Screening for C283Y gamma-sarcoglycan mutation in a high-risk group of Bulgarian Gypsies: evidence for a geographical localization and a non-random distribution among Gypsy subgroups.

Limb-girdle muscular dystrophy type 2C (LGMD2C) is an autosomal recessive disorder caused by mutations in the gamma-sarcoglycan gene. A 'private' Gypsy C283Y mutation was detected in this gene. Recently, a number of LGMD2C-affected families belonging to a Xoroxane Gypsy group have been detected in eastern Bulgaria and all of these cases were due to the same mutation. We have screened 300 unrelated individuals of reproductive age from this high-risk Xoroxane Gypsy group, settled in Sliven. The genetic test by PCR-SSCP analysis for the C283Y mutation revealed a carrier frequency of 7.7%. The screened sample was ethnically not homogeneous. It was divided in ethnonym groups on the basis of social and economic status, language characteristics and trades. We found that the C283Y was not randomly distributed among the Gypsy subgroups. The disease seemed to be limited to the Xoroxane Gypsy group and geographically localized in eastern Bulgaria.