title: Variant between CPT1B and CHKB associated with susceptibility to narcolepsy.
abstract: Narcolepsy (hypocretin deficiency), a sleep disorder characterized by sleepiness, cataplexy and rapid eye movement (REM) sleep abnormalities, is tightly associated with HLA-DRB1*1501 (M17378) and HLA-DQB1*0602 (M20432). Susceptibility genes other than those in the HLA region are also likely involved. We conducted a genome-wide association study using 500K SNP microarrays in 222 Japanese individuals with narcolepsy and 389 Japanese controls, with replication of top hits in 159 Japanese individuals with narcolepsy and 190 Japanese controls, followed by the testing of 424 Koreans, 785 individuals of European descent and 184 African Americans. rs5770917, a SNP located between CPT1B and CHKB, was associated with narcolepsy in Japanese (rs5770917[C], odds ratio (OR) = 1.79, combined P = 4.4 x 10(-7)) and other ancestry groups (OR = 1.40, P = 0.02). Real-time quantitative PCR assays in white blood cells indicated decreased CPT1B and CHKB expression in subjects with the C allele, suggesting that a genetic variant regulating CPT1B or CHKB expression is associated with narcolepsy. Either of these genes is a plausible candidate, as CPT1B regulates beta-oxidation, a pathway involved in regulating theta frequency during REM sleep, and CHKB is an enzyme involved in the metabolism of choline, a precursor of the REM- and wake-regulating neurotransmitter acetylcholine.
authors.affiliation: Department of Human Genetics, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
authors.forename: Taku
authors.initials: T
authors.lastname: Miyagawa
authors.forename: Minae
authors.initials: M
authors.lastname: Kawashima
authors.forename: Nao
authors.initials: N
authors.lastname: Nishida
authors.forename: Jun
authors.initials: J
authors.lastname: Ohashi
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kimura
authors.forename: Akihiro
authors.initials: A
authors.lastname: Fujimoto
authors.forename: Mihoko
authors.initials: M
authors.lastname: Shimada
authors.forename: Shinichi
authors.initials: S
authors.lastname: Morishita
authors.forename: Takashi
authors.initials: T
authors.lastname: Shigeta
authors.forename: Ling
authors.initials: L
authors.lastname: Lin
authors.forename: Seung-Chul
authors.initials: SC
authors.lastname: Hong
authors.forename: Juliette
authors.initials: J
authors.lastname: Faraco
authors.forename: Yoon-Kyung
authors.initials: YK
authors.lastname: Shin
authors.forename: Jong-Hyun
authors.initials: JH
authors.lastname: Jeong
authors.forename: Yuji
authors.initials: Y
authors.lastname: Okazaki
authors.forename: Shoji
authors.initials: S
authors.lastname: Tsuji
authors.forename: Makoto
authors.initials: M
authors.lastname: Honda
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Honda
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Mignot
authors.forename: Katsushi
authors.initials: K
authors.lastname: Tokunaga
mesh_terms: D002334:Carnitine O-Palmitoyltransferase / Q000235:genetics*; D016022:Case-Control Studies; D002797:Choline Kinase / Q000235:genetics*; D015971:Gene Expression Regulation, Enzymologic; D020022:Genetic Predisposition to Disease; D015894:Genome, Human / Q000235:genetics; D006801:Humans; D015810:Linkage Disequilibrium / Q000235:genetics; D009154:Mutation / Q000235:genetics*; D009290:Narcolepsy / Q000201:enzymology* / Q000235:genetics*
chemical_list: D002334:Carnitine O-Palmitoyltransferase; D002797:Choline Kinase