Lactose Tolerance
rs4988235 (C or T)
About half of Asians and Native American become lactose intolerant around two years old. By the time they are 6 years old, 80% of Asians and Native Americans are lactose intolerant and that number rises to over 90% by the time they are 10 years old. About 80% of African Americans and Hispanics are lactose intolerant as adults.
But, there is a lot of variation in people with European ancestors. Only about 3% of people from Scandinavia and 8% of white Americans are lactose intolerant. In some parts of southern Europe as many as 70% of adults are lactose intolerant. Overall, many people with European ancestors can drink milk. These people are lactose intolerant because they can no longer digest a sugar in milk called, you guessed it, lactose.
Of course most of these folks could drink milk when they were kids. And 25% of adults (mostly those of northern European descent) can still drink milk. So what is going on?
Lactose is digested by an enzyme in our small intestines called lactase. The instructions for making lactase are found in the lactase gene. Most adults become lactose intolerant because their lactase gene shuts off later in life. When it shuts off is different for different people.
Most of the 25% of adults who can drink milk have a DNA difference near their lactase gene that keeps it from being shut off. This is why these people are said to be lactase persistent.
Most people are GG at this allele…their lactase gene shuts off at some point during adulthood. Those who can keep drinking milk are usually either AG or AA.
The A allele is not the only way to be lactose tolerant, it is just the most common form in Europeans…it is very rare in Asians and Africans. Another allele that leads to lactase persistence is pretty common in a small group of Africans. It affects the lactase gene similarly but does so in a different way.
Now let’s see if you are AA, AG, or GG here. Remember, even if you are GG you still might be able to drink milk because you either have a different allele that allows it or your lactase gene hasn’t shut off quite yet. Remember that different people lose their ability to drink milk at different ages.
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