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Implications of biogeography of human populations for 'race' and medicine

Abstract

In this review, we focus on the biogeographical distribution of genetic variation and address whether or not populations cluster according to the popular concept of 'race'. We show that racial classifications are inadequate descriptors of the distribution of genetic variation in our species. Although populations do cluster by broad geographic regions, which generally correspond to socially recognized races, the distribution of genetic variation is quasicontinuous in clinal patterns related to geography. The broad global pattern reflects the accumulation of genetic drift associated with a recent African origin of modern humans, followed by expansion out of Africa and across the rest of the globe. Because disease genes may be geographically restricted due to mutation, genetic drift, migration and natural selection, knowledge of individual ancestry will be important for biomedical studies. Identifiers based on race will often be insufficient.

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Figure 1: This pencil sketch of large-scale events abstractly illustrates the RAO model of human evolutionary history from ∼200–30 Kya.
The alternative text for this image may have been generated using AI.
Figure 2: Diversity within populations for 94 dinucleotide STRPs.
The alternative text for this image may have been generated using AI.
Figure 3: The average LD for 83 SNPs across 21 haplotypes for 32 populations.
The alternative text for this image may have been generated using AI.
Figure 4: A least-squares tree for 37 populations based on 80 independent loci (41 haplotyped loci, 36 biallelic loci and 3 STRPs) with ∼620 statistically independent alleles.
The alternative text for this image may have been generated using AI.

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References

  1. Collins, F.S., Green, E.D., Guttmacher, A.E. & Guyer, M.S. A vision for the future of genomics research. Nature 422, 835–847 (2003).

    Article  CAS  PubMed  Google Scholar 

  2. The International HapMap Consortium. The International HapMap Project. Nature 426, 789–796 (2003).

  3. Bamshad, M., Wooding, S., Salisbury, B.A. & Stephens, J.C. Deconstructing the relationship between genetics and race. Nat. Rev. Genet. 5, 598–609 (2004).

    Article  CAS  PubMed  Google Scholar 

  4. Burchard, E.G. et al. The importance of race and ethnic background in biomedical research and clinical practice. N. Engl. J. Med. 348, 1170–1175 (2003).

    Article  PubMed  Google Scholar 

  5. Cooper, R.S., Kaufman, J.S. & Ward, R. Race and genomics. N. Engl. J. Med. 348, 1166–1170 (2003).

    Article  PubMed  Google Scholar 

  6. Kittles, R.A. & Weiss, K.M. Race, ancestry, and genes: implications for defining disease risk. Annu. Rev. Genomics Hum. Genet. 4, 33–67 (2003).

    Article  CAS  PubMed  Google Scholar 

  7. Long, J.C. & Kittles, R.A. Human genetic diversity and the nonexistence of biological races. Hum. Biol. 75, 449–471 (2003).

    Article  PubMed  Google Scholar 

  8. Risch, N., Burchard, E., Ziv, E. & Tang, H. Categorization of humans in biomedical research: genes, race and disease. Genome Biol. 12, 602–612 (2002).

    Google Scholar 

  9. Gould, S.J. The Mismeasure of Man (Norton & Company, New York, London, 1981).

    Google Scholar 

  10. Marks, J. Human biodiversity: genes, race, and history. (Aldine de Gruyter, New York, 1995).

    Google Scholar 

  11. Schwartz, R.S. Racial profiling in medical research. N. Engl. J. Med. 344, 1392–1393 (2001).

    Article  CAS  PubMed  Google Scholar 

  12. Wolpoff, M.H. Interpretations of multiregional evolution. Science 274, 704–706 (1996).

    Article  CAS  PubMed  Google Scholar 

  13. Tishkoff, S.A. & Verrelli, B.C. Patterns of human genetic diversity: implications for human evolutionary history and disease. Annu. Rev. Genomics Hum. Genet. 4, 293–340 (2003).

    Article  CAS  PubMed  Google Scholar 

  14. Stringer, C.B. & Andrews, P. Genetic and fossil evidence for the origin of modern humans. Science 239, 1263–1268 (1988).

    Article  CAS  PubMed  Google Scholar 

  15. Tishkoff, S.A. et al. Global patterns of linkage disequilibrium at the CD4 locus and modern human origins. Science 271, 1380–1387 (1996).

