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Blood, 1 May 2005, Vol. 105, No. 9, pp. 3542-3544. Prepublished online as a Blood First Edition Paper on January 18, 2005; DOI 10.1182/blood-2004-10-3968.
Submitted October 14, 2004
Department of Medical and Molecular Genetics, Guy's, King's and St Thomas' School of Medicine, London, United Kingdom * Corresponding author; email: Christopher.Mathew{at}Genetics.kcl.ac.uk.
Fanconi anemia (FA) is a genetically heterogeneous chromosomal instability syndrome associated with multiple congenital abnormalities, aplastic anemia, and cancer. We report that a deletion mutation in the FANCG gene (c.637_643delTACCGCC) was present in 82% of FA patients in the Black populations of Southern Africa. These patients originated from South Africa, Swaziland, Mozambique and Malawi. The mutation was found on the same haplotype, and was present in 1% of controls from the Black South African population. These data indicate that the birth incidence of FA in this population is greater than 1/40,000, which is much higher than previously supposed, and suggest that the FANCG deletion is an ancient founder mutation in Bantu-speaking populations of sub-Saharan Africa. Diagnostic screening is now possible by means of a simple DNA test.
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