their respective candidate genetic loci segregate independently; BCNS maps to the PTCH1 gene and IBD maps to several candidate regions, mostly overlapping previously observed IBD loci.
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Acknowledgements
We would like to thank all the participating family members for their time and engagement to enhance our understanding of the etiology of IBD and BCNS. We thank Dr. Patrick Rohal and Mr. Franklin Nouvet for technical and recruitment assistance. We thank Dr Ethylin Wang Jabs for her critical review of the manuscript. This study was funded in part by National Institutes of Health Grants R01DK58189 (C.I.P, S.R.B.) and RR00052 (S.R.B.), The Harvey M. and Lyn P. Meyerhoff IBD Center (A.S.K., T.M.B., and S.R.B.); Israeli Society of Gastroenterology (A.S.K.), the Mammalian Genotyping Service (National Heart, Lung, and Blood Institute) (RHD), and the Stewart W. Bainum family (S.R.B.).
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Carolien I. Panhuysen and Amir Karban contributed equally to this work
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Panhuysen, C.I., Karban, A., Knodle Manning, A. et al. Identification of genetic loci for basal cell nevus syndrome and inflammatory bowel disease in a single large pedigree. Hum Genet 120, 31–41 (2006). https://doi.org/10.1007/s00439-006-0163-8
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DOI: https://doi.org/10.1007/s00439-006-0163-8