Table 1 |
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|
Summary of allelic heterogeneity in support of the common disease/common variant or multiallele/multilocus hypotheses |
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| Disease type |
Locus |
Allele |
Trait |
Frequency |
Effect |
Comments |
|
|
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| (a) Common disease/common variant hypothesis |
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| Cardiovascular |
APOE |
*E4 |
Alzheimer |
0.10-0.15 |
Early onset |
Allele present in primates and all world |
| disease |
(Caucasian) |
populations; possible interaction with |
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| dietary fats; may account for 20% of |
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| Alzheimer disease |
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| Age-related |
0.10-0.15 |
Decreased risk |
Well-established protective effect on |
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| macular |
age-related macular degeneration |
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| degeneration |
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| Cardiovascular |
0.10-0.15 |
Increased risk |
Accounts for 10-16% of plasma |
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| disease |
cholesterol variance (western |
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| populations); increases risk of |
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| cardiovascular disease (odds ratio |
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| approximately 1.5) |
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| F5 |
R506Q |
Venous |
0.02-0.08 |
Increased risk |
Carriers have around 10% lifetime risk |
|
| thrombosis |
for significant venous thrombosis |
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| Metabolic/ |
PPARG |
P12A |
Type 2 diabetes |
0.85 |
Increased risk |
Relative risk 1.25 |
| nutritional |
mellitus |
(Caucasian) |
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| CAPN10 |
Haplotypes |
Type 2 diabetes |
0.03-0.29 (low |
Increased risk in |
Complex risk haplotypes that may |
|
| 112 and 121 |
mellitus |
to high risk |
121/112 haplotype |
include several SNPs, including |
||
| populations) |
heterozygotes |
CAPN10-g.4852G/A (UCSNP-43) |
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| HFE |
C282Y |
Haemochromatosis |
0.05 |
Around 40% risk |
High frequency in Caucasians, low in |
|
| (Caucasian) |
for homozygotes |
Asiatics (suggesting admixture), so it may |
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| be a recent mutation (less than 50,000 |
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| years ago) |
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| Cancer |
ELAC2 |
S217L |
Prostate cancer |
0.30 and 0.04 |
Increased risk |
Odds ratio 2.4-3.1 |
| and A541T |
(Caucasian) |
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| BRCA2 |
N372H |
Breast cancer |
0.22-0.29 |
Increased risk |
Relative risk = 1.31 for HH compared to |
|
| (Caucasian) |
NN genotypes |
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| Infectious/ |
MHC class I |
HLA-B*2702, |
Ankylosing |
0.09 |
Increased risk |
Odds ratio approximately 170, mechanism |
| inflammatory |
04, 05 |
spondylitis |
(Caucasian) |
unclear; also associated with reactive |
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| arthritis and uveitis; about 2% of B27- |
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| positive carriers develop ankylosing |
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| spondylitis |
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| MHC class II |
DQB1*0302- |
Type 1 diabetes |
0.05 |
Increased risk |
Around 10% of heterozygotes for these |
|
| DRB1*0401/ |
mellitus |
(European) |
high risk haplotypes develop type 1 |
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| DQB1*0201- |
diabetes mellitus; relative risk |
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| approximately 20 |
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| DRB1*03 |
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| IL12B |
3' UTR |
Type 1 diabetes |
0.79 |
Increased risk |
Interaction with HLA; increased |
|
| allele 1 |
mellitus |
(Caucasian) |
expression of IL12B in vitro |
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| G6PD |
A- |
G6PD deficiency |
Approximately |
Decreased risk of |
High allele frequency proposed to be |
|
| (V68M/N126D) |
0.20 (West |
severe malaria |
due to balancing selection |
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| African) |
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| HBB |
HbC (E6K) |
Anaemia |
0.09 (West |
Decreased risk of |
High allele frequency proposed to be |
|
| (homozygotes) |
African) |
severe malaria |
due to balancing selection |
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| CCR5 |
Δ32-CCR5 |
HIV-1 |
0.09 |
Decreased HIV-1 |
Recent origin - estimated approximately |
|
| transmission |
(Caucasian) |
transmission |
700 years ago [13] |
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| Developmental |
PDGFRA |
Promoter |
Neural tube |
0.23 |
Increased risk for |
At least six polymorphic sites within |
| H1/H2α |
defect |
(Caucasian) |
sporadic neural |
each haplotype |
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| haplotypes |
tube defect |
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| (b) Multilocus/multiallele hypothesis |
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| Cardiovascular |
LDLR |
> 735 alleles |
Coronary artery |
All rare, except in |
Increased risk of |
|
| disease |
isolate or founder |
coronary artery |
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| populations |
disease |
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| APOB |
> 24 alleles |
Coronary artery |
R3500Q 0.002, |
Increased risk of |
Single common R3500Q allele |
|
| disease |
remainder rare |
coronary artery |
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| disease |
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| Cancer |
BRCA1 |
> 483 alleles |
Familial breast- |
All rare, except in |
Increased risk |
|
| ovarian cancer |
isolate or founder |
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| populations |
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| BRCA2 |
> 404 alleles |
Familial breast |
All rare, except in |
Increased risk |
Common N372H allele (frequency |
|
| cancer |
isolate or founder |
approximately 0.25) with relative |
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| populations |
risk 1.31 |
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| MLH1 |
> 143 alleles |
Hereditary non- |
All rare |
Increased risk |
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| polyposis colorectal |
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| cancer (HNPCC) |
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| MSH2 |
> 108 alleles |
Hereditary non- |
All rare |
Increased risk |
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| polyposis colorectal |
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| cancer (HNPCC) |
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| P53 |
> 144 alleles |
Multiple cancers |
All rare |
Increased risk |
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| Neurosensory |
ABCA4 |
> 350 alleles |
Stargardt disease, |
Most rare, G863A |
Increased risk |
|
| retinitis pigmentosa |
allele approximately |
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| 0.014 (Europeans) |
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| RHO |
> 88 alleles |
Retinitis pigmentosa, |
All rare |
Increased risk |
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| congenital stationary |
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| night blindness |
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| GJB2 |
> 45 alleles |
Non-syndromic |
Most rare, 30delG |
Increased risk |
30delG absent from non-European |
|
| deafness |
allele around 0.015 |
populations |
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| (Europeans) |
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| Metabolic/ |
CFTR |
> 963 alleles |
Cystic fibrosis |
Most rare, |
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| nutritional |
ΔF508 accounts for |
Increased risk ΔF508 allele recent |
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| approximately 70% |
-estimated to have arisen 3,000 |
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| of cystic fibrosis |
years ago [14] |
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| alleles in Caucasians |
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|
|
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|
Data are from the Online Mendelian inheritance in Man database [30]. |
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|
Wright and Hastie Genome Biology 2001 2:comment2007.1 doi:10.1186/gb-2001-2-8-comment2007 |
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