We performed a series of molecular analysis about pathogenesis and epidemiology of the moyamoya disease. First, to identify the gene responsible for familial moyamoya disease, we performed linkage analysis at 3 p24.2-p26 using three new families and four new markers near D3S3050 locus in addition to the previously published data (Am J Human Genet. 64: 533-537, 1999). Non-parametric LOD score had two high peaks around the marker of D3S3525 (maximum LOD score=4.190) and D3S3706 (maximum LOD score=4.428). These score fulfilled the criteria of significant linkage of complex diseases. Secondly, to clarify the link between the spread of familial moyamoya disease over Asia and the human migration route in ancient, average sequence divergence among patients with moyamoya disease were determined. Both linkage analysis using familial moyamoya patients and analysis on the evolutional gene flow in patients with moyamoya disease showed a clear evidence of hereditary nature of the familial moyamoya disease. Thirdly, analysis on the clinical anticipation observed in familial moyamoya families by detecting CAG repeart expansion with RED method revealed no clearevidence of the causative factor of clinical anticipation. However, this study again resultedin supporting the supecific hereditary nature of familial moyamoya patients.
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