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Inbreeding and the Genetic Complexity of Human Hypertension
Igor Rudana,b, Nina Smolej-Narancicc, Harry Campbella, Andrew Carothersd, Alan Wrightd, Branka Janicijevicc, and Pavao Rudanca Department of Community Health Sciences, University of Edinburgh Medical School, Edinburgh EH8 9AG, Scotland, United Kingdom,
b School of Public Health "Andrija Stampar, " University Medical School, 10000 Zagreb, Croatia,
c Institute for Anthropological Research, 10000 Zagreb, Croatia
d MRC Human Genetics Unit, Western General Hospital, Edinburgh EH4 2XU, Scotland, United Kingdom
Corresponding author: Harry Campbell, University of Edinburgh Medical School, Teviot Pl., Edinburgh EH8 9AG, Scotland, UK., harry.campbell{at}ed.ac.uk (E-mail)
Communicating editor: D. CHARLESWORTH
| ABSTRACT |
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Considerable uncertainty exists regarding the genetic architecture underlying common late-onset human diseases. In particular, the contribution of deleterious recessive alleles has been predicted to be greater for late-onset than for early-onset traits. We have investigated the contribution of recessive alleles to human hypertension by examining the effects of inbreeding on blood pressure (BP) as a quantitative trait in 2760 adult individuals from 25 villages within Croatian island isolates. We found a strong linear relationship between the inbreeding coefficient (F) and both systolic and diastolic BP, indicating that recessive or partially recessive quantitative trait locus (QTL) alleles account for 1015% of the total variation in BP in this population. An increase in F of 0.01 corresponded to an increase of
3 mm Hg in systolic and 2 mm Hg in diastolic BP. Regression of F on BP indicated that at least several hundred (300600) recessive QTL contribute to BP variability. A model of the distribution of locus effects suggests that the 816 QTL of largest effect together account for a maximum of 25% of the dominance variation, while the remaining 75% of the variation is mediated by QTL of very small effect, unlikely to be detectable using current technologies and sample sizes. We infer that recent inbreeding accounts for 36% of all hypertension in this population. The global impact of inbreeding on hypertension may be substantial since, although inbreeding is declining in Western societies, an estimated 1 billion people globally show rates of consanguineous marriages >20%.
THE extensive literature on the health effects of inbreeding has largely focused on its impact on reproduction, childhood mortality, and Mendelian disorders (![]()
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We postulated that the quantitative trait, blood pressure (BP), and the related late-onset disorder, essential hypertension, might be mediated by recessive and partially recessive quantitative trait locus (QTL) alleles, which would be influenced by the increased homozygosity found in inbred individuals. In support of this hypothesis, several studies of small inbred communities worldwide have reported an increased prevalence of hypertension (![]()
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| SUBJECTS AND METHODS |
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Study population:
The village populations of three neighboring islands in the eastern Adriatic, Middle Dalmatia, Croatia (Brac, Hvar, and Korculasee Fig 1) represent well-characterized genetic isolates. Over 100 publications describe the ethnohistory, migration patterns, genealogical reconstruction, biological trait measurements, disease prevalence, and environmental and sociocultural characteristics of this population (![]()
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Blood pressure and other measurements:
We measured blood pressure, height, and weight between 1979 and 1981 in 2760 adult individuals selected at random from voting lists from 25 isolate villages on three islands (Brac, Hvar, and Korcula) in middle Dalmatia, Croatia (representing a 20% sample of the village populations). In addition, we collected data on body mass index, diet, education level, occupation, and smoking status. This was carried out with the informed consent of participants by the Institute for Anthropological Research in Zagreb, Croatia, in collaboration with the Smithsonian Institute in Washington, DC. None of the examinees had ever received antihypertensive treatment. Blood pressure was measured by a single observer in local health centers and dispensaries between 6 AM and 12 noon following standard procedures as described by Weiner (![]()
160 or diastolic BP
95 mm Hg.
