The dopamine D4 receptor gene (DRD4) has an expressed polymorphism in
the third exon that may have functional relevance. The polymorphism ex
ists at two levels. At the higher level there is an imperfect tandem r
epeat of 48 base pairs (bp) coding for 16 amino acids; alleles have be
en identified with 2 (32 amino acids) to 10 (160 amino acids) repeats.
The imperfect nature of the repeats is responsible for a more subtle
level of variation since alleles with the same number of repeats can d
iffer in the exact sequences or in the order of the variants of the 48
-bp unit. We have undertaken a global survey of this expressed polymor
phism as one approach to understanding the evolutionary significance a
nd origins of the polymorphism as well as understanding what selective
forces, if any, may be operating at this locus. As the first step, we
have determined the repeat number genotype of the DRD4 repeat polymor
phism in 1,327 individuals from 36 different populations. The allele f
requencies differ considerably among the different populations. The 4-
repeat allele was the most prevalent (global mean allele frequency = 6
4.3%) and appeared in every population with a frequency ranging from 0
.16 to 0.96. The 7-repeat allele was the second most common (global me
an = 20.6%), appearing quite frequently in the Americas (mean frequenc
y = 48.3%) but only occasionally in East and South Asia (mean frequenc
y = 1.9%). The 2-repeat allele was the third most common (global mean
frequency = 8.2%) and was quite frequent in East and South Asia (mean
frequency = 18.1%) while uncommon in the Americas (mean frequency = 2.
9%) and Africa (mean frequency = 1.7%). The universality of the polymo
rphism with only three common repeat-number alleles (4, 7, and 2) indi
cates that the polymorphism is ancient and arose before the global dis
persion of modern humans. The diversity of actual allele frequencies f
or this expressed polymorphism among different populations emphasizes
the importance of population considerations in the design and interpre
tation of any association studies carried out with this polymorphism.