A genome-wide linkage and association scan of migraine in the

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1 Supplementary Document 1. Methodology

2 Sample Ascertainment

3 The study protocol was approved by Griffith University Human Research Ethics Committee.

4 All subjects provided signed, informed consent prior to participation. Data collection

5 procedures have been described in detail elsewhere [1]. In brief, subjects were ascertained

6 based on permanent resident status (not selected on phenotypes of interest), to ensure

7 sampling of individuals from the same genealogical background. In the first instance

8 phenotypic data and biological specimens were obtained from 600 subjects (261 males, 339

9 females) with a mean age of 50.8 years (standard deviation of 16.4 years). Venous blood

10 specimens were available for 600 individuals from their visit to a temporary research clinic

11 on Norfolk Island, carried out during 2000. Blood samples were collected in EDTA tubes.

12 DNA was isolated from a 10-20ml sample using a standard salting-out procedure [2]. DNA

13 concentration (ng/µl) and purity (260nm:280nm) were determined spectrophometrically

14 using the NanoDrop ND-1000 (NanoDrop Technologies, Inc.). Phenotypic data were

15 obtained via a comprehensive medical questionnaire that included a section specific to

16 migraine. Detailed questions regarding family history, symptoms, triggers, and medication

17 were obtained. Migraine diagnosis was established in accordance with current IHS guidelines

18 [3].

19 Genealogical Structure

20

21

Genealogical data was obtained via questionnaire, and municipal and historical records.

These records indicate Pitcairn Island was settled by 9 Isle of man ‘Bounty’ mutineers, 12

22 Tahitian women and 6 Tahitian men in 1790 [4]. Pedigree reconstruction and validation has

23 confirmed current descendents possess lineages to all 9 ‘Bounty’ mutineers, 6 of the Tahitian

24 women and 2 additional Caucasian sailors who joined the small colony during the early 19 th

25 century [1, 5, 6]. A total of 377 individuals were determined to have familial links to these 17

Page 1 of 8

1 founders and were integrated into heritability analyses. The size and complexity of the

2 genealogical structure (N=6,537) and large volume of missing data prohibited direct use in

3 variance component linkage analysis [7]. To facilitate analysis, the pedigree was split

4 ( N =1,078) using a peeling algorithm in the pedigree database management system PEDSYS

5 [8]. This 1,078 member pedigree has been previously employed in genome-wide screens of

6 cardiovascular risk traits [7].

7

8

SNP genotyping

DNA samples were genotyped according to the manufacturer’s instructions on Illumina

9 Infinium High Density (HD) Human610-Quad DNA analysis BeadChip version 1. A total of

10 620,901 genome wide markers were genotyped in a sub-sample of 285 related individuals

11 (135 males; 150 females). Of these related individuals include 76 migraine cases (22 males;

12 54 females). Markers had a median spacing of 2.7kb (mean = 4.7kb) throughout the genome.

13 Each Human610-Quad DNA analysis BeadChip employed a four-sample format requiring

14 200ng of DNA per sample. Samples were scanned on the Illumina BeadArray 500GX

15 Reader. Raw data was obtained using Illumina BeadScan image data acquisition software

16 (version 2.3.0.13). Preliminary analysis of raw data was undertaken in Illumina BeadStudio

17 software (version 1.5.0.34) with the recommended parameters for the Infinium assay and

18 using genotype cluster files provided by Illumina. Individuals with a call rate below 95% and

19 SNPs with a call rate below 99%, deviating from Hardy-Wienberg equilibrium ( p

HWE

<1x10

-7

)

20 or with a minor allele frequency of less than 1% were excluded from analysis. Genotypic data

21 was analysed for discrepancies, including Mendelian inheritance violations using the

22 PEDSYS program INFER [8] and Simwalk2 [9]. The Pedigree RElationship Statistical Test

23 (PREST) was used to verify the pedigree structure and detect relationship misspecification

24 [10]. Discrepant genotypes were blanked prior to analysis. SNPs were annotated using

Page 2 of 8

1 information available from the National Centre for Biotechnology Information (NCBI) Build

2 36.3.

