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2009 Vienna - European Society of Human Genetics

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Evolutionary and population genetics, and Genetic epidemiology<br />

P10.73<br />

Genetic disorders in saudi Arabia- An update<br />

A. S. Warsy1 , M. A. F. El-Hazmi2 ;<br />

1Department <strong>of</strong> Biochemistry, College <strong>of</strong> Science, Center for Science and Medical<br />

Studies for Girls, King Saud University, Riyadh, Saudi Arabia, 2Department <strong>of</strong> Biochemistry, College <strong>of</strong> Medicine, King Saud University, Riyadh, Saudi<br />

Arabia.<br />

Saudi Arabia, is the largest Arab country and has an estimated population<br />

<strong>of</strong> around 27.6 million. The family and tribe are the basis <strong>of</strong> the social<br />

structure and Saudis are cognizant <strong>of</strong> their heritage, their tribe, and<br />

their extended and nuclear family. Consanguinity and other factors,<br />

including environmental factors, have played a significant role in accumulating<br />

genetic disorders, some very rare ones, at a higher frequency<br />

in the Saudis. We conducted three National studies over a period <strong>of</strong><br />

twenty years to screen the entire country for common single gene disorders<br />

(including sickle cell gene, α- and β- thalassaemia, glucose-<br />

6-phosphate dehydrogenase deficiency) and multifactorial disorders<br />

(including diabetes mellitus, obesity, and hypertension). Over 60,000<br />

samples were screened and gene frequencies <strong>of</strong> these disorders were<br />

obtained. In addition, studies conducted in other institutions reported<br />

several inborn errors <strong>of</strong> metabolism, chromosomal, mitochondrial and<br />

somatic cell disorders (cancers). Several disorders, rare in other populations,<br />

occur at a high frequency in the Saudi. The genetic basis <strong>of</strong><br />

several <strong>of</strong> these disorders has been unveiled and very interesting picture<br />

has emerged for the common disorders, where mutations specific<br />

to Saudis and rare in other populations form the basis <strong>of</strong> several <strong>of</strong><br />

the common disorders. The natural history <strong>of</strong> several <strong>of</strong> the disorders<br />

has been investigated and a wide range <strong>of</strong> clinical diversity has been<br />

identified. Steps have been adopted towards primary prevention. This<br />

paper will present a comprehensive coverage <strong>of</strong> the present status <strong>of</strong><br />

genetic diseases in Saudi Arabia and steps adopted towards control<br />

and prevention.<br />

P10.74<br />

Ancestral origin <strong>of</strong> pure repeat expansions and cAA interrupted<br />

alleles in spinocerebellar ataxia type 2 (scA2)<br />

E. M. Ramos 1 , S. Martins 1,2 , I. Alonso 1 , V. E. Emmel 3 , M. L. Saraiva-Pereira 3 , L.<br />

B. Jardim 3 , P. Coutinho 1,4 , J. Sequeiros 1,5 , I. Silveira 1 ;<br />

1 UnIGENe, IBMC - Instituto de Biologia Molecular e Celular, Porto, Portugal,<br />

2 IPATIMUP- Instituto de Patologia e Imunologia Molecular da Universidade<br />

do Porto, Porto, Portugal, 3 Hospital de Clínicas de Porto Alegre, Porto Alegre,<br />

Brazil, 4 Hospital São Sebastião, Feira, Portugal, 5 ICBAS, Universidade do<br />

Porto, Porto, Portugal.<br />

The spinocerebellar ataxia type 2 (SCA2) is an autosomal dominant<br />

neurodegenerative disease characterized by gait and limb ataxia.<br />

This disease is caused by the expansion <strong>of</strong> a (CAG)n located in the<br />

ATXN2, that encodes a polyglutamine tract <strong>of</strong> more than 34 repeats.<br />

