Mutation spectrum in Jewish cystic fibrosis patients in Israel: implication to carrier screening

Am J Med Genet A. 2005 Jul 30;136(3):246-8. doi: 10.1002/ajmg.a.30823.

Abstract

We have tested 144 unrelated Jewish patients suffering from the classical form of cystic fibrosis. The patients were screened for a panel of 12 mutations including the six Ashkenazi founder mutations (DeltaF508, W1282X, N1303K, G542X, 3849 + 10 kb C-->T, 1717-1G > A) and six mutations that were found in non-Ashkenazi Jewish patients (S549R (T-->G), G85E, 405 + 1G-->A, W1089X, Y1092, and D1152H). Patients of Georgian origin were tested also for the Q359K/T360K mutation. In addition, all the patients were tested for the IVS-8 variant (9T/7T/5T). Of all the cystic fibrosis (CF)-bearing chromosomes, 94% (264/281) were accounted for by one of the known mutations, and none of the patients had the 5T allele of the IVS-8 variant. Single strand conformation polymorphism (SSCP) analysis of the coding sequence of the CFTR gene followed by sequencing showed eight mutations on ten CF chromosomes, leaving seven chromosomes (2.5%) with unknown mutations. We identified three mutations in two or more CF chromosomes, 2571 + 1insT in Jews from Iraq, 3121-1G > A in patients from Kurdistan and I1234V in Yemenite Jewish patients. The other five mutations appeared on a single allele and are considered "private mutations." In this study we have identified 99% of CF alleles in Ashkenazi Jewish patients, 91% in Jews of North African origin and 75% in Jewish patients from Iraq. The significance of these findings to the population screening in Israel is discussed.

MeSH terms

  • Cystic Fibrosis / ethnology
  • Cystic Fibrosis / genetics*
  • Cystic Fibrosis Transmembrane Conductance Regulator / genetics
  • DNA Mutational Analysis
  • Genetic Carrier Screening
  • Greece / ethnology
  • Humans
  • Iran / ethnology
  • Iraq / ethnology
  • Israel / epidemiology
  • Jews / ethnology
  • Jews / genetics*
  • Morocco / ethnology
  • Mutation*
  • Polymorphism, Single-Stranded Conformational
  • Tunisia / ethnology
  • Turkey / ethnology
  • Yemen / ethnology

Substances

  • CFTR protein, human
  • Cystic Fibrosis Transmembrane Conductance Regulator