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DNA triplex structures in neurodegenerative disorder, Friedreich's ...

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530 Moganty R Rajeswari<br />

on the ethnic group from 1/60 to 1/100 (Bidchandani et al.<br />

1998). The majority (>95%) of patients with FRDA are<br />

homozygous for large expansions of a GAA triplet repeat<br />

sequence (66–1800 triplets). Indian patients cl<strong>in</strong>ically diagnosed<br />

for FRDA were also found to be homozygous for<br />

(GAA) repeat expansion (Mukerji et al. 2000). The (GAA)<br />

repeat <strong>in</strong> the normal Indian population shows a bimodal<br />

distribution with 94% of alleles rang<strong>in</strong>g from 7 to 16 repeats<br />

and a low frequency (6%) of large normal alleles, <strong>in</strong>dicat<strong>in</strong>g<br />

low prevalence of FRDA <strong>in</strong> the Indian population. Despite<br />

the fact that FRDA <strong>in</strong>cidence is low, because if its severity of<br />

the diseases and very low survival chances of the patients,<br />

Frataxia challenges the treatment us<strong>in</strong>g gene therapy.<br />

7.3 Circulat<strong>in</strong>g plasma <strong>DNA</strong><br />

Cell-free circulat<strong>in</strong>g plasma <strong>DNA</strong> is found <strong>in</strong> blood and<br />

other body fluids like ur<strong>in</strong>e, amniotic fluid, etc. Plasma<br />

<strong>DNA</strong> is present <strong>in</strong> very low quantities <strong>in</strong> healthy controls.<br />

However, elevated levels are be<strong>in</strong>g reported <strong>in</strong> a number of<br />

diseases and <strong>in</strong>fections (Swarup and Rajeswari 2007).<br />

Therefore, cell-free <strong>DNA</strong> <strong>in</strong> plasma has emerged as an<br />

attractive tool <strong>in</strong> early prognosis of several human diseases.<br />

Significantly high levels (p

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