Akbas Fahri, Erginel-Unaltuna Nihan
Department of Genetics, Experimental Medical Research Institute, Istanbul University, Istanbul, Turkey.
Eur Neurol. 2003;50(1):20-4. doi: 10.1159/000070854.
Huntington disease (HD) is an autosomal dominant inherited disease, characterized by involuntary movements, behavioral and personality changes and dementia. Although the mean age at onset is about 40 years, onset varies from 5 to 79 years. Therefore, at-risk individuals are never sure to have escaped the disease. The genetic defect is a CAG trinucleotide repeat expansion at the 5' end of the IT-15 gene on chromosome 4. In this study, we analyzed 127 patients with HD and 122 healthy controls. The numbers of CAG repeats varied from 38 to 78 (median: 42) in 127 HD patients, while in healthy controls we observed only 10-35 CAG repeats (median: 18). The length of the CAG repeat expansion in Turkish HD patients and normal controls was similar to that reported from other populations. Negative correlations (r = -0.67) were also found between age of disease onset and repeat length.
亨廷顿舞蹈症(HD)是一种常染色体显性遗传病,其特征为不自主运动、行为和性格改变以及痴呆。虽然平均发病年龄约为40岁,但发病年龄范围为5至79岁。因此,有患病风险的个体永远无法确定自己是否已逃脱该病。基因缺陷是位于4号染色体上IT-15基因5'端的CAG三核苷酸重复序列扩增。在本研究中,我们分析了127例HD患者和122例健康对照。127例HD患者的CAG重复序列数量在38至78之间(中位数:42),而在健康对照中,我们仅观察到10至35个CAG重复序列(中位数:18)。土耳其HD患者和正常对照中CAG重复序列扩增的长度与其他人群报道的相似。疾病发病年龄与重复序列长度之间也发现了负相关(r = -0.67)。