Linkage of monogenic infantile hypertrophic pyloric stenosis to chromosome 16q24
Kate V Everett1, Francesca Capon, Christina Georgoula
1University College London Institute of Child Health, London, UK. kate.everett@ucl.ac.uk
Insights
Infantile hypertrophic pyloric stenosis (IHPS) is a common infant gastrointestinal obstruction. Genetic analysis of an extended family mapped the IHPS disease locus to chromosome 16q24, suggesting potential locus heterogeneity.
Area of Science:
- Genetics
- Pediatrics
- Gastroenterology
Background:
- Infantile hypertrophic pyloric stenosis (IHPS) is the most common inherited gastrointestinal obstruction in infants.
- IHPS is a paradigm for sex-modified multifactorial inheritance, affecting males 4x more than females.
- Autosomal dominant inheritance patterns have been observed in some IHPS pedigrees.
Purpose of the Study:
- To identify the genetic locus for infantile hypertrophic pyloric stenosis (IHPS) in an extended family.
- To investigate the genetic basis of IHPS, considering its complex inheritance patterns.
Main Methods:
- Genome-wide scan using single-nucleotide polymorphism (SNP) markers.
- Analysis of an extended IHPS family with eight affected individuals.
- Lod score calculation to determine linkage.
- Examination of fourteen additional multiplex pedigrees.
Main Results:
- The IHPS disease locus was mapped to chromosome 16q24 with a LOD score of 3.7 in the extended family.
- Fourteen other multiplex pedigrees did not show linkage to this region.
- Evidence suggests genetic locus heterogeneity for IHPS.
Conclusions:
- A novel locus for infantile hypertrophic pyloric stenosis (IHPS) has been identified at chromosome 16q24.
- The findings indicate that IHPS likely has genetic locus heterogeneity.
- Further research is needed to identify other IHPS loci and understand the genetic architecture of this condition.
Abstract:
Infantile hypertrophic pyloric stenosis (IHPS) is the most common inherited form of gastrointestinal obstruction in infancy. The disease is considered a paradigm for the sex-modified model of multifactorial inheritance and affects males four times more frequently than females. However, extended pedigrees consistent with autosomal dominant inheritance have been documented. We have analysed data from an extended IHPS family including eight affected individuals (five males and three females) and mapped the disease locus to chromosome 16q24 (LOD score=3.7) through an SNP-based genome wide scan. Fourteen additional multiplex pedigrees did not show evidence of linkage to this region, indicating locus heterogeneity.
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