3 Statistical analysis: Heritability and Pedigree-Based Association

4 General characteristics of the subjects in each group were assessed using SPSS version 14.0

5 for windows (SPSS, Chicago, IL). All statistical analyses on related individuals were

6 conducted using variance components-based methodology implemented in the Sequential

7 Oligonucleotide Linkage Analysis Routines (SOLAR) version 4.0.6 software package.

8 Heritability ( h

2

) estimates were calculated as the ratio of the trait variance that is explained by

9 additive polygenic effects to total phenotypic variance of the trait [11]. The applied polygenic

10

11 model assumes an infinite number of genetic factors, each with a small additive effect contributing to the trait variance (‘narrow sense’ heritability). Estimates were screened for the

12 covariate effects of age, age-squared, sex and their interactions to allow for differential

13 symptom prevalence in males and females and adjusted for the variable age of onset.

14 Covariates with P -values less than or equal to 0.05 were retained in the final model.

15 Dichotomous trait analysis was enabled by assuming a liability threshold model, with an

16 underlying multivariate normal distribution [12].

17 Two additional covariates, of potential interest to this study, the inbreeding (F) and ancestry

18 coefficient (Q) were also screened. The ancestry coefficient is a measure of the degree of

19 Polynesian and Caucasian admixture in the Norfolk pedigree. A value of 0 indicates no

20 Polynesian ancestry. A value of 1 signifies full Polynesian ancestry. A significant ancestry-

21 specific effect would warrant further investigation by admixture mapping. In contrast, F

22 reflects the probability that 2 alleles at a locus are identical by descent (IBD). A value of 0

23 indicates no inbreeding. As the coefficient approaches 1 the level of inbreeding increases.

A

24 significant covariate effect would support recessive inheritance and founder effect for

25 migraine. Both these coefficients have been previously described in the Norfolk population

Page 3 of 8

1 [13]. Briefly, coefficients were calculated using PEDIG software assuming the complete

2 founder pedigree that spans more than 200 years and includes the direct descendents of the

3 population founders as well as recent married-in individuals [13, 14]. Specifically, the

4 Meuwissen and Luo method was used to calculate F [15].

The covariate effects of ancestry

5 and inbreeding were explored by mixed (polygenic) model analysis.

6 Genome-wide association testing was performed using measured genotype analysis [16],

7 embedded in a variance components-based linkage model [17]. This assumed an additive

8 model of allelic effect, where SNP genotypes AA, AB and BB were coded as -1, 0 and 1,

9 respectively and used as a linear predictor of phenotype [17]. A total of 544,590 SNPs across

10 chromosomes 1 to 22 were available for analysis. The genome-wide significance threshold

11 was estimated empirically for this population by calculating the minimum number of

12 effective tests (M eff

) using the simple M program [18]. SNP results were annotated using the

13 Whole Genome Association Study Viewer (WAGViewer) program [19] and NCBI Build

14 37.1.

15

16 Replication Cohort

17 Important findings were further assessed in an independent case-control cohorts from the

18

Women’s Genome Health Study (WGHS) [20, 21]. Ascertainment and ethical approval of

19 these cohorts are described in detail elsewhere [20-22]. The WGHS cohort included 23,294

20 female participants aged 45 and older of European ancestry for which whole blood samples

21 and phenotypic data is available. Migraine phenotypic data is available for 23,230 of these

22 participants. In total, genotypic information was available for 21,008 controls and 4,705

23 migraineurs.

24 A candidate gene association analysis was also undertaken as part of this study. The same

25 statistical approach was applied for association analysis of candidate loci, however a local

Page 4 of 8

1 type I error of α = 0.05 was applied. A Bonferroni adjustment was not required to protect

2 against type I error inflation as the application of selection criteria for candidate genes

3 negates the global null hypothesis. This approach has been successfully implemented in a

4 GWAS to identify novel loci influencing serum cholesterol levels [23]. This approach was

5 implemented to identify novel gene candidates for future evaluation in the Norfolk pedigree.

Page 5 of 8

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