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Trinucleotide Repeat Disorders
Genetic Diseases
25
Medical
Graduate
10/19/2010

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Term
FXN, AR (autosomal recessive), no anticipation
Definition
Friedreich's ataxia
Term
Combination of spinocerebellar
degeneration and loss of proprioception
(Romberg sign), progressive ataxia of
gait and limbs, muscle weakness,
scoliosis, hypertrophic cardiomyopathy,
Age of onset before age 25 years.
Definition
Friedreich's ataxia
Term
Frataxin protein
(inner mitochondrial protein
required for iron‐sulfur
protein biogenesis. Frataxin
deficiency leads to reduced
mitochondrial function,
increased in intramitochondrial
iron, deficient
Definition
Friedreich's ataxia
Term
GAA triplet‐repeat expansion in intron 1 of FXN in 98% of cases
Premutation 34‐60 repeats
Disease expansion (60‐1700
repeats)
Definition
Friedreich's ataxia
Term
Nucleotide repeats include
CAG trinucleotide repeats in
exon (polyglutamine tract)
and larger repeat expansions
as well as non‐repeat
mutations
Definition
Spinocerebellar ataxias
Term
Slow progressive incordination of gait
associated with poor ccrdination of
hands, speech and eye movements.
Frequent atrophy of the cerebellum.
Neuronal intranuclear inclusions can be
found.
Definition
Spinocerebellar ataxias
Term
Various genetic loci
(SCA 1 to SCA 28)
AD (anticipation is
observed in the SCA with
repeat expansion)
Definition
Spinocerebellar ataxias
Term
Fragile X mental
retardation 1 protein
Definition
Fragile X syndrome
Term
CGG trinucleotide repeats in
5'UTR of FMR1 gene.
6‐55 repeats, normal
55‐200 repeats,premutation
> 200 repeats full mutation
leading to methylation and
repression of promoter's
chromatin
Loss of protein function
Definition
Fragile X syndrome
Term
Premutation leads to FXTAS in older
males and POF in females (RNA gain of
function)
Full mutation result in loss of FRM1
protein (promoter
methylation/decreased expression)
Mental retardation, long face, large ears,
flat feet, joint laxity, delayed speech,
behavior problem, macroorchidism
(large testes) and strabismus.
Definition
Fragile X syndrome
Term
FRM1 on X‐chromosome,
X‐linked
Repeat expansion during
female meiosis i.e.
maternal transmission of
full mutation
Definition
Fragile X syndrome
Term
CGG trinucleotide repeats in
5'UTR of FMR1 gene. FXTAS
observed in carriers of
premutation (55‐200
repeats). Repeats soak up
proteins involved in mRNA
transport,thus interfering
with mRNA metabolism.
Definition
Fragile X-associated
tremor/ataxia syndrome
(FXTAS)
Term
Late onset progressive cerebellar ataxia
and intention tremor, short term
memory loss, difficulty with
handwritting or using eating
utensils,dementia. Higher risk for males
than female with premutation
Definition
Fragile X-associated
tremor/ataxia syndrome
(FXTAS)
Term
DMPK gene
Definition
Myotonic dystrophy DM1
Term
ZNF9 gene
Definition
Myotonic dystrophy DM2
Term
FMR1, Fragile X mental
retardation 1 protein
X‐linked dominant
Definition
Fragile X-associated
tremor/ataxia syndrome
(FXTAS)
Term
DMPK (protein kinase)
Definition
Myotonic dystrophy DM1
Term
Zinc Finger Protein 9 (ZNF9)
Definition

Myotonic dystrophy DM2

protein

Term
CTG trinucleotide repeats in
3'UTR of DMPK gene
RNA gain of function
pathogenic mechanism
AD (repeat expansion
during maternal meiosis)
Definition
Myotonic dystrophy DM1
Term
CCTG repeats in 3'UTR of
ZNF9 gene
RNA gain of function
pathogenic mechanism
AD (repeat expansion
during maternal meiosis)
Definition
Myotonic dystrophy DM2
Term
Multisystem disorder( muscle weakness,
cardiomyopathy, conduction defects,
balding, testicular atrophy and cataract)
(adult, chilhood and congenital
onset)
Definition
Myotonic dystrophy DM1
Term
Multisystem disorder( muscle weakness,
cardiomyopathy, conduction defects,
balding, testicular atrophy and cataract)
(adult onset)
Definition
Myotonic dystrophy DM2
Term
CAG trinucleotide repeats in
exon 1 of HD gene
10‐35 repeats, normal
25‐121 repeats, diseased
>70 repeats leads to juvenile
onset
Gain of protein function
(polyglutamine repeats
leading to intranuclear
inclusions)
Definition
Huntington's disease
Term
HD gene (IT15)
Huntingtin protein
AD (repeat expansion
during spermatogenesis)
Definition
Huntington's disease
Term
Uncontrollable movements (chorea),
progressive neurodegeneration (caudate
and putamen), loss of GABA‐ergic and
cholinergic neurons
Definition
Huntington's disease
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