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CpG hotspot mutations at the LDL receptor locus are a frequent cause of familial hypercholesterolemia among South African Indians
Authors:Maritha J Kotze  Odell Loubser  Rochelle Thiart  J Nico P de  Villiers  Elzet Langenhoven  Leonora Theart  Krisela Steyn  A David Marais  Frederick J Raal
Institution:Department of Human Genetics, Faculty of Medicine, University of Stellenbosch, Tygerberg;MRC Centre for Epidemiological Research, Tygerberg, South Africa;Department of Medicine, University of Cape Town, Johannesburg, South Africa;Cape Town and the University of the Witwatersrand Medical School, Johannesburg, South Africa
Abstract:Mutation analysis of genomic DNA samples obtained from seven unrelated South African Indians with familial hypercholesterolaemia (FH) revealed two novel and two recurrent missense mutations in the low density lipoprotein receptor (LDLR) gene. The novel mutations are transversions of C to G and A to T at nucleotide positions 1215 (N384K) and 2356 (S765C), respectively. The known mutations were detected in CpG dinucleotides at bases 661 and 682, respectively, in the mutation-rich exon 4 of the LDLR gene. Mutation D200Y was found in a single FH family, while mutation E207K was detected in two apparently unrelated Indian families on a new mutual haplotype. Analysis of published mutations including our new data has shown that more than 50% of the different LDLR gene mutations identified to date in South African Indians occur at CpG hotspots.
Keywords:CpG hotspot  familial hypercholesterolemia  low  density lipoprotein receptor  mutation
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