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Multiple mutations underlying familial hypercholesterolemia in the South African population

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Summary

Ten restriction fragment length polymorphisms of the LDL receptor gene were used for haplotype analysis in 12 unrelated patients with homozygous familial hypercholesterolemia. These patients were drawn from the Black, Coloured, and White population groups and collectively represent 24 mutant alleles underlying the FH phenotype. Five distinct haplotypes were detected. Hybridization analysis using DNA codigested with EcoRI and PstI revealed that haplotype IV was associated with two distinct mutations. When coupled to the recent demonstration by other workers of two receptor defects in South African Afrikaners homozygous for FH and haplotype I, these data are suggestive of at least seven distinct LDL receptor mutations in the FH patients examined and thus in the general South African population.

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References

  • Brown MS, Goldstein JL (1986) A receptor-mediated pathway for cholesterol homeostasis. Science 232:34–47

    Google Scholar 

  • Cole MM (1966) South Africa. Methuen & Co, London, pp 95–100

    Google Scholar 

  • Cox DW, Woo SLC, Mansfield T (1985) DNA restriction fragments associated with α-antitrypsin indicate a single origin for deficiency allele PIZ. Nature 316:79–81

    Google Scholar 

  • Davis GC, Driel IR van, Russell DW, Brown MS, Goldstein JL (1987a) The low-density lipoprotein receptor: identification of amino acids in cytoplasmic domain required for rapid endocytosis. J Biol Chem 262:4075–4082

    Google Scholar 

  • Davis GC, Goldstein JL, Sudhof TC, Anderson RGW, Russell DW, Brown MS (1987b) Acid-dependent ligand dissociation and recycling of LDL receptor mediated by growth factor homology region. Nature 326:760–765

    Google Scholar 

  • DiLella AG, Marvit J, Brayton K, Woo SLE (1987) An amino acid substitution involved in phenylketonuria is in linkage disequilibrium with DNA haplotype 2. Nature 327:333–336

    Google Scholar 

  • Esser V, Limbird LE, Brown MS, Goldstein JL, Russell DW (1988) Mutational analysis of the ligand-binding domain of the low-density lipoprotein receptor. J Biol Chem 263:13282–13290

    Google Scholar 

  • Fourie AM, Coetzee GA, Gevers W, Westhuyzen DR van der (1988) Two mutant low-density-lipoprotein receptors in Afrikaners slowly processed to surface forms exhibiting rapid degradation or functional heterogeneity. Biochem J 255:411–415

    Google Scholar 

  • Funke H, Klug J, Frossard P, Coleman R, Assman G (1986) PstI RFLP close to the LDL receptor gene. Nucleic Acids Res 14:7820

    Google Scholar 

  • Geisel J, Weishaar B, Oette K, Mechtel M, Doerfler W (1987) Double MspI RFLP in the human LDL receptor gene. Nucleic Acids Res 9:3943

    Google Scholar 

  • Henderson HE, Berger GMB, Marais AD (1988) A new LDL receptor gene deletion mutation in the South African population. Hum Genet 80:371–374

    Google Scholar 

  • Hobbs HH, Esser V, Russell DW (1987) AvaII polymorphism in the human LDL receptor gene. Nucleic Acids Res 15:379

    Google Scholar 

  • Humphries SE, Horsthemke B, Seed M, Heim M, Wynn V, Kessling AM, Donald JA, Jowett N, Galton DJ, Williamson R (1985) A common DNA polymorphism of the low density lipoprotein (LDL) receptor gene and its use in diagnosis. Lancet I:1003–1005

    Google Scholar 

  • Kotze MJ, Retief AE, Brink PA, Weich HFH (1986) A DNA polymorphism in the human low density lipoprotein receptor gene. S Afr Med J 70:77–79

    Google Scholar 

  • Kotze MJ, Langenhoven E, Dietzsch E, Retief AE (1987) A RFLP associated with the low density lipoprotein receptor gene. Nucleic Acids Res 15:376

