ABSTRACT INVIATO ED ACCETTATO per una presentazione al 29th International Congress of the IALP 25-29 August 2013, Turin A screening on Specific Learning Disabilities in a high genetic homogeneity area. Claudia Cappa*, Fabrizio Meloni° , Sara Giulivi**,Carlo Muzio*, Antonino Schilirò° * ISAC-CNR Turin Italy, °Servizio di NPI ASL 4 di Lanusei, Italy **SUPSI Locarno, Switzerland Abstract The present research is about the prevalence of Specific Learning Disabilities in a specific area of Italy, Ogliastra (Sardinia). This region has experienced centuries of isolation, which led to high genetic homogeneity and made the area particularly interesting for studies on different kinds of pathologies. Here we are going to describe the results of a screening carried out in 23 second grade classes in the Ogliastra region, for a total of 285 pupils. The tool used for the screening was “RSR-DSA. Questionnaire for the detection of learning difficulties and disorders”, for first and second grade. The tool is made up of two checklists, one for parents and one for teachers, in order to collect information about the child not only in relation to the school context, but also with regard to the home context. The checklists items cover 9 areas of competence: reading, writing, calculation abilities, language, memory and attention, motor-praxic area, visual perceptual area, behavioural area, emotional and affective area. The RSR-DSA questionnaire detected 34/285 cases at risk. Due to possible discrepancies between teachers’ and parents’ responses, regarding the same aspects of the child’s profile, it was considered necessary to analyse the questionnaire results in combination with the overall achievement of the pupils’ classes. This led to exclude 5 cases out of the above mentioned 34, and to reintroduce further 17 cases out of the original 285. On the whole, 46 pupils (29+17) were considered in need of further examinations. This first epidemiological investigation allowed to detect 5,26% of children with SLD. Among them, 13.33% (0,70% on the total) were cases of SLD in comorbidity with ADHD and another 13.33% were in comorbidity with a language disorder. The prevalence result obtained by the first national epidemiological investigation was 3,1-3,2%, which is much lower than the percentage obtained in the present. Considering the characteristics of the area where the study was carried out, this discrepancy may further confirm the genetic basis of SLD. Further investigation in the territory would be desirable. Summary of proposals The present study concerns the estimate of prevalence of Specific Learning Disabilities (dyslexia, dysortography, dysgraphia and dyscalculia) in a specific area of Italy, Ogliastra. For centuries, Ogliastra has experienced isolation, it has been subject to little influence from outside and has undergone little change. As a consequence, Ogliastra is a region of high genetic homogeneity and this is the reason why, for years, it has been the setting of numerous studies on a variety of pathologies. For the same reason the data collected for the present study in this same area can lead to considerably relevant results. Articoli isolamaento ogliastra Se escludiamo le zone costiere, la Sardegna e sempre stata, per cultura, ostile ai contatti con diverse popolazioni, nonostante gli innumerevoli tentativi di colonizzazione subiti nei secoli. In Ogliastra è un territorio dove non si sono registrati fenomeni di immigrazione, se non in tempi recenti -This region has experienced centuries of isolation, which led to high genetic homogeneity and made the area particularly interesting for studies on different kinds of pathologies. l’intera Ogliastra, ma forse come tutta la Sardegna, è un serbatoio ricchissimo per chi, come noi, cerca nei geni le cause di malattie legate alla senilità. L’isolamento della nostra terra ha determinato quello che per noi oggi è un campo di studi particolarmente favorevole. Genome-wide scan with nearly 700 000 SNPs in two Sardinian sub-populations suggests some regions as candidate targets for positive selection Ignazio Stefano Piras*,1, Antonella De Montis2, Carla Maria Calo`1, Monica Marini2, Manuela Atzori2, Laura Corrias1, Marco Sazzini3, Alessio Boattini3,4, Giuseppe Vona1,4 and Licinio Contu2,4 European Journal of Human Genetics (2012) 20, 1155–1161 & 2012 Macmillan Publishers Limited All rights reserved 1018-4813/12 Zei G.., Lisa A., Fiorani O., Magri C, Quintana-Murci L., Semino O and Santachiara-Benerecetti S., From surnames to the history of Y chromosomes: the Sardinian population as a paradigm European Journal of Human Genetics (2003) 11, 802–807. La ragione secondo l'esperto sarebbe dovuto a un isolamento sia geografico sia riproduttivo degli abitanti dell'Ogliastra (Guido Barbujani dell'universita' di Ferrara) Così come l'Islanda si è rivelata essere una terra ideale per uno studio genetico capillare dell'intera sua popolazione, anche l'Ogliastra con le sue peculiari caratteristiche geo-morfologiche e demografiche, un territorio dove non si sono registrati fenomeni di immigrazione, se non in tempi recenti e dove l'endogamia (la percentuale di matrimoni tra individui della stessa comunità) arriva a toccare percentuali altissime, sino a picchi del 95%, si è dimostrata, sin dai primi studi preliminari da noi effettuati, un luogo ideale per lo sviluppo della ricerca genetica sul territorio. 1)Sardinian populations are undoubtedly of particular interest owing to their genetic background and elevated degree of isolation. Cavalli-Sforza LL, Menozzi P, Piazza A: The History and Geography of Human Genes. Princeton, NJ: Princeton University Press, 1994. 