METHODS AND COMPOSITIONS FOR THE DIAGNOSIS OF MULTIPLE SCLEROSIS
Disclosed herein are methods and compositions for diagnosing multiple sclerosis (“MS”) in a subject or the risk of MS in a subject. More particularly, methods and compositions for the use of genetic markers for diagnosing MS in subject or the risk of MS in a subject.
1 . A method of determining the risk of multiple sclerosis (MS), the method comprising:
assaying a biological sample of a subject for the presence of at least one variant allele listed in Table 1 and Table 2;
wherein the presence of the at least one variant allele is indicative of a risk of MS.
2 . The method of claim 1 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 and Table 2 with at least one assay selected from a PCR assay, SNP array, PCR-based SNP genotyping, DNA hybridization, fluorescence microscopy, and immunoassay.
3 . The method of claim 1 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 and Table 2 with a PCR assay using one or more of the PCR primer sequences selected from SEQ ID NOS: 1-156.
4 . The method of claim 1 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 with a PCR assay using one or more of the PCR primer sequences selected from SEQ ID NOS: 1-6.
5 . The method of claim 1 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 by assaying the sample for the presence of at least one of the chromosome 16 variant allele of Table 1, in the gene ELMO3, at position chr16:67236368, using the forward primer ACTCCAGGCTCTGAGACAGC (SEQ ID NO: 1) and the reverse primer CACCTTGTCGAAGTCCTCCT (SEQ ID NO: 2), wherein the variant allele is A; the chromosome 16 variant allele of Table 1, in the gene ZFHX3 (ATBF1), at position chr16:72993489, using the forward primer TATTCGGGAAAGCCTGGTCT (SEQ ID NO: 3) and the reverse primer CCTCGCTTTTCCTGAACTCT (SEQ ID NO: 4), wherein the variant allele is C; and the chromosome 16 variant allele of Table 1, in the gene IL34, at position chr16:70690511, using the forward primer GGAGCCTGCTGGTCATTTCT (SEQ ID NO: 5) and the reverse primer CAGGAAGGGATTCTCACCAG (SEQ ID NO: 6), wherein the variant allele is C.
6 . The method of claim 5 , wherein the sample is assayed for the presence of both the chromosome 16 variant allele of Table 1, in the gene ELMO3, at position chr16:67236368, using the forward primer ACTCCAGGCTCTGAGACAGC (SEQ ID NO: 1) and the reverse primer CACCTTGTCGAAGTCCTCCT (SEQ ID NO: 2), wherein the variant allele is A; and the chromosome 16 variant allele of Table 1, in the gene ZFHX3 (ATBF1), at position chr16:72993489, using the forward primer TATTCGGGAAAGCCTGGTCT (SEQ ID NO: 3) and the reverse primer CCTCGCTTTTCCTGAACTCT (SEQ ID NO: 4), wherein the variant allele is C.
7 . The method of claim 5 , wherein the sample is assayed for the presence of both the chromosome 16 variant allele of Table 1, in the gene ELMO3, at position chr16:67236368, using the forward primer ACTCCAGGCTCTGAGACAGC (SEQ ID NO: 1) and the reverse primer CACCTTGTCGAAGTCCTCCT (SEQ ID NO: 2), wherein the variant allele is A; and the chromosome 16 variant allele of Table 1, in the gene IL34, at position chr16:70690511, using the forward primer GGAGCCTGCTGGTCATTTCT (SEQ ID NO: 5) and the reverse primer CAGGAAGGGATTCTCACCAG (SEQ ID NO: 6), wherein the variant allele is C.
8 . The method of claim 5 , wherein the sample is assayed for the presence of both the chromosome 16 variant allele of Table 1, in the gene ZFHX3 (ATBF1), at position chr16:72993489, using the forward primer TATTCGGGAAAGCCTGGTCT (SEQ ID NO: 3) and the reverse primer CCTCGCTTTTCCTGAACTCT (SEQ ID NO: 4), wherein the variant allele is C; and the chromosome 16 variant allele of Table 1, in the gene IL34, at position chr16:70690511, using the forward primer GGAGCCTGCTGGTCATTTCT (SEQ ID NO: 5) and the reverse primer CAGGAAGGGATTCTCACCAG (SEQ ID NO: 6), wherein the variant allele is C.
9 . The method of claim 1 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 2 with a PCR assay using one or more of the forward and reverse primers sequences selected from SEQ ID NOS: 7-156.
10 . The method of claim 1 , wherein the presence of the at least one variant allele indicates a diagnosis of MS in the subject.
