González M C, Díaz-Golpe V, Hernández L, Martin S, Fernández F
Servicio de Análisis Clínicos, Complejo Hospitalario, León.
Neurologia. 2003 Sep;18(7):392-5.
Friedreich's ataxia is an autosomal recessive disease generally characterized by the presence of microsatellite expansion in a GAA triplet. The patients inherit a pathologic allele from each one of their parents, that may sometimes show GAA triplet expansions or contractions. Two familial studies of typical Friedreich's ataxia are described. Their molecular study demonstrated marked intergenerational instability and an abnormally long expansion of the GAA triplet in the father in the other one. In the first case, there were expansions of 680/815 repetitions, being characterized by an expansion of 290 repetitions GAA in the father-patient transmission. The second case presented GAA of 1,260/1,095 expansions, while the expanded allele of the father was 1,350 repetitions. These cases illustrate that there can be both expansion as well as contraction of the GAA triplet from alleles of paternal origin in the disease, without any apparent phenotypic changes.
弗里德赖希共济失调是一种常染色体隐性疾病,其一般特征是在一个GAA三联体中存在微卫星扩增。患者从父母双方各自继承一个病理性等位基因,这些等位基因有时可能会出现GAA三联体的扩增或收缩。本文描述了两项典型弗里德赖希共济失调的家族研究。它们的分子研究表明存在明显的代际不稳定性,且在另一项研究中父亲的GAA三联体出现异常长的扩增。在第一个病例中,有680/815次重复的扩增,其特征是在父亲向患者的传递中GAA有290次重复的扩增。第二个病例呈现1260/1095次扩增的GAA,而父亲的扩增等位基因为1350次重复。这些病例表明,在该疾病中,来自父源等位基因的GAA三联体既可能扩增也可能收缩,且无任何明显的表型变化。