Lately, alleles with 32-33 CAGs have been associated to late-onset<br />

disease cases. Repeat interruptions by CAA triplets are common in<br />

normal alleles, while expanded alleles usually contain a pure repeat<br />

tract. To investigate the mutational origin and the instability associated<br />

to the ATXN2 repeat, we performed an extensive haplotype study and<br />

sequencing <strong>of</strong> the CAG/CAA repeat, in a cohort <strong>of</strong> families <strong>of</strong> different<br />

geographic origins and phenotypes. Our results showed (1) CAA<br />

interruptions in ATXN2 alleles, regardless <strong>of</strong> its pathogenic nature,<br />

and that (2) CAA interrupted alleles in the range 33-44 repeats shared<br />

an ancestral haplotype with pure expanded alleles; (3) an intragenic<br />

SNP-based haplotype, C-C, common to all SCA2 families regardless<br />

<strong>of</strong> its interruption pattern, origin or phenotype; and (4) higher genetic<br />

diversity in <strong>European</strong> SCA2 families, suggesting an older <strong>European</strong><br />

ancestry <strong>of</strong> SCA2. In conclusion, we found a shared ancestral ATXN2<br />

haplotype for pure and interrupted expanded alleles, with strong implications<br />

in mutation diagnosis and counseling. Our results indicate that<br />

interrupted alleles, below the pathological threshold, may be a reservoir<br />

<strong>of</strong> mutable alleles, prone to expansion in subsequent generations,<br />

leading to full disease mutation<br />

P10.75<br />

Allele frequencies <strong>of</strong> eight short tandem repeat loci in East<br />

Azerbaijan province population<br />

J. Mohseni 1 , S. Mohaddes Ardebili 2 , H. Najm-Aabadi 3 ;<br />

1 East azerbaijan brach <strong>of</strong> ACECR, Tabriz, Islamic Republic <strong>of</strong> Iran, 2 Tabriz<br />

medical sciences university, Tabriz, Islamic Republic <strong>of</strong> Iran, 3 Welfare and Re-<br />

habilitaion university, Tehran, Islamic Republic <strong>of</strong> Iran.<br />

Short tandem repeats (2-6 bp) have become wide-spread in their<br />

use by the forensic DNA typing, Paternity testing, gene mapping,<br />

and diagnosis <strong>of</strong> hereditary disease. Allele frequencies for 8 STR loci<br />

(D16S539, D8S1179, D5S818, D13S317, F13B, MTHO1, TPOX and<br />

FES/FPS) were determined in the samples <strong>of</strong> 218 un-related volunteer<br />

<strong>of</strong> East Azerbaijan province population using PCR and subsequent<br />

poly-acrylamid gel electrophoresis and silver staining.<br />

Regarding to the results, Among 8 STR loci , heterozygosity <strong>of</strong><br />

D16S539, D5S818,D8S1179, D13S317, F13B, FES/FPS,MTHO1,<br />

TPOX respectively were 0.8213,0.8188, 0.7883, 0.8062, 0.7442,<br />

0.7397, 0.7834, 0.6769 . No devotion from Hardi-winberg equilibrium<br />

was observed. D16S539 with 0.8213 heterozygosity is the most informative<br />

marker and TPOX with 0.6769 heterozygosity was the least informative<br />

marker on target group. Therefore except for TPOx all mentioned<br />

markers could be used for forensic DNA typing and paternity<br />

test <strong>of</strong> East Azerbaijan population.<br />

P10.76<br />

Forensic value <strong>of</strong> 10 stR loci in the entire region <strong>of</strong> turkey<br />

population and comparisons to other ethnics groups or areas<br />

M. Ozkorkmaz 1 , A. Baransel-Isir 2 , S. Pehlivan 3 , E. Gokalp-Ozkorkmaz 4 ;<br />

1 Ege University Faculty <strong>of</strong> Science, Izmir, Turkey, 2 2. Gaziantep University, Faculty<br />

<strong>of</strong> Medicine, Department <strong>of</strong> Forensic Medicine, Gaziantep, Turkey, 3 4. Gaziantep<br />

University, Faculty <strong>of</strong> Medicine Department <strong>of</strong> Medical Biology and Genetic,<br />

Gaziantep, Turkey, 4 Ahi Evran University, College <strong>of</strong> Healty, Kırsehir, Turkey.<br />

