Carrier frequency of a nonsense mutation in the adenosine deaminase (ADA) gene implies a high incidence of ada-deficient severe combined immunodeficiency (SCID) in Somalia and a single, common haplotype indicates common ancestry

Type Journal Article - Annals of Human Genetics
Title Carrier frequency of a nonsense mutation in the adenosine deaminase (ADA) gene implies a high incidence of ada-deficient severe combined immunodeficiency (SCID) in Somalia and a single, common haplotype indicates common ancestry
Author(s)
Volume 71
Issue 3
Publication (Day/Month/Year) 2007
Page numbers 336-347
URL http://discovery.ucl.ac.uk/42936/
Abstract
Summary Inherited adenosine deaminase (ADA) deficiency is a rare metabolic disorder that causes immunodeficiency, varying from severe combined immunodeficiency (SCID) in the majority of cases to a less severe form in a small minority of patients. Five patients of Somali origin from four unrelated families, with severe ADA-SCID, were registered in the Greater London area. Patients and their parents were investigated for the nonsense mutation Q3X (ADA c7C>T), two missense mutations K80R (ADA c239A>G) and R142Q (ADA c425G>A), and a TAAA repeat located at the 3' end of an Alu element (AluVpA) positioned 1.1 kb upstream of the ADA transcription start site. All patients were homozygous for the haplotype ADA-7T/ADA-239G/ADA-425G/AluVpA7. Among 207 Somali immigrants to Denmark, the frequency of ADA c7C>T and the maximum likelihood estimate of the frequency of the haplotype ADA-7T/ADA-239G/ADA-425G/AluVpA7 were both 0.012 (carrier frequency 2.4%). Based on the analysis of AluVpA alleles, the ADA c7C/T mutation was estimated to be approximately 7,100 years old. Approximately 1 out of 5 – 10000 Somali children will be born with ADA deficiency due to an ADA c7C/T mutation, although within certain clans the frequency may be significantly higher. ADA-SCID may be a frequent immunodeficiency disorder in Somalia, but will be underdiagnosed due to the prevailing socioeconomic and nutritional deprivation.

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