Computation of individual inbreeding coefficients:
A single researcher (I. Rudan) computed individual inbreeding coefficients independently and blind to BP status for each study participant on the basis of pedigree information on four ancestral generations (five generations where these occurred over a similar time frame) recorded during the initial field work and supplemented by study of parish registries stored in local churches during 19972000. The individual inbreeding coefficients (F) were then computed according to Wright's path method,

(![]()
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where S =
pkqk, pk, qk are the frequencies of the surname k in males and females, respectively, P is the proportion of marriages between spouses carrying the same surname among all marriages, and the summation is over all surnames. We calculated average inbreeding measures for each of the 25 villages on the basis of isonymy, which provides an upper bound (![]()
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Statistical analysis and modeling:
Comparisons of BP among villages were based on systolic and diastolic BP measurements adjusted for age, body mass index (weight/ height2), and smoking status. A step-down multiple regression analysis was performed using MINITAB 12.21 software to investigate the correlation between individual BP measurements and inbreeding coefficients. The model explored the relationship between systolic and diastolic blood pressure (as dependent variables) and a number of explanatory variables: individual inbreeding coefficient (F), island and village of residence, smoking status, and the major known risk factors for hypertensionage, sex, (log-transformed) height, and (log-transformed) weight. Variables that made the least contribution to the explained variation were dropped one at a time until all the remaining variables were statistically significant (defined as P < 0.05 for main effects and P < 0.01 for higher-order effects; Table 2). A model was developed from quantitative genetic theory to derive a lower bound, nL, for the number of genetic loci of equivalent effect contributing to the dominance variance in BP, as
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(1) |
where DT is the overall slope of the regression on F, VG is the total genetic variance, VP is the total phenotypic variance, and H2 is the broad-sense heritability (see the Appendix). This extends to multiallelic loci the result given by ![]()
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Population-attributable fraction:
The population-attributable fraction (PAF) for hypertension (defined as either systolic >160 mm Hg or diastolic >90 mm Hg) was calculated by multiple logistic regression allowing for individual differences in the variables: village, sex, age, height, weight, and smoking. We determined the appropriate regression as a function of all associated variables (including F) and then noted each individual's probability of being hypertensive if their F was set equal to 0. The sum of all such probabilities, Psum, is an estimate of the number affected in the absence of inbreeding, but with other variables remaining unaltered. Then PAF = 1 - Psum/Naff, where Naff is the actual number affected.
Modeling the effects of individual QTL loci:
For biallelic loci, the relation between the true number, n say, of recessive QTL loci affecting a trait and nL (see above) is n = nL(1 +
2), where
denotes the coefficient of variation of the frequency distribution of locus effects. Following ![]()
1; i.e., f(x) = xL-1e-x/
(L). This family of distributions has
2 = L-1. Since the contribution of a biallelic locus with nonadditive effect, x (or Dj in the notation of the Appendix), to the dominance variance is just x2, the distribution of such contributions is also gamma, but with parameter L + 2. Hence, for given L, we can compute the minimum proportion of loci contributing any specified proportion of the overall variance. Finally for given nL, we obtain an estimate of the actual minimum number of loci by multiplying this proportion by nL(1 + L-1). As shown by ![]()
L
1.
| RESULTS |
|---|
Measurements recorded during a survey in 19791981 in an untreated population permitted analysis of BP as a quantitative trait. Body mass index, diet, education level, occupation, smoking status, and inbreeding values among study participants are shown in Table 1 by village of residence. The prevalence of hypertension among individuals with no known inbreeding in their recent ancestry in the study population was
20%, and the mean ages of those males and females were, respectively, 45.9 (SD 13.9) and 47.0 (SD 13.9) years. Average inbreeding measures for each of the 25 villages based on Wright's path method and isonymy gave a consistent pattern of ranking of villages by level of inbreeding. This supports the use of F values as a means of ranking individuals and villages by inbreeding coefficient (Table 1).
We found a highly significant linear correlation between mean inbreeding coefficient of study individuals in each village and the prevalence of hypertension (Fig 2). To explore this further, we performed multiple regression analysis of systolic and diastolic BP on individual inbreeding coefficients (F), controlling for the main recognized determinants of BP (age, sex, height, and weight), village of residence, and smoking status. We found a strong linear correlation between F and adjusted systolic and diastolic BP in both males and females (Fig 3). Both systolic and diastolic BP levels correlated positively with age, weight, and individual inbreeding coefficients and negatively with height and smoking status in both males and females. The regression model explained 3550% of the phenotypic variance in BP. The strongest effect was clearly individual inbreeding coefficients, which alone explained
15% of the variance in males and 10% in females in both systolic and diastolic levels (Table 2). An increase in F of 0.01 corresponded to an increase of
3 mm Hg in systolic and 2 mm Hg in diastolic BP in both sexes.
