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Use of RFLPs as genetic markers: When a specific cloned DNA probe is used to
analyze a Southern blot of human (or other) DNA, a limited number of
restriction fragments of specific and characteristic lengths will be identified.
Because single base mutations can either create additional restriction sites or
destroy pre-existing sites, DNA preparations from different individuals
frequently exhibit different patterns of size distribution of restriction
fragments that hybridize with a particular probe. These differences are called
restriction fragment length polymorphisms (RFLPs). In many cases, the genetic
polymorphisms that generate RFLPs will have no obvious genetic effect
because they are located in introns or involve "silent" mutations that convert a
codon to different codon specifying the same amino acid. However, they are
inherited as codominant Mendelian markers and are extremely useful in
studies of human genetic linkage.
any known genes are referred to as anonymous probes. Many useful RFLPs are
identified with anonymous probes.
Human linkage markers: It is difficult to find suitable linkage markers for
human genetic linkage studies. The total number of known genes is still
rather small (although it is now growing rapidly because of the human
genome project). In addition, many of the genetic loci have been identified
only in terms of relatively rare alleles that cause disease phenotypes, with the
vast majority of the population carrying the wild-type alleles that do not differ
from one individual to another.
Codominant expression: RFLP haplotypes (RFLPs carried on single
chromosomes in a genome) are stable genetic markers that are inherited in a
codominant manner, often with a relatively high frequency of alternative
alleles in healthy individuals. This allows them to be used in all types of
genetic studies, including analysis of their linkage to the genes responsible
for human genetic diseases. Because of their usefulness, large numbers of
human RFLPs have been studied in detail, including the chromosomal
locations of the DNA sequences responsible for the polymorphisms.
Linkage to RFLP haplotypes: Because most human genetic diseases are initially
identified only by the disease phenotype, demonstration of linkage to a
specific RFLP haplotype is frequently the first step toward identifying the
chromosome that carries the disease gene. In addition, a close linkage
(identified by a high lod score) can localize the disease gene to a specific
region of the chromosome. This in turn provides the starting point for studies
leading to the isolation and cloning of the specific gene that is responsible for
the disease. Six different examples of identification and cloning of genes
responsible for inherited human diseases are presented below, each of which
employed a somewhat different experimental approach.
Some examples:
Neurofibromatosis: Type 1 neurofibromatosis is an autosomal dominant
condition associated with a wide range of nervous system defects, including
benign tumors and learning disabilities. As described in the textbook (pages
464-465), a search for linkage to specific RFLPs localized the candidate gene
to a region near the centromere of human chromosome 17. After the gene
was localized as much as possible, chromosome walking was undertaken until
a candidate gene was encountered. Its involvement in the disease was verified
by sequencing studies that showed mutations in individuals afflicted with the
disease. The overall process that led to the discovery of the NF1 gene is called
positional cloning. The wild-type gene appears to function in intracellular
signal transduction, and more specifically in down-regulating cellular
reproduction.
Marfan syndrome: A rather different approach was taken to identify the gene
that is defective in Marfan syndrome, an autosomal dominant condition that
causes alterations in connective tissue. Particular attention was given to genes
coding for proteins known to function in various types of connective tissue. A
protein known as fibrillin, which is found in tissues affected by Marfan
syndrome was identified as a likely candidate. The gene for fibrillin had
already been cloned and mapped to the long arm of human chromosome 15.
RFLP studies verified a linkage between the inheritance of Marfan syndrome
and markers on chromosome 15. Cloning of the fibrillin gene from individuals
with Marfan syndrome then verified the substitution of a proline for arginine
at position 239 in the protein. The textbook describes this as the candidate
gene approach.
Huntington disease: The search for the gene responsible for Huntington
disease (also known as Huntington's chorea) was described in a previous
textbook as an example of the use of RFLPs. Huntington disease is an
autosomal dominant degenerative brain disease that usually does not exhibit
any obvious symptoms prior to middle age. There is then a progressive loss
of motor coordination, accompanied by uncontrolled spontaneous
movements, ultimately resulting in death, but only after a prolonged period of
increasingly severe symptoms.