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Relationship of the sickle cell gene to the ethnic and geographic groups populating the Sudan
Author(s): Mohammed AO, Attalla B, Bashir FMK, Ahmed FE, El Hassan AM, Ibnauf G, Jiang WY, Cavalli-Sforza LL, Karrar ZAA, Ibrahim ME
Source: COMMUNITY GENETICS    Volume: 9    Issue: 2    Pages: 113-120    Published: 2006  
Times Cited: 3     References: 33     
Abstract: The presence of a geographical pattern in the distribution of the sickle cell gene (S gene) and its association with malaria is well documented. To study the distribution of the S gene among various ethnic and linguistic groups in the Sudan we analyzed a hospital-based sample of 189 sickle cell anemia (SCA) patients who reported to the Khartoum Teaching Hospital between June 1996 and March 2000 and 118 controls with other complaints, against their ethnic and linguistic affiliations and geographic origin. Electrophoresis for hemoglobin S and sickling tests were carried out on all patients and controls as a prerequisite for inclusion. The majority of patients (93.7%) belonged to families of single ethnic descent, indicating the high degree of within-group marriages and thus the higher risk of augmenting the gene. SCA was found to be predominant among the Afro-Asiatic-speaking groups (68.4%) including nomadic groups of Arab and non-Arab descent that migrated to the Sudan in various historical epochs. Those patients clustered in western Sudan (Kordofan and Darfur) from where 73% of all cases originate. The proportion of patients reporting from other geographic areas like the south (3.1%), which is primarily inhabited by Nilo-Saharan-speaking groups (19% of the whole sample) who populated the country in previous times, is disproportionate to their total population in the country (chi(2) = 71.6; p = 0.0001). Analysis of the haplotypes associated with the S gene indicated that the most abundant haplotypes are the Cameroon, Benin, Bantu and Senegal haplotypes, respectively. No relationship was seen between haplotypes and the various hematological parameters in the sub-sample analyzed for such association. These results provide an insight into the distribution of the sickle cell gene in the Sudan, and highlight the strong link of the middle Nile Valley with West Africa through the open plateau of the Sahel and the nomadic cattle herders and also probably the relatively young age of the S gene. Copyright (C) 2006 S. Karger AG, Basel.
Document Type: Article
Language: English
Reprint Address: Ibrahim, ME (reprint author), Univ Khartoum, Inst Endem Dis, Dept Mol Biol, Med Campus,Qasser St,POB 102, Khartoum, Sudan
Addresses:
1. Univ Khartoum, Fac Med, Dept Biochem, Khartoum, Sudan
2. Univ Khartoum, Fac Med, Dept Pediat, Khartoum, Sudan
3. Univ Khartoum, Inst Endem Dis, Dept Mol Biol, Khartoum, Sudan
4. Fed Minist Hlth, Khartoum, Sudan
5. Stanford Univ, Sch Med, Dept Genet, Stanford, CA 94305 USA
Publisher: KARGER, ALLSCHWILERSTRASSE 10, CH-4009 BASEL, SWITZERLAND
Subject Category: Genetics & Heredity; Public, Environmental & Occupational Health
IDS Number: 031EY
ISSN: 1422-2795
DOI: 10.1159/000091489
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