2) These characteristics have made them suitable models for studies on monogenic diseases, such as G6PD deficiency,20 Thalassemia21 and Wilson disease.22 Moreover, as the Sardinian population is considered a founder population, the dissection of its genetic variation is also useful for association studies on complex diseases, in particular on autoimmune diseases, such as Type-I Diabetes and Multiple Sclerosis, which are highly represented on the island.23, 24 - 20 Siniscalco M, Bernini L, Latte B, Motulsky AG: Favism and thalassæmia in sardinia and their relationship to malaria. Nature 1961; 190: 1179–1180. | Article | ISI | http://www.readcube.com/articles/10.1038/1901179a0 - 21 Rosatelli MC, Dozy A, Faa V et al. Molecular characterization of β-thalassemia in the Sardinian population. Am J Hum Genet 1992; 50: 422–426. | PubMed | ISI | CAS | - 22 Loudianos G, Dessi V, Lovicu M et al. Molecular characterization of wilson disease in the Sardinian population–evidence of a founder effect. Hum Mutat 1999; 14: 294– 303. | Article | PubMed | CAS | 23- Karvonen M, Tuomilehto J, Libman I, La Porte R: A review of the recent epidemiological data on the worldwide incidence of type 1 (insulin-dependent) diabetes mellitus. Diabetologia 1993; 36: 883–892. | Article | PubMed | ISI | CAS | 24 - Pugliatti M, Rosati G, Carton H et al. The epidemiology of multiple sclerosis in Europe. Eur J Neurol 2006; 13: 700–722. | Article | PubMed | ISI | CAS | “l primo sotto-popolazione comprende tutti i campioni di Ogliastra, una delle regioni più isolate, 25 , 26 , 27 , 28della Sardegna 25 -Cappello N, Rendine S, Griffo R et al. Genetic analysis of Sardinia: I. data on 12 polymorphisms in 21 linguistic domains. Ann Hum Genet 60: 125–141. | PubMed | Angius A, Melis PM, Morelli L et al. Archival, demographic and genetic studies define a Sardinian sub-isolate as a suitable model for mapping complex traits. Hum Genet 2001; 109: 198– 209. | Article | PubMed | ISI | CAS | Abstract. Genetic isolates represent exceptional resources for the mapping of complex traits but not all isolates are similar. We have selected a genetic and cultural isolate, the village of Talana from an isolated area of Sardinia, and propose that this population is suitable for the mapping of complex traits. A wealth of historical and archive data allowed the reconstruction of the demographic and genealogical history of the village. Key features of the population, which has grown slowly with no significant immigration, were defined by using a combination of historical, demographic and genetic studies. The genealogy of each Talana inhabitant was reconstructed and the main maternal and paternal lineages of the village were defined. Haplotype and phylogenetic analyses of the Y chromosome and characterisation of mitochondrial DNA haplogroups were used to determine the number of ancestral village founders. The extent of linkage disequilibrium (LD) was evaluated by the analysis of several microsatellites in chromosomal region Xq13.3, which was previously used to asses the extension of LD. Genealogical reconstructions were confirmed and reinforced by the genetic analyses, since some lineages were found to have merged prior to the beginning of the archival records, suggesting an even smaller number of founders than initially predicted. About 80% of the present-day population appears to derive from eight paternal and eleven maternal ancestral lineages. LD was found to span, on average, a 5-Mb region in Xq13.3. This suggests the possibility of identifying identical-by-descent regions associated with complex traits in a genomewide search by using a low-density marker map. The present study emphasises the importance of combining genetic studies with genealogical and historical information. 26 - Angius A, Bebbere D, Petretto E et al. Not all isolates are equal: linkage disequilibrium analysis on Xq13.3 reveals different patterns in Sardinian sub-populations. Hum Genet 2002; 111: 9–15. | Article | PubMed | ISI | CAS | Abstract. Recent studies indicate that, whereas the Sardinian population as a whole is comparable to outbred populations for linkage disequilibrium (LD) mapping of common variants, LD in Sardinian subisolates is more extended, making these populations particularly suitable for this approach. To evaluate the extent of LD between microsatellite markers, we compared different sub-populations within Sardinia selected on the basis of their geographical position and isolation: two small isolated villages (Talana, Urzulei), two larger but remote areas (Ogliastra, Nuoro province) and a cohort of samples representing the wider Sardinian population. LD analysis was carried out by using six microsatellite markers that are located on Xq13.3 and that have been extensively studied in different populations. We found different extents and patterns of LD in the sub-population samples depending on their degree of isolation and demographic history. All LD measurements and haplotype analyses indicate that there is a decreasing trend from Talana (the most inbred population, LD up to 9.5–11.5 Mb) to the more outbred Sardinian population (LD only for intervals <2 Mb). In one village (Talana), five haplotype classes accounting for 80% of the entire sample perfectly matched five Ogliastra clusters, supporting the origin of the village from the Ogliastra genetic pool. In contrast, the other village (Urzulei) showed a different pattern of haplotypes with a closer relationship to the Nuoro region sub-population. LD analyses therefore show that even neighbouring isolate villages may differ in their genetic background. Here, we highlight the importance of selecting appropriate populations and/or sub-populations for the analysis of complex traits. Isolated sub-populations showing different extents of LD can provide a powerful method for mapping complex traits by LD scanning at relatively low marker density. 