Estimation of carrier frequencies of six autosomal-recessive Mendelian disorders in the Korean population

J Hum Genet. 2012 Feb;57(2):139-44. doi: 10.1038/jhg.2011.144. Epub 2011 Dec 15.

Abstract

Although many studies have been performed to identify mutations in Korean patients with various autosomal-recessive Mendelian disorders (AR-MDs), little is known about the carrier frequencies of AR-MDs in the Korean population. Twenty common mutations from six AR-MDs, including Wilson disease (WD), non-syndromic hearing loss (NSHL), glycogen storage disease type Ia (GSD Ia), phenylketonuria (PKU), congenital hypothyroidism (CH), and congenital lipoid adrenal hyperplasia (CLAH) were selected to screen for based on previous studies. A total of 3057 Koreans were genotyped by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry followed by confirmation using the Sanger sequencing. We found 201 and 8 carriers with either one or two mutations in different genes, respectively, yielding a total carrier frequency of 1 in 15 (6.7%). Of the six AR-MDs, NSHL has the highest carrier frequency followed by WD, CH, CLAH, GSD Ia, and PKU. As carrier screening tests are becoming prevalent and the number of mutations known and tested is rising, a priori data on the carrier frequencies in different ethnic groups is mandatory to plan a population screening program and to estimate its efficiency. In light of this, the present results can be used as a basis to establish a screening policy for common AR-MRs in the Korean population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adrenal Hyperplasia, Congenital / epidemiology
  • Adrenal Hyperplasia, Congenital / genetics
  • Adult
  • Aged
  • Alleles
  • Congenital Hypothyroidism / epidemiology
  • Congenital Hypothyroidism / genetics
  • DNA Mutational Analysis
  • Disorder of Sex Development, 46,XY / epidemiology
  • Disorder of Sex Development, 46,XY / genetics
  • Female
  • Gene Frequency
  • Genes, Recessive*
  • Genetic Testing*
  • Glycogen Storage Disease Type I / epidemiology
  • Glycogen Storage Disease Type I / genetics
  • Hearing Loss / epidemiology
  • Hearing Loss / genetics
  • Hepatolenticular Degeneration / epidemiology
  • Hepatolenticular Degeneration / genetics
  • Heterozygote*
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Mutation
  • Phenylketonurias / epidemiology
  • Phenylketonurias / genetics
  • Republic of Korea / epidemiology
  • Young Adult

Supplementary concepts

  • Hepatorenal form of glycogen storage disease
  • Lipoid congenital adrenal hyperplasia