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S102<br />

outcomes <strong>for</strong> assessing nutrient adequacy and risk <strong>for</strong><br />

disease prevention.<br />

Human genetic variation<br />

The primary sequence of the human genome was determined<br />

from 5 to 10 individuals of diverse ancestry and<br />

geographic history. The human genome is composed of<br />

approximately 3.1 billion nucleotide base pairs that are<br />

organized into 24 nuclear chromosomes [12]. There are<br />

an estimated 30,000 genes within the human genome<br />

that encode in<strong>for</strong>mation required <strong>for</strong> the synthesis of<br />

all cellular proteins and functional RNA molecules,<br />

although less than half of human genes have been<br />

assigned known or putative functions. Only about 2%<br />

of the total human DNA primary sequence encodes<br />

genes. Most nuclear DNA is termed noncoding and has<br />

structural or regulatory roles or no known roles. The<br />

biological complexity of the mammalian cell is not limited<br />

by the number of genes encoded by its genome. A<br />

single gene can encode more than one RNA or protein<br />

product through posttranscriptional and posttranslational<br />

processing reactions, including RNA editing,<br />

alternative splicing, and other modifications including<br />

differential phosphorylation or methylation. There<strong>for</strong>e,<br />

human cells contain more than 100,000 proteins with<br />

distinct primary sequences as a result of these processing<br />

and modification reactions [13].<br />

The primary nucleotide sequence of the human<br />

genome varies by approximately 0.2% to 0.4% among<br />

humans [14, 15]. Sequence variations are referred to<br />

as polymorphism and constitute a primary molecular<br />

basis <strong>for</strong> human phenotypic variation. There are<br />

several distinct classes of polymorphism, including<br />

single nucleotide polymorphisms (SNPs), micro- and<br />

macrosatellite repeat sequences, and viral insertions.<br />

SNPs are defined as common nucleotide base pair differences<br />

in the primary sequence of DNA and are the<br />

most common variation in human DNA.<br />

SNPs and haplotypes<br />

There are estimated to be more than 10 million SNPs<br />

in the human genome; over 4.5 million SNPs were<br />

validated as of 2004 [15]. SNPs can be single base pair<br />

insertions, deletions, or substitutions of one base pair<br />

<strong>for</strong> another. Nucleotide substitutions are the most<br />

common polymorphisms, whereas insertion/deletion<br />

mutations occur at 1/10 the frequency [16]. SNPs differ<br />

from DNA mutations in two regards: they are present<br />

in the germ line and there<strong>for</strong>e are heritable, and they<br />

must have a prevalence of at least 1% in humans. The<br />

generation of high-density SNP maps of the human<br />

genome facilitates the identification of human disease<br />

alleles, including low-penetrant alleles that may make<br />

relatively small contributions to the initiation and/or<br />

progression of complex disease [12].<br />

DNA sequence is inherited in “blocks” that average<br />

25,000 base pairs during meiotic recombination [13].<br />

There<strong>for</strong>e, SNPs that are physically close with respect<br />

to DNA primary sequence segregate rarely and are<br />

inherited together [13, 17]. SNPs captured within these<br />

blocks are said to be in linkage disequilibrium, which<br />

is defined as the nonrandom association of alleles<br />

at a nearby locus. Linkage disequilibrium is usually<br />

correlated with physical distance between loci but is<br />

also influenced by distance from the centromere and<br />

recombination frequency, which can vary throughout<br />

the genome. Inherited blocks of genetic variation are<br />

referred to as haplotypes, and the size of the haplotype<br />

blocks decays as the number of meiotic recombination<br />

events increases within a population. Ancestral<br />

populations that maintain a high effective population<br />

size <strong>for</strong> long periods are expected to have smaller haplotype<br />

sizes and there<strong>for</strong>e decreased linkage disequilibrium<br />

because of the increased number of historical<br />

recombination and mutation events, both of which<br />

cause linkage disequilibrium decay [12]. As predicted<br />

from evolutionary theory, African populations display<br />

higher levels of genetic diversity than all other human<br />

populations whose founder groups probably exhibited<br />

less genetic variation than the population from which<br />

they emerged and had less time to respond to their<br />

new environments. African linkage disequilibrium patterns<br />

exhibit a greater number of haplotypes and more<br />

divergent patterns of linkage disequilibrium than non-<br />

African populations [12]. Linkage disequilibrium in the<br />

Nigerian population extends an average distance of 5<br />

kilobases, whereas European linkage disequilibrium<br />

can extend nearly 60 kilobases, a finding consistent<br />

with the increased number of recombination events<br />

that have occurred in ancestral populations [12]. Haplotype<br />

maps of human genetic variation offer advantages<br />

<strong>for</strong> disease associational studies because of their<br />

reduced complexity compared with SNP maps [18], but<br />

their utility may be limited because of the variability<br />

in haplotype diversity across candidate genes [19].<br />

Furthermore, haplotype associations do not identify<br />

disease-causing mutations due to genetic hitchhiking<br />

[12] (polymorphisms that are in linkage disequilibrium<br />

with a mutation that is under selection will change in<br />

frequency along with the site undergoing selection).<br />

Because otherwise rare disease alleles can be enriched<br />

in geographically or culturally isolated populations,<br />

full characterization of SNP diversity and haplotype<br />

structure from ethnically diverse populations is critical<br />

<strong>for</strong> the identification of risk alleles that may be specific<br />

to small but identifiable subpopulations.<br />

Transposable elements<br />

P. J. Stover<br />

Genetic variation can also result from the integration<br />

and/or transposition of viral DNA. Approximately half

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