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Publication : Dramatic tissue-specific mutation length increases are an early molecular event in Huntington disease pathogenesis.

First Author  Kennedy L Year  2003
Journal  Hum Mol Genet Volume  12
Issue  24 Pages  3359-67
PubMed ID  14570710 Mgi Jnum  J:136414
Mgi Id  MGI:3796289 Doi  10.1093/hmg/ddg352
Citation  Kennedy L, et al. (2003) Dramatic tissue-specific mutation length increases are an early molecular event in Huntington disease pathogenesis. Hum Mol Genet 12(24):3359-67
abstractText  Huntington disease is caused by the expansion of a CAG repeat encoding an extended glutamine tract in a protein called huntingtin. Although the mutant protein is widely expressed, the earliest and most striking neuropathological changes are observed in the striatum. Here we show dramatic mutation length increases (gains of up to 1000 CAG repeats) in human striatal cells early in the disease course, most likely before the onset of pathological cell loss. Studies of knock-in HD mouse models indicate that the size of the initial CAG repeat mutation may influence both onset and tissue-specific patterns of age-dependent, expansion-biased mutation length variability. Given that CAG repeat length strongly correlates with clinical severity, we suggest that somatic increases of mutation length may play a major role in the progressive nature and cell-selective aspects of both adult-onset and juvenile-onset HD pathogenesis and we discuss the implications of this interpretation of the data presented.
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