Tuesday, February 24, 2015

Lactose intolerance: Six MCM6 variants in the Kurdish gene pool / Why 22018A is strongly, but not completely related to lactase persistence

In a previous post I discussed the possibility of unknown MCM6 haplotypes in Middle Eastern populations that could lead to lactose tolerance. I wrote:
Not all lactose tolerance SNPs are known, several SNPs resulting in lactose tolerance still need to be discovered.

Today, I want to present 6 haplotypes (ht1-6) I could discover in the Kurdish gene pool.

ht3 represents the "European" haplotype which correlates with lactose tolerance. Individuals with "CT" or "TT" at rs4988235 (also called C/T-13910) are genetically lactose tolerant; at 23andme it is "AG" or "AA" (because MCM6 gene is in minus orientation but 23andme does not address it).
Interestingly, 13910T (rs4988235: "A" at 23andme) and 22018A (rs182549: "T" at 23andme) are strongly linked with one another, at least for ht3, the "European" haplotype. However, this is not always the case. There is some literature about 22018A, see here, here, here, and here.
ht3 itself is derived from ht2, which only carries the 22018A mutation. ht2 is fairly rare and does not provide lactase persistence which explains why 22018A is strongly, but not completely related to lactase persistence. 
The origin of the "European" lactose persistence 13910T (rs4988235: "A" at 23andme) can be found in populations where the frequency of 22018A (ht2 + ht3) is higher than 13910T (ht3).  

In Kurds (N=20) the frequency of 22018A is 8% (ht2 + ht3), the frequency of 13910T is 5% (ht3). Both, ht2 and ht3 are derived from ht1, which has a frequency of 20% among Kurds.

Raz et al., 2013 found that Iraqi Jews (N=96) have a frequency 8.3% for 22018A (ht2 + ht3) and 3.6% for 13910T (ht3), which fits quite well with the Kurdish results.

Find below the frequency of the six MCM6 haplotypes in the Kurdish gene pool:


ht1 ht2 ht3 ht4 ht5 ht6
20% 3% 5% 15% 10% 48%



Find below the six haplotypes (ht1 - ht6) identified in the Kurdish gene pool (ht7 was identified in the Denisova genome. The coverage of the Neanderthal genome was too low to identify the haplotype.)

SNP ht1 ht2 ht3 ht4 ht5 ht6 ht7
rs4988283 C C C C C C C
rs4988262 C C C C C C T
rs2082730 T T T T T T T
rs4988243 T T T T C T T
rs4954492 A A A A A A A
rs41525747 G G G G G G G
rs4988236 G G G G G G G
rs4988235 G G A G G G G
rs41380347 A A A A A A A
rs4988234 C C C C C C C
rs4988233 G G G G G G G
rs2304369 G G G G G G G
rs4988232 G G G G G G G
rs4988226 G G G A A A A
rs309180 A A A G G G G
rs309181 G G G C C C C
rs3213871 C C C T T C C
rs4988203 C C C C C C T
rs182549 C T T C C C C
rs4988199 A A A A A A A
rs4988189 T T T T T T T
rs4988186 G G G G G G G
rs309176 C C C T T T T
rs3087343 T T T T T G T
rs4988177 T T T T T T T
rs3087353 C C C C C C T
rs2289049 G G G G G G A
rs2070068 G G G G G G A
rs1435577 C C C C C G C
rs3769001 A A A A A G A
rs1057031 G G G G G A A

Find below the phylogenetic tree of MCM6 haplotypes.



Coehlo et al., 2005 predicted that 22018A mutation occured prior to the 13910T mutation.

Bersaglieri et al., 2004 provided the frequency of both 22018A and 13910T in various populations showing that the frequency of 22018A (ht2 + ht3) is higher than 13910T (ht3) in Pakistan (excluding Kalash).
Summary:
ht2 (22018A only) is the ancestor of ht3 (22018A + 13910T). ht2 can be found among Kurds, Iraqi Jews and Pakistanis.

I suspect that lactase persistence is also present among a subgroup of ht6.