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The effect of inbreeding (F) on BP depends on the number and dominance properties of QTL alleles, their frequencies, and average effects on the trait (![]()
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The distribution of recessive QTL effects can be approximated as gamma-type with mode at zero and parameter L < 1 (![]()
400, and L is between 1/16 and 1, then the minimum numbers contributing the upper 25th and 50th percentiles of the distribution are, respectively, 816 and 3055 (Fig 4).
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Height was analyzed in a similar fashion since in many populations it shows additive variance but no major dominance component (![]()
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| DISCUSSION |
|---|
It is widely recognized that essential hypertension is under considerable genetic influence. However, apart from isolated successes in mapping rare monogenic loci, which account for <5% of hypertension, no major progress has been made in defining the genetic basis of essential hypertension (![]()
The model makes several assumptions that may influence these estimates. First, the inbreeding coefficient is based on measures of recent inbreeding (over four to five generations). We therefore calculated isonymy estimates for each village (Table 1) and found that their mean value exceeded the median F value by a factor of 1.35. Since isonymy is widely recognized to overestimate inbreeding (![]()
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The magnitude of the inbreeding effect on BP is large (equivalent to a rise in systolic BP of
20 mm Hg and diastolic of
12 mm Hg in offspring of first-cousin marriages; F = 0.0625) but very similar to the only other two published estimates we could identify in other isolate populations. ![]()
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The estimate of several hundred recessive QTL relevant to human hypertension is realistic and indeed may be conservatively low. It is consistent with a complex and genetically highly variable (![]()
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Our minimum estimates of the number of recessive QTL influencing blood pressure control do not in themselves reveal the relative magnitudes of locus effects. There is, however, good evidence for an L-shaped (leptokurtotic) distribution of allelic-effect sizes (![]()
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This study demonstrates an important effect of inbreeding on the genetically complex late-onset disorder, hypertension, which appears to be mediated by a large number of recessive QTL alleles as a result of increased homozygosity. Several factors support the validity of the data and reinforce the conclusions: first, the standard measurement procedures that were adopted and the exclusion of known confounding factors; second, the consistency of findings in diverse populations (![]()
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20%, similar to most outbred populations, but it increases steeply among 50-year-olds as the inbreeding coefficient rises (Fig 5).
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Inbreeding is generally decreasing among nonimmigrant Western societies but it is highly prevalent globally. Consanguineous marriages, defined as a union between individuals related as second cousins or closer (equivalent to F
0.0156 in their progeny), has been conservatively estimated to occur at 110% prevalence among 2.811 billion and at 2050% prevalence among 911 million people globally (![]()
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| ACKNOWLEDGMENTS |
|---|
The authors thank Professor Bill Hill, Professor Brian Charlesworth, and Dr. Peter Visscher for helpful discussions, comments, and suggestions. This work was supported by the Wellcome Trust (IRDA) grant to H.C. and I.R., the Croatian Ministry of Science and Technology (CMST) grant 01960101 to P.R., 0196005 to P.R., 0196001 to N.S.N., and 0108330 to I.R., and the joint British Council and CMST grant ALIS 054 to H.C. and I.R. I.R. was supported by funds from the UK Medical Research Council, the University of Edinburgh, and the Overseas Research Scheme.
Manuscript received June 28, 2002; Accepted for publication November 19, 2002.
| APPENDIX |
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THE EFFECT OF INBREEDING ON A MULTILOCUS PHENOTYPE
Model, notation, and assumptions:
The phenotype of the ith individual is modeled by
![]() |
(A1) |
where xij denotes the contribution to the phenotype of the genotype at the jth locus (j = 1, ... , n), and
i is a random "environmental" contribution, uncorrelated between individuals and with mean 0 and variance
2. Each locus is assumed to have Kj alleles, Ajk, with frequencies pjk (k = 1, ... , Kj), and loci are assumed to act additively and independently. Individuals with genotypes AjkAjk and AjkAjk' (k
k') are distributed around mean phenotypic values of 2ajk and ajk + ajk' + djkk', respectively. Thus, djkk' = 0 represents additivity, and djkk' = ajk - ajk' complete dominance of Ajk over Ajk'.
