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on February 22, 2007

Stroke. 2007
Published online before print February 22, 2007, doi: 10.1161/01.STR.0000260094.03782.59
A more recent version of this article appeared on April 1, 2007
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Right arrow Genetics of Stroke

Submitted on October 9, 2006
Accepted on October 30, 2006

Combination of Linkage and Association Studies for Brain Arteriovenous Malformation

Sumiko Inoue PhD; Wanyang Liu MPH; Kayoko Inoue MD, MPH, PhD; Youhei Mineharu MD; Katsunobu Takenaka MD, PhD; Hiroyasu Yamakawa MD, PhD; Masamitsu Abe MD, PhD; Jafar J. Jafar MD; Roman Herzig MD, PhD; and Akio Koizumi MD, PhD*

From the Department of Health and Environmental Sciences, Kyoto University Graduate School of Medicine (S.I., L.W., K.I., Y.M., A.K.), Japan; Department of Neurosurgery, Takayama Red Cross Hospital (K.T.), Japan; Department of Emergency Medicine, Chunou Kousei Hospital (H.Y.), Gifu, Japan; Department of Neurosurgery, Faculty of Medicine, Saga University (M.A.), Saga, Japan; Department of Neurosurgery, New York University Medical Center (J.J.J.), New York, USA; and Stroke Center, Department of Neurology, Palacky University Medical School and University Hospital (R.H.), Olomouc, Czech Republic.

* To whom correspondence should be addressed. E-mail: koizumi{at}pbh.med.kyoto-u.ac.jp.

Background and Purpose--Genetic factors for brain arteriovenous malformation are unexplored because of the low incidence of familial cases, albeit local and familial clustering. We used a combination of a linkage study and an association study to explore the genetic background.

Methods--A genome-wide linkage analysis was performed in 12 patients from 6 unrelated families using the GENEHUNTER program. A genome-wide association analysis of 26 cases and 30 controls was performed using a GeneChip 10K mapping array. Significance levels for linkage and single single-nucleotide polymorphism association analyses were set at P<0.05 and P<0.0001, respectively. Genotyping was also performed using 58 960 single-nucleotide polymorphisms for 2 sets of discordant twins.

Results--The linkage analysis revealed 7 candidate regions, with the highest logarithm of odds score of 1.88 (P=0.002) at chromosome 6q25. A significant association was observed for 4 single-nucleotide polymorphisms and 2 haplotypes, but none of them overlapped with candidate linkage regions. Genotyping of the twins showed no genetic heterogeneity.

Conclusions--The present study failed to identify genetic factors for arteriovenous malformation although the low statistical power may have resulted in such evidence being missed.


Key words: arteriovenous malformation • association • genome-wide • genetics • linkage • microarr




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H. Kim, L. Pawlikowska, Y. Chen, H. Su, G.-Y. Yang, and W. L. Young
Brain Arteriovenous Malformation Biology Relevant to Hemorrhage and Implication for Therapeutic Development
Stroke, March 1, 2009; 40(3_suppl_1): S95 - S97.
[Abstract] [Full Text] [PDF]