Fk. Tan et al., ASSOCIATION OF MICROSATELLITE MARKERS NEAR THE FIBRILLIN-1 GENE ON HUMAN-CHROMOSOME 15Q WITH SCLERODERMA IN A NATIVE-AMERICAN POPULATION, Arthritis and rheumatism, 41(10), 1998, pp. 1729-1737
Objective. To localize disease genes for scleroderma? or systemic scle
rosis (SSc), in a population of Choctaw Native Americans with a high p
revalence of SSc, in which there is evidence of a possible founder eff
ect. Methods. A candidate gene approach was used in which microsatelli
te alleles on human chromosomes 15q and 2q, homologous to the murine t
ight skin 1 (tsk1) and tsk2 loci, respectively, were analyzed in Choct
aw SSc cases and race-matched normal controls for possible disease ass
ociation. Genotyping first-degree relatives of the cases identified po
tential disease haplotypes, and haplotype frequencies were obtained by
expectation-maximization and maximum-likelihood estimation methods. S
imultaneously, the ancestral origins of contemporary Choctaw SSc cases
were ascertained using census and historical records. Results, A mult
ilocus 2-cM haplotype was identified on human chromosome 15q homologou
s to the murine tsk1 region, which showed a significantly increased fr
equency in SSc cases compared with controls. This haplotype contains 2
intragenic markers for the fibrillin I (FBN1) gene. Genealogical stud
ies demonstrated that the SSc cases were distantly related, and their
ancestry could be traced back to 5 founding families in the mid-eighte
enth century. The probability that the SSc cases share this haplotype
due to familial aggregation effects alone was calculated and found to
be very low, There was no evidence of any microsatellite allele distur
bances on chromosome 2q in the region homologous to the tsk2 locus or
the region containing the interleukin-1 family. Conclusion. A 2-cM hap
lotype on chromosome 15q that contains FBN1 is associated with sclerod
erma in Choctaw Native Americans from Oklahoma. This haplotype may hav
e been inherited from common founders about 10 generations ago and may
contribute to the high prevalence of SSc that is now seen.