The effect of inbreeding:
Assuming Hardy-Weinberg equilibrium (HWE),
![]() |
(A2) |
where
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(A3) |
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(A4) |
and
k denotes summation from k = 1, ... , Kj, and likewise for
k'. (Note that for mathematical conformity, we assume djkk = 0,
k.) If the two alleles at locus j are IBD, then
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(A5) |
Hence, if the level of inbreeding, P(IBD), of the ith individual is Fi, we have
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(A6) |
where
j denotes summation from j = 1, ... , n. Thus, a plot of yi against Fi is linear with slope -
jDj.
The components of genetic variance:
A1 shows the steps needed to compute the additive (VAj) and dominance (VDj) components of total genetic variance (VGj) at locus j, defining
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(A7) |
and
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(A8) |
This is a generalization of Falconer's treatment for the biallelic case (![]()
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(A9) |
and
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(A10) |
where
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(A11) |
Since loci are assumed to be independent the overall components of variance are derived by summing over all j. Hence,
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(A12) |
where
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(A13) |
Lower limit for the number of loci, n:
We make use of the mathematical result that, for any two sets of real numbers {zi, i = 1, ... , n} and {wi, i = 1, ... , n}, if zi2
wi (i = 1, ... , n) then
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(A14) |
This is an application of Cauchy's inequality (see, e.g., ![]()
Vj for all j, then we have a sufficient, but not necessary, condition that the quantity
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(A15) |
is a lower bound for n. Here, DT = -
jDj and VT =
jVj denote the overall slope and variance, respectively, the additivity of both relationships being a consequence of assuming that different loci act independently.
Special cases:
The condition D2j
Vj does not hold in all circumstances. However, consideration of special cases suggests that the circumstances under which it breaks down are rather exceptional. In the biallelic case (model BA), the condition always holds since D2j is identical to VDj. For the multiallelic case we consider two models (MA1 and MA2), in both of which all alleles at every locus have equal frequency and successive homozygotes are evenly spacedthat is, pjk = 1/Kj and ajk = aj[k - (Kj + 1)/2] (k = 1, ... , Kj; j = 1, ... , n). In model MA1, the dominance effects are assumed to be equal in absolute magnitude, i.e., djkk' = ajdj (
j and
k
k'), whereas in model MA2 they are assumed to be proportional to the interhomozygote distances; i.e., djkk' = aj
j|k - k'| (
j, k, k'). With this definition, |
j| = 1 corresponds to full dominance of one allele in each possible pair, and |
j| = 0 to complete absence of dominance. By analogy, it seems logical in model MA1 to scale djkk' by half the mean interhomozygote distance, i.e., aj(Kj + 1)/3.
By straightforward though tedious algebra it can be shown that the condition Dj2
VGj is satisfied under all models unless the level of dominance exceeds
(model MA1) or
(model MA2). These asymptotic limits are bounded from above as Kj
. Since such levels imply a considerable degree of overdominance in the same direction and between all pairs of alleles, it is unlikely to apply in most situations. For example, in sickle-cell anemia, in perhaps the most widely quoted and extreme case of overdominance in human genetics, ![]()
) is then 1.73.
