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.

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