PMID- 10521296 OWN - NLM STAT- MEDLINE DCOM- 19991210 LR - 20220310 IS - 0002-9297 (Print) IS - 0002-9297 (Linking) VI - 65 IP - 5 DP - 1999 Nov TI - The origins of hypertrophic cardiomyopathy-causing mutations in two South African subpopulations: a unique profile of both independent and founder events. PG - 1308-20 AB - Hypertrophic cardiomyopathy (HCM) is an autosomal dominantly inherited disease of the cardiac sarcomere, caused by numerous mutations in genes encoding protein components of this structure. Mutation carriers are at risk of sudden cardiac death, mostly as adolescents or young adults. The reproductive disadvantage incurred may explain both the global occurrence of diverse independent HCM-associated mutations and the rare reports of founder effects within populations. We have investigated whether this holds true for two South African subpopulations, one of mixed ancestry and one of northern-European descent. Previously, we had detected three novel mutations-Ala797Thr in the beta-myosin heavy-chain gene (betaMHC), Arg92Trp in the cardiac troponin T gene (cTnT), and Arg645His in the myosin-binding protein C gene (MyBPC)-and two documented betaMHC mutations (Arg403Trp and Arg249Gln). Here we report three additional novel mutations-Gln499Lys in betaMHC and Val896Met and Deltac756 in MyBPC-and the documented betaMHC Arg719Gln mutation. Seven of the nine HCM-causing mutations arose independently; no conclusions can be drawn for the remaining two. However, the betaMHC Arg403Trp and Ala797Thr and cTnT Arg92Trp mutations were detected in another one, eight, and four probands, respectively, and haplotype analysis in families carrying these recurring mutations inferred their origin from three common ancestors. The milder phenotype of the betaMHC mutations may account for the presence of these founder effects, whereas population dynamics alone may have overridden the reproductive disadvantage incurred by the more lethal, cTnT Arg92Trp mutation. FAU - Moolman-Smook, J C AU - Moolman-Smook JC AD - US/MRC Centre for Molecular and Cellular Biology, Department of Medical Biochemistry, University of Stellenbosch Medical School, Tygerberg, South Africa. FAU - De Lange, W J AU - De Lange WJ FAU - Bruwer, E C AU - Bruwer EC FAU - Brink, P A AU - Brink PA FAU - Corfield, V A AU - Corfield VA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Hum Genet JT - American journal of human genetics JID - 0370475 RN - 0 (Carrier Proteins) RN - 0 (Troponin T) RN - 0 (myosin-binding protein C) RN - EC 3.6.4.1 (Myosin Heavy Chains) SB - IM MH - Cardiomyopathy, Hypertrophic/ethnology/*genetics MH - Carrier Proteins/genetics MH - Chromosome Mapping MH - Chromosomes, Human, Pair 14 MH - Female MH - *Founder Effect MH - Genotype MH - Haplotypes MH - Humans MH - Male MH - *Mutation MH - Myosin Heavy Chains/genetics MH - Pedigree MH - South Africa MH - Troponin T/genetics PMC - PMC1288283 EDAT- 1999/10/16 09:00 MHDA- 2000/03/21 09:00 CRDT- 1999/10/16 09:00 PHST- 1999/10/16 09:00 [pubmed] PHST- 2000/03/21 09:00 [medline] PHST- 1999/10/16 09:00 [entrez] AID - S0002-9297(07)62137-5 [pii] AID - 10.1086/302623 [doi] PST - ppublish SO - Am J Hum Genet. 1999 Nov;65(5):1308-20. doi: 10.1086/302623.