27 - Fraumene C, Petretto E, Angius A, Pirastu M: Striking differentiation of sub-populations within a genetically homogeneous isolate (Ogliastra) in Sardinia as revealed by mtDNA analysis. Hum Genet 2003; 114: 1–10. | Article | PubMed | ISI | CAS | Estratto In quanto la ridotta diversità genetica presente negli isolati dovrebbe semplificare lo studio dei caratteri complessi, analisi dei modelli di omogeneità all'interno delle popolazioni sono di particolare interesse. Abbiamo analizzato gli aplogruppi del mtDNA ed io (HVS-I) sequenze di 475 persone provenienti da una zona geograficamente limitata e isolata (Ogliastra) segmento ipervariabile all'interno Sardegna, comprendendo 175 campioni casuali da 20 su 23 villaggi. I rimanenti 300 soggetti sono stati scelti dagli altri tre villaggi, Talana, Urzulei e Perdasdefogu, campionando tutti i lignaggi materni. Il confronto con le altre popolazioni europee rivela che colloca Ogliastra tra la popolazione più geneticamente omogenea e che è stato piccolo e isolato tutta la sua storia. La mancanza di variazione e l'elevata omogeneità genetica indicano che un importante evento fondatore e una espansione demografica ha avuto luogo durante il Neolitico (~ 7700 anni prima di oggi) nel pool genetico del DNA mitocondriale di Ogliastra. Presentiamo reti filogenetici altamente risolti per Ogliastra e per i tre sotto-isolati. MtDNA differenziazione delle subpopolazioni contro Ogliastra è rivelato da una forte demarcazione nelle loro piscine genetiche causa di effetti fondatore distintivi e la deriva genetica. Abbiamo scoperto che l'omogeneità genetica dipende strettamente da un fattore di scala in termini di dimensioni della popolazione e sulla metodologia di campionamento.L'omogeneità eccezionale e il ridotto pool genetico femminile osservata in Ogliastra, nel contesto europeo, nascondono estremamente marcata differenziazione in sub-isolati originati dalla stessa popolazione arcaica. Sebbene Ogliastra può essere considerato un geneticamente omogenea isolare, divergenti storie genetiche piccoli villaggi "sottolineano l'importanza di un'analisi più sistematica delle variazioni del DNA tra e all'interno delle popolazioni. Abstract Since the reduced genetic diversity found in isolates should simplify the study of complex traits, analyses of patterns of homogeneity within populations are of particular interest. We analysed the mtDNA haplogroups and hypervariable segment I (HVS-I) sequences of 475 individuals from a geographically restricted and isolated area (Ogliastra) within Sardinia, comprehending 175 random samples from 20 out of 23 villages. The remaining 300 subjects were chosen from the other three villages, Talana, Urzulei and Perdasdefogu, by sampling all maternal lineages. A comparison with other European populations reveals that Ogliastra ranks among the most genetically homogenous population and that it has been small and isolated throughout its history. The lack of variation and the high genetic homogeneity indicate that an important founder event and a demographic expansion took place during the Neolithic (~ 7,700 years before present) in Ogliastra's mtDNA gene pool. We present highly resolved phylogenetic networks for Ogliastra and for the three sub-isolates. MtDNA differentiation in the sub-populations versus Ogliastra is revealed by a strong demarcation in their genetic pools due to distinctive founder effects and genetic drift. We found that genetic homogeneity strictly depends on a scale factor in population size and on sampling methodology. The outstanding homogeneity and the reduced female gene pool observed in Ogliastra, in the European context, hide an extremely marked differentiation in sub-isolates originated from the same archaic population. Although Ogliastra can be considered a genetically homogeneous isolate, small villages' divergent genetic histories underline the importance of more systematic analysis of DNA variation between and within populations. http://mbe.oxfordjournals.org/content/23/11/2101.long --------------- Per questa sua caratteristica è luogo di diversi studi sulla longevità, malattie genetiche ( talassemia, e morbo di Wilson), malattie autoimmuni (sclerosi multipla), malattie cosiddette multifattoriali (ipertensione, obesità, calcolosi renali etc.) Alla base della piramide si trovano infine le fondamenta genetiche, responsabili dello sviluppo delle cellule del nostro organismo in interazione con l’ambiente di vita. Oggi sappiamo che non esiste un singolo “gene della dislessia”. Nelle ricerche sulla famigliarità di questo disturbo, sono stati individuati più loci genetici (E. Grigorenko 2005). La pluralità dei loci coinvolti determina la variabilità dei deficit neuropsicologici riscontrati; di conseguenza i sottotipi di DSA si possono rivelare come manifestazioni comportamentali di diversi fenotipi. fattori “AMBIENTALI” giocano un ruolo fondamentale nella comparsa di un fenotipo Morbo di Wilson Il morbo di Wilson è una rara malattia ereditaria causata da un difetto nel metabolismo che porta ad un’eccessivo accumulo di rame nel fegato e in altri tessuti (soprattutto il cervello e il sistema nervoso centrale). This region has experienced centuries of isolation, which led to high genetic homogeneity and made the area particularly interesting for studies on different kinds of pathologies. l’intera Ogliastra, ma forse come tutta la Sardegna, è un serbatoio ricchissimo per chi, come noi, cerca nei geni le cause di malattie legate alla senilità. L’isolamento della nostra terra ha determinato quello che per noi oggi è un campo di studi particolarmente favorevole. Se escludiamo le zone costiere, la Sardegna e sempre stata, per cultura, ostile ai contatti con diverse popolazioni, nonostante gli innumerevoli tentativi di colonizzazione subiti nei secoli. Genome-wide scan with nearly 700 000 SNPs in two Sardinian sub-populations suggests some regions as candidate targets for positive selection Ignazio Stefano Piras*,1, Antonella De Montis2, Carla Maria Calo`1, Monica Marini2, Manuela Atzori2, Laura Corrias1, Marco Sazzini3, Alessio Boattini3,4, Giuseppe Vona1,4 and Licinio Contu2,4 European Journal of Human Genetics (2012) 20, 1155–1161 & 2012 Macmillan Publishers Limited All rights reserved 1018-4813/12 Zei G.., Lisa A., Fiorani O., Magri C, Quintana-Murci L., Semino O and Santachiara-Benerecetti S., From surnames to the history of Y chromosomes: the Sardinian population as a paradigm European Journal of Human Genetics (2003) 11, 802–807. La ragione secondo l'esperto sarebbe dovuto a un isolamento sia geografico sia riproduttivo degli abitanti dell'Ogliastra (Guido Barbujani dell'universita' di Ferrara) 1)Sardinian populations are undoubtedly of particular interest owing to their genetic background and elevated degree of isolation. Cavalli-Sforza LL, Menozzi P, Piazza A: The History and Geography of Human Genes. Princeton, NJ: Princeton University Press, 1994. 