Extreme overdominance:
In the most extreme form of overdominance, all homozygotes have one assigned value (0, say), and all heterozygotes have another (d, say). Then at a single locus, and dropping the suffix j, we have
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(A16) |
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(A17) |
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(A18) |
and
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(A19) |
where
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(A20) |
Hence,
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(A21) |
since R2
K-1. On summing over all loci and applying Cauchy's inequality, we obtain
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(A22) |
Note that this depends in turn on the easily proved result that, for Aj > 0,
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(A23) |
Conclusions:
The models explored here suggest that a sufficient condition for nL (with VT = VGT =
jVGj) to be a lower bound for n is likely to be satisfied in most practical circumstances and will fail only in situations of extreme overdominance. In the most extreme such situation, when all homozygotes have the same genetic value and all heterozygotes have a different one, Cauchy's inequality leads to the result that
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(A24) |
and hence, if
denotes the mean number of alleles per locus, that
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(A25) |
On the other hand, because the condition is sufficient but not necessary it will in practice be more widely applicable than the above models suggest. For example, in the multiallelic models, the requirement that the absolute dominance is less than a certain limit may allow dominance to be much greater for some pairs of alleles than for others and even of opposite sign, so long as the average dominance remains within the required limit.
Finally, it should be borne in mind that the present method reveals nothing about the relative magnitude of the dominance effects at different loci or of course about the presence of additive effects.
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| LITERATURE CITED |
|---|
ABNEY, M., M. S. MCPEEK, and C. OBER, 2001 Broad and narrow heritabilities of quantitative traits in a founder population. Am. J. Hum. Genet. 68:1302-1307.[Medline]
BARTON, N. H. and P. D. KEIGHTLEY, 2002 Understanding quantitative genetic variation. Nat. Rev. Genet. 3:11-21.[Medline]
BITTLES, A. H., 1988 Empirical estimates of the global prevalence of consanguineous marriage in contemporary societies. Working Report 74, Morrison Institute for Population and Resource Studies, Stanford University, Stanford, CA.
BITTLES, A. H. and J. V. NEEL, 1994 The costs of human inbreeding and their implications for variations at the DNA level. Nat. Genet. 8:117-121.[Medline]
BITTLES, A. H., W. M. MASON, J. GREENE, and N. A. RAO, 1991 Reproductive behaviour and health in consanguineous marriages. Science 252:789-794.
BITTLES, A. H., H. S. SAVITHRI, H. S. V. MURTHY, G. BASKARAN, W. WANG et al., 2001 Consanguinity: a familiar story full of surprises, pp. 6878 in Health and Ethnicity, edited by H. MACBETH and P. SHETTY. Taylor and Francis, London.
BOHACEK, N., 1964 Tristan da Cunha and Susak. Lijec. Vjesn. 86:1412-1416.[Medline]
BOST, B., D. DE VIENNE, F. HOSPITAL, L. MOREAU, and C. DILLMANN, 2001 Genetic and nongenetic bases for the L-shaped distribution of quantitative trait loci effects. Genetics 157:1773-1787.
BRINK, A. (Editor), 1967 Heritage From Mendel. University of Wisconsin, Madison, WI.
BROMAN, K. W. and J. L. WEBER, 1999 Long homozygous chromosomal segments in reference families from the centre d'Etude du polymorphisme humain. Am. J. Hum. Genet. 65:1493-1500.[Medline]
CAVALLI-SFORZA, L. L., and W. F. BODMER, 1971 The Genetics of Human Populations. W. H. Freeman, San Francisco.
CHARLESWORTH, B. and D. CHARLESWORTH, 1999 The genetic basis of inbreeding depression. Genet. Res. 74:329-340.[Medline]
CHARLESWORTH, B. and K. A. HUGHES, 1996 Age-specific inbreeding depression and components of genetic variance in relation to the evolution of senescence. Proc. Natl. Acad. Sci. USA 93:6140-6145.
CHARLESWORTH, B., and K. A. HUGHES, 1999 The maintenance of genetic variation in life-history traits, pp. 369391 in Evolutionary Genetics: From Molecules to Morphology, Vol. 1, edited by R. S. SINGH and C. B. KRIMBAS. Cambridge University Press, Cambridge, UK.
CROW, J. F., 1980 The estimation of inbreeding from isonymy. Hum. Biol. 52:1-14.[Medline]
FALCONER, D. S., 1964 Introduction to Quantitative Genetics. Oliver & Boyd, Edinburgh.
FALCONER, D. S., and T. F. C. MACKAY, 1996 Introduction to Quantitative Genetics, Ed. 4. Longman, Harlow, UK.
