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Blood, 1 November 2007, Vol. 110, No. 9, pp. 3326-3333.
Prepublished online as a Blood First Edition Paper on August 8, 2007; DOI 10.1182/blood-2007-05-091561.


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Submitted May 21, 2007
Accepted August 4, 2007

A high-density SNP genome-wide linkage search of 206 families identifies susceptibility loci for chronic lymphocytic leukemia

Gabrielle S. Sellick, Lynn R. Goldin, Ruth W. Wild, Susan L. Slager, Laura Ressenti, Sara S. Strom, Martin J .S. Dyer, Francesca R. Mauro, Gerald E. Marti, Stephen Fuller, Matthew Lyttelton, Thomas J. Kipps, Michael J. Keating, Timothy G. Call, Daniel Catovsky, Neil Caporaso, and Richard S. Houlston*

Section of Cancer Genetics, Institute of Cancer Research, Sutton, Surrey, United Kingdom
Genetic Epidemiology Branch, Division of Cancer Epidemiology, National Cancer Institute, Bethesda, MD, United States
Division of Biostatistics, Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, MN, United States
Moores Cancer Center, University of California, San Diego, CA, United States
Department of Epidemiology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States
MRC Toxicology Unit, Leicester University, Leicester, United Kingdom
Divisionof Hematology, Dipartimento di Biotecnologie Cellulari ed Emotologia, Universita "La Sapienza", Rome, Italy
Divisions of Cell and Gene Therapies, Flow and Image Cytometry Section, Center for Bioloics research and Evaluation, FDA, Bethesda, MD, United States
Department of Medicine, Sydney University, Nepean Hospital, Penrith, NSW, Australia
Department of Medicine, Kettering General Hospital, Kettering, United Kingdom
Division of Hematology/Oncology, Moores Cancer Center, University of California, San Diego, CA, United States
Division of Hematology, University of Texas M. D. Anderson Cancer Center, Houston, TX, United States
Division of Hematology, Department of Medicine, Mayo Clinc College of Medicine, Rochester, MN, United States
Section of Hemato-Oncology, Institute of Cancer Research, Sutton, Surrey, United Kingdom

* Corresponding author; email: richard.houlston{at}icr.ac.uk.

Chronic lymphocytic leukemia (CLL) and other B-cell lymphoproliferative disorders display familial aggregation. To identify a susceptibility gene for CLL we assembled families from the major European (ICLLC) and American (GEC) consortia to conduct a genome-wide linkage analysis of 101 new CLL pedigrees using a high-density single nucleotide polymorphism (SNP) array and combined the results with data from our previously reported analysis of 105 families. Here we report on the combined analysis of the 206 families. Multipoint linkage analyses were undertaken using both non-parametric (model-free) and parametric (model-based) methods. After the removal of high linkage disequilibrium SNPs we obtained a maximum NPL of 3.02 (P= 1.3 x 10-3) on chromosome 2q21.2. The same genomic position also yielded the highest multipoint heterogeneity LOD (HLOD) score under a common recessive model of disease susceptibility (HLOD = 3.11; P= 7.7 x 10-5) which was significant at the genome-wide level. In addition, 2 other chromosomal positions 6p22.1 (corresponding to the major histocompatibility locus) and 18q21.1 displayed HLOD scores >2.1 (P < 0.002). None of the regions coincided with areas of common chromosomal abnormalities frequently observed in CLL. These findings provide direct evidence for Mendelian predisposition to CLL and evidence for the location of disease loci.


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