GENETIC EPIDEMIOLOGY OF ENDOMETRIOSIS

子宫内膜异位症的遗传流行病学

• 批准号: 8358225
• 负责人: CATHERINE ANNE MCCARTY
• 金额: $ 2.81万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8358225
• 关键词: Age; Animal Model; Animals; Clinic; Collaborations; Computerized Medical Record; Coupled; DNA; Data; Diagnosis; Discipline of obstetrics; Disease; Electronics; Endocrine; Enrollment; Environmental Risk Factor; Evaluation; Family history of; Female; Fertility; Funding; Gene Frequency; Genetic; Genetic Markers; Genetic Predisposition to Disease; Grant; Gynecology; Head; Health Services Research; Histology; Human; Image; Location; Macaca mulatta; Malignant Neoplasms; Manuscripts; Medical; Medicine; Monkeys; Morphology; National Center for Research Resources; Nuclear Family; Online Systems; Operative Surgical Procedures; Outcome; Patient Self-Report; Patients; Physical activity; Physiology; Prevalence; Primates; Principal Investigator; Quality of life; Questionnaires; Recording of previous events; Recruitment Activity; Recurrence; Research; Research Infrastructure; Research Personnel; Research Project Grants; Resources; Risk; Risk Factors; Scientist; Services; Siblings; Smoking History; Source; Specimen; Surveys; Time; Treatment Factor; United States; United States National Institutes of Health; Universities; Update; Wisconsin; Woman; biobank; cohort; cost; disorder risk; endometriosis; genetic association; genetic epidemiology; genetic pedigree; nonhuman primate; population based; professor; Age; Animal Model; Animals; Clinic; Collaborations; Computerized Medical Record; Coupled; DNA; Data; Diagnosis; Discipline of obstetrics; Disease; Electronics; Endocrine; Enrollment; Environmental Risk Factor; Evaluation; Family history of; Female; Fertility; Funding; Gene Frequency; Genetic; Genetic Markers; Genetic Predisposition to Disease; Grant; Gynecology; Head; Health Services Research; Histology; Human; Image; Location; Macaca mulatta; Malignant Neoplasms; Manuscripts; Medical; Medicine; Monkeys; Morphology; National Center for Research Resources; Nuclear Family; Online Systems; Operative Surgical Procedures; Outcome; Patient Self-Report; Patients; Physical activity; Physiology; Prevalence; Primates; Principal Investigator; Quality of life; Questionnaires; Recording of previous events; Recruitment Activity; Recurrence; Research; Research Infrastructure; Research Personnel; Research Project Grants; Resources; Risk; Risk Factors; Scientist; Services; Siblings; Smoking History; Source; Specimen; Surveys; Time; Treatment Factor; United States; United States National Institutes of Health; Universities; Update; Wisconsin; Woman; biobank; cohort; cost; disorder risk; endometriosis; genetic association; genetic epidemiology; genetic pedigree; nonhuman primate; population based; professor

