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European Human Genetics Conference 2007 June 16 – 19, 2007 ...

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Molecular and biochemical basis of disease<br />

confirmed by southern blot analysis. Therefore, a total of 207 and 212<br />

X-chromosomes were analyzed for the CGG repeat number in FRAXA<br />

and GCC repeats in FRAXE respectively. The most frequent FRAXA<br />

allele size was 29 CGG repeats (25.6%). 28 repeat containing alleles<br />

were the next frequent (<strong>16</strong>.9 %) allele. A total of 25 FRAXA allelic<br />

variants from 11-45 CGG repeats were observed. The most frequent<br />

FRAXE allele size had 15 GCC repeats (24.1%) followed by allele containing<br />

18 repeats (18.3%). A total of 20 FRAXE allelic variants from<br />

4-31 GCC repeats were observed. Our study revealed frequency of<br />

FRAXA to be 2.5% and FRAXE to be 0% indicating the absence or<br />

rarity of FRAXE mutation in our population.<br />

P0738. FRAXA locus investigation of mentally retarded patients<br />

Z. Daneberga1,2 , Z. Krumina1 , B. Lace1 , D. Bauze1 , N. Pronina1 , R. Lugovska1 ;<br />

1 2 Medical Genetic Clinic, University Children`s Hospital, Riga, Latvia, Riga<br />

Stradins University, Riga, Latvia.<br />

Mutations at FRAXA locus on distal Xq may cause mental impairment.<br />

Most common mutation at FRAXA locus is expansion of CGG triplet<br />

repeats located in the 5‘-untranslated region of the fragile X mental<br />

retardation-1 (FMR1) gene. The expanded CGG triplet repeats are hypermethylated<br />

and the expression of the FMR1 gene is repressed in<br />

patients with fragile X syndrome (FXS), which leads to the absence of<br />

FMR1 protein (FMRP) and subsequent mental retardation (MR). Normal<br />

alleles vary from 6 to 50 CGG repeats. Intermediate alleles 45<br />

- 55 repeats, premutation alleles 59 - 200 repeats, full mutation greater<br />

than approximately 200 repeats (methylated).<br />

The group of 292 unrelated patients with MR referred from clinical geneticists<br />

was screened by PCR for a normal allele. For 179 chromosomes<br />

CGG repeats number was detected by Applied Biosystems protocol<br />

on ABI Prism 310. The prevalence of 29, 30 and 31 CGG repeats<br />

were found. Five affected patients were detected (1.71%). The final<br />

diagnosis of FXS confirmed by Southern blotting. In four FXS families<br />

we found 4 females permutation carriers, 3 females with full mutation,<br />

3 affected males with full mutation, 1 affected mosaic male. All permutated<br />

and mutated alleles in FXS families were associated with single<br />

nucleotide polymorphism (SNP) ATL1 allele G.<br />

105 chromosomes of patients with normal CGG repeats number were<br />

analyzed for ATL1 SNP. For 62% of analyzed chromosomes ATL1 allele<br />

A was found.<br />

The estimation of STR-based haplotype structure for further investigation<br />

of Latvian FXS patients and their families are in progress.<br />

P0739. GAA repeat expansion-associated DNA methylation<br />

changes in Friedreich ataxia<br />

S. Al-Mahdawi, O. Ismail, D. Varshney, S. Lymperi, R. Mouro Pinto, M. A.<br />

Pook;<br />

Brunel University, Uxbridge, United Kingdom.<br />

Friedreich ataxia (FRDA) is an autosomal recessive neurodegenerative<br />

disorder that is primarily caused by a GAA repeat expansion mutation<br />

within intron 1 of the FXN gene, leading to a decreased level<br />

of frataxin protein expression. The mechanism by which this mutation<br />

acts is currently unknown, but two models have been put forward.<br />

Firstly, it has been suggested that the GAA repeat expansion may<br />

adopt an abnormal triplex structure that interferes with FXN gene transcription.<br />

Secondly, there is evidence that the GAA repeat expansion<br />

is associated with epigenetic changes, such as DNA methylation and<br />

modification of histones, producing a heterochromatin-mediated gene<br />

silencing effect.<br />

In support of this second hypothesis, we have recently obtained data<br />

that shows increased DNA methylation of specific CpG sites immediately<br />

upstream of the expanded GAA repeat sequence in FRDA patient<br />

autopsied brain tissue, compared with non-GAA repeat expansion<br />

containing brain tissue. In contrast, no such changes were identified in<br />

the FXN promoter region. We have also identified similar DNA methylation<br />

increases in brain and heart tissues from our recently established<br />

GAA repeat expansion-containing FXN YAC transgenic mouse model,<br />

compared with similar non-GAA repeat expansion FXN YAC transgenic<br />

mice. These studies will be detailed, together with our more recent<br />

investigations to identify potential GAA repeat expansion-associated<br />

changes in methylation and acetylation of histones at the FXN locus.<br />

Such epigenetic studies to identify the potential GAA repeat expansion<br />

mechanism of action will provide valuable information for novel FRDA<br />

therapies.<br />

P0740. Investigation for point mutations on different parts of<br />

Mitochondrial DNA, relating to adjunct of pathogenesis of FRDA,<br />

on 20 Iranian patients with Friedreich‘s ataxia<br />

S. EtemadAhari 1 , S. Kasraie 1 , M. Houshmand 1 , M. Moin 2 , M. Shafa Shariat<br />

Panahi 1 ;<br />

1 Department of Medical genetics, National Research Center of Genetic Engineering<br />

and Biotechnology(NIGEB), Tehran, Islamic Republic of Iran, 2 Immunology,<br />

Asthma & Allergy Research Institute, Tehran, Iran., Tehran, Islamic<br />

Republic of Iran.<br />

Friedreich’s ataxia (FA,FRDA) is the most common inherited ataxia.<br />

Clinically, FRDA is characterized by multiple symptoms including progressive<br />

