Resources for Genetics Professionals — Genetic Disorders Associated with Founder Variants Common in the Inuit Population
Stephanie E Wallace, MD and Lora JH Bean, PhD.
Author Information and AffiliationsInitial Posting: December 27, 2018; Last Revision: August 24, 2023.
Estimated reading time: 3 minutes
A founder variant is a pathogenic variant observed at high frequency in a specific population due to the presence of the variant in a single ancestor or small number of ancestors. The presence of a founder variant can affect the approach to molecular genetic testing. When one or more founder variants account for a large percentage of all pathogenic variants found in a population, testing for the founder variant(s) may be performed first.
The table below includes common founder variants – here defined as three or fewer variants that account for >50% of the pathogenic variants identified in a single gene in individuals of a specific ancestry – in individuals of Inuit ancestry. Note: Pathogenic variants that are common worldwide due to a DNA sequence hot spot are not considered founder variants and thus are not included.
Table.
Genetic Disorders Associated with Founder Variants Common in the Inuit Population
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Included if ≤3 pathogenic variants account for ≥50% of variants identified in a specific ethnic group
AD = autosomal dominant; AR = autosomal recessive; MOI = mode of inheritance; NA = not applicable
- 1.
Does not conform to standard HGVS nomenclature
- 2.
This percentage does not account for the possibility of rare de novo pathogenic variants occurring in this population.
- 3.
Additional pathogenic variants in this gene have not been reported to date in individuals of Inuit descent.
- 4.
Calculated carrier frequency is based on the incidence of the disorder in individuals of Inuit ancestry; estimated carrier frequency is not based on molecular testing of the population.
- 5.
DNA nucleotide change introduces new splice site and does not result in predicted protein change.
References
Andersen
S, Okkels
H, Krarup
H, Laurberg
P. Geographical clustering and maintained health in individuals harbouring the mutation for Greenland familial cholestasis: a population-based study.
Scand J Gastroenterol.
2006;41:445-50.
[
PubMed: 16635913]
Hansen
TV, Ejlertsen
B, Albrechtsen
A, Bergsten
E, Bjerregaard
P, Hansen
T, Myrhøj
T, Nielsen
PB, Timmermans-Wielenga
V, Andersen
MK, Jønson
L, Nielsen
FC. A common Greenlandic Inuit BRCA1 RING domain founder mutation.
Breast Cancer Res Treat.
2009;115:69-76.
[
PubMed: 18500671]
Hansen
TV, Jønson
L, Albrechtsen
A, Steffensen
AY, Bergsten
E, Myrhøj
T, Ejlertsen
B, Nielsen
FC. Identification of a novel BRCA1 nucleotide 4803delCC/c.4684delCC mutation and a nucleotide 249T>A/c.130T>A (p.Cys44Ser) mutation in two Greenlandic Inuit families: implications for genetic screening of Greenlandic Inuit families with high risk for breast and/or ovarian cancer.
Breast Cancer Res Treat.
2010;124:259-64.
[
PubMed: 20437199]
Harboe
TL, Eiberg
H, Kern
P, Ejlertsen
B, Nedergaard
L, Timmermans-Wielenga
V, Nielsen
IM, Bisgaard
ML. A high frequent BRCA1 founder mutation identified in the Greenlandic population.
Fam Cancer.
2009;8:413-9.
[
PubMed: 19504351]
Levran
O, Attwooll
C, Henry
RT, Milton
KL, Neveling
K, Rio
P, Batish
SD, Kalb
R, Velleuer
E, Barral
S, Ott
J, Petrini
J, Schindler
D, Hanenberg
H, Auerbach
AD. The BRCA1-interacting helicase BRIP1 is deficient in Fanconi anemia.
Nat Genet.
2005;37:931-3.
[
PubMed: 16116424]
Li
L, Hamel
N, Baker
K, McGuffin
MJ, Couillard
M, Gologan
A, Marcus
VA, Chodirker
B, Chudley
A, Stefanovici
C, Durandy
A, Hegele
RA, Feng
BJ, Goldgar
DE, Zhu
J, De Rosa
M, Gruber
SB, Wimmer
K, Young
B, Chong
G, Tischkowitz
MD, Foulkes
WD. A homozygous PMS2 founder mutation with an attenuated constitutional mismatch repair deficiency phenotype.
J Med Genet.
2015;52:348-52.
[
PubMed: 25691505]
Lines
MA, Rupar
CA, Rip
JW, Baskin
B, Ray
PN, Hegele
RA, Grynspan
D, Michaud
J, Geraghty
MT. Infantile sialic acid storage disease: two unrelated Inuit cases homozygous for a common novel SLC17A5 mutation.
JIMD Rep.
2014;12:79-84.
[
PMC free article: PMC3897797] [
PubMed: 23900835]
Marcadier
JL, Boland
M, Scott
CR, Issa
K, Wu
Z, McIntyre
AD, Hegele
RA, Geraghty
MT, Lines
MA. Congenital sucrase–isomaltase deficiency: identification of a common Inuit founder mutation.
CMAJ. 2015;187:102-7.
[
PMC free article: PMC4312148] [
PubMed: 25452324]
Ravn
K, Chloupkova
M, Christensen
E, Brandt
NJ, Simonsen
H, Kraus
JP, Nielsen
IM, Skovby
F, Schwartz
M. High incidence of propionic acidemia in Greenland is due to a prevalent mutation, 1540insCCC, in the gene for the β-subunit of propionyl CoA carboxylase.
Am J Hum Genet.
2000;67:203-6.
[
PMC free article: PMC1287078] [
PubMed: 10820128]
Rousseau-Nepton
I, Okubo
M, Grabs
R, the FORGE Canada Consortium, Mitchell J, Polychronakos C, Rodd C. A founder AGL mutation causing glycogen storage disease type IIIa in Inuit identified through whole-exome sequencing: a case series.
CMAJ. 2015;187:E68-73.
[
PMC free article: PMC4312169] [
PubMed: 25602008]
Saunders
C, Smith
L, Wibrand
F, Ravn
K, Bross
P, Thiffault
I, Christensen
M, Atherton
A, Farrow
E, Miller
N, Kingsmore
SF, Ostergaard
E. CLPB variants associated with autosomal-recessive mitochondrial disorder with cataract, neutropenia, epilepsy, and methylglutaconic aciduria.
Am J Hum Genet.
2015;96:258-65.
[
PMC free article: PMC4320254] [
PubMed: 25597511]
Revision History
24 August 2023 (sw) Revision: updated reference sequences
24 November 2021 (sw) Revision: added Fanconi anemia
27 December 2018 (sw) Initial posting