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Blood, 1 March 2005, Vol. 105, No. 5, pp. 1946-1949. Prepublished online as a Blood First Edition Paper on November 2, 2004; DOI 10.1182/blood-2004-07-2588.
Submitted July 14, 2004
Universitat Autonoma de Barcelona, Barcelona, Spain * Corresponding author; email: jordi.surralles{at}uab.es.
Fanconi anemia (FA) is a genetic disease characterized by bone-marrow failure and cancer predisposition. Here we have identified Spanish Gypsies as the ethnic group with the world highest prevalence of FA (carrier frequency of 1/64-1/70). DNA sequencing of the FANCA gene in 8 unrelated Spanish Gypsy FA families revealed a homozygous FANCA mutation (295C>T) leading to FANCA truncation and FA pathway disruption. This mutation appeared specific for Spanish Gypsies as it is not found in other Gypsy FA patients from Hungary, Germany, Slovakia and Ireland. Haplotype analysis showed that Spanish Gypsy patients all share the same haplotype. Our data thus suggest that the high incidence of FA among Spanish Gypsies is due to an ancestral founder mutation in FANCA that originated in Spain less than six hundred years ago. The high carrier frequency makes the Spanish Gypsies a population model to study FA heterozygote mutations in cancer.
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