    Article  CAS  PubMed  Google Scholar 

  16. Kidd, K.K., Pakstis, A.J., Speed, W.C. & Kidd, J.R. Understanding human DNA sequence variation. J. Heredity 95, 406–420 (2004).

    Article  CAS  Google Scholar 

  17. Quintana-Murci, L. et al. Genetic evidence of an early exit of Homo sapiens sapiens from Africa through eastern Africa. Nat. Genet. 23, 437–441 (1999).

    Article  CAS  PubMed  Google Scholar 

  18. Underhill, P.A. et al. Y chromosome sequence variation and the history of human populations. Nat. Genet. 26, 358–361 (2000).

    Article  CAS  PubMed  Google Scholar 

  19. Cavalli-Sforza, L.L., Piazza, A. & Menozzi, P. History and Geography of Human Genes. (Princeton University Press, Princeton, 1994).

    Google Scholar 

  20. Britten, R.J. Divergence between samples of chimpanzee and human DNA sequences is 5%, counting indels. Proc. Natl. Acad. Sci. USA 99, 13633–13635 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Chakravarti, A. Single nucleotide polymorphisms...to a future of genetic medicine. Nature 409, 822–823 (2001).

    Article  CAS  PubMed  Google Scholar 

  22. Sachidanandam, R. et al. A map of human genome sequence variation containing 1.42 million single nucleotide polymorphisms. Nature 409, 928–933 (2001).

    Article  CAS  PubMed  Google Scholar 

  23. Fischer, A., Wiebe, V., Paabo, S. & Przeworski, M. Evidence for a complex demographic history of chimpanzees. Mol. Biol. Evol. 21, 799–808 (2004).

    Article  CAS  PubMed  Google Scholar 

  24. Li, W.H. & Sadler, L.A. Low nucleotide diversity in man. Genetics 129, 513–523 (1991).

    CAS  PubMed  PubMed Central  Google Scholar 

  25. Yu, N. et al. Low nucleotide diversity in chimpanzees and bonobos. Genetics 164, 1511–1518 (2003).

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Tishkoff, S.A. & Williams, S.M. Genetic analysis of African populations: Human evolution and complex disease. Nat. Rev. Genet. 3, 611–621 (2002).

    Article  CAS  PubMed  Google Scholar 

  27. Gabriel, S.B. et al. The structure of haplotype blocks in the human genome. Science 296, 2225–2229 (2002).

    Article  CAS  PubMed  Google Scholar 

  28. Kidd, K.K. et al. A global survey of haplotype frequencies and linkage disequilibrium at the DRD2 locus. Hum. Genet. 103, 211–227 (1998).

    Article  CAS  PubMed  Google Scholar 

  29. Kidd, J.R. et al. Haplotypes and linkage disequilibrium at the phenylalanine hydroxylase locus (PAH) in a global representation of populations. Am. J. Hum. Genet. 66, 1882–1899 (2000).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Tishkoff, S.A. et al. A global haplotype analysis of the myotonic dystrophy locus: Implications for the evolution of modern humans and for the origin of myotonic dystrophy mutations. Am. J. Hum. Genet. 62, 1389–1402 (1998).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Tishkoff, S.A. et al. Short tandem-repeat polymorphism/Alu haplotype variation at the PLAT locus: Implications for modern human origins. Am. J. Hum. Genet. 67, 901–925 (2000).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Kaessmann, H., Wiebe, V., Weiss, G. & Paabo, S. Great ape DNA sequences reveal a reduced diversity and an expansion in humans. Nat. Genet. 27, 155–156 (2001).

    Article  CAS  PubMed  Google Scholar 

  33. Verrelli, B.C. et al. Evidence for balancing selection from nucleotide sequence analyses of human G6PD. Am. J. Hum. Genet. 71, 1112–1128 (2002)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Verrelli, B.C. & Tishkoff, S.A. Signatures of selection and gene conversion associated with human color vision variation. Am. J. Hum. Genet. 75, 363–375 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Calafell, F., Shuster, A., Speed, W.C., Kidd, J.R. & Kidd, K.K. Short tandem repeat polymorphism evolution in humans. Eur. J. Hum. Genet. 6, 38–49 (1998).

