Abstract

A universal mechanism ties genotype to phenotype in trinucleotide diseases

Highlights

  • Trinucleotide diseases are hereditary disorders in which a gene that harbors a trinucleotide repeat is inherited with a number of repeats that exceeds a disease-specific threshold [1,2]

  • The repeat is located in noncoding regions: in the muscle disease myotonic dystrophy type 1 (DM1) [1,5] the CTG repeat is located in the 39 untranslated region (UTR) of the gene DMPK, and in Friedreich ataxia [1,5,6] (FRDA) a GAA repeat is located within the first intron of the gene FRDA

  • Trinucleotide diseases are a broad family of hereditary diseases characterized genetically by an expanded DNA region consisting of a repeated three-letter code

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Summary

Introduction

Trinucleotide diseases are hereditary disorders in which a gene that harbors a trinucleotide repeat is inherited with a number of repeats that exceeds a disease-specific threshold [1,2]. The disease has no symptoms for many years until a sudden onset at an age that is inversely correlated with the number of inherited repeats [2,4,8,9,10,11]. When the number of repeats exceeds 70, the disease has juvenile onset; there are cases of childhood onset for even longer repeats [12,13]. These relations of onset age and the number of repeats are similar in other diseases, and are typically characterized by an exponential curve in which the change in the age of onset as a result of additional inherited repeat reduces with the number of repeats [4,8,14]

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