11 . An in vitro diagnostic product for detecting the risk of MS in a subject, the product comprising:
at least one laboratory test for assaying a biological sample of a subject for the presence of at least one variant allele listed in Table 1 and Table 2
wherein the presence of the at least one variant allele is indicative of a risk of MS.
12 . The in vitro diagnostic product of claim 11 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 and Table 2 with at least one assay selected from a PCR assay, SNP array, PCR-based SNP genotyping, DNA hybridization, fluorescence microscopy, and immunoassay.
13 . The in vitro diagnostic product of claim 11 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 and Table 2 with a PCR assay using one or more of the PCR primer sequences selected from SEQ ID NOS: 1-156.
14 . The in vitro diagnostic product of claim 11 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 with a PCR assay using one or more of the PCR primer sequences selected from SEQ ID NOS: 1-6.
15 . The in vitro diagnostic product of claim 11 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 1 by assaying the sample for the presence of at least one of the chromosome 16 variant allele of Table 1, in the gene ELMO3, at position chr16:67236368, using the forward primer ACTCCAGGCTCTGAGACAGC (SEQ ID NO: 1) and the reverse primer CACCTTGTCGAAGTCCTCCT (SEQ ID NO: 2), wherein the variant allele is A; the chromosome 16 variant allele of Table 1, in the gene ZFHX3 (ATBF1), at position chr16:72993489, using the forward primer TATTCGGGAAAGCCTGGTCT (SEQ ID NO: 3) and the reverse primer CCTCGCTTTTCCTGAACTCT (SEQ ID NO: 4), wherein the variant allele is C; and the chromosome 16 variant allele of Table 1, in the gene IL34, at position chr16:70690511, using the forward primer GGAGCCTGCTGGTCATTTCT (SEQ ID NO: 5) and the reverse primer CAGGAAGGGATTCTCACCAG (SEQ ID NO: 6), wherein the variant allele is C.
16 . The in vitro diagnostic product of claim 15 , wherein the sample is assayed for the presence of both the chromosome 16 variant allele of Table 1, in the gene ELMO3, at position chr16:67236368, using the forward primer ACTCCAGGCTCTGAGACAGC (SEQ ID NO: 1) and the reverse primer CACCTTGTCGAAGTCCTCCT (SEQ ID NO: 2), wherein the variant allele is A; and the chromosome 16 variant allele of Table 1, in the gene ZFHX3 (ATBF1), at position chr16:72993489, using the forward primer TATTCGGGAAAGCCTGGTCT (SEQ ID NO: 3) and the reverse primer CCTCGCTTTTCCTGAACTCT (SEQ ID NO: 4), wherein the variant allele is C.
17 . The in vitro diagnostic product of claim 15 , wherein the sample is assayed for the presence of both the chromosome 16 variant allele of Table 1, in the gene ELMO3, at position chr16:67236368, using the forward primer ACTCCAGGCTCTGAGACAGC (SEQ ID NO: 1) and the reverse primer CACCTTGTCGAAGTCCTCCT (SEQ ID NO: 2), wherein the variant allele is A; and the chromosome 16 variant allele of Table 1, in the gene IL34, at position chr16:70690511, using the forward primer GGAGCCTGCTGGTCATTTCT (SEQ ID NO: 5) and the reverse primer CAGGAAGGGATTCTCACCAG (SEQ ID NO: 6), wherein the variant allele is C.
18 . The in vitro diagnostic product of claim 15 , wherein the sample is assayed for the presence of both the chromosome 16 variant allele of Table 1, in the gene ZFHX3 (ATBF1), at position chr16:72993489, using the forward primer TATTCGGGAAAGCCTGGTCT (SEQ ID NO: 3) and the reverse primer CCTCGCTTTTCCTGAACTCT (SEQ ID NO: 4), wherein the variant allele is C; and the chromosome 16 variant allele of Table 1, in the gene IL34, at position chr16:70690511, using the forward primer GGAGCCTGCTGGTCATTTCT (SEQ ID NO: 5) and the reverse primer CAGGAAGGGATTCTCACCAG (SEQ ID NO: 6), wherein the variant allele is C.
19 . The in vitro diagnostic product of claim 15 , wherein the sample is assayed for the presence of at least one variant allele listed in Table 2 with a PCR assay using one or more of the forward and reverse primers sequences selected from SEQ ID NOS: 7-156.
20 . The in vitro diagnostic product of claim 11 , wherein the presence of the at least one variant allele indicates a diagnosis of MS in the subject.