2) These characteristics have made them suitable models for studies on monogenic diseases, such as G6PD deficiency,20 Thalassemia21 and Wilson disease.22 Moreover, as the Sardinian population is considered a founder population, the dissection of its genetic variation is also useful for association studies on complex diseases, in particular on autoimmune diseases, such as Type-I Diabetes and Multiple Sclerosis, which are highly represented on the island.23, 24 - 20 Siniscalco M, Bernini L, Latte B, Motulsky AG: Favism and thalassæmia in sardinia and their relationship to malaria. Nature 1961; 190: 1179–1180. | Article | ISI | http://www.readcube.com/articles/10.1038/1901179a0 - 21 Rosatelli MC, Dozy A, Faa V et al. Molecular characterization of β-thalassemia in the Sardinian population. Am J Hum Genet 1992; 50: 422–426. | PubMed | ISI | CAS | - 22 Loudianos G, Dessi V, Lovicu M et al. Molecular characterization of wilson disease in the Sardinian population–evidence of a founder effect. Hum Mutat 1999; 14: 294– 303. | Article | PubMed | CAS | 23- Karvonen M, Tuomilehto J, Libman I, La Porte R: A review of the recent epidemiological data on the worldwide incidence of type 1 (insulin-dependent) diabetes mellitus. Diabetologia 1993; 36: 883–892. | Article | PubMed | ISI | CAS | 24 - Pugliatti M, Rosati G, Carton H et al. The epidemiology of multiple sclerosis in Europe. Eur J Neurol 2006; 13: 700–722. | Article | PubMed | ISI | CAS | “l primo sotto-popolazione comprende tutti i campioni di Ogliastra, una delle regioni più isolate, 25 , 26 , 27 , 28della Sardegna 25 -Cappello N, Rendine S, Griffo R et al. Genetic analysis of Sardinia: I. data on 12 polymorphisms in 21 linguistic domains. Ann Hum Genet 60: 125–141. | PubMed | Angius A, Melis PM, Morelli L et al. Archival, demographic and genetic studies define a Sardinian sub-isolate as a suitable model for mapping complex traits. Hum Genet 2001; 109: 198– 209. | Article | PubMed | ISI | CAS | Abstract. Genetic isolates represent exceptional resources for the mapping of complex traits but not all isolates are similar. We have selected a genetic and cultural isolate, the village of Talana from an isolated area of Sardinia, and propose that this population is suitable for the mapping of complex traits. A wealth of historical and archive data allowed the reconstruction of the demographic and genealogical history of the village. Key features of the population, which has grown slowly with no significant immigration, were defined by using a combination of historical, demographic and genetic studies. The genealogy of each Talana inhabitant was reconstructed and the main maternal and paternal lineages of the village were defined. Haplotype and phylogenetic analyses of the Y chromosome and characterisation of mitochondrial DNA haplogroups were used to determine the number of ancestral village founders. The extent of linkage disequilibrium (LD) was evaluated by the analysis of several microsatellites in chromosomal region Xq13.3, which was previously used to asses the extension of LD. Genealogical reconstructions were confirmed and reinforced by the genetic analyses, since some lineages were found to have merged prior to the beginning of the archival records, suggesting an even smaller number of founders than initially predicted. About 80% of the present-day population appears to derive from eight paternal and eleven maternal ancestral lineages. LD was found to span, on average, a 5-Mb region in Xq13.3. This suggests the possibility of identifying identical-by-descent regions associated with complex traits in a genomewide search by using a low-density marker map. The present study emphasises the importance of combining genetic studies with genealogical and historical information. 26 - Angius A, Bebbere D, Petretto E et al. Not all isolates are equal: linkage disequilibrium analysis on Xq13.3 reveals different patterns in Sardinian sub-populations. Hum Genet 2002; 111: 9–15. | Article | PubMed | ISI | CAS | Abstract. Recent studies indicate that, whereas the Sardinian population as a whole is comparable to outbred populations for linkage disequilibrium (LD) mapping of common variants, LD in Sardinian subisolates is more extended, making these populations particularly suitable for this approach. To evaluate the extent of LD between microsatellite markers, we compared different sub-populations within Sardinia selected on the basis of their geographical position and isolation: two small isolated villages (Talana, Urzulei), two larger but remote areas (Ogliastra, Nuoro province) and a cohort of samples representing the wider Sardinian population. LD analysis was carried out by using six microsatellite markers that are located on Xq13.3 and that have been extensively studied in different populations. We found different extents and patterns of LD in the sub-population samples depending on their degree of isolation and demographic history. All LD measurements and haplotype analyses indicate that there is a decreasing trend from Talana (the most inbred population, LD up to 9.5–11.5 Mb) to the more outbred Sardinian population (LD only for intervals <2 Mb). In one village (Talana), five haplotype classes accounting for 80% of the entire sample perfectly matched five Ogliastra clusters, supporting the origin of the village from the Ogliastra genetic pool. In contrast, the other village (Urzulei) showed a different pattern of haplotypes with a closer relationship to the Nuoro region sub-population. LD analyses therefore show that even neighbouring isolate villages may differ in their genetic background. Here, we highlight the importance of selecting appropriate populations and/or sub-populations for the analysis of complex traits. Isolated sub-populations showing different extents of LD can provide a powerful method for mapping complex traits by LD scanning at relatively low marker density. 