Abstract
Unstable trinucleotide repeats are a newly recognized class of disease mutation. Several major human single gene disorders are now attributed to expansions of these highly unstable sequences (1–4). Their molecular analysis is particularly challenging, since:
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1.
Accurate allele sizing is essential;
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2.
Polymerase chain reaction (PCR) amplification across the repeat is hampered by extreme guanme cytosme (GC) content and strong secondary structure, and
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3.
Size differences between normal and mutated alleles may be great, for instance, in fragile X they can range from 6 to over 1000 repeats
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References
Verkerk, A. J. M. H., Pieretti, M., Sutcliffe, J. S., Fu, Y.-H., Kuhl, D. P. A., Pizzuti, A., et al. (1991) Identification of a gene (FMR-1) containing a CGG repeat coincident with a breakpoint cluster region exhibiting length variation in fragile X syndrome. Cell 65, 905–914.
Brook, D. J., McCurrach, M E., Harley, H. G., Buckler, A J., Churh, D., Aburatani, H., et al. (1992) Molecular basis of myotonic dystrophy: expansion of a trinucleotide (CTG) repeat at the 3′ end of a transcript encoding a protein kinase family member. Cell 68, 799–808.
Huntington’s Disease Collaboratrve Research Group (1993) A novel gene containing a trmucleotrde repeat that is expanded and unstable on Huntington’s drsease chromosomes. Cell 72, 971–983.
La Spada A R., Wilson, E M., Lubahn, D. B., Harding, A.E., and Frschbeck, K.H.(1991) Androgen receptor mutations in X-linked spinal and bulbar muscular atrophy. Nature 352, 77–79.
Hirst, M. C., Nakahort, Y., Knight, S. J. L., Schwartz, C., Thibodeau, S N., Roche, A., et al. (1991) Genotype prediction in the fragile X syndrome. J. Med. Genet. 28, 824–829.
Mahadevan, M., Tsilfidis, C., Sabourin, L., Shutier, G., Amemiya, C, Jansen, G., et al. (1992) Myotomc dystrophy mutatron: an unstable CTG repeat in the 3′ untranslated region of the gene. Science 255, 1253–1255
Fu, Y.-H., Kuhl, D. P. A., Pizzuti, A., Piereti, M., Sutcliffe, J. S., Richards, S., et al. (1991) Variation of the p(CGG)n repeat at the fragile X site results in genetic instability: resolution of the Sherman paradox. Cell 67, 1047–1058.
Reiss, A. L., Kazazian, H. H., Krebs, C M., McAughan, A., Boehm, C. D., Abrams, M. T., and Nelson, D. L. (1994) Frequency and stability of the fragile X premutation. Hum. Mol Genet. 3, 393–398.
Hirst, M. C., Prabjhit, K. G., and Davies, K. E. (1994) Precursor arrays for triplet repeat expansion at the fragile X locus Hum. Mol. Genet 3, 1553–1560.
Brunner, H. G., Nillesen, W., van Oost, B. A., Jansen, G., Wieringa, B., Ropers, H.-H., and Smeets, H. J. M. (1992) Presymptomatic diagnosis of myotomc dystrophy. J Med. Genet. 29, 780–784.
Hunter, A., Tsilfidis, C, Mettier, G., Jacob, P, Mahadevan, M., and Korneluk, R. G. (1992) The correlation of age at onset with CTG trinucleotrde repeat amplification in myotonic dystrophy. J. Med. Genet 29, 774–779.
Andrew, S. E., Goldberg, Y. P., Kremer, B., Telemus, H., Theilmann, J, Adam, S., et al. (1993) The relationship between (CAG) repeat length and clinical features of Huntington’s drsease. Nature Genet. 4, 398–403.
Myers, R. H., MacDonald, M. E., Koroshetz, W. J., Duyao, M. P., Ambrose, C. M., Taylor, S. A. M, et al. (1993) De novo expansion of a (CAG), repeat in spo-radic Huntington’s disease. Nature Genet. 5, 168–173.
Goldberg, Y. P, Kremer, B., Andrew, S. E., Theilmann, J., Graham, R. K., Squitieri, F., et al. (1993) Molecular analysis of new mutations for Huntington’s disease: intermediate alleles and sex of origin effects. Nature Genet. 5, 174–179.
Andrew, S. E., Goldberg, Y. P, Theihnann, J., Zeisler, J, and Hayden, M. R. (1994) A CCG repeat polymorphism adjacent to the CAG repeat in the Huntington disease gene implications for diagnostic accuracy and predictive testing. Hum. Mol. Genet. 3, 65–67.
La Spada, A. R., Roling, D. B., Harding, A. E., Warner, C. L., Spiegel, R., Hausmanowa-Petrusewicz, I., et al. (1992) Meiotic stabilrty and genotype-pheno-type correlation of the trinucleotide repeat in X-linked spinal and bulbar muscular atrophy. Nature Genet. 2, 301–304.
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© 1996 Humana Press Inc, Totowa, NJ
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Wallace, A.J. (1996). Detection of Unstable Trinucleotide Repeats. In: Elles, R. (eds) Molecular Diagnosis of Genetic Diseases. Methods in Molecular Medicine™, vol 5. Humana Press. https://doi.org/10.1385/0-89603-346-5:37
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DOI: https://doi.org/10.1385/0-89603-346-5:37
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