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. Primary support for the subproject and the subproject's principal investigator may have been provided by other sources, including other NIH sources. The Total Cost listed for the subproject likely represents the estimated amount of Center infrastructure utilized by the subproject, not direct funding provided by the NCRR grant to the subproject or subproject staff. Objective: To investigate the genetic epidemiology of endometriosis. While the cause remains unknown, there is a clear familial aggregation of endometriosis in both humans and non-human primates. In the proposed project, a multigenerational pedigree of rhesus monkeys demonstrating spontaneous disease with identical morphology and histology to that seen in women will serve as the animal model for genetic studies. This data will be coupled with the specimens and electronic medical records of patients previously diagnosed with endometriosis to verify genetic markers identified in the monkey pedigree. The pedigree was updated and refined by Kirsten Geraedts. The five specific aims of the project are to: 1) Confirm the diagnosis of endometriosis in 937 women with electronic diagnoses of endometriosis enrolled in the Personalized Medicine Research Project (PMRP). This is the largest population-based DNA biobank in the United States; it allows population-based estimates of allele frequencies and genetic associations. 2) Recruit additional women with surgically confirmed endometriosis into the PMRP cohort to reach a target of 1000 cases. 3) Administer validated endometriosis quality of life questionnaires to the women with confirmed endometriosis and document self-reported family history of endometriosis. 4) Quantify known risk factors (age, smoking history, physical activity, family history of endometriosis, endocrine factors), treatments (medical and surgical), and known outcomes (cancers, reduced fertility) in women with endometriosis. 5) Describe the genetic epidemiology of endometriosis in this cohort using the information collected in Aim 1. The Primate Center has a long history of investigating the prevalence and familial aggregation of endometriosis in rhesus macaques. Between 1978 and 2002, WNPRC researchers identified 144 rhesus macaques with endometriosis. They established a large multigenerational pedigree and nine nuclear families comprising 1,602 females. They found that the prevalence of endometriosis increased with age. In addition, they saw a higher recurrence risk for full siblings when compared to maternal half siblings and paternal half sibs. Those studies were led by Stephen Kennedy, head of the Nuffield Department of Obstetrics and Gynecology at Oxford University, and Joe Kemnitz, WNRPC director and professor of physiology. They focused on the mode of inheritance, location of potential genetic susceptibility loci, and the influence of environmental factors on disease risk. Ricki Colman, now a WNPRC associate scientist, conducted the non-invasive imaging studies at the time. The Marshfield Clinic collaboration continues this evaluation of pedigree and genetic information. The project is also expanding to include a web-based survey of the prevalence of endometriosis in the colonies of the other National Primate Research Centers. This project uses WNPRC Animal Services and Research Services. A manuscript is in submission.

该副本是利用资源的众多研究子项目之一 由NIH/NCRR资助的中心赠款提供。对该子弹的主要支持 而且，副投影的主要研究员可能是其他来源提供的 包括其他NIH来源。 列出的总费用可能 代表subproject使用的中心基础架构的估计量， NCRR赠款不直接向子弹或副本人员提供的直接资金。 目的：研究子宫内膜异位症的遗传流行病学。 虽然原因尚不清楚，但人类和非人类灵长类动物的子宫内膜异位症有明显的家族性聚集。在拟议的项目中，恒河猴的多代谱系表明自发疾病具有与女性相同的形态学和组织学相同的疾病，将作为遗传研究的动物模型。 该数据将与先前被诊断为子宫内膜异位症的患者的标本和电子病历相结合，以验证猴子血统书中鉴定出的遗传标志物。谱系由Kirsten Geraedts更新和完善。 该项目的五个具体目标是： 1）确认在个性化医学研究项目（PMRP）中诊断为子宫内膜异位症的937名妇女的子宫内膜异位症的诊断。这是美国最大的基于人群的DNA生物库。它允许基于人群的等位基因频率和遗传关联的估计。 2）招募其他手术确认子宫内膜异位症的女性进入PMRP队列，以达到1000例靶标。 3）对确认子宫内膜异位症的妇女进行经过验证的子宫内膜异位症调查问卷，并记录自我报告的子宫内膜异位症家族史。 4）量化已知危险因素（年龄，吸烟史，体育活动，子宫内膜异位症，内分泌因素的家族史），治疗（医疗和外科手术）以及子宫内膜异位症女性的已知结局（癌症，降低的生育能力）。 5）使用AIM 1中收集的信息描述该队列中子宫内膜异位症的遗传流行病学。 灵长类动物中心在研究恒河猕猴中子宫内膜异位症的患病率和家族聚集的历史悠久。在1978年至2002年之间，WNPRC研究人员确定了144颗猕猴患有子宫内膜异位症。他们建立了一个大型的多代血统和九个核心家庭，其中包括1,602名女性。他们发现子宫内膜异位症的患病率随着年龄的增长而增加。此外，与母亲的半兄弟姐妹和父亲的半兄弟姐妹相比，他们看到完整兄弟姐妹的复发风险更高。这些研究由牛津大学Nuffield妇产科妇产科主管Stephen Kennedy和WNRPC生理学主任兼WNRPC主任Joe Kemnitz领导。他们专注于继承方式，潜在的遗传易感基因座的位置以及环境因素对疾病风险的影响。现任WNPRC副科学家里奇·科尔曼（Ricki Colman）当时进行了非侵入性成像研究。 Marshfield诊所的合作继续对血统和遗传信息的评估。该项目还在扩展，包括基于网络的对子宫内膜异位症患病率的调查。 该项目使用WNPRC动物服务和研究服务。 手稿正在提交。