    Article  CAS  PubMed  Google Scholar 

  36. Kidd, K. Race, Human Genes & Human Origins: How Genetically Diverse Are We? in New Dimensions in Bioethics: Science, Ethics and the Formulation of Public Policy (A.W. Galston, E. Shurr & M.A. Norwell, eds.) 11–24 (Kluwer Academic Press, 2001).

    Chapter  Google Scholar 

  37. Reich, D.E., Cargill, M., Bolk, S., Ireland, J. & Sabeti, P.C. Linkage disequilibrium in the human genome. Nature 411, 199–204 (2001).

    Article  CAS  PubMed  Google Scholar 

  38. Wright, S. Evolution and the Genetics of Populations. Volume 2: The Theory of Gene Frequencies. (University of Chicago Press, Chicago, 1969).

  39. Akey, J.M., Zhang, G., Zhang, K., Jin, L. & Shriver, M.D. Interrogating a high-density SNP map for signatures of natural selection. Genome Res. 12, 1805–1814 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Stephens, J.C. et al. Haplotype variation and linkage disequilibrium in 313 human genes. Science 293, 489–493 (2001).

    Article  CAS  PubMed  Google Scholar 

  41. Bamshad, M. & Wooding, S.P. Signatures of natural selection in the human genome. Nat. Rev. Genet. 4, 99–111 (2003).

    Article  CAS  PubMed  Google Scholar 

  42. Bersaglieri, T. et al. Genetic signatures of strong recent positive selection at the lactase gene. Am. J. Hum. Genet. 74, 1111–1120 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Rosenberg, N.A. et al. Genetic structure of human populations. Science 298, 2381–2385 (2002).

    Article  CAS  PubMed  Google Scholar 

  44. Bamshad, M.J. et al. Human population genetic structure and inference of group membership. Am. J. Hum. Genet. 72, 578–589 (2003).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Pritchard, J.K., Stephens, M. & Donnelly, P. Inference of population structure using multilocus genotype data. Genetics 155, 945–959 (2000).

    CAS  PubMed  PubMed Central  Google Scholar 

  46. Rosenberg, N.A., Li, L.M., Ward, R. & Pritchard, J.K. Informativeness of genetic markers for inference of ancestry. Am. J. Hum. Genet. 73, 1402–1422 (2003).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Parra, E.J., Marcini, A., Akey, J., Martinson, J. & Batzer, M.A. Estimating African American admixture proportions by use of population-specific alleles. Am. J. Hum. Genet. 63, 1839–1851 (1998).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Shriver, M.D. et al. Skin pigmentation, biogeographical ancestry and admixture mapping. Hum. Genet. 112, 387–399 (2003).

    PubMed  Google Scholar 

  49. Smith, M.W. et al. A high-density admixture map for disease gene discovery in african americans. Am. J. Hum. Genet. 74, 1001–1013 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Wilson, J.F. et al. Population genetic structure of variable drug response. Nat. Genet. 29, 265–269 (2001).

    Article  CAS  PubMed  Google Scholar 

  51. Neel, J.V. Diabetes mellitus: a “thrifty” genotype rendered detrimental by “progress”? Am. J. Hum. Genet. 14, 353–362 (1962).

    CAS  PubMed  PubMed Central  Google Scholar 

  52. Harding, R.M. et al. Evidence for variable selective pressures at MC1R. Am. J. Hum. Genet. 66, 1351–1361 (2000).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Sabeti, P.C. et al. Detecting recent positive selection in the human genome from haplotype structure. Nature 419, 832–837 (2002).

    Article  CAS  PubMed  Google Scholar 

  54. Saunders, M.A., Hammer, M.F. & Nachman, M.W. Nucleotide variability at G6pd and the signature of malarial selection in humans. Genetics 162, 1849–1861 (2002).

    CAS  PubMed  PubMed Central  Google Scholar 

  55. Tishkoff, S.A. et al. Haplotype diversity and linkage disequilibrium at human G6PD: recent origin of alleles that confer malarial resistance. Science 293, 455–462 (2001).