27 - Fraumene C, Petretto E, Angius A, Pirastu M: Striking differentiation of sub-populations within a genetically homogeneous isolate (Ogliastra) in Sardinia as revealed by mtDNA analysis. Hum Genet 2003; 114: 1–10. | Article | PubMed | ISI | CAS | Estratto In quanto la ridotta diversità genetica presente negli isolati dovrebbe semplificare lo studio dei caratteri complessi, analisi dei modelli di omogeneità all'interno delle popolazioni sono di particolare interesse. Abbiamo analizzato gli aplogruppi del mtDNA ed io (HVS-I) sequenze di 475 persone provenienti da una zona geograficamente limitata e isolata (Ogliastra) segmento ipervariabile all'interno Sardegna, comprendendo 175 campioni casuali da 20 su 23 villaggi. I rimanenti 300 soggetti sono stati scelti dagli altri tre villaggi, Talana, Urzulei e Perdasdefogu, campionando tutti i lignaggi materni. Il confronto con le altre popolazioni europee rivela che colloca Ogliastra tra la popolazione più geneticamente omogenea e che è stato piccolo e isolato tutta la sua storia. La mancanza di variazione e l'elevata omogeneità genetica indicano che un importante evento fondatore e una espansione demografica ha avuto luogo durante il Neolitico (~ 7700 anni prima di oggi) nel pool genetico del DNA mitocondriale di Ogliastra. Presentiamo reti filogenetici altamente risolti per Ogliastra e per i tre sotto-isolati. MtDNA differenziazione delle subpopolazioni contro Ogliastra è rivelato da una forte demarcazione nelle loro piscine genetiche causa di effetti fondatore distintivi e la deriva genetica. Abbiamo scoperto che l'omogeneità genetica dipende strettamente da un fattore di scala in termini di dimensioni della popolazione e sulla metodologia di campionamento.L'omogeneità eccezionale e il ridotto pool genetico femminile osservata in Ogliastra, nel contesto europeo, nascondono estremamente marcata differenziazione in sub-isolati originati dalla stessa popolazione arcaica. Sebbene Ogliastra può essere considerato un geneticamente omogenea isolare, divergenti storie genetiche piccoli villaggi "sottolineano l'importanza di un'analisi più sistematica delle variazioni del DNA tra e all'interno delle popolazioni. Abstract Since the reduced genetic diversity found in isolates should simplify the study of complex traits, analyses of patterns of homogeneity within populations are of particular interest. We analysed the mtDNA haplogroups and hypervariable segment I (HVS-I) sequences of 475 individuals from a geographically restricted and isolated area (Ogliastra) within Sardinia, comprehending 175 random samples from 20 out of 23 villages. The remaining 300 subjects were chosen from the other three villages, Talana, Urzulei and Perdasdefogu, by sampling all maternal lineages. A comparison with other European populations reveals that Ogliastra ranks among the most genetically homogenous population and that it has been small and isolated throughout its history. The lack of variation and the high genetic homogeneity indicate that an important founder event and a demographic expansion took place during the Neolithic (~ 7,700 years before present) in Ogliastra's mtDNA gene pool. We present highly resolved phylogenetic networks for Ogliastra and for the three sub-isolates. MtDNA differentiation in the sub-populations versus Ogliastra is revealed by a strong demarcation in their genetic pools due to distinctive founder effects and genetic drift. We found that genetic homogeneity strictly depends on a scale factor in population size and on sampling methodology. The outstanding homogeneity and the reduced female gene pool observed in Ogliastra, in the European context, hide an extremely marked differentiation in sub-isolates originated from the same archaic population. Although Ogliastra can be considered a genetically homogeneous isolate, small villages' divergent genetic histories underline the importance of more systematic analysis of DNA variation between and within populations. http://mbe.oxfordjournals.org/content/23/11/2101.long Alla base della piramide si trovano infine le fondamenta genetiche, responsabili dello sviluppo delle cellule del nostro organismo in interazione con l’ambiente di vita. Oggi sappiamo che non esiste un singolo “gene della dislessia”. Nelle ricerche sulla famigliarità di questo disturbo, sono stati individuati più loci genetici (E. Grigorenko 2005). La pluralità dei loci coinvolti determina la variabilità dei deficit neuropsicologici riscontrati; di conseguenza i sottotipi di DSA si possono rivelare come manifestazioni comportamentali di diversi fenotipi. fattori “AMBIENTALI” giocano un ruolo fondamentale nella comparsa di un fenotipo Morbo di Wilson Il morbo di Wilson è una rara malattia ereditaria causata da un difetto nel metabolismo che porta ad un’eccessivo accumulo di rame nel fegato e in altri tessuti (soprattutto il cervello e il sistema nervoso centrale). This region has experienced centuries of isolation, which led to high genetic homogeneity and made the area particularly interesting for studies on different kinds of pathologies. l’intera Ogliastra, ma forse come tutta la Sardegna, è un serbatoio ricchissimo per chi, come noi, cerca nei geni le cause di malattie legate alla senilità. L’isolamento della nostra terra ha determinato quello che per noi oggi è un campo di studi particolarmente