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Estimation Of The Recombination Fraction If the test, on a sample of the family, has demonstrated linkage between the A and B loci, then one may want to estimate the recombination fraction for these loci. The estimated value of is the value which maximizes the function of the lod score Z, and this is equivalent to taking the value of for which the probability of observing linkage in the sample is greatest. Recombination Fraction For A Disease Locus And A Marker Locus Let us assume we are dealing with a disease carried by a single gene, determined by an allele, g0, located at a locus G (g0: harmful allele, G0: normal allele). We would like to be able to situate locus G relative to a marker locus T, which is known to occupy a given locus on the genome. To do this, we can use families with one or several individuals affected and in which the genotype of each member of the family is known with regard to the marker T. In order to be able to use the lod scores method described above, what is needed is to be able to extrapolate from the phenotype of the individuals (affected, not affected) to their genotype at locus G (or their genotypical probability at locus G) What we need to know is: o the frequency, g0 o the penetration vector f1, f2,f3 f1 = Pr (affected /g0g0) f2 = Pr (affected /g0G0) f3 = Pr (affected /G0G0) It will often happen that the information available for the marker is not also genotypic, but phenotypic in nature. Once again, all possible genotypes must be envisaged. As a general rule, the information available about a family concerns the phenotype. To calculate the likelihood of , we must envisage all the possible genotype configurations at each of the loci, for this family, writing the likelihood of for each configuration, weighting it by the probability of this configuration, and knowing the phenotypes of individuals in A and B. Knowledge of the genetic parameters at each of the loci (gene frequency, penetration values) is therefore necessary before we can estimate . Estimation of L as a function of and f Allele distribution. If the frequency of D is .01, H-W equilibrium is Pr(Dd ) = 2x.01x.99 Genotypes of founder couples are (usually) treated as independent. Pr(Dd , dd ) = (2x.01x.99)x(.99)2 1 2 Dd dd Pedigree analyses usually suppose that, given the genotype at all loci, and in some cases age and sex, the chance of having a particular phenotype depends only on genotype at one locus, and is independent of all other factors: genotypes at other loci, environment, genotypes and phenotypes of relatives, etc. Complete penetrance: pr(affected | DD ) = 1 Incomplete penetrance: pr(affected | DD ) = .8 DD DD Dd Dd 3 Dd dd 5 4 DD Assume penetrances pr(affected | dd ) = .1, pr(affected | Dd ) = .3 pr(affected | DD ) = .8, and that allele D has frequency .01. The probability of this pedigree is the product: (2 x .01 x .99 x .7) x (2 x .01 x .99 x .3) x (1/2 x 1/2 x .9) x (2 x 1/2 x 1/2 x .7) x (1/2 x 1/2 x .8) Two-locus founder probabilities are typically calculated assuming linkage equilibrium, i.e. independence of genotypes across loci. If D and d have frequencies .01 and .99 at one locus, and T and t have frequencies .25 and .75 at a second, linked locus, this assumption means that DT, Dt, dT and dt have frequencies .01 x .25, .01 x .75, .99 x .25 and .99 x .75 respectively. Together with Hardy-Weinberg, this implies that pr(DdTt ) = (2 x .01 x .99) x (2 x .25 x .75) = 2 x (.01 x .25) x (.99 x .75) + 2 x (.01 x .75) x (.99 x .25). This last expression adds haplotype pair probabilities. D d T t D d T t d d t t Initially, this must be done with haplotypes, so that account can be taken of recombination. Then terms like that below are summed over possible phases. Here only the father can exhibit recombination: mother is uninformative. pr(kid DT/dt | pop DT/dt & mom dt/dt ) = pr(kid DT | pop DT/dt ) x pr(kid dt | mom dt/dt )= (1-)/2 x 1. Two Loci: Penetrance In all standard linkage programs, different parts of phenotype are conditionally independent given all genotypes, and two-loci penetrances split into products of one-locus penetrances. Assuming the penetrances for DD, Dd and dd given earlier, and that T,t are two alleles at a co-dominant marker locus. Pr( affected & Tt | DD, Tt ) = Pr(affected | DD, Tt ) Pr(Tt | DD, Tt ) 1 = 0.8 Dd T t Dd T t Dd T t dd t t dd t t Dd t t Pr (all data | ) = pr(parents' data | ) pr(kids' data | parents' data, ) = pr(parents' data) {[((1-)/2)3 /2]/2+ [(/2)3 (1-)/2]/2} I- 5. RECOMBINATION FRACTION FOR A DISEASE LOCUS AND A MARKER LOCUS Let us assume we are dealing with a disease carried by a single gene, determined by an allele, g0, located at a locus G (g0: harmful allele, G0: normal allele). We would like