    Article  CAS  PubMed  Google Scholar 

  56. Hamblin, M.T., Thompson, E.E. & Di Rienzo, A. Complex signatures of natural selection at the Duffy blood group locus. Am. J. Hum. Genet. 70, 369–383 (2002).

    Article  PubMed  Google Scholar 

  57. Ohashi, J. et al. Extended linkage disequilibrium surrounding the hemoglobin E variant due to malarial selection. Am. J. Hum. Genet. 74, 1198–1208 (2004).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Bamshad, M.J. et al. A strong signature of balancing selection in the 5′ cis-regulatory region of CCR5. Proc. Natl. Acad. Sci. USA 99, 10539–10544 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Wooding, S.P. et al. DNA sequence variation in a 3.7-kb noncoding sequence 5 ' of the CYP1A2 gene: Implications for human population history and natural selection. Am. J. Hum. Genet. 71, 528–542 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Osier, M.V. et al. A global perspective on genetic variation at the ADH genes reveals unusual patterns of linkage disequilibrium and diversity. Am. J. Hum. Genet. 71, 84–99 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Oota, H. et al. The evolution and population genetics of the ALDH2 locus: random genetic drift, selection, and low levels of recombination. Ann. Hum. Genet. 68, 93–109 (2004).

    Article  CAS  PubMed  Google Scholar 

  62. Reich, D.E. & Lander, E.S. On the allelic spectrum of human disease. Trends Genet. 17, 502–510 (2001).

    Article  CAS  PubMed  Google Scholar 

  63. Pritchard, J.K. Are rare variants responsible for susceptibility to complex diseases? Am. J. Hum. Genet. 69, 124–137 (2001).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Pritchard, J.K. & Cox, N.J. The allelic architecture of human disease genes: common disease - common variant...or not? Hum. Mol. Genet. 11, 2417–2423 (2002).

    Article  CAS  PubMed  Google Scholar 

  65. Tishkoff, S.A. & Verrelli, B.C. Role of evolutionary history on haplotype block structure in the human genome: implications for disease mapping. Curr. Opin. Genet. Dev. 13, 569–575 (2003).

    Article  CAS  PubMed  Google Scholar 

  66. Pritchard, J.K. & Rosenberg, N.A. Use of unlinked genetic markers to detect population stratification in association studies. Am. J. Hum. Genet. 65, 220–228 (1999).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. Kang, A.M., Palmatier, M.A. & Kidd, K.K. Global variation of a 40-bp VNTR in the 3′-untranslated region of the dopamine transporter gene (SLC6A3). Biol. Psychiatry 46, 151–160 (1999).

    Article  CAS  PubMed  Google Scholar 

  68. Risch, N., Tang, H., Katzenstein, H. & Ekstein, J. Geographic distribution of disease mutations in the Ashkenazi Jewish population supports genetic drift over selection. Am. J. Hum. Genet. 72, 812–822 (2003).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Osier, M.V. et al. ALFRED: an allele frequency database for anthropology. Am. J. Phys. Anthropol. 119, 77–83 (2002).

    Article  PubMed  Google Scholar 

  70. Zhao, H., Pakstis, A.J., Kidd, J.R. & Kidd, K.K. Assessing linkage disequilibrium in a complex genetic system I. Overall deviation from random association. Ann. Hum. Genet. 63, 167–179 (1999).

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank A. Pakstis for help with the analyses and graphic representations in the figures; B. Verrelli, F. Reed and J. Kidd for critical review of the manuscript; and the many hundreds of individuals who volunteered to give DNA samples for studies such as those reviewed here. This work was supported in part by grants from the US National Institutes of Health (to K.K.K.), by a contract from the National Institute of Diabetes, Digestive and Kidney Diseases (to K.K.K.), by a grant from the Alfred P. Sloan Foundation (to K.K.K.), by a grant from the National Science Foundation (to S.A.T.) and by the Burroughs Wellcome Fund and David and Lucile Packard Career Awards (to S.A.T.).

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Tishkoff, S., Kidd, K. Implications of biogeography of human populations for 'race' and medicine. Nat Genet 36 (Suppl 11), S21–S27 (2004). https://doi.org/10.1038/ng1438

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