favorevole. Se escludiamo le zone costiere, la Sardegna e sempre stata, per cultura, ostile ai contatti con diverse popolazioni, nonostante gli innumerevoli tentativi di colonizzazione subiti nei secoli. Genome-wide scan with nearly 700 000 SNPs in two Sardinian sub-populations suggests some regions as candidate targets for positive selection Ignazio Stefano Piras*,1, Antonella De Montis2, Carla Maria Calo`1, Monica Marini2, Manuela Atzori2, Laura Corrias1, Marco Sazzini3, Alessio Boattini3,4, Giuseppe Vona1,4 and Licinio Contu2,4 European Journal of Human Genetics (2012) 20, 1155–1161 & 2012 Macmillan Publishers Limited All rights reserved 1018-4813/12 Zei G.., Lisa A., Fiorani O., Magri C, Quintana-Murci L., Semino O and Santachiara-Benerecetti S., From surnames to the history of Y chromosomes: the Sardinian population as a paradigm European Journal of Human Genetics (2003) 11, 802–807. La ragione secondo l'esperto sarebbe dovuto a un isolamento sia geografico sia riproduttivo degli abitanti dell'Ogliastra (Guido Barbujani dell'universita' di Ferrara) 1)Sardinian populations are undoubtedly of particular interest owing to their genetic background and elevated degree of isolation. Cavalli-Sforza LL, Menozzi P, Piazza A: The History and Geography of Human Genes. Princeton, NJ: Princeton University Press, 1994. 2) These characteristics have made them suitable models for studies on monogenic diseases, such as G6PD deficiency,20 Thalassemia21 and Wilson disease.22 Moreover, as the Sardinian population is considered a founder population, the dissection of its genetic variation is also useful for association studies on complex diseases, in particular on autoimmune diseases, such as Type-I Diabetes and Multiple Sclerosis, which are highly represented on the island.23, 24 - 20 Siniscalco M, Bernini L, Latte B, Motulsky AG: Favism and thalassæmia in sardinia and their relationship to malaria. Nature 1961; 190: 1179–1180. | Article | ISI | http://www.readcube.com/articles/10.1038/1901179a0 - 21 Rosatelli MC, Dozy A, Faa V et al. Molecular characterization of β-thalassemia in the Sardinian population. Am J Hum Genet 1992; 50: 422–426. | PubMed | ISI | CAS | - 22 Loudianos G, Dessi V, Lovicu M et al. Molecular characterization of wilson disease in the Sardinian population–evidence of a founder effect. Hum Mutat 1999; 14: 294– 303. | Article | PubMed | CAS | 23- Karvonen M, Tuomilehto J, Libman I, La Porte R: A review of the recent epidemiological data on the worldwide incidence of type 1 (insulin-dependent) diabetes mellitus. Diabetologia 1993; 36: 883–892. | Article | PubMed | ISI | CAS | 24 - Pugliatti M, Rosati G, Carton H et al. The epidemiology of multiple sclerosis in Europe. Eur J Neurol 2006; 13: 700–722. | Article | PubMed | ISI | CAS | “l primo sotto-popolazione comprende tutti i campioni di Ogliastra, una delle regioni più isolate, 25 , 26 , 27 , 28della Sardegna 25 -Cappello N, Rendine S, Griffo R et al. Genetic analysis of Sardinia: I. data on 12 polymorphisms in 21 linguistic domains. Ann Hum Genet 60: 125–141. | PubMed | Angius A, Melis PM, Morelli L et al. Archival, demographic and genetic studies define a Sardinian sub-isolate as a suitable model for mapping complex traits. Hum Genet 2001; 109: 198– 209. | Article | PubMed | ISI | CAS | Abstract. Genetic isolates represent exceptional resources for the mapping of complex traits but not all isolates are similar. We have selected a genetic and cultural isolate, the village of Talana from an isolated area of Sardinia, and propose that this population is suitable for the mapping of complex traits. A wealth of historical and archive data allowed the reconstruction of the demographic and genealogical history of the village. Key features of the population, which has grown slowly with no significant immigration, were defined by using a combination of historical, demographic and genetic studies. The genealogy of each Talana inhabitant was reconstructed and the main maternal and paternal lineages of the village were defined. Haplotype and phylogenetic analyses of the Y chromosome and characterisation of mitochondrial DNA haplogroups were used to determine the number of ancestral village founders. The extent of linkage disequilibrium (LD) was evaluated by the analysis of several microsatellites in chromosomal region Xq13.3, which was previously used to asses the extension of LD. Genealogical reconstructions were confirmed and reinforced by the genetic analyses, since some lineages were found to have merged prior to the beginning of the archival records, suggesting an even smaller number of founders than initially predicted. About 80% of the present-day population appears to derive from eight paternal and eleven maternal ancestral lineages. LD was found to span, on average, a 5-Mb region in Xq13.3. This suggests the possibility of identifying identical-by-descent regions associated with complex traits in a genomewide search by using a low-density marker map. The present study emphasises the importance of combining genetic studies with genealogical and historical information. 