FISCHER, J., B. BOUADJAR, R. HEILIG, M. HUBER, and C. LEFEVRE et al., 2001 Mutations in the gene encoding SLURP-1 in Mal de Meleda. Hum. Mol. Genet. 10:875-880.
FLINT, J. and R. MOTT, 2001 Finding the molecular basis of quantitative traits: successes and pitfalls. Nat. Rev. Genet. 2:437-445.[Medline]
HALBERSTEIN, R. A., 1999 Blood pressure in the Caribbean. Hum. Biol. 71:659-684.[Medline]
HALUSHKA, M. K., J. B. FAN, K. BENTLEY, L. HSIE, and N. SHEN et al., 1999 Patterns of single-nucleotide polymorphisms in candidate genes for blood-pressure homeostasis. Nat. Genet. 22:239-247.[Medline]
HARDY, G. H., 1960 A Course of Pure Mathematics, Ed. 10. Cambridge University Press, Cambridge, UK.
HAYES, B. and M. E. GODDARD, 2001 The distribution of the effects of genes affecting quantitative traits in livestock. Genet. Sel. Evol. 33:209-230.[Medline]
HURWICH, B. J., B. ROSNER, N. NUBANI, E. H. KASS, and F. I. LEWITTER, 1982 Familial aggregation of blood pressure in a highly inbred community, Abu Ghosh, Israel. Am. J. Epidemiol. 115:646-656.
JANICIJEVIC, B., M. BAKRAN, S. S. PAPIHA, A. CHAVENTRE, and D. F. ROBERTS, 1994 Serogenetic analysis in the study of the population structure of the eastern Adriatic (Croatia). Hum. Biol. 66:991-1003.[Medline]
KLARIC, I. M., L. BARAC, D. BUKOVIC, I. FURAC, and G. GEBER et al., 2001a Short tandem repeat (STR) variation in eight village populations of the island of Korcula (Croatia). Ann. Hum. Biol. 28:281-294.[Medline]
KLARIC, I. M., L. JIN, R. CHAKRABORTY, R. DEKA, and L. BARAC et al., 2001b Inter- and intra-Island genetic diversity in Adriatic populations of Croatia: implications for studying complex diseases in isolated populations. Am. J. Hum. Genet. 69(Suppl.):394.
KOPAJTIC, B., M. DUJMOVIC, Z. KOLACIO, and V. KOGOJ-BAKIC, 1995 Enclaves of hereditary dwarfism on the island of Krk, Croatia. Coll. Anthropol. 19:365-370.
KRIEGER, H., 1968 Inbreeding effects on metrical traits in Northeastern Brazil. Am. J. Hum. Genet. 21:537-546.
LIFTON, R. P., A. G. GHARAVI, and D. S. GELLER, 2001 Molecular mechanisms of human hypertension. Cell 104:545-546.[Medline]
MACKAY, T. F., 2001 The genetic architecture of quantitative traits. Annu. Rev. Genet. 35:303-339.[Medline]
MARTIN, A. O., T. W. KURCZYNSKI, and A. G. STEINBERG, 1973 Familial studies of medical and anthropometric variables in a human isolate. Am. J. Hum. Genet. 25:581-593.[Medline]
MARTINOVIC, I., S. MASTANA, B. JANICIJEVIC, V. JOVANOVIC, and S. S. PAPIHA et al., 1998 VNTR DNA variation in the population of the island of Hvar, Croatia. Ann. Hum. Biol. 25:489-499.[Medline]
MARTINOVIC, I., L. BARAC, I. FURAC, B. JANICIJEVIC, and M. KUBAT et al., 1999 STR polymorphisms in the population of the island of Hvar. Hum. Biol. 71:341-352.[Medline]
MIALL, W. E. and P. D. OLDHAM, 1963 The hereditary factor in arterial blood pressure. Brit. Med. J. 19:75-80.
MUKAI, T., R. A. CARDELLINO, T. K. WATANABE, and J. F. CROW, 1974 The genetic variance for viability and its components in a local population of Drosophila melanogaster. Genetics 78:1195-1208.