Allele frequencies <strong>of</strong> the 10 STRs loci (D16S539, D2S1338, D3S1358,<br />

vWA, D18S51, D21S11, D8S1179, D19S433, FGA, THO1) included<br />

in the AmpFlSTR SGM Plus kit were obtained from different biological<br />

materials <strong>of</strong> sample <strong>of</strong> 100 unrelated individuals in the entire region <strong>of</strong><br />

Turkey. Chi-square test showed that all STR loci agreed with Hardy-<br />

Weinberg equilibrium. The population genetic data were compared<br />

with the previously publishing population data <strong>of</strong> Turkish and other<br />

ethnic groups or areas. The results <strong>of</strong> present study suggest that 10<br />

STR loci with its high combined PD values (0.99999999999988) seem<br />

to be a useful system for the cases in forensic identifications.<br />

P10.77<br />

Estimation <strong>of</strong> smN1 Deletion carrier Frequency in the iranian<br />

Population based on Quantitative Analysis<br />

M. Hasanzad 1 , M. Azad 2 , K. Kahrizi 3 , B. Shoja Saffar 3 , S. Nafisi 4 , Z. Keyhanidoust<br />

5 , M. Azimian 3 , A. Aghajani Refah 3 , E. Also 6 , J. A. Urtizberea 7 , E. F. Tizzano<br />

6 , H. Najmabadi 3,2 ;<br />

1 Islamic Azad University, Tehran Medical Branch, Tehran, Islamic Republic <strong>of</strong><br />

Iran, 2 Kariminejad-Najmabadi Pathology & <strong>Genetics</strong> Center, Tehran, Islamic<br />

Republic <strong>of</strong> Iran, 3 <strong>Genetics</strong> Research Center, University <strong>of</strong> Social Welfare<br />

& Rehabilitation Sciences, Tehran, Islamic Republic <strong>of</strong> Iran, 4 Department <strong>of</strong><br />

Neurology, Tehran University <strong>of</strong> Medical Sciences, Tehran, Islamic Republic<br />

<strong>of</strong> Iran, 5 Imam Khomeini Hospital, Tehran University <strong>of</strong> Medical Sciences,<br />

Tehran, Islamic Republic <strong>of</strong> Iran, 6 Department <strong>of</strong> <strong>Genetics</strong>, Hospital de Sant<br />

Pau, Barcelona, Spain, 7 Assistance Publique Hopitaux de Paris, Hopital Marin,<br />

Hendaye, France.<br />

Spinal muscular atrophy (SMA) is a common autosomal recessive neuromuscular<br />

disorder caused by mutations in the survival motor neuron<br />

1 gene (SMN1). Carrier frequency studies <strong>of</strong> SMA have been reported<br />

for various populations. Although no large-scale population-based<br />

studies <strong>of</strong> SMA have been performed in Iran, previous estimates have<br />

indicated that the incidence <strong>of</strong> autosomal recessive disorder partly because<br />

<strong>of</strong> the high prevalence <strong>of</strong> consanguineous marriage is much<br />

higher in the Iranian population than in other populations.<br />

In this study, we used a reliable and highly sensitive quantitative realtime<br />

PCR assay with SYBR green I dye to detect the copy number<br />

<strong>of</strong> the SMN1 gene to determine the carrier frequency <strong>of</strong> SMA in 200<br />

healthy unrelated, non consanguineous couples from different part <strong>of</strong><br />

Iran<br />

To validate the method in our samples, we determined the ΔΔCt ratios<br />

<strong>of</strong> patients with homozygous deletion (0.00) and hemyzygous carriers<br />

(0.29 to 0.55). The ΔΔCt ratios in 10 <strong>of</strong> 200 normal individuals were<br />

within the carrier range <strong>of</strong> 0.31-0.57, estimating a carrier frequency <strong>of</strong><br />

5% in the Iranian population.<br />

Our data show that the SMA carrier frequency in Iran is higher than in<br />

the <strong>European</strong> population and that further programs <strong>of</strong> population carrier<br />

detection and prenatal testing should be implemented.

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