this month in the journal

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Am. J. Hum. Genet. 72:i–ii, 2003 i This Month in the Journal Identification of the Cohen Syndrome Gene, by Kolehmainen et al. (p. 1359) Cohen syndrome is a multifactorial disorder that exhibits phenotypic variability. In Finland, where this syndrome is overrepresented, the phenotype is highly homogeneous and includes microcephaly, developmental delay, retinal dystrophy, intermittent neutropenia, joint laxity, and a characteristic dysmorphic appearance. Kolehmainen et al. find that the homogenous phenotype in this population can be explained by a founder mutation in a novel gene, COH1. Only 1 of 27 Finnish cases did not carry the founder mutation, a 2-bp deletion that leads to premature protein truncation. In addition, one missense and seven truncating COH1 mutations were found in Finnish and non-Finnish people with Cohen syndrome. The COH1 protein is predicted to contain conserved N- and C-ter- minal domains that share homology to the yeast VPS13 protein, which is involved in membrane protein traffick- ing. Also sharing the VPS13 domains is chorein, a protein that is altered in another disorder that includes psycho- motor deficiency and a hematological abnormality, cho- reoacanthocytosis. Although the functions of COH1 and chorein are not yet clear, their homologies to VPS13 im- plicate vesicle-mediated sorting and intracellular protein transport pathways in the development of mental retar- dation syndromes. Icelandic Matrilineal and Patrilineal Genealogies, by Helgason et al. (p. 1370) In anthropological genetic studies, certain assumptions must be made about the evolutionary processes in the populations of interest. Helgason et al. examine the va- lidity of these assumptions by determining how much a real population deviates from the expectations of the standard demographic models. They do this by using the Icelandic genealogy database to calculate demographic parameters that could be compared to the model ex- pectations. Contemporary Icelanders were traced back to two cohorts of ancestors, one born between 1698 and 1742 and one born between 1848 and 1892. Although the Icelandic population increased five-fold during this period, which might be expected to be associated with low levels of genetic drift, the majority of contemporary Icelanders are actually descended from a minority of ancestors. This genetic drift has contributed to the dif- ferences, between Icelanders and their source popula- tions, in terms of their haplotype frequency spectra for 2003 by The American Society of Human Genetics. All rights reserved. 0002-9297/2003/7206-0001$15.00 mtDNA and the Y chromosome. The Icelandic popu- lation also exhibits a faster rate of evolution for mtDNA than for Y haplotypes, and this can be attributed to a shorter matrilineal generation interval. Also contributing to this matrilineal/patrilineal difference is a higher mat- rilineal intergenerational correlation in offspring num- bers and generation intervals. Not only do these results give us insight into the development of the modern pop- ulation of Iceland, they verify that this population de- viates from standard demographic models. This devia- tion has implications for calculations, such as coalescent date estimates, that use these demographic models. Hyperdeletion at Minisatellite MS1, Berg et al. (p. 1436) Studies of minisatellite MS1 instability in yeast have pre- viously suggested that this minisatellite is unusual in that it shows both meiotic and mitotic instability. In order to determine whether this is normally the case in hu- mans, Berg et al. analyzed sperm DNA from men with MS1 allele sizes suitable for analysis. As with other min- isatellites, high levels of germline instability were seen with MS1. This was not the case in blood samples from one of the sperm donors, indicating that, in contrast to the finding in yeast, this instability is restricted to mei- osis. Two classes of instability were seen in the germline; the larger mutational changes appeared to arise by intra- allelic rearrangements that were complex, biased to- wards expansion, and fairly randomly scattered along the alleles. The smaller deletions, on the other hand, were clustered in homogeneous stretches of C-repeats, and the longer the C-repeat, the greater the instability. These results bring up some interesting questions, in- cluding: why are there differences in MS1 instability be- tween yeast and humans? And how do long C-repeat arrays arise if they are prone to deletion? Hand Osteoarthritis and matrilin-3, by Stefa ´ nsson et al. (p. 1448) Stefa ´ nsson et al. suggest the first mutation that may con- tribute to a common form of osteoarthritis. This mis- sense variant in matrilin-3 was identified in a sample of Icelandic families affected by osteoarthritis of the hand. Genome scans yielded the strongest evidence for linkage on chromosome 2, and six genes were located in the region centered on the linkage peak. Included in these is matrilin-3, which shows increased expression in joint cartilage of people with osteoarthritis and which recently has been implicated in multiple epiphyseal dysplasia,

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Page 1: This Month in the Journal

Am. J. Hum. Genet. 72:i–ii, 2003

i

This Month in the JournalIdentification of the Cohen Syndrome Gene, byKolehmainen et al. (p. 1359)

Cohen syndrome is a multifactorial disorder that exhibitsphenotypic variability. In Finland, where this syndromeis overrepresented, the phenotype is highly homogeneousand includes microcephaly, developmental delay, retinaldystrophy, intermittent neutropenia, joint laxity, and acharacteristic dysmorphic appearance. Kolehmainen et al.find that the homogenous phenotype in this populationcan be explained by a founder mutation in a novel gene,COH1. Only 1 of 27 Finnish cases did not carry thefounder mutation, a 2-bp deletion that leads to prematureprotein truncation. In addition, one missense and seventruncating COH1 mutations were found in Finnish andnon-Finnish people with Cohen syndrome. The COH1protein is predicted to contain conserved N- and C-ter-minal domains that share homology to the yeast VPS13protein, which is involved in membrane protein traffick-ing. Also sharing the VPS13 domains is chorein, a proteinthat is altered in another disorder that includes psycho-motor deficiency and a hematological abnormality, cho-reoacanthocytosis. Although the functions of COH1 andchorein are not yet clear, their homologies to VPS13 im-plicate vesicle-mediated sorting and intracellular proteintransport pathways in the development of mental retar-dation syndromes.

