Background Multiple sclerosis has a clinically significant heritablecomponent. We conducted a genomewide association study to identifyalleles associated with the risk of multiple sclerosis.
Methods We used DNA microarray technology to identify commonDNA sequence variants in 931 family trios (consisting of anaffected child and both parents) and tested them for association.For replication, we genotyped another 609 family trios, 2322case subjects, and 789 control subjects and used genotypingdata from two external control data sets. A joint analysis ofdata from 12,360 subjects was performed to estimate the overallsignificance and effect size of associations between allelesand the risk of multiple sclerosis.
Results A transmission disequilibrium test of 334,923 single-nucleotidepolymorphisms (SNPs) in 931 family trios revealed 49 SNPs havingan association with multiple sclerosis (P<1x10–4);of these SNPs, 38 were selected for the second-stage analysis.A comparison between the 931 case subjects from the family triosand 2431 control subjects identified an additional nonoverlapping32 SNPs (P<0.001). An additional 40 SNPs with less stringentP values (<0.01) were also selected, for a total of 110 SNPsfor the second-stage analysis. Of these SNPs, two within theinterleukin-2 receptor gene (IL2RA) were strongly associatedwith multiple sclerosis (P=2.96x10–8), as were a nonsynonymousSNP in the interleukin-7 receptor gene (IL7RA) (P=2.94x10–7)and multiple SNPs in the HLA-DRA locus (P=8.94x10–81).
Conclusions Alleles of IL2RA and IL7RA and those in the HLAlocus are identified as heritable risk factors for multiplesclerosis.
Source Information
The writing group (David A. Hafler, M.D., Alastair Compston, F.Med.Sci., Ph.D., Stephen Sawcer, M.B., Ch.B., Ph.D., Eric S. Lander, Ph.D., Mark J. Daly, Ph.D., Philip L. De Jager, M.D., Ph.D., Paul I.W. de Bakker, Ph.D., Stacey B. Gabriel, Ph.D., Daniel B. Mirel, Ph.D., Adrian J. Ivinson, Ph.D., Margaret A. Pericak-Vance, Ph.D., Simon G. Gregory, Ph.D., John D. Rioux, Ph.D., Jacob L. McCauley, Ph.D., Jonathan L. Haines, Ph.D., Lisa F. Barcellos, Ph.D., Bruce Cree, M.D., Ph.D., Jorge R. Oksenberg, Ph.D., and Stephen L. Hauser, M.D.) assume responsibility for the overall content and integrity of the article. This article (10.1056/NEJMoa073493) was published at www.nejm.org on July 29, 2007. It will appear in the August 30 issue of the Journal.
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