Evidence map›Paper›PMID 17120047›Full record

ArticleHuman genetics2007

A novel polymorphism associated with lactose tolerance in Africa: multiple causes for lactase persistence?

Catherine J E Ingram, Mohamed F Elamin, Charlotte A Mulcare, Michael E Weale, Ayele Tarekegn, Tamiru Oljira Raga, Endashaw Bekele, Farouk M Elamin, Mark G Thomas, Neil Bradman and 1 more

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Article in Human genetics, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Neanderthal adaptive introgression shapedProceedings of the National Academy of Sciences of the United States of America · 2025
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30 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Catherine J E IngramDepartment of Biology, Galton Laboratory, University College London, Wolfson House, 4 Stephenson Way, London, UK.
Mohamed F Elamin
Charlotte A Mulcare
Michael E Weale
Ayele Tarekegn
Tamiru Oljira Raga
Endashaw Bekele
Farouk M Elamin
Mark G Thomas
Neil Bradman
Dallas M Swallow

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Persistence or non-persistence of lactase expression into adult life is a polymorphic trait that has been attributed to a single nucleotide polymorphism (C-13910T) in an enhancer element 13.9 kb upstream of the lactase gene (LCT). The -13910*T allele occurs at very high frequency in northern Europeans as part of a very long haplotype (known as A), and promotes binding of the transcription factor Oct-1. However, -13910*T is at very low frequency in many African milk drinking pastoralist groups where lactase persistence phenotype has been reported at high frequency. We report here for the first time, a cohort study of lactose digester and non-digester Sudanese volunteers and show there is no association of -13910*T or the A haplotype with lactase persistence. We support this finding with new genotype/phenotype frequency comparisons in pastoralist groups of eastern African and Middle Eastern origin. Resequencing revealed three new SNPs in close proximity to -13910*T, two of which are within the Oct-1 binding site. The most frequent of these (-13915*G) is associated with lactose tolerance in the cohort study, providing evidence for a cis-acting effect. Despite its location, -13915*G abolishes, rather than enhances Oct-1 binding, indicating that this particular interaction is unlikely to be involved in lactase persistence. This study reveals the complexity of this phenotypic polymorphism and highlights the limitations of C-13910T as a diagnostic test for lactase persistence status, at least for people with non-European ancestry.

Indexed as

Polymorphism, Single NucleotideAdultAfricaBase SequenceBinding SitesCohort StudiesDNADNA ProbesEnhancer Elements, GeneticEthnicityGene FrequencyGenotypeHaplotypesHumansIntronsLactaseDNADNA ProbesLactaseOctamer Transcription Factor-1

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.