26 - Angius A, Bebbere D, Petretto E et al. Not all isolates are equal: linkage disequilibrium analysis on Xq13.3 reveals different patterns in Sardinian sub-populations. Hum Genet 2002; 111: 9–15. | Article | PubMed | ISI | CAS | Abstract. Recent studies indicate that, whereas the Sardinian population as a whole is comparable to outbred populations for linkage disequilibrium (LD) mapping of common variants, LD in Sardinian subisolates is more extended, making these populations particularly suitable for this approach. To evaluate the extent of LD between microsatellite markers, we compared different sub-populations within Sardinia selected on the basis of their geographical position and isolation: two small isolated villages (Talana, Urzulei), two larger but remote areas (Ogliastra, Nuoro province) and a cohort of samples representing the wider Sardinian population. LD analysis was carried out by using six microsatellite markers that are located on Xq13.3 and that have been extensively studied in different populations. We found different extents and patterns of LD in the sub-population samples depending on their degree of isolation and demographic history. All LD measurements and haplotype analyses indicate that there is a decreasing trend from Talana (the most inbred population, LD up to 9.5–11.5 Mb) to the more outbred Sardinian population (LD only for intervals <2 Mb). In one village (Talana), five haplotype classes accounting for 80% of the entire sample perfectly matched five Ogliastra clusters, supporting the origin of the village from the Ogliastra genetic pool. In contrast, the other village (Urzulei) showed a different pattern of haplotypes with a closer relationship to the Nuoro region sub-population. LD analyses therefore show that even neighbouring isolate villages may differ in their genetic background. Here, we highlight the importance of selecting appropriate populations and/or sub-populations for the analysis of complex traits. Isolated sub-populations showing different extents of LD can provide a powerful method for mapping complex traits by LD scanning at relatively low marker density. 27 - Fraumene C, Petretto E, Angius A, Pirastu M: Striking differentiation of sub-populations within a genetically homogeneous isolate (Ogliastra) in Sardinia as revealed by mtDNA analysis. Hum Genet 2003; 114: 1–10. | Article | PubMed | ISI | CAS | Estratto In quanto la ridotta diversità genetica presente negli isolati dovrebbe semplificare lo studio dei caratteri complessi, analisi dei modelli di omogeneità all'interno delle popolazioni sono di particolare interesse. Abbiamo analizzato gli aplogruppi del mtDNA ed io (HVS-I) sequenze di 475 persone provenienti da una zona geograficamente limitata e isolata (Ogliastra) segmento ipervariabile all'interno Sardegna, comprendendo 175 campioni casuali da 20 su 23 villaggi. I rimanenti 300 soggetti sono stati scelti dagli altri tre villaggi, Talana, Urzulei e Perdasdefogu, campionando tutti i lignaggi materni. Il confronto con le altre popolazioni europee rivela che colloca Ogliastra tra la popolazione più geneticamente omogenea e che è stato piccolo e isolato tutta la sua storia. La mancanza di variazione e l'elevata omogeneità genetica indicano che un importante evento fondatore e una espansione demografica ha avuto luogo durante il Neolitico (~ 7700 anni prima di oggi) nel pool genetico del DNA mitocondriale di Ogliastra. Presentiamo reti filogenetici altamente risolti per Ogliastra e per i tre sotto-isolati. MtDNA differenziazione delle subpopolazioni contro Ogliastra è rivelato da una forte demarcazione nelle loro piscine genetiche causa di effetti fondatore distintivi e la deriva genetica. Abbiamo scoperto che l'omogeneità genetica dipende strettamente da un fattore di scala in termini di dimensioni della popolazione e sulla metodologia di campionamento.L'omogeneità eccezionale e il ridotto pool genetico femminile osservata in Ogliastra, nel contesto europeo, nascondono estremamente marcata differenziazione in sub-isolati originati dalla stessa popolazione arcaica. Sebbene Ogliastra può essere considerato un geneticamente omogenea isolare, divergenti storie genetiche piccoli villaggi "sottolineano l'importanza di un'analisi più sistematica delle variazioni del DNA tra e all'interno delle popolazioni. Abstract Since the reduced genetic diversity found in isolates should simplify the study of complex traits, analyses of patterns of homogeneity within populations are of particular interest. We analysed the mtDNA haplogroups and hypervariable segment I (HVS-I) sequences of 475 individuals from a geographically restricted and isolated area (Ogliastra) within Sardinia, comprehending 175 random samples from 20 out of 23 villages. The remaining 300 subjects were chosen from the other three villages, Talana, Urzulei and Perdasdefogu, by sampling all maternal lineages. A comparison with other European populations reveals that Ogliastra ranks among the most genetically homogenous population and that it has been small and isolated throughout its history. The lack of variation and the high genetic homogeneity indicate that an important founder event and a demographic expansion took place during the Neolithic (~ 7,700 years before present) in Ogliastra's mtDNA gene pool. We present highly resolved phylogenetic networks for Ogliastra and for the three sub-isolates. MtDNA differentiation in the sub-populations versus Ogliastra is revealed by a strong demarcation in their genetic pools due to distinctive founder effects and genetic drift. We found that genetic homogeneity strictly depends on a scale factor in population size and on sampling methodology. The outstanding homogeneity and the reduced female gene pool observed in Ogliastra, in the European context, hide an extremely marked differentiation in sub-isolates originated from the same archaic population. Although Ogliastra can be considered a genetically homogeneous isolate, small villages' divergent genetic histories underline the importance of more systematic analysis of DNA variation between and within populations. http://mbe.oxfordjournals.org/content/23/11/2101.long OBIETTIVI RICERCA MATERIALI E METODI Inserire presentazione daa e stum di screening a genitori e insegnantii Rest risultati questionari a marzo Restituzione ai gen da parte asl singolarmente Autorizzazione ai genitotori a comunicare l’esito agli insegnanti in modo che ancje gòi ins possano lavora suòle aree dficitarie Èoteziamento svolto inizialmente dal servzio come counceling Alcuni vengono tenuti in Asl altri servizi educativi di comuni e cooperative sociao educatove Cosa cambia la dde dalla dde-2????? La batteria è composta di 12 prove, di cui 9 per l'analisi del processo di lettura e 3 per l'analisi del processo di