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Endocrine Group, Department of Medicine, University of Newcastle upon Tyne (H.I., B.V., P.K.-T., S.H.S.P.), Newcastle upon Tyne, United Kingdom NE2 4HH; Department of Medicine, Freeman Hospital (P.P.), Newcastle upon Tyne, United Kingdom NE7 7DN; Diabetes Care Center, Middlesbrough General Hospital (W.F.K.), Middlesbrough, United Kingdom TS5 5AZ; Endocrine Unit, Royal Infirmary of Edinburgh (A.D.T.), Edinburgh, United Kingdom EH3 9YW; and Department of Medicine, Wansbeck General Hospital (E.T.Y.), Ashington, Northumbria, United Kingdom NE63 9JJ
Address all correspondence and requests for reprints to: Dr. Simon Pearce, Department of Medicine, 4th Floor, Leech Building, The Medical School, University of Newcastle upon Tyne, Newcastle upon Tyne, United Kingdom NE2 4HH. E-mail: spearce{at}hgmp.mrc.ac.uk
Graves disease (GD), which has a strong female preponderance
(female/male ratio, >5:1), is inherited as a complex genetic trait.
Loci for GD have started to be defined using genome-wide approaches for
genetic linkage. To date, 3 loci have been confirmed in at least 2
cohorts of GD patients, the strongest effect being at the cytotoxic T
lymphocyte antigen-4 (CTLA-4) locus on chromosome 2q33
in our population. Two other loci for GD have recently been proposed,
but not confirmed, on chromosomes Xq21 (GD3) and 14q31 (GD1). We
studied a cohort of 75 sibling pairs with GD from the United Kingdom
for linkage to 12 markers over a 83-cM region of the X chromosome and
for 8 markers over a 36-cM region of 14q31-q33. A peak multipoint
nonparametric linkage score of 2.21 (P = 0.014) was
found at marker DXS8083 on Xp11, which increased to a
nonparametric linkage score of 3.18 (P = 0.001) in
data that had been conditioned for allele sharing at the
CTLA-4 locus under an epistatic model. There was no
evidence to support linkage of GD to Xq21.33-q22 (GD3) or at the
14q31-q33 (GD1) region in our population. A locus with a moderate
contribution to GD susceptibility (
s = 1.4) is
likely to exist in the Xp11 region, but we are unable to confirm that
the GD1 or the GD3 regions contain major susceptibility loci in our
United Kingdom GD population.
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