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Dive into the research topics where Alex C. Lam is active.

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Featured researches published by Alex C. Lam.


Nature Genetics | 2007

Robust associations of four new chromosome regions from genome-wide analyses of type 1 diabetes

John A. Todd; Neil M Walker; Jason D. Cooper; Deborah J. Smyth; Kate Downes; Vincent Plagnol; Rebecca Bailey; Sergey Nejentsev; Sarah Field; Felicity Payne; Christopher E. Lowe; Jeffrey S. Szeszko; Jason P. Hafler; Lauren Zeitels; Jennie H. M. Yang; Adrian Vella; Sarah Nutland; Helen Stevens; Helen Schuilenburg; Gillian Coleman; Meeta Maisuria; William Meadows; Luc J. Smink; Barry Healy; Oliver Burren; Alex C. Lam; Nigel R Ovington; James E Allen; Ellen C. Adlem; Hin-Tak Leung

The Wellcome Trust Case Control Consortium (WTCCC) primary genome-wide association (GWA) scan on seven diseases, including the multifactorial autoimmune disease type 1 diabetes (T1D), shows associations at P < 5 × 10−7 between T1D and six chromosome regions: 12q24, 12q13, 16p13, 18p11, 12p13 and 4q27. Here, we attempted to validate these and six other top findings in 4,000 individuals with T1D, 5,000 controls and 2,997 family trios independent of the WTCCC study. We confirmed unequivocally the associations of 12q24, 12q13, 16p13 and 18p11 (Pfollow-up ≤ 1.35 × 10−9; Poverall ≤ 1.15 × 10−14), leaving eight regions with small effects or false-positive associations. We also obtained evidence for chromosome 18q22 (Poverall = 1.38 × 10−8) from a GWA study of nonsynonymous SNPs. Several regions, including 18q22 and 18p11, showed association with autoimmune thyroid disease. This study increases the number of T1D loci with compelling evidence from six to at least ten.


Nature Genetics | 2005

Population structure, differential bias and genomic control in a large-scale, case-control association study

David G. Clayton; Neil M Walker; Deborah J. Smyth; Rebecca Pask; Jason D. Cooper; Lisa M. Maier; Luc J. Smink; Alex C. Lam; Nigel R Ovington; Helen Stevens; Sarah Nutland; Joanna M. M. Howson; Malek Faham; Martin Moorhead; Hywel B. Jones; Matthew Falkowski; Paul Hardenbol; Thomas D. Willis; John A. Todd

The main problems in drawing causal inferences from epidemiological case-control studies are confounding by unmeasured extraneous factors, selection bias and differential misclassification of exposure. In genetics the first of these, in the form of population structure, has dominated recent debate. Population structure explained part of the significant +11.2% inflation of test statistics we observed in an analysis of 6,322 nonsynonymous SNPs in 816 cases of type 1 diabetes and 877 population-based controls from Great Britain. The remainder of the inflation resulted from differential bias in genotype scoring between case and control DNA samples, which originated from two laboratories, causing false-positive associations. To avoid excluding SNPs and losing valuable information, we extended the genomic control method by applying a variable downweighting to each SNP.


Trends in Microbiology | 2001

Polymorphic proteins of Chlamydia spp. – autotransporters beyond the Proteobacteria

Ian R. Henderson; Alex C. Lam

Gram-negative bacteria secrete a variety of proteins to the cell surface and beyond, a process with many inherent difficulties. An exceptionally widespread answer to these problems is the type V (or autotransporter) secretion pathway. By exploiting the data made available by bacterial genome sequencing, we have discovered that the previously described polymorphic proteins of Chlamydia spp. resemble members of the autotransporter family, and we suggest that they follow the same secretion pathway.


Nature Genetics | 2005

Assessing the validity of the association between the SUMO4 M55V variant and risk of type 1 diabetes

Deborah J Smyth; Joanna M M Howson; Christopher E. Lowe; Neil M Walker; Alex C. Lam; Sarah Nutland; Jayne Hutchings; Eva Tuomilehto-Wolf; Jaakko Tuomilehto; Cristian Guja; Constantin Ionescu-Tirgoviste; Dag E. Undlien; Kjersti S. Rønningen; David B. Savage; David B. Dunger; Rebecca C.J. Twells; Wendy L. McArdle; David P. Strachan; John A. Todd

Assessing the validity of the association between the SUMO4 M55V variant and risk of type 1 diabetes


Nucleic Acids Research | 2004

T1DBase, a community web-based resource for type 1 diabetes research

Luc J. Smink; Erin M. Helton; Barry Healy; Christopher C. Cavnor; Alex C. Lam; Daisy Flamez; Oliver Burren; Yang Wang; Geoffrey E. Dolman; David B. Burdick; Vincent H. Everett; Gustavo Glusman; Davide Laneri; Lee Rowen; Helen Schuilenburg; Neil M Walker; Josyf C. Mychaleckyj; Linda S. Wicker; Decio L. Eizirik; John A. Todd; Nathan Goodman