to be able to situate locus G relative to a marker locus T, which is known to occupy a given locus on the genome. To do this, we can use families with one or several individuals affected and in which the genotype of each member of the family is known with regard to the marker T. In order to be able to use the lod scores method described above, what is needed Figure 11 is to be able to extrapolate from the phenotype of the individuals (affected, not affected) to their genotype at locus G (or their genotypical probability at locus G). What we need to know is: 1. the frequency, g0 2. the penetration vector f1, f2,f3 f1 = proba (affected /g0g0) f2 = proba (affected /g0G0) f3 = proba (affected /G0G0) It will often happen that the information available for the marker is not also genotypic, but phenotypic in nature. Once again, all possible genotypes must be envisaged. As a general rule, the information available about a family concerns the phenotype. To calculate thelikelihood of , we must envisage all the possible genotype configurations at each of the loci, for this family, writing the likelihood of for each configuration, weighting it by the probability of this configuration, and knowing the phenotypes of individuals in A and B. Knowledge of the genetic parameters at each of the loci (gene frequency, penetration values) is therefore necessary before we can estimate (Clerget-Darpoux et al (5)). It is obvious that calculating the lod scores, despite being simple in theory, is in fact a lengthy and tedious business. In 1955, Morton provided a set of tables giving the lod scores for various values of for a disease locus and a marker locus for nuclear families with sibling sizes of 2 to 7. However, the situations envisaged were very restrictive. In particular, it was assumed that the disease was determined by a dominant or recessive completely pentrating rare gene. "LIPED" written by Ott in 1974 (6) was the pioneering software in linkage analysis. It is able to carry out this calculation, in an extensive pedigree for any values of q, f1, f2, f3 and for penetration as a function of age. The "Linkage" program of Lathrop et al, 1984 (7,8) is the one most often used for gene mapping. It can be used to carry out multipoint analysis. All the software we have described is based on the same recursive algorithm, r (Elston and Stewart), which means that it can be used to investigate pedigrees of any size, but that it envisages all the possible haplotypical combinations of markers, and is therefore limited by the number of markers to be taken into account. In contrast, "Genehunter" (9), which is based on a Markov chain principle, is limited not by the number of markers taken into consideration in the analysis, but by the size of the family structure. The very recently developed software package "Allegro" (10) can apply information from a large number of markers and extended family structures. Analysis of gene linkage has made it possible to construct a gene map by locating the new polymorphisms relative to one other on the genome. The measurement used on the gene map is not the recombination fraction, which is not an additive datum, but the gene distance, which we will define below. I- 6. LINKAGE ANALYSIS FOR THREE LOCI : THE PHENOMENON OF INTERFERENCE (V. Bailey, 1961) Now let us consider three loci A, B and C. Let the recombination fraction between A and B be 1, that between B and C be 2 and that between A and C be 3. Figure 12 Let us consider the double recombinant event, firstly between A and B, and secondly between B and C. Let Rl2 be the probability of this event. If the crossings-over occur independently in segments AB and BC, then: Rl2 = 12 If this is not the case, an interference phenomenon is occurring and Rl2 = C 1 2 where C !=1 If C 1 the interference is said to be positive; and crossings-over in segment AB inhibit those in segment BC. If C 1 the interference is said to be negative; and crossings-over in segment AB promote those in segment BC. Let us consider the case of a triple heterozygotic individual. Such an individual can provide 8 types of gametes. Figure 13 Figure 14 Figure 15 We can write that 3 = 1 + 2 -2 R12 3 = 1 + 2 -2 Cl 2 If C = 1 3 = 1 + 2- 212 The recombination fraction is a non-additive measurement. However, we can write (1-23) = (1-21)(1-22) if x() = k Log (1-2) then we have x(3) = x(1) + x(2) and for k = -1/2, x() for small values of . x() = -1/2 Log (1-2) is an additive measurement. It is known as the genetic distance, and is measured in Morgans. It can be shown that x measures the mean number of crossings-over. Test for the presence of interference Let us consider a sample of families with the genotypes A, B and C. Let Lc be the greatest likelihood for 1, 2, 3 and L1 the