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土耳其弗里德赖希共济失调患者中的GAA重复多态性

GAA repeat polymorphism in Turkish Friedreich's ataxia patients.

作者信息

Yilmaz M Bertan, Koç A Filiz, Kasap Halil, Güzel A Irfan, Sarica Yakup, Süleymanova Dilara

机构信息

Department of Medical Biology and Genetics Medical School Cukurova University, Adana, Turkey.

出版信息

Int J Neurosci. 2006 May;116(5):565-74. doi: 10.1080/00207450600592099.

Abstract

Friedreich's ataxia (FRDA), the most common subtype of early onset hereditary spinocerebellar ataxia (SCA), is an autosomal recessive neurodegenerative disorder caused by unstable GAA tri-nucleotide expansions in the first intron of FRDA gene located at 9q13-q21.1 position. Results of GAA repeat polymorphism in 80 Turkish SCA patients and 38 family members of 11 typical FRDA patients were reported. GAA triplet repeat size ranged from approximately 7 to 34 in normal alleles and from approximately 66 to 1300 in mutant alleles. Twenty six patients were homozygous for GAA expansion and size of expanded alleles differed from approximately 425 to 1300 repeats. Children 2 and 6 years old (showing no ataxia symptoms) of one family had homozygous GAA expansions reaching approximately 925 repeats. All 11 families studied had at least 1 afflicted child and 9 parents and 2 siblings were carrier (heterozygous) with mutant alleles ranging from 66 to 850 repeats. Family studies confirmed the meiotic instability and stronger effect of expansion in the smaller alleles on phenotype and a negative correlation between GAA repeat expansion size and onset-age of the disease.

摘要

弗里德赖希共济失调(FRDA)是早发性遗传性脊髓小脑共济失调(SCA)最常见的亚型,是一种常染色体隐性神经退行性疾病,由位于9q13 - q21.1位置的FRDA基因第一内含子中不稳定的GAA三核苷酸扩增引起。报告了80例土耳其SCA患者以及11例典型FRDA患者的38名家庭成员的GAA重复多态性结果。正常等位基因中GAA三联体重复大小约为7至34,突变等位基因中约为66至1300。26例患者为GAA扩增纯合子,扩增等位基因大小约为425至1300个重复。一个家庭中2岁和6岁的儿童(无共济失调症状)为GAA扩增纯合子,重复次数约达925次。所研究的所有11个家庭中至少有1名患病儿童,9名父母和2名兄弟姐妹为携带者(杂合子),突变等位基因重复次数为66至850次。家系研究证实了减数分裂不稳定性以及较小等位基因扩增对表型的更强影响,以及GAA重复扩增大小与疾病发病年龄之间的负相关。

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