scrittura. Inoltre è incluso uno spazio per confrontare i risultati della prova MT, che permette un confronto diretto con la lettura di brano. Le prove 1 e 2 servono per valutare la conversione grafema-fonema; la 1-b per verificare l'efficienza nel recupero di informazioni verbali; la 3 per valutare il lessico posseduto; la 4 per il processo di lettura senza contesto sintattico e semantico; la 5 per valutare l'efficienza del modo di lettura indiretto; la 6 per la lettura di parole accentate irregolarmente; la 7, la 8, la 9 servono a valutare lo sviluppo del modo diretto di lettura. la 10 valuta l'efficienza ortografica in genere la 11 serve per valutare il modo indiretto di scrittura la 12 per valutare il modo diretto Per la valutazione delle prove dalla 1 alla 6 si osservano sia tempi di lettura, sia numero di errori; per le altre, solo il numero di errori. BREVE DESCRIZIONE rsr-dsa The research project described here involved 23 second grade classes in 23 districts under the Healthcare Service of Lanusei. These cover the whole Ogliastra region. A screening was carried out using the validated questionnaire “RSR-DSA. Questionnaire for the detection of learning difficulties and disorders”, for first and second grade. The questionnaire is highly reliable ( Cronbach teachers questionnaire = 0.97, Cronbach parents questionnaire = 0.92) and is made up of a double checklist, one for parents and one for teachers. This allows to integrate information from both types of respondents, to obtain a wide detailed picture of the child’s difficulties and to describe his/her behaviours in the school context as well as at home. The questionnaire items are grouped into 9 areas of competence, that allow a description of the subject’s skills in school activities (1. reading, 2. writing, 3. calculation abilities), the collection of information regarding some of the neuropsychological abilities of the child (4. language, 5. memory and attention, 6. motor-praxic area, 7. visual perceptual area), his/her behaviour (8. behavioural area) and his/her affective experience related to school learning (9. emotional and affective area). The RSR-DSA questionnaire allows to obtain a snap-shot of the subject’s abilities in the investigated areas. Obviously, the more thorough the observation, the more useful the information that can be obtained. The research was carried out in 2012 and involved all schools in the district of Lanusei, for a total of 285 pupils (143 females and 142 males). Two children were excluded from the study, due to a certification of mental retardation (according to the Italian Law 104/92). In January 2013, the research broadened to further 350 pupils. Questionnaires were collected and are in the process of being analysed. Among the 285 pupils, the RSR-DSA tool detected 34 cases at risk. Since the questionnaire is based on observation, a discrepancy between parents’ and teachers’ views can emerge. An overestimation or underestimation of the child’s difficulties is also possible. For this reason, in selecting the children who may need further examinations, the Healthcare Services took into consideration not only the questionnaire results, but also the overall achievements of the whole class. This led to excluding 5 cases, for whom further testing was considered unnecessary. Therefore 29 out of 34 cases went through further examinations. Among these 29 children, 3 have been certified according to the legislation in force (Law n.°104/92), 8 have gone through an enhancement program, after which their questionnaire scores were within normal parameters, 18 obtained a diagnosis. Among the latter 18 children, 10 were diagnosed with SLD, 2 were diagnosed with SLD in comorbidity with Attention Deficit and Hyperactivity Disorder (ADHD), 2 were diagnosed with SLD in comorbidity with a language disorder , 1 was diagnosed with ADHD, and 3 with an unspecified developmental disorder of scholastic skills. Looking at the overall achievements of the classes along with teachers’ and parents’ responses led the Healthcare Service to decide to examine 17 further cases besides the 29 described above. Among these 17 cases, none had resulted at risk of SLD according to the RSR-DSA questionnaire, however - - - 4 had resulted at risk of difficulties in other areas, not related to school learning. Among them, 2 obtained a diagnosis of ADHD and one is currently receiving support for behavioural difficulties, that are about to be overcome, 1 was not diagnosed with any specific disorder/difficulty. 5 had resulted at risk of school difficulties. Among them, 1 was diagnosed with mild dyslexia and dysortography, 4 went through an enhancement program, after which their questionnaire scores were within normal parameters. 8 had resulted as at no risk, according to the RSR-DSA questionnaire. Among them 7 did not receive any kind of diagnosis, 1 was diagnosed with a mild mental retardation (the RSRDSA questionnaire is not designed for subjects with this kind of disorder. As already mentioned, subjects with mental retardation need to be excluded from RSR-DSA screenings). This first epidemiological investigation allowed to detect 5,26% of children with SLD. Among them, 13.33% (0,70% on the total) were cases of SLD in comorbidity with ADHD and another 13.33% were in comorbidity with a language disorder. The investigation also highlighted a greater incidence of SLD in males than in females (2:1). The prevalence result obtained within the present research (5,26%) is greater than that obtained by the first national epidemiological investigation (3,1-3,2%). Considering the characteristics of the area where the study was carried out, these preliminary results may further confirm the genetic basis of SLD. For this reason, further investigation in the territory would be desirable. RISULTATI 1 ANNO Financial disclosure statement Financial disclosure: no funding, nor financial relationship to disclose Conflict of interest: none