Detection of the CTG repeat expansion in congenital myotonic dystrophy

Summary Myotonic dystrophy (DM) is caused by an abnormal expansion of an unstable CTG trinucleotide repeat in the 3′ untranslated region of mRNA encoding a putative serine/threonine protein kinase. We analyzed 59 patients with DM (28 congenital DM families: 27 families with maternal transmission and...

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Veröffentlicht in:Japanese Journal of Human Genetics 1997-03, Vol.42 (1), p.169-180
Hauptverfasser: Ohya, Kazuhiro, Tachi, Nobutada, Sato, Toshiya, Kon, Shinichiro, Kikuchi, Kokichi, Chiba, Shunzo
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container_title Japanese Journal of Human Genetics
container_volume 42
creator Ohya, Kazuhiro
Tachi, Nobutada
Sato, Toshiya
Kon, Shinichiro
Kikuchi, Kokichi
Chiba, Shunzo
description Summary Myotonic dystrophy (DM) is caused by an abnormal expansion of an unstable CTG trinucleotide repeat in the 3′ untranslated region of mRNA encoding a putative serine/threonine protein kinase. We analyzed 59 patients with DM (28 congenital DM families: 27 families with maternal transmission and 1 paternal transmission) and 27 normal control subjects to evaluate their CTG repeat size between DM patients and the normal controls, and to search for a correlation between the clinical characteristics of congenital DM (CDM) and CTG repeat expansions. Analysis was on the basis of the Southern blot and polymerase chain reaction (PCR) methods, and by direct sequencing of PCR amplified CTG repeats. Analysis of intergenerational differences in the CTG repeat size for mother-child pairs showed a positive correlation ( y =1.0384 x +1265.2, r 2 =0.311). In addition to the strong parental bias, this group showed genetic anticipation. There was a significant correlation of the CTG repeat expansion with disease severity. The largest CTG repeat expansion (2,293 CTG repeats) on average belonged to the severe CDM group, and the smallest (129 CTG repeats) to the subclinical DM group. The mutant allele of an asymptomatic father in the paternally transmitted pedigree revealed 75 CTG repeats, demonstrating that he was a DM protomutation carrier.
doi_str_mv 10.1007/BF02766919
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We analyzed 59 patients with DM (28 congenital DM families: 27 families with maternal transmission and 1 paternal transmission) and 27 normal control subjects to evaluate their CTG repeat size between DM patients and the normal controls, and to search for a correlation between the clinical characteristics of congenital DM (CDM) and CTG repeat expansions. Analysis was on the basis of the Southern blot and polymerase chain reaction (PCR) methods, and by direct sequencing of PCR amplified CTG repeats. Analysis of intergenerational differences in the CTG repeat size for mother-child pairs showed a positive correlation ( y =1.0384 x +1265.2, r 2 =0.311). In addition to the strong parental bias, this group showed genetic anticipation. There was a significant correlation of the CTG repeat expansion with disease severity. The largest CTG repeat expansion (2,293 CTG repeats) on average belonged to the severe CDM group, and the smallest (129 CTG repeats) to the subclinical DM group. 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ispartof Japanese Journal of Human Genetics, 1997-03, Vol.42 (1), p.169-180
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0916-8478
1434-5161
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subjects 3' Untranslated regions
Biomedical and Life Sciences
Biomedicine
Blotting, Southern
Child
Child, Preschool
DNA - chemistry
Family Health
Female
Gene Expression
Gene Function
Gene Therapy
Human Genetics
Humans
Infant
Infant, Newborn
Infectious Disease Transmission, Vertical
Kinases
Male
Molecular Medicine
mRNA
Myotonic dystrophy
Myotonic Dystrophy - congenital
Myotonic Dystrophy - genetics
Original Articles
original-article
Pedigree
Polymerase Chain Reaction
Protein-serine/threonine kinase
Trinucleotide Repeats - genetics
title Detection of the CTG repeat expansion in congenital myotonic dystrophy
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