Friday, January 13, 2012

The Prevalence of Tay-Sachs Disease in Certain Populations

Tay-Sachs Disease is a rare genetic condition with about 1 in 200 people being carriers. This statistic is not the same for all populations, though, as it is estimated 1 in about 30 people of Ashkenazi Jewish ethnicity or descent carry the disease in their genes. Ashkenazi Jews tend to be from Eastern and/or Central Europe.  There are some other ethnic populations that tend to have higher carrier rates and an increased frequency of the disease such as French Canadians, those of Irish ethnicity, and Louisiana Cajuns.
                The reason why Tay-Sachs Disease is more common in the Ashkenazi Jewish population is due to the fact that many Jews prefer to marry others of Jewish descent for both political aspects, as well as religious reasons. Since Tay-Sachs Disease is an autosomal recessive genetic condition, it is required that both the mother and father of the child be carriers of the disease. If indeed both parents are carriers of Tay-Sachs, there is a ¼ or 25% chance that the child will be affected with Tay-Sachs Disease, itself. If one parent has the disease and the other parent is a carrier, there is a ½ or 50% chance that the baby they have will exhibit Tay-Sachs. Since this ethnic group has a high carrier rate, they are more likely to have an affected baby. This is why it is important to have genetic testing performed before having a baby if you have a family history of Tay-Sachs, or are of Ashkenazi Jewish ethnicity, are French Canadian, are Irish, and/or are Louisiana Cajun.
                There are some other theories that suggest why this Jewish population has such a high carrier rate. One theory is called the Founder Effect. Many people alive today that are Ashkenazi Jewish or descended from it, can trace their ancestry to a select “founder” group of a few thousand Jews that lived in the area of Eastern Europe around 500 years ago.  If this is the case, the mutation probably started back then and has since become more common and passed on more often within that population resulting in higher carrier rates.
                Another theory says perhaps the reason why the Tay-Sachs Disease gene increased in this population is because it has a certain evolutionary benefit or advantage. Maybe being a carrier of Tay-Sachs can help prevent a specific illness or condition similar to the fact that if a person is a carrier of sickle-cell anemia, they are immune from malaria. Some scientists say that there is a chance that being a carrier of Tay-Sachs Disease could make you immune from tuberculosis or TB. However, there has been no strong evidence for this, though additional research is being conducted to find other possibilities.
                There are some other genetic diseases that are quite frequent in the Ashkenazi Jewish people. They include, but are not limited to, Torsion Dystonia, Niemann-Pick Disease, Crohn’s Disease, Canavan Disease, and Bloom Syndrome. For more information about Tay-Sachs Disease frequency in this ethnic group, as well as more information on the theories discussed above, go to: https://www.23andme.com/health/tay_sachs/

1 comment:

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