The geographic distribution and origin of CFTR mutations in Germany wa
s evaluated in 658 three-generation families with cystic fibrosis (CF)
. Fifty different mutations were detected on 1305 parental CF chromoso
mes from 22 European countries and overseas. The major mutation Delta
F508 was identified on 71.5% of all CF chromosomes, followed by R553X
(1.8%), N1303K (1.3%), G542X (1.1%), G551D (0.8%) and R347P (0.8%). Ac
cording to the grandparents' birthplace, 74% of CF chromosomes had the
ir origin in Germany; the Delta F508 percentage was 77%, 75%, 70% and
62% in northern, southern, western and eastern Germany, respectively.
Ten or more mutant alleles in the investigated CF gene pool originated
from Austria, the Czech Republic, Poland, Russia, Turkey and the Ukra
ine. This widespread geographic origin of CFTR mutations in today's Ge
rmany reflects the many demographic changes and migrations in Central
Europe during the 20th century.