T1DBase (http://T1DBase.org) is a public website and database that supports the type 1 diabetes (T1D) research community. The site is currently focused on the molecular genetics and biology of T1D susceptibility and pathogenesis. It includes the following datasets: annotated genome sequence for human, rat and mouse; information on genetically identified T1D susceptibility regions in human, rat and mouse, and genetic linkage and association studies pertaining to T1D; descriptions of NOD mouse congenic strains; the Beta Cell Gene Expression Bank, which reports expression levels of genes in beta cells under various conditions, and annotations of gene function in beta cells; data on gene expression in a variety of tissues and organs; and biological pathways from KEGG and BioCarta. Tools on the site include the GBrowse genome browser, site-wide context dependent search, Connect-the-Dots for connecting gene and other identifiers from multiple data sources, Cytoscape for visualizing and analyzing biological networks, and the GESTALT workbench for genome annotation. All data are open access and all software is open source.


BMC Biotechnology | 2004

Investigating the utility of combining Φ29 whole genome amplification and highly multiplexed single nucleotide polymorphism BeadArray™ genotyping

Rebecca Pask; Helen Rance; Bryan J. Barratt; Sarah Nutland; Deborah J. Smyth; Meera Sebastian; Rebecca C.J. Twells; Anne Smith; Alex C. Lam; Luc J. Smink; Neil M Walker; John A. Todd

BackgroundSustainable DNA resources and reliable high-throughput genotyping methods are required for large-scale, long-term genetic association studies. In the genetic dissection of common disease it is now recognised that thousands of samples and hundreds of thousands of markers, mostly single nucleotide polymorphisms (SNPs), will have to be analysed. In order to achieve these aims, both an ability to boost quantities of archived DNA and to genotype at low costs are highly desirable. We have investigated Φ29 polymerase Multiple Displacement Amplification (MDA)-generated DNA product (MDA product), in combination with highly multiplexed BeadArray™ genotyping technology. As part of a large-scale BeadArray genotyping experiment we made a direct comparison of genotyping data generated from MDA product with that from genomic DNA (gDNA) templates.ResultsEighty-six MDA product and the corresponding 86 gDNA samples were genotyped at 345 SNPs and a concordance rate of 98.8% was achieved. The BeadArray sample exclusion rate, blind to sample type, was 10.5% for MDA product compared to 5.8% for gDNA.ConclusionsWe conclude that the BeadArray technology successfully produces high quality genotyping data from MDA product. The combination of these technologies improves the feasibility and efficiency of mapping common disease susceptibility genes despite limited stocks of gDNA samples.


Human Genomics | 2004

Development of an integrated genome informatics, data management and workflow infrastructure: A toolbox for the study of complex disease genetics

Oliver Burren; Barry Healy; Alex C. Lam; Helen Schuilenburg; Geoffrey E. Dolman; Vincent H. Everett; Davide Laneri; Sarah Nutland; Helen Rance; Felicity Payne; Deborah J. Smyth; Christopher R. Lowe; Bryan J. Barratt; Rebecca C.J. Twells; Daniel B. Rainbow; Linda S. Wicker; John A. Todd; Neil M Walker; Luc J. Smink

The genetic dissection of complex disease remains a significant challenge. Sample-tracking and the recording, processing and storage of high-throughput laboratory data with public domain data, require integration of databases, genome informatics and genetic analyses in an easily updated and scaleable format. To find genes involved in multifactorial diseases such as type 1 diabetes (T1D), chromosome regions are defined based on functional candidate gene content, linkage information from humans and animal model mapping information. For each region, genomic information is extracted from Ensembl, converted and loaded into ACeDB for manual gene annotation. Homology information is examined using ACeDB tools and the gene structure verified. Manually curated genes are extracted from ACeDB and read into the feature database, which holds relevant local genomic feature data and an audit trail of laboratory investigations. Public domain information, manually curated genes, polymorphisms, primers, linkage and association analyses, with links to our genotyping database, are shown in Gbrowse. This system scales to include genetic, statistical, quality control (QC) and biological data such as expression analyses of RNA or protein, all linked from a genomics integrative display. Our system is applicable to any genetic study of complex disease, of either large or small scale.


