Table 1

Summary of allelic heterogeneity in support of the common disease/common variant or multiallele/multilocus hypotheses

Disease type
Locus
Allele
Trait
Frequency
Effect
Comments

(a) Common disease/common variant hypothesis
Cardiovascular
APOE
*E4
Alzheimer
0.10-0.15
Early onset
Allele present in primates and all world



disease
(Caucasian)

populations; possible interaction with






dietary fats; may account for 20% of






Alzheimer disease



Age-related
0.10-0.15
Decreased risk
Well-established protective effect on



macular


age-related macular degeneration



degeneration






Cardiovascular
0.10-0.15
Increased risk
Accounts for 10-16% of plasma



disease


cholesterol variance (western






populations); increases risk of






cardiovascular disease (odds ratio






approximately 1.5)

F5
R506Q
Venous
0.02-0.08
Increased risk
Carriers have around 10% lifetime risk



thrombosis


for significant venous thrombosis
Metabolic/
PPARG
P12A
Type 2 diabetes
0.85
Increased risk
Relative risk 1.25
nutritional


mellitus
(Caucasian)



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)

HFE
C282Y
Haemochromatosis
0.05
Around 40% risk
High frequency in Caucasians, low in




(Caucasian)
for homozygotes
Asiatics (suggesting admixture), so it may






be a recent mutation (less than 50,000






years ago)
Cancer
ELAC2
S217L
Prostate cancer
0.30 and 0.04
Increased risk
Odds ratio 2.4-3.1


and A541T

(Caucasian)



BRCA2
N372H
Breast cancer
0.22-0.29
Increased risk
Relative risk = 1.31 for HH compared to




(Caucasian)

NN genotypes
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






arthritis and uveitis; about 2% of B27-






positive carriers develop ankylosing






spondylitis

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


DQB1*0201-



diabetes mellitus; relative risk






approximately 20


DRB1*03





IL12B
3' UTR
Type 1 diabetes
0.79
Increased risk
Interaction with HLA; increased


allele 1
mellitus
(Caucasian)

expression of IL12B in vitro








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




African)



HBB
HbC (E6K)
Anaemia
0.09 (West
Decreased risk of
High allele frequency proposed to be



(homozygotes)
African)
severe malaria
due to balancing selection

CCR5
Δ32-CCR5
HIV-1
0.09
Decreased HIV-1
Recent origin - estimated approximately



transmission
(Caucasian)
transmission
700 years ago [13]
Developmental
PDGFRA
Promoter
Neural tube
0.23
Increased risk for
At least six polymorphic sites within


H1/H2α
defect
(Caucasian)
sporadic neural
each haplotype


haplotypes


tube defect

(b) Multilocus/multiallele hypothesis
Cardiovascular
LDLR
> 735 alleles
Coronary artery
All rare, except in
Increased risk of




disease
isolate or founder
coronary artery





populations
disease


APOB
> 24 alleles
Coronary artery
R3500Q 0.002,
Increased risk of
Single common R3500Q allele



disease
remainder rare
coronary artery






disease

Cancer
BRCA1
> 483 alleles
Familial breast-
All rare, except in
Increased risk




ovarian cancer
isolate or founder






populations



BRCA2
> 404 alleles
Familial breast
All rare, except in
Increased risk
Common N372H allele (frequency



cancer
isolate or founder

approximately 0.25) with relative




populations

risk 1.31

MLH1
> 143 alleles
Hereditary non-
All rare
Increased risk




polyposis colorectal






cancer (HNPCC)




MSH2
> 108 alleles
Hereditary non-
All rare
Increased risk




polyposis colorectal






cancer (HNPCC)




P53
> 144 alleles
Multiple cancers
All rare
Increased risk

Neurosensory
ABCA4
> 350 alleles
Stargardt disease,
Most rare, G863A
Increased risk




retinitis pigmentosa
allele approximately






0.014 (Europeans)



RHO
> 88 alleles
Retinitis pigmentosa,
All rare
Increased risk




congenital stationary






night blindness




GJB2
> 45 alleles
Non-syndromic
Most rare, 30delG
Increased risk
30delG absent from non-European



deafness
allele around 0.015

populations




(Europeans)


Metabolic/
CFTR
> 963 alleles
Cystic fibrosis
Most rare,


nutritional




ΔF508 accounts for
Increased risk ΔF508 allele recent





approximately 70%
-estimated to have arisen 3,000





of cystic fibrosis
years ago [14]





alleles in Caucasians


Data are from the Online Mendelian inheritance in Man database [30].

Wright and Hastie Genome Biology 2001 2:comment2007.1   doi:10.1186/gb-2001-2-8-comment2007