gait and limb ataxia, dysarthria, diabetes mellitus, and hypertrophic<br />

cardiomyopathy. The gene defective in FRDA, encodes a mitochondrial<br />

protein known as frataxin. A triplet repeat expansion within<br />

intron 1 of the FRDA gene results in a marked decrease in frataxin<br />

expression.There is much evidence to suggest that FRDA results from<br />

mitochondrial iron accumulation leading to cellular damage and death<br />

by the production of toxic free radicals by Fenton chemistry. Due to<br />

the important role of the mitochondria and considering the clinical<br />

symptoms of FRDA, failure in ATP production and presence of free<br />

radicals in mitochondria of patients with FRDA we are analyzing different<br />

parts of mtDNA; MT-ATP8 , MT-ATP6, and highly mutative genes<br />

like; MT-LTI , MT-NDI, MT-COII, MT-TK, in 20 Iranian FRDA patients<br />

to find any probable point mutation by PCR method and automated<br />

DNA sequence that can be involved as an adjunct in the pathogenesis<br />

of FRDA<br />

P0741. Hypomethylation is restricted to the D4Z4 repeat array in<br />

phenotypic FSHD<br />

J. C. de Greef 1 , M. Wohlgemuth 2 , O. A. Chan 1 , K. B. Hansson 3 , D. Smeets 4 , R.<br />

R. Frants 1 , C. M. Weemaes 5 , G. W. Padberg 2 , S. M. van der Maarel 1 ;<br />

1 Center for <strong>Human</strong> and Clinical <strong>Genetics</strong>, Leiden University Medical Center,<br />

Leiden, The Netherlands, 2 Department of Neurology, Radboud University<br />

Nijmegen Medical Center, Nijmegen, The Netherlands, 3 Clinical Cytogenetics<br />

Laboratory, LDGA, Leiden University Medical Center, Leiden, The Netherlands,<br />

4 Department of <strong>Human</strong> <strong>Genetics</strong>, Radboud University Nijmegen Medical Center,<br />

Nijmegen, The Netherlands, 5 Department of Pediatrics, Radboud University<br />

Nijmegen Medical Center, Nijmegen, The Netherlands.<br />

Facioscapulohumeral muscular dystrophy (FSHD) is an autosomal<br />

dominant myopathy affecting predominantly the muscles of the face,<br />

shoulder and upper arm. Most FSHD patients show a contraction of<br />

the D4Z4 repeat array in the subtelomere of chromosome 4q. This<br />

contraction is associated with significant allele-specific hypomethylation<br />

of the repeat, suggestive for a chromatin restructuring at 4qter in<br />

FSHD. Hypomethylation of D4Z4 is also observed in phenotypic FSHD<br />

patients without D4Z4 contraction and in patients suffering from the<br />

immunodeficiency, centromeric instability and facial anomalies (ICF)<br />

syndrome, an unrelated disorder that does not present with muscular<br />

dystrophy and is in part caused by mutations in the DNMT3B gene. In<br />

order to identify the gene defect in phenotypic FSHD and to unravel<br />

the pathogenic epigenetic pathway in FSHD, we have aimed to identify<br />

the differences and commonalities in phenotypic FSHD and the<br />

ICF syndrome by (1) investigation of DNA methylation of non-D4Z4 repeat<br />

arrays, (2) analysis of mitogen-stimulated lymphocytes to detect<br />

pericentromeric abnormalities involving chromosomes 1, 9 and <strong>16</strong>, (3)<br />

determination of IgA, IgG and IgM levels and (4) mutational analysis<br />

of candidate genes to identify a second disease locus involved in the<br />

pathogenesis of phenotypic FSHD. Our results do not show epigenetic<br />

or phenotypic commonalities between phenotypic FSHD and ICF other<br />

than the earlier observed D4Z4 hypomethylation, suggesting that phenotypic<br />

FSHD is not caused by a defect in the same molecular pathway<br />

as ICF. We neither could identify any mutations in the candidate<br />

genes tested for.<br />

P0742. Comprehensive mutation analysis in a clinically well<br />

defined cohort of patients with exudative vitreoretinopathy.<br />

L. H. Hoefsloot 1 , C. E. van Nouhuys 2 , N. Boonstra 3 , J. Schuil 3 , I. J. de Wijs 1 ,<br />

K. P. van der Donk 1 , K. Nikopoulos 1 , A. Mukhopadhyay 1 , H. Scheffer 1 , M. A. D.<br />

Tilanus 4 , F. P. M. Cremers 1 ;<br />

1 Department of <strong>Human</strong> <strong>Genetics</strong>, Radboud University Nijmegen Medical Centre,<br />

Nijmegen, The Netherlands, 2 Department of Ophthalmology, Canisius Wilhelmina<br />

Hospital, Nijmegen, The Netherlands, 3 Bartimeus Institute for the Visually<br />

Impaired, Zeist, The Netherlands, 4 Department of Ophthalmology, Radboud<br />

1

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