Linkage analysis was performed on the GAW11 Problem 2 data set using strati
fication to explore the effects of the environmental risk factors and the d
ifferences between mild and severe phenotypes. Analysis of the four study p
opulations stratified by the two risk factors identified regions on chromos
omes 3 and 5 with significant evidence for linkage. Other loci were sought
by removing families consistent with linkage to the chromosome 3 locus. Our
studies identified a locus on chromosome 3 (markers 43-46) associated with
the mild phenotype in the presence of risk factor 1 and with the severe ph
enotype independent of risk factor 1. This suggests that distinct allelic v
ariants at the chromosome 3 locus may cause different forms of disease. The
locus identified on chromosome 5 (markers 36-39) was linked to the severe
phenotype, but exposure to factor 1 or 2 may have a protective effect. The
regions on chromosomes 3 and 5 appeared to have independent roles in diseas
e etiology. Evidence for two loci on chromosome 1 linked to the mild form w
as found. The methods successfully identified linkages and interaction cons
istent with the generating model. (C) 1999 Wiley-Liss, Inc.