Adrenal disease

Evidence for a Founder Effect of SDHB Exon 1 Deletion in Brazilian Patients With Paraganglioma

J Clin Endocrinol MetabPublished Genetic cohort study

Authors' conclusion

The germline heterozygous SDHB exon 1 deletion was the most frequent genetic defect in the Brazilian PPGL cohort. Our findings demonstrated a founder effect for the SDHB exon 1 deletion in Brazilian patients with paragangliomas.

Study context

Population
Brazilian index patients with pheochromocytoma and paraganglioma (PPGL)
Participants
155 index patients
Outcome
Spectrum of SDHB genetic defects
Methodological detailshaplotype analysis, case-control permutation test, deletion breakpoint analysis
  • Haplotype analysis
  • Case-control permutation test
  • Deletion breakpoint analysis

Main finding

As reported in the abstract

SDHB genetic defects

Heterozygous germline SDHB pathogenic or likely pathogenic variants

22 cases

14.2%

SDHB exon 1 complete deletion, most frequent SDHB defect

8 out of 22

36%

Observational data: associations, not effects.

Further findings

Haplotype analysis (founder effect)

Difference in haplotype frequencies of 5 SDHB flanking microsatellite markers, case-control permutation test
P = 0.03
3 closer/informative microsatellites shared by apparently unrelated exon 1 deletion cases
6 out of 8 (75%)
Same haplotype in chromosomes without SDHB exon 1 deletion
1/42; X2 = 29.43; P < 0.001
All exon 1 deletion cases had the same 15 678 bp deletion breakpoint previously described in the Iberian Peninsula

Original publication

Evidence for a Founder Effect of SDHB Exon 1 Deletion in Brazilian Patients With Paraganglioma. J Clin Endocrinol Metab. Published 18 January 2023. doi:10.1210/clinem/dgad028

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