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GONOSOMAL MOSAICISM IN MYOTONIC-DYSTROPHY PATIENTS - INVOLVEMENT OF MITOTIC EVENTS IN (CTG)(N) REPEAT VARIATION AND SELECTION AGAINST EXTREME EXPANSION IN SPERM
Author(s): JANSEN G, WILLEMS P, COERWINKEL M, NILLESEN W, SMEETS H, VITS L, HOWELER C, BRUNNER H, WIERINGA B
Source: AMERICAN JOURNAL OF HUMAN GENETICS    Volume: 54    Issue: 4    Pages: 575-585    Published: APR 1994  
Times Cited: 112     References: 58     
Abstract: Myotonic dystrophy (DM) is caused by abnormal expansion of a polymorphic (CTG)(n) repeat, located in the DM protein kinase gene. We determined the (CTG)(n) repeat lengths in a broad range of tissue DNAs from patients with mild, classical, or congenital manifestation of DM. Differences in the repeat length were seen in somatic tissues from single DM individuals and twins. Repeats appeared to expand to a similar extent in tissues originating from the same embryonal origin. In most male patients carrying intermediate- or small-sized expansions in blood, the repeat lengths covered a markedly wider range in sperm. In contrast, male patients with large allele expansions in blood (>700 CTGs) had similar or smaller repeats in sperm, when detectable. Sperm alleles with >1,000 CTGs were not seen. We conclude that DM patients can be considered gonosomal mosaics, i.e., combined somatic and germ-line tissue mosaics. Most remarkably, we observed multiple cases where the length distributions of intermediate- or small-sized alleles in fathers' sperm were significantly different from that in their offspring's blood. Our combined findings indicate that intergenerational length changes in the unstable CTG repeat are most likely to occur during early embryonic mitotic divisions in both somatic and germ-line tissue formation. Both the initial CTG length, the overall number of cell divisions involved in tissue formation, and perhaps a specific selection process in spermatogenesis may influence the dynamics of this process. A model explaining mitotic instability and sex-dependent segregation phenomena in DM manifestation is discussed.
Document Type: Article
Language: English
Addresses:
1. UNIV NIJMEGEN, FAC MED SCI, DEPT CELL BIOL & HISTOL, 6500 HB NIJMEGEN, NETHERLANDS
2. UNIV NIJMEGEN, FAC MED SCI, DEPT HUMAN GENET, NIJMEGEN, NETHERLANDS
3. UNIV ANTWERP, DEPT MED GENET, ANTWERP, BELGIUM
4. UNIV MAASTRICHT, ACAD HOSP MAASTRICHT, DEPT NEUROL, MAASTRICHT, NETHERLANDS
Publisher: UNIV CHICAGO PRESS, 5720 S WOODLAWN AVE, CHICAGO, IL 60637
Subject Category: Genetics & Heredity
IDS Number: NC836
ISSN: 0002-9297
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