2013
DOI: 10.1371/journal.pone.0070564
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Patterns of Population Differentiation and Natural Selection on the Celiac Disease Background Risk Network

Abstract: Celiac disease is a common small intestinal inflammatory condition induced by wheat gluten and related proteins from rye and barley. Left untreated, the clinical presentation of CD can include failure to thrive, malnutrition, and distension in juveniles. The disease can additionally lead to vitamin deficiencies, anemia, and osteoporosis. Therefore, CD potentially negatively affected fitness in past populations utilizing wheat, barley, and rye. Previous analyses of CD risk variants have uncovered evidence for p… Show more

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Cited by 10 publications
(10 citation statements)
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“…On the contrary, we found that CD is equally common in the UK and Turkey, and the frequency of HLA-DQ2 is even higher in Turkey and Iran, (countries consuming more wheat and for a longer duration of time) than Finland and Ireland (countries consuming less gluten and for a shorter duration of time) [8]. Therefore, despite its negative effects on human health, the CD phenotype has not disappeared over time, but is even increasing in areas with high density of both gluten consumption and HLA-genotypes, the so-called "evolutionary paradox of CD" [15,16].…”
Section: Introductionmentioning
confidence: 99%
“…On the contrary, we found that CD is equally common in the UK and Turkey, and the frequency of HLA-DQ2 is even higher in Turkey and Iran, (countries consuming more wheat and for a longer duration of time) than Finland and Ireland (countries consuming less gluten and for a shorter duration of time) [8]. Therefore, despite its negative effects on human health, the CD phenotype has not disappeared over time, but is even increasing in areas with high density of both gluten consumption and HLA-genotypes, the so-called "evolutionary paradox of CD" [15,16].…”
Section: Introductionmentioning
confidence: 99%
“…It has been estimated that only 2%-5% of at-risk gene carriers develop the disease (Schuppan et al, 2009). Previously thought a rare illness, celiac disease is now recognized as one of the most common genetic disorders (incidence of 1% in newborns) among populations with a long history of agriculture, such as those that settled Europe and the Near East (Gasbarrini, 2008;Sams and Hawks, 2013).…”
mentioning
confidence: 99%
“…haplotype homozygosity (EHH) (Sabeti et al 2002). However, Sams and Hawks (2013) found that this haplotype is present in the genome of Ă–tzi, the Tyrolean Iceman, which dates to 5,300 years ago (Keller et al 2012). The apparent antiquity of the allele does not necessarily conflict with evidence for recent strong selection, if a pre-existing rare allele was selected within the last 2,000 years, but the apparent contradiction may also be explained by the wide variance in Conclusions about CD Evolution.…”
Section: Presentation Pathophysiology and Genetics Of CDmentioning
confidence: 99%