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  • Original Research Article
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HLA and genetic susceptibility to sleepwalking

Abstract

HLA-DQB1 typing was performed in 60 Caucasian subjects with sleepwalking (SW) disorder and their families and 60 ethnically matched subjects without any diagnosed sleep disorder. A total of 21 sleepwalkers (35.0%) were DQB1*0501 positive vs eight (13.3%) controls (P=0.0056; odds ratio=3.5, 95% CI=1.4–8.7). The family data for all HLA subtypes were further assessed for allelic association with SW using the transmission–disequilibrium test. A significant excess transmission was observed for DQB1*05 and *04 alleles in familial cases, strongly suggesting that a DQB1 polymorphic amino acid might be more tightly associated than any single allele. Sequence screening revealed that Ser74 in the second exon shared by all DQB1*05 and *04 was 20 times transmitted against 4 times non-transmitted (P=0.001) in familial cases of SW. Thus, together with narcolepsy and REM sleep behavior disorder, these findings suggest that specific DQB1 genes are implicated in disorders of motor control during sleep.

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References

  1. Hublin C, Kaprio J, Partinen M, Heikkilä K, Koskenvuo M . Prevalence and genetics of sleepwalking: a population-based twin study. Neurology 1997; 48: 177–181.

    Article  CAS  Google Scholar 

  2. Abe K, Shimakawa M . Genetic and developmental aspects of sleepwalking and teethgrinding. Acta Paedopsychiatrica 1966; 33: 339–344.

    CAS  PubMed  Google Scholar 

  3. Guilleminault C . Sleepwalking and night terror. In: Kryger M, Roth T, Dement WC (eds). Principles and Practice of Sleep Medicine. WB Saanders: Philadelphia, 1989, pp 379–384.

    Google Scholar 

  4. Diagnostic Classification Steering Committee, Thorpy MJ, Chairman. International Classification of Sleep Disorders: Diagnostic and Coding Manual. American Sleep Disorders Association: Rochester, MN, 1990.

  5. Broughton RJ . Sleep disorders: disorders of arousal? Science 1968; 159: 1070–1078.

    Article  CAS  Google Scholar 

  6. Kales A, Soldatos CR, Bixler EO, Ladda RL, Charney DS, Weber G et al. Hereditary factors in sleepwalking and night terrors. Br J Psychiatry 1980; 137: 111–118.

    Article  CAS  Google Scholar 

  7. Kales A, Soldatos CR, Caldwell AB, Kales JD, Humphrey 2nd FJ, Charney DS et al. Somnambulism. Clinical characteristics and personality patterns. Arch Gen Psychiatry 1980; 37: 1406–1410.

    Article  CAS  Google Scholar 

  8. Gau SF, Soong WT . Psychiatric comorbidity of adolescents with sleep terrors or sleepwalking: a case control study. Aust NZ J Psychiatry 1999; 33: 734–739.

    Article  CAS  Google Scholar 

  9. Schenck CH, Mahowald MW . On the reported association of psychopathology with sleep terrors in adults. Sleep 2000; 23: 448–449.

    Article  CAS  Google Scholar 

  10. Broughton R, Billings R, Cartwright R, Doucette D, Edmeads J, Edwardh M et al. Homicidal somnambulism: a case report. Sleep 1994; 17: 253–264.

    CAS  PubMed  Google Scholar 

  11. Howard C, D'Orban PT . Violence in sleep: medico-legal issues and two case reports. Psychol Med 1987; 17: 915–925.

    Article  CAS  Google Scholar 

  12. Ovuga EB . Murder during sleep-walking. East Afr Med J 1992; 69: 533–534.

    CAS  PubMed  Google Scholar 

  13. Bakwin H . Sleepwalking in twins. Lancet 1970; 2: 466–467.

    Google Scholar 

  14. Debray P, Huon HA . A propos de trois cas de somnambulisme familial. Ann Méd Interne 1973; 124: 27–29.

    CAS  Google Scholar 

  15. Abe K, Amatomi M, Oda N . Sleepwalking and recurrent sleeptalking in children of childhood sleepwalkers. Am J Psychiatry 1984; 141: 800–801.

    Article  CAS  Google Scholar 

  16. Mignot E, Lin L, Rogers W, Honda Y, Qiu X, Lin X et al. Complex HLA-DR and -DQ interactions confer risk of narcolepsy-cataplexy in three ethnic groups. Am J Hum Genet 2001; 68: 686–699.

    Article  CAS  Google Scholar 

  17. Schenck CH, Garcia-Rill E, Segall M, Noreen H, Mahowald MW . HLA class II genes associated with REM sleep behavior disorder. Ann Neurol 1996; 39: 261–263.

    Article  CAS  Google Scholar 

  18. Mayer G, Lattermann A, Mueller-Eckhardt G, Svanborg E, Meier-Ewert K . Segregation of HLA genes in multicase narcolepsy families. J Sleep Res 1998; 7: 127–133.

    Article  CAS  Google Scholar 

  19. Schenck CH, Boyd JL, Mahowald MW . A parasomnia overlap disorder involving sleepwalking, sleep terrors, and REM sleep behavior disorder in 33 polysomnographically confirmed cases. Sleep 1997; 20: 972–981.

    Article  CAS  Google Scholar 

  20. Laberge L, Tremblay RE, Vitaro F, Montplaisir J . Development of parasomnias from childhood to early adolescence. Pediatrics 2000; 106: 67–74.

    Article  CAS  Google Scholar 

  21. Klackenberg G . Somnambulism in childhood—prevalence, course and behavioral correlations. A prospective longitudinal study (6–16 years). Acta Paediatr Scand 1982; 71: 495–499.

    Article  CAS  Google Scholar 

  22. Ohayon MM, Guilleminault C, Priest RG . Night terrors, sleepwalking, and confusional arousals in the general population: their frequency and relationship to other sleep and mental disorders. J Clin Psychiatry 1999; 60: 268–276.

    Article  CAS  Google Scholar 

  23. Espa F, Ondze B, Deglise P, Billiard M, Besset A . Sleep architecture, slow wave activity, and sleep spindles in adult patients with sleepwalking and sleep terrors. Clin Neurophysiol 2000; 111: 929–939.

    Article  CAS  Google Scholar 

  24. Joncas S, Zadra A, Paquet J, Montplaisir J . The value of sleep deprivation as a diagnostic tool in adult sleepwalkers. Neurology 2002; 58: 936–940.

    Article  Google Scholar 

  25. Mitsunaga S, Oguchi T, Tokunaga K, Akaza T, Tadokoro K, Juji T . High-resolution HLA-DQB1 typing by combination of group-specific amplification and restriction fragment length polymorphism. Hum Immunol 1995; 42: 307–314.

    Article  CAS  Google Scholar 

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The Geneva University Hospitals supported this work.

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Correspondence to M Tafti.

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Lecendreux, M., Bassetti, C., Dauvilliers, Y. et al. HLA and genetic susceptibility to sleepwalking. Mol Psychiatry 8, 114–117 (2003). https://doi.org/10.1038/sj.mp.4001203

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