Mutation Screening of the HGD Gene Identifies a Novel Alkaptonuria Mutation with Significant Founder Effect and High Prevalence By:Sakthivel, S (Sakthivel, Srinivasan)[ 1 ] ; Zatkova, A (Zatkova, Andrea)[ 2 ] ; Nemethova, M (Nemethova, Martina)[ 2 ] ; Surovy, M (Surovy, Milan)[ 3 ] ;Kadasi, L (Kadasi, Ludevit)[ 2,3 ] ; Saravanan, MP (Saravanan, Madurai P.)[ 4 ] ANNALS OF HUMAN GENETICS Volume: 78 Issue: 3 Pages: 155-164 DOI: 10.1111/ahg.12055 Published: MAY 2014 View Journal Information Abstract Alkaptonuria (AKU) is an autosomal recessive disorder; caused by the mutations in the homogentisate 1, 2-dioxygenase (HGD) gene located on Chromosome 3q13.33. AKU is a rare disorder with an incidence of 1: 250,000 to 1: 1,000,000, but Slovakia and the Dominican Republic have a relatively higher incidence of 1: 19,000. Our study focused on studying the frequency of AKU and identification of HGD gene mutations in nomads. HGD gene sequencing was used to identify the mutations in alkaptonurics. For the past four years, from subjects suspected to be clinically affected, we found 16 positive cases among a randomly selected cohort of 41 Indian nomads (Narikuravar) settled in the specific area of Tamil Nadu, India. HGD gene mutation analysis showed that 11 of these patients carry the same homozygous splicing mutation c.87 + 1G > A; in five cases, this mutation was found to be heterozygous, while the second AKU-causing mutation was not identified in these patients. This result indicates that the founder effect and high degree of consanguineous marriages have contributed to AKU among nomads. Eleven positive samples were homozygous for a novel mutation c.87 + 1G > A, that abolishes an intron 2 donor splice site and most likely causes skipping of exon 2. The prevalence of AKU observed earlier seems to be highly increased in people of nomadic origin. Keywords Author Keywords:rare genetic disorder; high prevalence; novel mutation; founder effect; Alkaptonuria KeyWords Plus:AORTIC-VALVE STENOSIS; IN-VITRO MODEL; HOMOGENTISIC ACID; OCHRONOTIC ARTHROPATHY; ASCORBIC-ACID;ALCAPTONURIA; CHONDROCYTES; ARTHRITIS; PIGMENT; MAPS Author Information Reprint Address: Saravanan, MP (reprint author) Stanley Med Coll, Dept Biochem, Madras 600001, Tamil Nadu, India. Addresses: [ 1 ] Bharathidasan Univ, Dept Biotechnol & Genet Engn, Tiruchchirappalli, Tamil Nadu, India [ 2 ] Slovak Acad Sci, Inst Mol Physiol & Genet, Bratislava 83334, Slovakia [ 3 ] Comenius Univ, Fac Nat Sci, Dept Mol Biol, Bratislava, Slovakia [ 4 ] KAP Viswanatham Govt Med Coll, Dept Biochem, Tiruchchirappalli, Tamil Nadu, India E-mail Addresses:mpsdoc2006@yahoo.co.in Funding Funding Agency Grant Number ERDF ITMS 26240220071 VEGA AGENCY 2/0027/12 View funding text Publisher WILEY-BLACKWELL, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA Categories / Classification Research Areas:Genetics & Heredity Web of Science Categories:Genetics & Heredity Document Information Document Type:Article Language:English Accession Number: WOS:000334030400001 PubMed ID: 24575791 ISSN: 0003-4800 eISSN: 1469-1809 Other Information IDS Number: AE5LL Cited References in Web of Science Core Collection: 43 Times Cited in Web of Science Core Collection: 1