greatest likelihood when we impose the constraint C=1 (i.e. 3 = 1 + 2 - 212) Then -2 Log (Ll/Lc ) follows a pattern, with one degree of freedom. II- GENETIC HETEROGENEITY OF LOCALIZATION The analysis of genetic linkage can be complicated by the fact that mutations of several genes, located at different places on the genome, can give rise to the same disorder. This is known as genetic heterogeneity of localization. One of the following two tests is used to identify heterogeneity of this type, the "Predivided sample test" or the "Admixture Test". The first test is usually only appropriate if there is a good family stratification criterion or if each family individually has high informativity. II- 1. THE PREDIVIDED SAMPLE TEST This test is intended to demonstrate linkage heterogeneity in different sub-groups of a sample of families. The aim is to test whether the genetic linkage between a disease and its marker(s) is the same in all sub-groups. These groups are formed ad hoc on the basis of clinical or geographical criteria etc.... Let us assume that the total sample of families has been divided into n sub-groups (it is possible to test for the existence of as many sub-groups as families). i denotes the true value of the recombination fraction of sub-group i. 1= 2= 3= …=n against the alternative hypothesis Hl: the values of i are not all equal. We want to test the null hypothesis H0: Therefore, the quantity Figure 16 follows a distribution with (n-l) degrees of freedom. The homogeneity of the sample for linkage with a type-I error of the sample for linkage with a type I error equal to if Q is above the critical threshold (n-l) corresponding to . II- 2. THE ADMIXTURE TEST Unlike the previous test, the "admixture test" is not based on an ad hoc subdivision of the families. It is assumed that among all the families studied genetic linkage between the disease and the marker is found only in a proportion of the families, with a recombination fraction 1/2. In the remaining (l-) families, it is assumed that there is no linkage with the marker (=1/2). For each family i of the sample, the likelihood is calculated Li() = Li() + (l-) Li(1/2), where Li() is the likelihood of for family i. The likelihood of the couple () is defined by the product of the likelihoods associated with all the families : L()= i Li() We test to find out whether is significantly different from 1 by comparing Lmax(= l,), the maximized likelihood for assuming homogeneity, and Lmax(), the maximized likelihood for the two parameters and (nested models). Then variable Q =2[Ln Lmax () —Ln Lmax (= 1,)] follows a distribution with one degree of freedom. II- 3. GENERALIZATION OF THE ADMIXTURE TEST In some single-gene diseases, several genes have been shown to exist at different locations. This is true, for example of multiple exostosis disease, for which 3 genes have been identified successively on 3 different chromosomes. The "admixture test" is then extended to determine the proportion of families in which each of the three genes is implicated (Legeai-Mallet et al, 1997), and the possibility that there is a fourth gene. The three locations on chromosomes 8, 19 and 11 were reported as El, E2 and E3, and the proportions of families concerned as l, 2 and 3 respectively. 4 was used to represent the proportion of the families in which another location was involved. For each family i of the sample, the likelihood was calculated using the observed segregation within the family of the markers available in each of the three regions, according to the clinical status of each of its members. Li(El, E2, E3,l, 2, 3 / Fi) = l (L(E1/Fi)/L(El=1/2 / Fi)] + l(L(E2/Fi)/L(E2=1/2 / Fi)] + 3 [L(E3/Fi)/L(E3=1/2 / Fi)]+ 4 For all the families L(El, E2, E3,l, 2, 3/ Ft) = i Li(El, E2, E3,l, 2, 3 / Fi) Each i can be tested to see if it is equal to 0, and then the corresponding non null i and Ei values are estimated. It is also possible to calculate the probability that the gene implicated is at El, E2 or E3 for each of the families in the sample. The post hoc probability makes use of the estimated i proportions, but also the specific observations in this family. The sample investigated has been shown to consist of three types of families: in 48% of families, the gene is located on chromosome 8, in 24% of them on chromosome 19, and in 28% of families the gene is located on chromosome 11. There was no evidence of a fourth location in this sample. The post hoc probabilities of belonging to one of these 3 sub-groups were then estimated: the probability that the gene implicated would be on chromosome 8 was over 90% for 5 families, that it would be on chromosome 19 for 3 of them, and that it would be on chromosome 11 for 4 families. For the other families, the situation was