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Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024.

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Resources for Genetics Professionals — Genetic Disorders Associated with Founder Variants Common in the Inuit Population

, MD and , PhD.

Author Information and Affiliations

Initial Posting: ; 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

GeneDisorderMOIDNA
Nucleotide
Change
(Alias 1)
Predicted
Protein
Change
Proportion of
Pathogenic
Variants in
Gene 2
Carrier
Frequency
Ethnicity
(Specific
Region)
Reference
Sequences
References
AGL Glycogen storage disease type III ARc.4456delTp.Ser1486ProfsTer18~100% 31/25 4Inuit
(Nunavik)
NM_000642​.3
NP_000633​.2
Rousseau-Nepton et al [2015]
ATP8B1 ATP8B1 deficiency ARc.1660G>Ap.Asp554Asn~100% 31/4 to 1/20Inuit NM_005603​.6
NP_005594​.2
Andersen et al [2006]
BRCA1 BRCA1- & BRCA2-Associated Hereditary Breast & Ovarian Cancer ADc.115T>Gp.Cys39Gly>95%NAInuit
(Ammassalik)
NM_007294​.4
NP_009225​.1
Hansen et al [2009], Harboe et al [2009], Hansen et al [2010]
BRIP1 Fanconi anemia ARc.2392C>Tp.Arg798Ter~100% 3UnknownInuit NM_032043​.3
NP_114432​.2
Levran et al [2005]
CLPB CLPB deficiency ARc.803C>Tp.Thr268Met~100% 31/31Inuit NM_030813​.6
NP_110440​.1
Saunders et al [2015]
PCCB Propionic acidemia ARc.1538_1540dupCCCp.Ala513_Arg514insPro~88%1/20Inuit NM_000532​.5
NP_000523​.2
Ravn et al [2000]
PMS2 Lynch syndrome & constitutional mismatch repair deficiencyAD
AR
c.2002A>G 5--~100% 31/16 4Inuit
(Nunavik)
NM_000535​.7 Li et al [2015]
SI Congenital sucrase–isomaltase deficiency (OMIM 222900)ARc.273_274delAGp.Gly92LeufsTer8~100% 31/4Inuit
(Nunavut)
NM_001041​.4
NP_001032​.2
Marcadier et al [2015]
SLC17A5 Infantile sialic acid storage disease (See Free Sialic Acid Storage Disorders.)ARc.526-2A>G
(IVS3-2A>G)
--~100% 31/129Inuit NM_012434​.5 Lines et al [2014]

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
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