GENETIC IMPLICATION OF ENDOGAMY

NEWS: Endogamy — a major cause for health disparity in India, says CSIR-CCMB study

 

WHAT’S IN THE NEWS?

A recent study led by CSIR-Centre for Cellular and Molecular Biology (CCMB) has focused on understanding the genetic consequences of endogamy in India. The study highlights the genetic implications of this practice, especially its contribution to inbreeding and the emergence of genetic disorders within specific populations.

 

About Endogamy:

  1. Definition of Endogamy
    • Endogamy is the practice of marrying within a specific community, group, or social class, rather than marrying outside one’s immediate social circle or ethnic group.
    • This practice is common in many parts of the world, including India, and has been prevalent in various cultures, including caste-based communities, where marriage tends to occur within the same caste or group.
  1. Impact of Endogamy on Genetic Diversity
    • Inbreeding: Continuous endogamy leads to higher degrees of inbreeding, where individuals marry close relatives or members of the same community over generations.
    • Genetic Pool: The limited genetic pool resulting from inbreeding increases the likelihood of inheriting genetic disorders, as harmful recessive genes that may be rare in a larger population become more prominent within a smaller gene pool.
  1. Consequences of Endogamy
    • Over time, endogamous practices reduce genetic diversity within communities, making them more susceptible to certain inherited diseases.
    • It also reduces the population’s ability to adapt to environmental changes, as genetic variation is essential for evolutionary progress and resistance to diseases.

 

Key Findings of the Study:

  1. Study Details
    • The research involved analyzing 281 high-coverage whole-exome sequences from four anthropologically distinct populations across India. Whole-exome sequencing is a technique that focuses on the protein-coding regions of the genome, which are believed to have the most impact on health and disease.
    • The study aimed to assess the extent of inbreeding within these populations and the emergence of genetic variants associated with specific diseases.
  1. Genetic Variations Linked to Population-Specific Diseases
    • The study found that genetic variations linked to certain diseases are more prevalent in specific communities due to the high levels of endogamy. This suggests a relationship between inbreeding and the emergence of genetic disorders that may be rare in the general population but more common in isolated communities.
  1. Incidence of Ankylosing Spondylitis in the Reddy Community
    • One significant finding of the study was the higher incidence of ankylosing spondylitis, a type of arthritis that primarily affects the spine, within the Reddy community in Andhra Pradesh.
    • This condition is genetically linked, and its increased prevalence in endogamous populations indicates the role of inbreeding in exacerbating the genetic predisposition to this disease.
  1. Pharmacogenomic Findings
    • Pharmacogenomics: The study also examined pharmacogenomic markers, which are genetic variations that affect how individuals metabolize and respond to medications.
    • It was found that there are significant differences in how different Indian populations metabolize common drugs. These variations can influence the effectiveness of treatments and the risk of adverse drug reactions.
  1. Drugs Affected by Genetic Variations
    • Tacrolimus: This is an immunosuppressive drug used to prevent organ rejection in transplant patients. The study found variations in how different populations metabolize tacrolimus, which could impact its efficacy and safety.
    • Warfarin: This anticoagulant drug, used to prevent blood clots, was also found to have different metabolic rates in various populations. The study suggests that genetic differences could affect how individuals respond to warfarin, leading to either excessive bleeding or insufficient anticoagulation.

 

Pharmacogenomic Markers:

  1. Definition of Pharmacogenomic Markers
    • Pharmacogenomic markers are specific genetic traits that influence how individuals respond to drugs. These markers can indicate whether a drug will be effective, what dosage is appropriate, and the risk of adverse side effects.
    • These markers may include differences in the DNA or RNA sequences that encode for drug-metabolizing enzymes, drug transporters, or the drug's target molecules within the body.
  1. Types of Pharmacogenomic Markers
    • Genetic Variants: These are differences in the DNA sequence that affect how enzymes or transporters involved in drug metabolism work. For example, some genetic variants can lead to slower or faster metabolism of certain drugs.
    • Gene Expression Levels: Variations in how much of a certain gene is expressed can also affect drug response. High or low expression levels of genes can influence how effectively the body processes and responds to medications.
  1. Applications of Pharmacogenomic Markers
    • Personalized Medicine: Pharmacogenomic markers are increasingly used in personalized medicine, which tailors drug treatments based on an individual’s genetic makeup. This ensures that the patient receives the most effective medication with the least risk of side effects.
    • Drug Development: Identifying genetic markers that predict drug responses can help pharmaceutical companies develop more effective drugs. These markers can guide the creation of drugs that are more suited to the genetic profiles of specific populations.

 

Conclusion:

The study by CSIR-CCMB underscores the genetic consequences of endogamy in India, including its role in increasing inbreeding and genetic disorders. It also highlights the need for personalized medicine, where understanding genetic differences in drug metabolism can lead to more effective and safer treatments for individuals from different populations.

 

Source: https://www.thehindu.com/news/national/telangana/endogamy-a-major-cause-for-health-disparity-in-india-says-csir-ccmb-study/article69290229.ece