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Genetic and Mutational Analyses of a Large Multiethnic Bardet-Biedl Cohort Reveal a Minor Involvement of BBS6 and Delineate the Critical Intervals of Other Loci
Ist Teil von
American journal of human genetics, 2001-03, Vol.68 (3), p.606-616
Ort / Verlag
Chicago, IL: Elsevier Inc
Erscheinungsjahr
2001
Quelle
MEDLINE
Beschreibungen/Notizen
Bardet-Biedl syndrome (BBS) is a rare autosomal recessive disorder characterized primarily by obesity, polydactyly, retinal dystrophy, and renal disease. The significant genetic and clinical heterogeneity of this condition have substantially hindered efforts to positionally clone the numerous
BBS genes, because the majority of available pedigrees are small and the disorder cannot be assigned to any of the six known
BBS loci. Consequently, the delineation of critical
BBS intervals, which would accelerate the discovery of the underlying genetic defect(s), becomes difficult, especially for loci with minor contributions to the syndrome. We have collected a cohort of 163 pedigrees from diverse ethnic backgrounds and have evaluated them for mutations in the recently discovered
BBS6 gene (
MKKS) on chromosome 20 and for potential assignment of the disorder to any of the other known
BBS loci in the human genome. Using a combination of mutational and haplotype analysis, we describe the spectrum of
BBS6 alterations that are likely to be pathogenic; propose substantially reduced critical intervals for
BBS2, BBS3, and
BBS5; and present evidence for the existence of at least one more
BBS locus. Our data also suggest that
BBS6 is a minor contributor to the syndrome and that some
BBS6 alleles may act in conjunction with mutations at other
BBS loci to cause or modify the BBS phenotype.