BMC Medical Genetics

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Open Access Research article

Use of supplementary phenotype to identify additional rheumatoid arthritis loci in a linkage analysis of 342 UK affected sibling pair families

Bamidele O Tayo1*, Yulan Liang2, Arpad Kelemen3, Austin Miller4, Maurizio Trevisan5 and Richard S Cooper1

Author Affiliations

1 Department of Preventive Medicine and Epidemiology, Loyola University Chicago, Chicago, IL, USA

2 Department of Family and Community Health, University of Maryland, Baltimore, MD, USA

3 Department of Organizational System and Adult Health, University of Maryland, Baltimore, MD, USA

4 Departments of Biostatistics, State University of New York at Buffalo, Buffalo, NY, USA

5 University of Nevada Health Sciences System, Las Vegas, NV, USA

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BMC Medical Genetics 2009, 10:142 doi:10.1186/1471-2350-10-142

Published: 21 December 2009

Abstract

Background

Although rheumatoid arthritis has been shown to have moderately strong genetic component, both linked loci identified in linkage analyses and susceptibility variants from association studies are short of adequately accounting for a comprehensive catalogue of the molecular factors underlying this complex disease. The objective of this study was to use supplementary phenotype based on cumulative hazard of rheumatoid arthritis to identify linkage evidence for new and additional rheumatoid arthritis loci in a genome-wide linkage analysis of 342 affected sibling pair families from the United Kingdom.

Methods

Using proportional hazards model, we estimated cumulative hazard of rheumatoid arthritis and then used it as a quantitative trait in a non-parametric multipoint variance component linkage analysis with 353 microsatellite markers distributed across the 22 autosomal chromosomes.

Results

We identified 3 new loci with genome-wide suggestive linkage evidence for rheumatoid arthritis on 9q21.13, 15p11.1 and 20q13.33. Our results also confirmed previously reported linkage evidence in the HLA-DRB1 region on chromosome 6 and on locus 1q32.1.

Conclusion

This study demonstrates the potential for information gain through the use of supplementary phenotypes in genetic study of complex diseases to identify new and additional potential linked loci that are not detected by linkage analysis of traditional phenotypes; and our results provide further evidence of the involvement of multiple loci in the genetic aetiology of rheumatoid arthritis.