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MolMed Course Genetics for Dummies Rotterdam, 1 November, 2017 Introduction to Complex Genetics: Concepts and Tools Andr G Uitterlinden Genetic Laboratory Department of Internal Medicine Department of Epidemiology Department of


  1. MolMed Course “ Genetics for Dummies ” Rotterdam, 1 November, 2017 Introduction to Complex Genetics: Concepts and Tools André G Uitterlinden Genetic Laboratory Department of Internal Medicine Department of Epidemiology Department of Clinical Chemistry www.glimdna.org Our website… Professor Trifonius Zonnebloem Professor Cuthbert Calculus Professeur Tryphon Tournesol

  2. ROTTERDAM – OLDEBARNEVELDSTRAAT - MULTATULI Viewed from the moon we are all equal Portret gemaakt door Mathieu Ficheroux, 1974

  3. DNA Differences cause Phenotype Differences

  4. AGING RESEARCH

  5. Genetics of Ageing…… 1953 1990 James Watson : 1928- Francis Crick : 1916-2004

  6. From DNA to RNA to Protein.... . . . . A A C C G C A T A A G G DNA base pair . . . . T T G G C G T A T T C C “Genetics” sequence exon Gene structure “Genomics” mRNA “Proteomics” Protein

  7. Why do we study DNA variation ? *Biology: - Mechanism : understand cause of disease - Treatment : finding new potential drug targets *Prediction: - (Early) diagnostics with a stable marker : understand how DNA variation contributes to variation in: - Risk of disease (vulnarability): “personalized medicine” - “Response -to- treatment” (medication, diet): “pharmacogenetics”

  8. “The Human Genome Project” What will DNA tell about this stain in a dress Bill Clinton Tony Blair Craig Venter Francis Collins * 26 Juni 2000: Press conference Bill Clinton & Tony Blair: "working draft“, 95% gesequenced * 14 april 2003: finished: 99% gesequenced. >>Cheaper and Faster!! Costs: $ 2.7 miljard (instead of $ 3 billion estimated costs) Timing: 1990 - 2003 (instead of 2005)

  9. AGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATT AGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGAC GTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGAT HUMAN DNA IS HIGHLY VARIABLE CGATGCTAGTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTA GTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGGAGTCTGACTGACCATTGGAC TAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGC GATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGAGTCT DNA Variants are: “SNP= Single Nucleotide Polymorphism ” GACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGA CGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTG *Frequent in the Genome (50k WGS/250k WES): CGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTA GTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGT - >150 million variable loci in genome (~3%) GGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGGAGTCTGACTGACCATTGGA C TAGGGGATT - “ SNPs ” , in/del, CNV, VNTR GACCAGTA G GCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGGA CTGAACGCCCCTCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGAGGAGTCTGACTGACCATTGGACTA - dbSNP, HapMap , 1KG, “ local ” NGS efforts,.. GGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGCGA “IN/DEL= Insertion Deletion ” TGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTAC CTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCT A GCTGATC GATCATCGATAACCG TAT AAGGGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATGC *Frequent in the Population: GATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGA TCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAAGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCTG > 5 % = common polymorphism CGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCC 1 – 5 % CGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGT = less common variant “CNV=Copy Number Variation ” CGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAGC < 1 % = rare variant/mutation TAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAAC AAAATAGC GGTATTTTGGAGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGAC GATTAAAAAGGAT TACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCT GACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTA GCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATC GATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGCTA GCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGG GGGTTAAATG CACACACACACACACACACACACACACACACACA GATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGGT GCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAG CTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTT “VNTR= Variable Nunber of Repeats ” AAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGAGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGG CTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCC CCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCA GTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGA

  10. AGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATT AAAA AGGATTACGATT AGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGAC GTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGAT CGATGCTAGTAG C TAGCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTA GTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGGAGTCTGACTGACCATTGGAC TAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGC GATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGAGTCT GACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGAC G ATTAAAAAGGATTACGATTAGCTGTGA “SNP” CGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTG CGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTA GTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGT GGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGGAGTCTGACTGACCATTGGACTAGGGGATT GACCAGT A GGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGG ACTGAACGCCCCCCGGGCTTCTTTATTA G CT G CTGACGTGCCAGATGCTGACGTGCAGTGAGGAGTCTGACTGACCATTGGACT AGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGC GATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTA CCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGAT CGATCATCGATAACCG T ATAAGGGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATG CGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCG ATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAAGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCT GCGATTCGGATGCGGATTGACGATTAAAAAGGATTACGATTAGCTGTGAC G TGCAGGATGCTGCGATGCTGGACTGAACGCCCC T- C “HAPLOTYPE” CCGGGCTTCTTTATTAGCTGCTGACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAG TCGAT C GATCGATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAG CTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAA CAAAATAGCGGTATTTTGGAGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGAC GATTAAAAAGGATTACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTA G CTGCT GACGTGCCAGATGCTGACGTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTA GCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATC GATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGCTA GCTAGCTGA TCG ATCATCGATCGTAGCTAGCTAGCTAGCTAGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGG GGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCGGTATTTTGGGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATC GATCGTAGCGTAGCGTATGCTAGCTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGATCATCGATCGT A GCTAGCTAGCTAGCT AGCTGATCGATCGATGCTAGCTAGCTAGCTAGTCATCTGTGGTGGGGGGTTAAATGCGATTGCCGCTAGCTAGAACAAAATAGCG GTATTTTGGAGGAGTCTGACTGACCATTGGACTAGGGGATTGACCAGTAGGCTGCGATTCGGATGCGGATTGACGATTAAAAAGG ATTACGATTAGCTGTGACGTGCAGGATGCTGCGATGCTGGACTGAACGCCCCCCGGGCTTCTTTATTAGCTGCTGACGTGCCAGA TGCT G ACGTGCAGTGCGGCTGACGGTGCTTACCTGGATCGGATGCTACCAGTCGATCGATCGATCGTAGCGTAGCGTATGCTAG CTAGTGATCGATGCTAGTAGCTAGCTAGCTGATCGA

  11. SNPs, alleles, genotypes and haplotypes SNP= Single Nucleotide Polymorphism Chromosomes: strand Allele A A C G from Father + + from Mother C G A T Genotype Haplotype Allele A A C G C G A T

  12. Single Nucleotide Polymorphisms (SNPs) are common and have subtle effects Codon 222 Codon 222 ..AACCG C ATAAGG.. ..AACCG T ATAAGG.. ..TTGGC G TATTCC.. ..TTGGC A TATTCC.. DNA: C677T Alanine Valine protein: Ala222Val c u enzyme activity Ala Val Hcy level Population frequency: 65% 35% Disease risk

  13. “Simple” versus “Complex” Disease Simple/Monogenic Disease Complex Disease • severe phenotype • mild phenotype • early onset • late onset • rare • common • Mendelian inheritance • complex inheritance • e.g.: cystic fibrosis, • e.g.: diabetes, asthma, osteogenesis imperfecta osteoporosis Mutations Polymorphisms Cause: (  1%) (< 1%)

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