Trinucleotide Repeat Disease Flashcards
Fragile X syndrome
premutation has its own phenotype
premutation doesn’t give fragile x syndrom but has fragile x associated tremor ataxia syndrome
the larger the repeat, the earlier the onset
Macroorchidism & mental retardation
Inherted through mother
Constriction of long arm of X chrom & breakage in repeat region.
Mutation in 5’ UTR of FMR-1 gene.
Deactivated promotor= no RNA transcript
Fragile X syndrome
Fragile X syndrome- 200-2000 repeats; hypermethylation of DNA
FXTAS- premutation, 55-200 in older men. gait ataxia, intention termor, cognitive impairment
premutation related disorders-
- primary ovarian insufficiency- females w/ emotional problems & perserverative thinking
- children w/ ADHD or autism
Fragile X Syndrome
FMRP binds to RNA molecs & regulates translation which is very critical @ synapse
Neurons have increased number of long immature looking spines
Stimulation of postsynaptic mGluR results in increased protein & internalization of AMPA R= long term depression.
FMRP puts break on protein syn & dampens this response.
Fragile X neurons, protein syn, AMPA internalization & long term depression= exaggerated w/o FMRP
Type I diseases vs. Type II diseases
Type I disease
- CAG as repeating trint unit
- Gln as aa
- exceed 35 Gln as repeats
- affects brain
Type Ii disease
- variety of nt
- no aa
- massive repeats
- affects numerous parts of body
Disease Severities
Red= normal
orange= premutation
yellow= full mutation
Hungtington’s disease
30-55 yo symptom onset
- twitching
- chorea- writhing/dance movements
- dementia- forgetfulness
- can’t control their movement
- fatal
Repeats of CAG in coding region
10-29 in normal
more than 30= male gametogenesis issues
36-40 = affected but incomplete penetrance
Hungtington’s disease
Embryogenesis= both normal & mutant same f; essential for gastrulation & dev of nervous sys
Adulthood= wild type controls neuron activity while mutant causes toxicity & interfers w/ normal f!
Polyglutamine (polyQs) enhance protein-protein interaction but when expanding their region= protein aggregate!
PolyQs also stop acetylation from sequestering acetyl transferases. This means DNA cannot be recognized by TFs & genes= silent.
Mutant HD unable to keep repressor-silencing TF (REST/NRSF) in cytoplasm so many important neuronal genes are transcriptionally silenced like BDNF.
BDNF supposed to travel along MT. Mutant HD binds on HAP1/ BDNF vesicle too tightly.
Hungtington’s Disease
BDNF used for promoting neuronal survival, synaptic plasticity & stimulating cholesterol syn via Trk-B
HD mutant decreases BDNF & cholesterol syn!
Lose gray matter
Dystrophia Myotonica
Expansion of CTG or CCTG repeat in 3’ UTR of 2 genes
more than 1000 repeats
Type I & II
Progressive m. wasting/weakness in 20s & 30s
Myotonia
slow relaxation of certain m.
cataracts
cardiac conduction defects
men- hormonal changes
babies- mental retardation & death
Type 1= CTG repeat in 3’ UTR of DMPK gene
Type 2= CCTG in 3’ UTR, CNBP gene
DM1 vs. DM2
DM1
- premutation 35-49 CTG
- no symptoms
- full penetrance alles
- 50 CTG= w/ disease
DM2
- 11-26 CCTG
- no premutation alles
- full penetrance abnormal alleles
- 75-11,000 repeats= w/ disease
Dystrophia myotonica
- CUG-BP1 splicing in fetus (insuline R, cardiac troponin T, chlorine channel in m. etc.)
- CUG-BP1 expression diminishes during dev
- MBNL protein responsible for splicing RNA transcripts in adults
- MBNL high affinity for CUG repeats, exapnded CUG reduces MBNL
- MBNL promotes decay of CUG-BP1 mRNA= more is made b/c of diminished MBNL!
- CUG-BP1 alternative splicing: insulin from embryo so insulin resistance & loss of Cl- channel so myotonia
Friedreich Ataxia
AR
Onset 8-15 yo but before 20
Gait ataxia
Become wheelchair bound & early death.
Loss of large myelinated axons in peripheral n.
Frataxin gene
GAA trint in 1st intron
Normal- 50 repeats
disease- 200 to >1000
decrease syn of frataxin protein
Larger the repeats more of a reduction in frataxin expression
Freidreich’s Ataxia
Frataxin inovlved in mitochondiral iron homeostasi (Fe-S center, heme & mitochondira Fe storage)
Reduce Fe export
Increase Fe uptake, decrease iron release & mitochondiral Fe loading
Free radical generation increases
Cell death of neurons