    Google Scholar 

  • Leitersdorf E, Hobbs HH (1987) Human LDL receptor gene: two ApaLI RFLPs. Nucleic Acids Res 15:2782

    Google Scholar 

  • Leitersdorf E, Hobbs HH, Fourie A, Jacobs M, Westhuyzen DR van der, Coetzee GA (1988) Detetion in first cysteine-rich repeat of low density lipoprotein receptor impairs its transport but not lipoprotein binding in subject with familial hypercholesterolaemia. Proc Natl Acad Sci USA 85:7912–7916

    Google Scholar 

  • Lichter-Konecki U, Schlotter M, Konecki DS, Labeit S, Woo SLC, Trez FK (1988) Linkage disequilibrium between mutation and RFLP haplotype at the phenylalanine hydroxylase locus in the German population. Hum Genet 78:347–352

    Google Scholar 

  • Orkin SH, Kazazian Jr HH (1984) The mutation and polymorphism of the human β-globulin gene and its surrounding DNA. Annu Rev Genet 18:131–171

    Google Scholar 

  • Ponez M, Solowiejezyk D, Harpel B, Morey Y, Schwartz E, Surrey S (1982) Construction of gene libraries from small amounts of peripheral blood: analysis of alpha-like globin genes. Hemoglobin 6:27–36

    Google Scholar 

  • Russell DW, Lehrman MA, Sudhof TC, Yamamoto T, Davis CG, Hobbs HH, Brown MS, Goldstein JL (1986) The LDL receptor in familial hypercholesterolaemia: use of human mutations to disect a membrane protein. Cold Spring Harbor Symp Quant Biol 51: 811–819

    Google Scholar 

  • Seftel HC, Baker SG, Sandler MP, Forman MB, Joffe BI, Mendleson D, Jenkins T, Mieny CJ (1980) A host of hypercholesterolaemic homozygotes in South Africa. Br Med J 281:623–636

    Google Scholar 

  • Southern EM (1975) Detection of specific sequences among DNA fragments separated by gel electrophoresis. J Mol Biol 98:503–517

    Google Scholar 

  • Steyn LT, Pretorius A, Brink PA, Bester AJ (1987) RFLP for the human LDL receptor gene (LDLR): BstEII. Nucleic Acids Res 11:4702

    Google Scholar 

  • Torrington M, Botha JL, Pilcher GJ, Baker SG (1984) Association between familial hypercholesterolaemia and church affiliation: is this the result of sociocultural isolation of migrant farmers in 19th century South Africa. S Afr Med J 85:762–767

    Google Scholar 

  • Wainscoat JS, Hill AVS, Boyce AL, Flint J, Hernandez M, Thein SL, Old JM, Lynch JR, Falusi AG, Weatherall DJ, Clegg JB (1986) Evolutionary relationships of human populations from an analysis of nuclear DNA polymorphisms. Nature 319:491–493

    Google Scholar 

  • Wong C, Antonarakis SE, Goff SC, Orkin SH, Boehmn CD, Kazazian Jr HH (1986) On the origin and spread of β-thalassaemia: recurrent observation of four mutations in different ethnic groups. Proc Natl Acad Sci USA 83:6529–6532

    Google Scholar 

  • Yamakawa K, Okafuji T, Iwamura Y, Russell DW, Hamaguchi H (1987) TaqI polymorphism in the human LDL receptor gene. Nucleic Acids Res 15:7659

    Google Scholar 

  • Youssoufian H, Kazazian Jr HH, Phillips DG, Aronis S, Tsiftis G, Brown VA, Antonarakis SE (1986) Recurrent mutations in haemophilia A give evidence for CpG mutation hotspots. Nature 324:380–392

    Google Scholar 

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Henderson, H.E., Kotze, M.J. & Berger, G.M.B. Multiple mutations underlying familial hypercholesterolemia in the South African population. Hum Genet 83, 67–70 (1989). https://doi.org/10.1007/BF00274151

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  • DOI: https://doi.org/10.1007/BF00274151

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