National Rare Disease Office, Mater Misericordiae University Hospital, Dublin, Republic of Ireland.
Academic Centre on Rare Diseases, University College Dublin, Dublin, Republic of Ireland.
J Med Genet. 2018 Apr;55(4):233-239. doi: 10.1136/jmedgenet-2017-104974. Epub 2018 Jan 22.
Irish Travellers are an endogamous, nomadic, ethnic minority population mostly resident on the island of Ireland with smaller populations in Europe and the USA. High levels of consanguinity result in many rare autosomal recessive disorders. Due to founder effects and endogamy, most recessive disorders are caused by specific homozygous mutations unique to this population. Key clinicians and scientists with experience in managing rare disorders seen in this population have developed a de facto advisory service on differential diagnoses to consider when faced with specific clinical scenarios. To catalogue all known inherited disorders found in the Irish Traveller population. We performed detailed literature and database searches to identify relevant publications and the disease mutations of known genetic disorders found in Irish Travellers. We identified 104 genetic disorders: 90 inherited in an autosomal recessive manner; 13 autosomal dominant and one a recurring chromosomal duplication. We have collated our experience of inherited disorders found in the Irish Traveller population to make it publically available through this publication to facilitate a targeted genetic approach to diagnostics in this ethnic group.
爱尔兰旅行者是一个内婚制、游牧的少数民族群体,主要居住在爱尔兰岛,在欧洲和美国也有较小的群体。高度的近亲繁殖导致许多罕见的常染色体隐性疾病。由于奠基者效应和内婚制,大多数隐性疾病是由该人群特有的特定纯合突变引起的。在管理该人群中罕见疾病方面有经验的主要临床医生和科学家已经建立了一个事实上的咨询服务,以在面对特定临床情况时考虑进行鉴别诊断。为了对爱尔兰旅行者群体中发现的所有已知遗传性疾病进行编目。我们进行了详细的文献和数据库搜索,以确定相关出版物以及在爱尔兰旅行者中发现的已知遗传疾病的突变。我们确定了 104 种遗传疾病:90 种以常染色体隐性方式遗传;13 种常染色体显性和一种染色体重复。我们汇集了在爱尔兰旅行者群体中发现的遗传疾病的经验,通过本出版物将其公开,以促进在该族群中进行有针对性的遗传诊断方法。