REICH, D. E., M. CARGILL, S. BOLK, J. IRELAND, and P. C. SABETI et al., 2001 Linkage disequilibrium in the human genome. Nature 411:199-204.[Medline]
ROGULJIC, D., I. RUDAN, and P. RUDAN, 1997 Estimation of inbreeding, kinship, genetic distances and population structure from surnames: example from the island of Hvar, Croatia. Am. J. Hum. Biol. 9:595-608.
ROBERTS, D. F., Z. M. NOOR, S. S. PAPIHA, and P. RUDAN, 1992 Genetic variation in Brac, Croatia. Ann. Hum. Biol. 19:539-557.[Medline]
RUDAN, I., H. CAMPBELL, and P. RUDAN, 1999 Genetic epidemiological studies of eastern Adriatic island isolates, Croatia: objectives and strategies. Coll. Anthropol. 23:531-546.
RUDAN, P., D. SIMIC, N. SMOLEJ-NARANCIC, L. A. BENNETT, and B. JANICIJEVIC et al., 1987 Isolation by distance in Middle Dalmatia, Yugoslavia. Am. J. Phys. Anthropol. 74:417-426.[Medline]
RUDAN, P., A. SUJOLDZIC, D. SIMIC, L. A. BENNETT and D. F. ROBERTS, 1992 Population structure in the eastern Adriatic: the influence of historical processes, migration patterns, isolation and ecological pressures, and their interaction, pp. 204218 in Isolation, Migration and Health, edited by D. F. ROBERTS, N. FUJIKI and K. TORIZUKA. Cambridge University Press, Cambridge, UK.
SHRIMPTON, A. E. and A. ROBERTSON, 1988 The isolation of polygenic factors controlling bristle score in Drosophila. II. Distribution of third chromsome bristle effects with chromosome sections. Genetics 118:445-459.
STOLL, M., A. E. KWITEK-BLACK, A. W. COWLEY, JR., E. L. HARRIS, and S. B. HARRAP et al., 2000 New target regions for human hypertension via comparative genomics. Genome Res. 10:473-482.
TAMBS, K., T. MOUM, L. J. EAVES, M. C. NEALE, and K. MIDTHJELL et al., 1992 Genetic and environmental contributions to the variance of body height in a sample of first and second degree relatives. Am. J. Phys. Anthropol. 88:285-294.[Medline]
TANKSLEY, S. K., 1993 Mapping polygenes. Annu. Rev. Genet. 27:205-233.[Medline]
TAY, J. S. and W. C. YIP, 1984 The estimation of inbreeding from isonymy: relationship to the average inbreeding coefficient. Ann. Hum. Genet. 48:185-194.[Medline]
TERWILLIGER, J. and H. H. H. GORING, 2000 Gene mapping in the 20th and 21st centuries: statistical methods, data analysis, and experimental design. Hum. Biol. 72:63-132.[Medline]
THOMAS, J. D., M. M. DOUCETTE, D. C. THOMAS, and J. D. STOECKLE, 1987 Disease, lifestyle and consanguinity in 58 American gypsies. Lancet 2:377-379.[Medline]
TOLK, H. V., L. BARAC, M. PERICIC, I. M. KLARIC, and B. JANICIJEVIC et al., 2001 The evidence of mtDNA haplogroup F in a European population and its ethnohistoric implications. Eur. J. Hum. Genet. 9:717-723.[Medline]
WADDLE, D. M., R. SOKAL, and P. RUDAN, 1998 Factors affecting population variation in Eastern Adriatic isolates, Croatia. Hum. Biol. 70:845-864.[Medline]
WAHID SAEED, A. A., F. J. AL SHAMMARY, T. A. KHOJA, T. J. HASHIM, and C. C. ANOKUTE et al., 1996 Prevalence of hypertension and socio-demographic characteristics of adult hypertensives in Riyadh City, Saudi Arabia. J. Hum. Hypertens. 10:583-587.[Medline]
WEINER, J. S., and J. A. LOURIE, 1969 Human BiologyA Guide to Field Methods. Blackwell, Oxford.
WRIGHT, S., 1922 Coefficients of inbreeding and relationship. Am. Nat. 56:330-338.
ZENG, Z., 1992 Correcting the bias of Wright's estimates of the number of genes affecting a quantitative character: a further improved method. Genetics 131:986-1001.
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