Summary:Purpose: Linkage disequilibrium mapping revealed allelic and haplotypic associations between singlenucleotide polymorphisms (SNPs) of the gene encoding the malic enzyme 2 (ME2) and adolescent-onset idiopathic generalized epilepsy (IGE). Homozygote carriers of the associated ME2 haplotype had a sixfold higher risk of IGE compared with any other genotype. The present population-based association study tested whether genetic variation of the ME2 gene confers susceptibility to common IGE syndromes in the German population.Methods: The study included 666 German healthy control subjects and 660 German IGE patients (IGE group), of which 416 patients had an age at onset in adolescence (IGEado group). Genotyping was performed for six SNPs and one dinucleotide repeat polymorphism, all located in the ME2 region.Results: Neither allele nor genotype frequencies of any ME2 polymorphism differed significantly between the controls and the IGE groups (p > 0.22). No hint of an association of the putative risk-conferring haplotype was seen, when present homozygously, in both IGE groups compared with controls (p > 0.18).Conclusions: These results do not support previous evidence that genetic variation of the ME2 gene predisposes to common IGE syndromes. Thus if a recessively inherited ME2 mutation is present, then the size of the epileptogenic effect might be too small or not frequent enough to detect it in the present IGE sample. Key Words: Idiopathic generalized epilepsy-Genetics-ME2-Association-Haplotype.Idiopathic generalized epilepsies (IGE) affect ∼0.3% of the general population and account for ∼30% of all epilepsies (1). The clinical features of IGE are characterized by an age-related occurrence of recurrent unprovoked generalized seizures in the absence of detectable brain lesions or metabolic abnormalities (2). The common IGE syndromes comprise childhood (CAE) and juvenile absence epilepsy (JAE), juvenile myoclonic epilepsy (JME), and epilepsy with generalized tonic-clonic seizures (EGTCSs) (2-4). The etiology of IGE is genetically determined, but the complex pattern of inheritance suggests an interaction of several susceptibility genes (5). Twin and family studies indicate an overlapping genetic component that is shared across the common IGE subtypes (6-8), but also provide evidence that specific gene configurations determine the particular IGE subtype (9-12).Accepted June 18, 2005. Address correspondence and reprint requests to Dr. T. Sander at Gene Mapping Center, Max-Delbrück-Center for Molecular Medicine, Robert-Rössle-Str. 10, 13125, Berlin, Germany. E-mail: thomas. sander@mdc-berlin.deThe first two authors contributed equally to this study.A recent genome-wide linkage scan yielded strong evidence for a major locus common to most IGE syndromes at the marker D18S474 on chromosome 18q21.1 (maximum 2-point LOD score of 5.2, assuming a recessive mode of inheritance and evidence of locus heterogeneity) (10). Subsequent linkage disequilibrium mapping at the D18S474 locus revealed allelic and haplotypic associations...