less clear-cut: the post-hoc probabilities are similar to the ad hoc probabilities because of the paucity of information provided by the markers used. III- 1.2. MAXIMIZATION OF THE LOD SCORE OVER THE [0, 1/2] INTERVAL (E. Génin, Ann Hum Genet,1995,59:123-132) However, in practice, the test is never carried out for a single value of 1, but is done as follows: the lod score is calculated for various values of 1, the maximum lod score Zmax is calculated and the test is applied to Zmax .A criterion of +3 or even less, is used to conclude that linkage is occurring, based on the argument that the risk remains sufficiently small. The probability of post-hoc non linkage is never calculated. The fact of considering an alternative hypothesis by using the maximum lod score, Zmax (which amounts to testing H0: = 1/2 versus H1: 1/2) actually reduces the reliability of the test considerably. Thus, the probability that there is no linkage when a Zmax of + 3 has been obtained can be as high as 16.4%; i.e. more than three times the probability calculated by Morton (1955). The table below shows the probability that linkage does not exist as a function of the Zmax obtained. Figure 19 the relationship between and Zmax depends on the type of family structure and the determinism of the disease (in this case the calculation has been carried out for a dominant disease in a sample of nuclear families with two children). Reliability =1- The example of the conflicting results obtained for Alzheimer’s disease is a good illustration of the usefulness of calculating the probability of linkage post hoc. Alzheimer’s disease is a form of dementia characterized by loss of memory and of cognitive function. Only a few families have multiple cases, but within this sub-group of families, the distribution of the patients is compatible with the hypothesis of the intervention of a dominant mutation on an autosomal gene. Analyses of genetic linkage by the method of lod scores were therefore carried out to localize the gene involved. In 1987, a maximum lod score of +2.46 was obtained using a marker of chromosome 21 in a large genealogy with numerous members affected (family FAD4), and this at first led people to conclude that the mutation responsible was located on chromosome 21 (St Georges-Hyslop et coll. 1987). For many years, research into this disease was therefore focused on this chromosome. Five years later however, several different teams provided a very significant demonstration of linkage with chromosome 14 markers. The very high lod scores that were obtained showed that most of the early familial forms were due to a mutation of a chromosome 14 gene 14 (Schellenberg et coll. 1992, St Georges-Hyslop et coll. 1992). In particular, in the case of family FAD4, a lod score of +5.21 was obtained with markers for this region. In view of the observations obtained for chromosome 21 markers in FAD4, the post-hoc probability that there was no linkage was 1/3. It is likely that if this calculation had been done in 1987, the existence of a mutation on chromosome 21 in this family would have looked less convincing. Furthermore, it has now been shown that the gene implicated is located on chromosome 14. III-3. THE PROBLEM OF MULTIPLE TESTS One of the difficulties encountered in the statistical interpretation of the analyses of the genetic linkage of complex diseases arises in fact from the fact that in general and with a varying degree of explicitness, the data are subjected to multiple tests: several clinical classifications, several genetic markers, several models, several samples. It is quite clear that the discontinuation criteria usually used in the lod score test no longer have the same statistical significance when several tests are applied simultaneously to the same sample or to several samples. E. Thompson (1984) has investigated this problem in the case of a disease involving a single gene for which the genetic linkage is tested using several markers located on different chromosomes (and therefore independent). The situation is much more complex for multifactorial diseases, because the multiplicity of the tests has several types of impact and these are not independent (Clerget-Darpoux et coll, 1990). Multiple tests could be taken into account by readjusting the discontinuation criterion of the lod scores test. However, on the one hand, it is not always clear from the publications which tests have actually been carried out, and on the other, this can make the test too conservative. This is why we think that the replication strategy should be favored. If a positive result is replicated for a new sample (using the same classification, the same marker, the same transmission model) this provides a reliable threshold of significance.