Icelandic Matrilineal and Patrilineal Genealogies, byHelgason et al. (p. 1370)

In anthropological genetic studies, certain assumptionsmust be made about the evolutionary processes in thepopulations of interest. Helgason et al. examine the va-lidity of these assumptions by determining how much areal population deviates from the expectations of thestandard demographic models. They do this by using theIcelandic genealogy database to calculate demographicparameters that could be compared to the model ex-pectations. Contemporary Icelanders were traced backto two cohorts of ancestors, one born between 1698 and1742 and one born between 1848 and 1892. Althoughthe Icelandic population increased five-fold during thisperiod, which might be expected to be associated withlow levels of genetic drift, the majority of contemporaryIcelanders are actually descended from a minority ofancestors. This genetic drift has contributed to the dif-ferences, between Icelanders and their source popula-tions, in terms of their haplotype frequency spectra for

� 2003 by The American Society of Human Genetics. All rights reserved.0002-9297/2003/7206-0001$15.00

mtDNA and the Y chromosome. The Icelandic popu-lation also exhibits a faster rate of evolution for mtDNAthan for Y haplotypes, and this can be attributed to ashorter matrilineal generation interval. Also contributingto this matrilineal/patrilineal difference is a higher mat-rilineal intergenerational correlation in offspring num-bers and generation intervals. Not only do these resultsgive us insight into the development of the modern pop-ulation of Iceland, they verify that this population de-viates from standard demographic models. This devia-tion has implications for calculations, such as coalescentdate estimates, that use these demographic models.

Hyperdeletion at Minisatellite MS1, Berg et al. (p.1436)

Studies of minisatellite MS1 instability in yeast have pre-viously suggested that this minisatellite is unusual in thatit shows both meiotic and mitotic instability. In orderto determine whether this is normally the case in hu-mans, Berg et al. analyzed sperm DNA from men withMS1 allele sizes suitable for analysis. As with other min-isatellites, high levels of germline instability were seenwith MS1. This was not the case in blood samples fromone of the sperm donors, indicating that, in contrast tothe finding in yeast, this instability is restricted to mei-osis. Two classes of instability were seen in the germline;the larger mutational changes appeared to arise by intra-allelic rearrangements that were complex, biased to-wards expansion, and fairly randomly scattered alongthe alleles. The smaller deletions, on the other hand,were clustered in homogeneous stretches of C-repeats,and the longer the C-repeat, the greater the instability.These results bring up some interesting questions, in-cluding: why are there differences in MS1 instability be-tween yeast and humans? And how do long C-repeatarrays arise if they are prone to deletion?

Hand Osteoarthritis and matrilin-3, by Stefansson etal. (p. 1448)

Stefansson et al. suggest the first mutation that may con-tribute to a common form of osteoarthritis. This mis-sense variant in matrilin-3 was identified in a sample ofIcelandic families affected by osteoarthritis of the hand.Genome scans yielded the strongest evidence for linkageon chromosome 2, and six genes were located in theregion centered on the linkage peak. Included in theseis matrilin-3, which shows increased expression in jointcartilage of people with osteoarthritis and which recentlyhas been implicated in multiple epiphyseal dysplasia,

Page 2: This Month in the Journal

Am. J. Hum. Genet. 72:i–ii, 2003

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a disorder characterized by early-onset osteoarthritis.The matrilin-3 variant identified by Stefansson et al.,T303M, was first identified when the gene was screenedfor variation in a small subset of the osteoarthritis sam-ple. When the full sample was screened for T303M, anestimated relative risk of 2.12 was found for hand os-teoarthritis. If this missense change is indeed a mutation,it does not appear to be the only variation in this geneticregion that is involved in osteoarthritis; when carriersof T303M were removed from the linkage analysis, thechromosome 2 peak LOD score remained significant.

mtDNA Analysis of Dutch Pedigrees with LHON, byHowell et al. (p. 1460)

Three primary mutations in the mitochondrial genes en-coding the respiratory chain complex I account for∼95% of cases of Leber hereditary optic neuropathy(LHON) in people of European descent. Despite thisfact, LHON does not present with a simple pattern ofmaternal inheritance but rather with a variable pene-trance that is not fully understood. To better understand

this phenomenon, Howell et al. present the completemtDNA sequences of 63 Dutch pedigrees with LHON.Almost 90% of these pedigrees carry one of the threeprimary LHON mutations. Sequence comparisons ofpedigrees carrying the same mutation allow the authorsto construct lineages of related families, and this infor-mation is used to estimate how often the major LHONmutations have independently occurred. Analysis of ped-igrees containing the 14484 mutation revealed a groupof four closely related genotypes that probably resultfrom the same founder. A predominance of the 14484mutation has been reported in French Canadian familieswith LHON, resulting from a founder effect, and themtDNA sequences from these families indicate that theyresult from the same founder sequence as in the Dutch.It previously has been proposed that the 14484 mutationexhibits a higher penetrance when it is present on ahaplogroup J background. The strong founder effect forthis mutation may have influenced this association.

KATHRYN GARBER

Deputy Editor