Journal of Leukocyte Biology | 2007

Interaction analysis of the CBLB and CTLA4 genes in type 1 diabetes

Felicity Payne; Jason D. Cooper; Neil M Walker; Alex C. Lam; Luc J. Smink; Sarah Nutland; Helen Stevens; Jayne Hutchings; John A. Todd

Gene‐gene interaction analyses have been suggested as a potential strategy to help identify common disease susceptibility genes. Recently, evidence of a statistical interaction between polymorphisms in two negative immunoregulatory genes, CBLB and CTLA4, has been reported in type 1 diabetes (T1D). This study, in 480 Danish families, reported an association between T1D and a synonymous coding SNP in exon 12 of the CBLB gene (rs3772534 G>A; minor allele frequency, MAF=0.24; derived relative risk, RR for G allele=1.78; P=0.046). Furthermore, evidence of a statistical interaction with the known T1D susceptibility‐associated CTLA4 polymorphism rs3087243 (laboratory name CT60, G>A) was reported (P<0.0001), such that the CBLB SNP rs3772534 G allele was overtransmitted to offspring with the CTLA4 rs3087243 G/G genotype. We have, therefore, attempted to obtain additional support for this finding in both large family and case‐control collections. In a primary analysis, no evidence for an association of the CBLB SNP rs3772534 with disease was found in either sample set (2162 parent‐child trios, P=0.33; 3453 cases and 3655 controls, P=0.69). In the case‐only statistical interaction analysis between rs3772534 and rs3087243, there was also no support for an effect (1994 T1D affected offspring, and 3215 cases, P=0.92). These data highlight the need for large, well‐characterized populations, offering the possibility of obtaining additional support for initial observations owing to the low prior probability of identifying reproducible evidence of gene‐gene interactions in the analysis of common disease‐associated variants in human populations.


BMC Genetics | 2006

Discovery, linkage disequilibrium and association analyses of polymorphisms of the immune complement inhibitor, decay-accelerating factor gene (DAF/CD55) in type 1 diabetes

Hidenori Taniguchi; Christopher E. Lowe; Jason D. Cooper; Deborah J. Smyth; Rebecca Bailey; Sarah Nutland; Barry Healy; Alex C. Lam; Oliver Burren; Neil M Walker; Luc J. Smink; Linda S. Wicker; John A. Todd

BackgroundType 1 diabetes (T1D) is a common autoimmune disease resulting from T-cell mediated destruction of pancreatic beta cells. Decay accelerating factor (DAF, CD55), a glycosylphosphatidylinositol-anchored membrane protein, is a candidate for autoimmune disease susceptibility based on its role in restricting complement activation and evidence that DAF expression modulates the phenotype of mice models for autoimmune disease. In this study, we adopt a linkage disequilibrium (LD) mapping approach to test for an association between the DAF gene and T1D.ResultsInitially, we used HapMap II genotype data to examine LD across the DAF region. Additional resequencing was required, identifying 16 novel polymorphisms. Combining both datasets, a LD mapping approach was adopted to test for association with T1D. Seven tag SNPs were selected and genotyped in case-control (3,523 cases and 3,817 controls) and family (725 families) collections.ConclusionWe obtained no evidence of association between T1D and the DAF region in two independent collections. In addition, we assessed the impact of using only HapMap II genotypes for the selection of tag SNPs and, based on this study, found that HapMap II genotypes may require additional SNP discovery for comprehensive LD mapping of some genes in common disease.


Genes and Immunity | 2003

Testing the possible negative association of type 1 diabetes and atopic disease by analysis of the interleukin 4 receptor gene

Lisa M. Maier; Rebecca C.J. Twells; Joanna M. M. Howson; Alex C. Lam; David G. Clayton; Deborah J. Smyth; David B. Savage; Dennis Carson; Christopher Patterson; Luc J. Smink; Neil Walker; Oliver Burren; Sarah Nutland; Helen Rance; E Tuomilehto-Wolf; Jaakko Tuomilehto; Cristian Guja; Constantin Ionescu-Tirgoviste; Dag E. Undlien; Kjersti S. Rønningen; Francesco Cucca; John A. Todd

Variations in the interleukin 4 receptor A (IL4RA) gene have been reported to be associated with atopy, asthma, and allergy, which may occur less frequently in subjects with type 1 diabetes (T1D). Since atopy shows a humoral immune reactivity pattern, and T1D results from a cellular (T lymphocyte) response, we hypothesised that alleles predisposing to atopy could be protective for T1D and transmitted less often than the expected 50% from heterozygous parents to offspring with T1D. We genotyped seven exonic single nucleotide polymorphisms (SNPs) and the –3223 C>T SNP in the putative promoter region of IL4RA in up to 3475 T1D families, including 1244 Finnish T1D families. Only the −3223 C>T SNP showed evidence of negative association (P=0.014). There was some evidence for an interaction between −3233 C>T and the T1D locus IDDM2 in the insulin gene region (P=0.001 in the combined and P=0.02 in the Finnish data set). We, therefore, cannot rule out a genetic effect of IL4RA in T1D, but it is not a major one.

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John A. Todd

Wellcome Trust Centre for Human Genetics

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Luc J. Smink

University of Cambridge

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Helen Rance

University of Cambridge

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