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Spoan disease: Rare condition in Brazil town popular for cousin marriage

BBC News's profile
BBC News
May 11

In the remote town of Serrinha dos Pintos, Brazil, geneticist Silvana Santos identified a previously unknown condition called Spoan syndrome, a genetic mutation affecting the nervous system. The syndrome emerges when the altered gene is inherited from both parents, a situation more likely in Serrinha due to frequent cousin marriages. Santos's research brought attention to the genetic risks associated with these unions and helped the community understand the disease, leading to increased support and resources. The mutation has historical roots, likely originating from early European settlers, and similar cases have been identified globally, pointing to a common ancestry. Although a cure has yet to be discovered, the efforts have improved the lives of those affected, providing tools like wheelchairs and fostering a better understanding of genetic risks within the community.

Spoan disease: Rare condition in Brazil town popular for cousin marriage

Context:

In the remote town of Serrinha dos Pintos, Brazil, geneticist Silvana Santos identified a previously unknown condition called Spoan syndrome, a genetic mutation affecting the nervous system. The syndrome emerges when the altered gene is inherited from both parents, a situation more likely in Serrinha due to frequent cousin marriages. Santos's research brought attention to the genetic risks associated with these unions and helped the community understand the disease, leading to increased support and resources. The mutation has historical roots, likely originating from early European settlers, and similar cases have been identified globally, pointing to a common ancestry. Although a cure has yet to be discovered, the efforts have improved the lives of those affected, providing tools like wheelchairs and fostering a better understanding of genetic risks within the community.

Dive Deeper:

  • Silvana Santos, a geneticist, discovered and named Spoan syndrome in Serrinha dos Pintos, a town where many residents are related due to common cousin marriages, which increases the risk of genetic disorders like Spoan.

  • Spoan syndrome is caused by a genetic mutation affecting the nervous system; it only manifests when both parents pass on the altered gene, which is more probable in communities with high rates of consanguinity.

  • Santos's research highlighted the prevalence of cousin marriages in Serrinha dos Pintos, with more than 30% of couples being related, and a third having at least one child with a disability, prompting a deeper exploration of genetic risks.

  • Historical research indicates that the genetic mutation associated with Spoan syndrome likely arrived with early European settlers over 500 years ago, supported by genetic sequencing showing European ancestry in affected individuals.

  • Despite the absence of a cure, Santos's work has led to significant improvements in the lives of affected individuals, such as providing wheelchairs and educating the community about genetics, shifting the perception from 'cripples' to understanding the syndrome as a genetic condition.

  • Santos continues to be involved in projects aimed at educating and screening couples for genetic risks, supported by Brazil's Ministry of Health, focusing on the importance of genetic counseling without discouraging traditional marriage practices.

  • The research on Spoan has not only impacted Serrinha dos Pintos but also revealed connections to global cases, particularly in regions with historical European migrations, suggesting the condition may be more widespread than initially thought.

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