Supplementary Methods SNP identification In the first scan of the entire region, we identified 99 SNPs of which 67 were informative in the Vietnamese families. Three of these SNPs, located in the IGF2R region, were not in Hardy-Weinberg equilibrium (HWE) in unaffected parents. For the PARK2 and PACRG genes, we identified a total of 135 SNPs, 81 of them being informative in the Vietnamese population (supplementary information, table 1). In the Vietnamese sample, 78 out of the 81 informative SNPs were in HWE and three (PARK2_e08(-34), 30kb_target_8_4, PACRG_e07(643)) displayed statistically significant deviation. Since some of the 67 first-round informative SNPs are contained in the 81 PARK2/PACRG region SNPs, the total number of informative SNPs across the 6.4 Mb interval families was 129. Of the 19 SNPs associated with leprosy in the Vietnamese families, 15 SNPs that could be formatted for two Orchid panels were selected for the replication study in the Brazilian sample. Among the 15 SNPs genotyped in the Brazilian sample, only one (rs1893540) significantly deviated from HWE. All HWE-deviant SNPs were disregarded from further analysis. Sequencing PCR products for sequencing were obtained in MJ Research PTC-100 thermocyclers under uniform conditions: 20ng of genomic DNA was added to a 50 μL reaction mixture containing 1.5 mM MgCl2, 0.2 mM dNTPs, 0.1 μM of each primer and 1.0 U of Taq polymerase. The reaction was initiated by denaturing the sample at 96°C for 5min, followed by 35 cycles of 1min each denaturation at 94°C, primer annealing at 55°C and extension at 72°C. Final extension was done at 72°C for 10min. Sequencing was carried out at the McGill University and Genome Quebec Innovation Centre on the ABI 3700 and ABI 3730 DNA analyser platforms as described elsewhere 1. Sequences were analysed using Sequencing Analysis software version 3.6 (Applied BioSystems, Foster City, CA) and aligned with Autoassembler 2.1.1 (Applied BioSystems) as well as the Phred/Phrap/Consed System (http://www.phrap.org/). For comparative sequencing of the 80 kb haplotype block (chr6:163044521-163124558; 80037 bp), the entire region was subdivided into 160 segments overlapping that were sequenced individually in each of the selected individuals. Not sequenced were 3733 bp (4.7%) in the following 11 chromosomal segments: chr6:163057579-163058080 (502 bp); chr6:163066591163066970 (380 bp); chr6:163070649-163070925 (277 bp); chr6:163077595-163078041 (447 bp); chr6:163094575-163095067 (493 bp); chr6:163095617-163096028 (412 bp); chr6:163099589-163100085 (497 bp); chr6:163104435-163104552 (118 bp); chr6:163115043-163115097 (55 bp); chr6:163117544-163118049 (506 bp); chr6:163121534-163121579; (46 bp). Genotyping SSCP analysis was performed for marker 30kb_target_3_2_ins. as described in 2. Genotyping by direct comparative sequencing was performed as described above. Two PCR fragments containing 4 closely located markers each were sequenced on both directions in order to obtain the markers genotypes. SNPs PARK2_e01 (-2977), PARK2_e01 (-3024), PARK2_e01 (-3222) and PARK2_e01 (-3800) were genotyped using the primers described in 3. Markers PACRG_e07 (345), PACRG_e07 (361), PACRG_e07 (407) and PACRG_e07 (643) were genotyped using the primers listed on the supplementary material, table 1. Discordant genotypes observed by replicate genotyping for markers PARK2_e01 (-697) and 10kb_target_4_1 were re-typed by direct sequencing. For the FP platform, PCR primers were designed using the Primer3 software (http://www-genome.wi.mit.edu/cgi-bin/primer/primer3_www.cgi). PCR reaction were carried out as follows: 3.0 ng of genomic DNA were added to an 8.0 μL reaction mixture containing 2.5 mM of MgCl2, 25 μM of dNTPs, 0.2 U of HotstartTaq DNA polymerase (Qiagen) and 100 nM of each primer. PCR was initiated by denaturing the samples at 94C for 15 min followed by 45 cycles of denaturation at 94C for 30 sec, annealing at 60C for 30 sec and extension at 72C for 30 sec. Final extension was done at 72C for 6 min. PCR products were treated with Exonuclease I and Shrimp Alkaline Phosphatase as recommended by the manufacturer (AcycloPrime-FP SNP Detection Kit, Perkin Elmer, Wellesley, MA). Single-base extension (SBE) detection primers of minimum 16 bp length and melting temperature above 55°C were designed in one or both orientations for each SNP using Primer3. FP-SBE reactions were performed in one or both orientations as suggested by the manufacturer (AcycloPrime-FP SNP Detection Kit, Perkin Elmer, Wellesley, MA). If necessary, we optimised the FP-SBE