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Evidence for a novel x-linked modifier locus for leber hereditary optic neuropathy
Suma P Shankar1, John H Fingert, Valerio Carelli
1Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, Iowa, USA.
Ophthalmic Genetics
|March 26, 2008
Summary
Leber Hereditary Optic Neuropathy (LHON) is a blinding disease. This study identified a new genetic susceptibility locus on the X chromosome, suggesting X-linked modifiers contribute to LHON development.
Area of Science:
- Genetics
- Ophthalmology
- Mitochondrial Diseases
Background:
- Leber Hereditary Optic Neuropathy (LHON) is a maternally inherited optic nerve disease.
- Incomplete penetrance and male predominance suggest modifying factors influence LHON.
- Previous studies indicated nuclear genes and environmental factors are crucial for LHON manifestation.
Purpose of the Study:
- To investigate X-chromosomal linkage in a Brazilian family with LHON.
- To identify novel susceptibility loci for LHON on the X chromosome.
Main Methods:
- Performed X-chromosomal linkage analysis.
- Analyzed a large Brazilian family with a G11778A mitochondrial DNA mutation (mtDNA) on a haplogroup J background.
Main Results:
- Identified a novel LHON susceptibility locus on chromosome Xq25-27.2.
- Achieved multipoint non-parametric linkage scores > 5.00 (P = 0.005).
- Observed a maximum two-point non-parametric linkage score of 10.12 for marker DXS984 (Xq27.1).
Conclusions:
- These findings suggest genetic heterogeneity for X-linked modifiers of LHON.
- The X chromosome plays a significant role in modulating LHON disease expression.
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Genetic Lingo
Overview
X-linked Traits
In most mammalian species, females have two X sex chromosomes and males have an X and Y. As a result, mutations on the X chromosome in females may be masked by the presence of a normal allele on the second X. In contrast, a mutation on the X chromosome in males more often causes observable biological defects, as there is no normal X to compensate. Trait variations arising from mutations on the X chromosome are called “X-linked”.
X-linked Traits
In most mammalian species, females have two X sex chromosomes and males have an X and Y. As a result, mutations on the X chromosome in females may be masked by the presence of a normal allele on the second X. In contrast, a mutation on the X chromosome in males more often causes observable biological defects, as there is no normal X to compensate. Trait variations arising from mutations on the X chromosome are called “X-linked”.
Pleiotropy
Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
Sex-linked Disorders
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
Incomplete Dominance
Gregor Mendel's work (1822 - 1884) was primarily focused on pea plants. Through his initial experiments, he determined that every gene in a diploid cell has two variants called alleles inherited from each parent. He suggested that amongst these two alleles, one allele is dominant in character and the other recessive. The combination of alleles determines the phenotype of a gene in an organism.

