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The Fabry disease-causing mutation, GLA IVS4+919G>A, originated in Mainland China more than 800 years ago
Kung-Hao Liang1,2,3, Yung-Hsiu Lu4, Chih-Wei Niu4
1Department of Medical Research, Taipei Veterans General Hospital, Taipei, Taiwan.
Insights
The GLA IVS4+919G>A mutation, linked to Fabry disease, originated in a Chinese chromosome over 800 years ago. This finding stems from analyzing a shared haplotype among affected individuals across Asia.
Area of Science:
- Genetics
- Population Genetics
- Medical Genetics
Background:
- The GLA IVS4+919G>A mutation is a prevalent cause of Fabry disease, particularly noted in Taiwanese patients with hypertrophic cardiomyopathy.
- This X-linked mutation has been identified in diverse Asian populations, including Japan, Southeast Asia, and China.
Purpose of the Study:
- To determine the ancestral origin and age of the GLA IVS4+919G>A mutation.
- To investigate the mutation's prevalence and founder effect across various Asian populations.
Main Methods:
- Dense genotyping using the Illumina Infinium CoreExome-24 microarray was performed on 33 male patients carrying the GLA IVS4+919G>A mutation.
- Haplotype analysis was conducted to identify shared genetic markers among patients and compare them with healthy individuals.
- Linkage-disequilibrium decay theory was applied to estimate the mutation's age based on haplotype lengths.
Main Results:
- A distinct mutation-carrying haplotype was identified in all 33 studied patients, absent in healthy controls.
- Significant haplotype diversity around the mutation site supports a single founder event.
- Age estimation indicated the mutation originated more than 800 years ago, with a median estimate of 922.6 years.
Conclusions:
- The GLA IVS4+919G>A mutation arose from a single ancestral event in a Chinese chromosome over eight centuries ago.
- The study confirms a founder effect for this Fabry disease mutation in Asian populations.
- Understanding the mutation's origin aids in genetic counseling and understanding disease prevalence.
Abstract:
The Fabry disease-causing mutation, the GLA IVS4+919G>A (designated GLA IVS4), is very prevalent in patients with hypertrophic cardiomyopathy in Taiwan. This X-linked mutation has also been found in patients in Kyushu, Japan and Southeast Asia. To investigate the age and the possible ancestral origin of this mutation, a total of 33 male patients with the GLA IVS4+919G>A mutation, born in Taiwan, Japan, Singapore, Malaysia, Vietnam, and the Fujian and Guangdong provinces of China, were studied. Peripheral bloods were collected, and the Ilumina Infinium CoreExome-24 microarray was used for dense genotyping. A mutation-carrying haplotype was discovered which was shared by all 33 patients. This haplotype does not exist in 15 healthy persons without the mutation. Rather, a wide diversity of haplotypes was found in the vicinity of the mutation site, supporting the existence of a single founder of the GLA IVS4 mutation. The age of the founder mutation was estimated by the lengths of the mutation-carrying haplotypes based on the linkage-disequilibrium decay theory. The first, second, and third quartile of the age estimates are 800.7, 922.6, and 1068.4 years, respectively. We concluded that the GLA IVS4+919G>A mutation originated from a single mutational event that occurred in a Chinese chromosome more than 800 years ago.
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