reaction by varying the annealing temperature and MgCl2 concentration. Following the FP-reaction, we incubated the extension products with single stranded binding protein (USB, Cleveland, OH). After addition of reading buffer, we read the plates using an Analyst HT reader (Molecular Devices, Sunnyvale, CA) as described previously 4;5. All PCR and SBE detection primer sequences are described in the supplementary information, table 1. For the UHT Orchid platform genotyping, SNP flanking sequences were tested for the presence of repeats or duplicated regions using the BLAT program (http://www.genome.ucsc.edu). PCR and SBE primers were designed using the Autoprimer program (http://www.autoprimer.com). The program selects PCR primers that will generate products ranging between 90 and 180 bp and an optimized single base- pair extension primer 5’ to the SNP site 6. The program also assembles SNPs into groups of twelve by SNP extension type (e.g. T/C, A/T, etc.) and appends a unique DNA tag to the 5’ ends of the extension primers. Twelve-plex PCR reactions were performed in 384well plates (MJS BioLynx) in a 5 L volume using 6 ng of DNA, 75 M dNTPs, 0.5 U of AmpliTaq Gold (Perkin-Elmer), and the 24 PCR primers at a concentration of 50 nM each in 1 X PCR buffer. Thermal cycling was performed in GeneAmp PCR system 9700 thermal cyclers (Applied Biosystems) using the following program: initial denaturation at 95C for 5 min followed by 40 cycles of 95C for 30 sec, 50-55C for 55 sec, 72C for 30 sec. After the last cycle, the reaction was held at 72C for 7 min. Following PCR, plates were centrifuged briefly and 3 L of a mixture containing 0.67 U Exonuclease I (Amersham Pharmacia) and 0.33 U Shrimp Alkaline Phosphatase (Amersham Pharmacia) were added to each well. The plates were sealed and incubated for 30 min at 37C and at 95C for 10 min. Extension reactions and hybridizations to the Orchid UHT microarray plates were carried out as described in 6, using the SNPware UHT reagent kit and the appropriate extension mix kit containing two dideoxynuclotides labeled with either Bodipy-Fluorescein or TAMRA dye (Beckman Coulter). Finally, the plates were read using the SNPstream Array Imager (Beckman Coulter) and fluorescence intensities were measured with help of the UHTImage software (Beckman Coulter). Intensities were plotted and genotypes were called by the UHTGetGenos software (Beckman Coulter). After visual inspection of the clusters, manual adjustments were made for some of the assays. Gene expression analysis For amplification of GAPDH primers 5'CCTTCATTGACCTCAACTACAT3' and 5'CCAAAGTTGTCATGGATGACC3' were used. PARK2 and PACRG were detected by PCR amplification using primer pairs 5'CACCTACCCAGTGACCATGA3'/5'CCAGTCATTCCTCAGCTCCT3' and 5'AGACAAGATGCCGAAGAGGA3' /5'GAATCATGCTCAAGGGCAAT 3' located in PARK2 exons 1 and 2, and PACRG exons 2 and 3, respectively. The genotypes of the Schwann cell donors are unavailable. The MDM PARK2_e01(-2599) -- rs1040079 haplotypes are: MDM-1 = C--T/C--T; MDM-2 = T--C/C--T; MDM-3 = T--T/T--C. Statistical methods For the genomic control study, the median ² value obtained with the 24 control SNPs was 0.59 leading to a scaling factor of 1.29. Applying this scaling factor did not change the results of the Brazilian association study since the 9 SNPs out of 13 were still significant at the 0.05 level, although the tests were less significant. The two main SNPs (PARK2_e01 (-2599) and rs1040079) were associated with leprosy with pGC<0.003. Finally, association with the so-called meta-SNP was still strongly significant (pGC<0.00002). References 1. Engert, J.C. et al. 5' flanking variants of resistin are associated with obesity. Diabetes 51, 1629-1634 (2002). 2. Mira, M.T. et al. Chromosome 6q25 is linked to susceptibility to leprosy in a Vietnamese population. Nat Genet 33, 412-415 (2003). 3. West, A. et al. Complex relationship between Parkin mutations and Parkinson disease. Am J Med Genet 114, 584-951 (2002). 4. Hsu, T.M., Law, S.M., Duan, S., Neri, B.P., and Kwok, P.Y. Genotyping single-nucleotide polymorphisms by the invader assay with dual-color fluorescence polarization detection. Clin Chem 47, 1373-1377 (2001). 5. Hsu, T.M. et al. Universal SNP genotyping assay with fluorescence polarization detection: SNPstream UHT: ultra-high throughput SNP genotyping for pharmacogenomics and drug discovery. Biotechniques: Biotechniques 31. Suppl, 560, (2001). 6. Bell, P.A. et al. SNPstream UHT: ultra-high throughput SNP genotyping for pharmacogenomics and drug discovery. Biotechniques Suppl, 70-77 (2002).