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microsatellite markers – a novel tool in molecular genetics - ijrpc

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IJRPC 2012, 2(2) Pokhriyal et al ISSN: 22312781<br />

repeated too many times this would cause the<br />

person to get Hunt<strong>in</strong>gton's disease <strong>in</strong> adult life.<br />

Other diseases that <strong>in</strong>volve repeats of three<br />

nucleotides are also known to cause<br />

neurological diseases. At this time, 14<br />

neurological disorders have been shown to<br />

result from the expansion of tri-nucleotide<br />

repeats, establish<strong>in</strong>g an expand<strong>in</strong>g class of<br />

diseases. Tri-nucleotide repeat diseases can<br />

be categorised <strong>in</strong>to two subclasses based on<br />

the location of the tr<strong>in</strong>ucleotide repeats:<br />

diseases <strong>in</strong>volv<strong>in</strong>g noncod<strong>in</strong>g repeats<br />

(untranslated sequences) and diseases<br />

<strong>in</strong>volv<strong>in</strong>g cod<strong>in</strong>g sequences (exonic). In<br />

general tri-nucleotide repeat disorders are<br />

either dom<strong>in</strong>antly <strong>in</strong>herited or X-l<strong>in</strong>ked, the one<br />

exception be<strong>in</strong>g Friedrich's ataxia, which is<br />

Autosomal recessive (Goldste<strong>in</strong> and<br />

Schlotterer, 1999; Cumm<strong>in</strong>gs and Zoghbi,<br />

2000). Not all diseases are caused by a<br />

mistake <strong>in</strong> one gene. Sometimes many genes<br />

may be <strong>in</strong>volved <strong>in</strong> a disease, for example, <strong>in</strong><br />

schizophrenia. For these diseases<br />

<strong>microsatellite</strong> sequences have been used as a<br />

marker for locat<strong>in</strong>g the diseased region of the<br />

chromosome. This method is called positional<br />

clon<strong>in</strong>g. Microsatellite <strong>markers</strong> close to the<br />

disease gene correlate with the heredity of the<br />

disease, and by analysis of these <strong>markers</strong><br />

with<strong>in</strong> families scientists can predict how the<br />

disease will be <strong>in</strong>herited (Risch, 2000).<br />

7) Detect<strong>in</strong>g Cancer 10<br />

The rate of <strong>microsatellite</strong> expansion (that is,<br />

<strong>in</strong>crease <strong>in</strong> the number of repeats) or<br />

contraction (decrease <strong>in</strong> number of repeats) <strong>in</strong><br />

cells is <strong>in</strong>creased <strong>in</strong> some types of cancers,<br />

due to defects <strong>in</strong> enzymes that correct copy<strong>in</strong>g<br />

mistakes <strong>in</strong> DNA. Early cl<strong>in</strong>ical detection of<br />

some types of colon and bladder cancers<br />

us<strong>in</strong>g changes <strong>in</strong> <strong>microsatellite</strong> repeats have<br />

been successful (Yonekura et al., 2002;<br />

Moxon and Willis, 1999).<br />

Examples of Some Diseases Involv<strong>in</strong>g<br />

Microsatellites Tr<strong>in</strong>ucleotide Repeats 11<br />

1) Hunt<strong>in</strong>gton's disease<br />

Symptoms: Late onset dementia and loss of<br />

motor control, result<strong>in</strong>g <strong>in</strong> full-blown chorea<br />

after 10-20 years. Motor disorder is often<br />

preceded or accompanied by memory deficits,<br />

cognitive decl<strong>in</strong>e or changes <strong>in</strong> personality.<br />

Juvenile onset is rare and patients show<br />

rigidity, bradyk<strong>in</strong>esia, epilepsy, severe<br />

dementia and an accelerated disease course.<br />

Involvement of <strong>microsatellite</strong>s: CAG cod<strong>in</strong>g<br />

repeat <strong>in</strong> the first exon of the HD gene. Normal<br />

gene conta<strong>in</strong>s between 6 and 35 repeats and<br />

the affected gene from 36 to 121 repeats.<br />

Adult onset typically occurs when the repeat<br />

conta<strong>in</strong>s 40 - 50 units, whereas alleles<br />

conta<strong>in</strong><strong>in</strong>g more than 70 repeats typically<br />

result <strong>in</strong> the more severe juvenile form. The<br />

<strong>microsatellite</strong> adds a str<strong>in</strong>g of glutam<strong>in</strong>e am<strong>in</strong>o<br />

acids to the hunt<strong>in</strong>gton prote<strong>in</strong>.<br />

Chromosome location: #4<br />

2) Fragile X<br />

Symptoms: Mental retardation, long and<br />

prom<strong>in</strong>ent ears and jaws, high-pitched speech,<br />

hyperactivity, poor eye contact, and<br />

stereotypic hand movements (e.g. handflapp<strong>in</strong>g<br />

and hand-bit<strong>in</strong>g). 1 <strong>in</strong> 4000 males are<br />

affected, and fewer females are affected,<br />

depend<strong>in</strong>g on the ratio of cells with normal X<br />

chromosome active to abnormal X active.<br />

Involvement of <strong>microsatellite</strong>s: The repeat is<br />

CGG <strong>in</strong> a non-cod<strong>in</strong>g region of the FMR2<br />

gene, and normal is 6 - 53 repeats. The<br />

disease occurs if the repeat is between 60 -<br />

200.<br />

Chromosome location: X<br />

3) Myotonic dystrophy<br />

Symptoms: Congenital DM is the most<br />

severe form of this disease <strong>in</strong>volv<strong>in</strong>g<br />

hypotonia, respiratory distress at birth and<br />

developmental abnormalities. Adult onset<br />

<strong>in</strong>cludes variable loss of mental function,<br />

myotonia, muscle weakness and progressive<br />

muscle wast<strong>in</strong>g. Other features may <strong>in</strong>clude<br />

facial dysmorphology, presenile cataracts,<br />

testicular atrophy, premature bald<strong>in</strong>g <strong>in</strong> males,<br />

kidney failure, hyper<strong>in</strong>sul<strong>in</strong> secretion and<br />

cardiac conduction abnormalities.<br />

Involvement of <strong>microsatellite</strong>s: CTG repeats <strong>in</strong><br />

a non-cod<strong>in</strong>g region of the DMPK gene.<br />

Normal is between 5 and 37, the disease may<br />

<strong>in</strong>volve from 50 - 1000s of repeats.<br />

Chromosome location: #19<br />

4) Sp<strong>in</strong>albulbar muscular atrophy<br />

Symptoms: Neurological degeneration lead<strong>in</strong>g<br />

to difficulties <strong>in</strong> speech, articulation and<br />

swallow<strong>in</strong>g, muscle weakness and atrophy.<br />

Signs of mild androgen <strong>in</strong>sensitivity are<br />

typically seen at adolescence.<br />

Involvement of <strong>microsatellite</strong>s: CAG repeat <strong>in</strong><br />

first cod<strong>in</strong>g exon of the androgen receptor<br />

(AR) gene. Between 9 and 36 repeats is<br />

normal, and people with 38-62 repeats<br />

develop the disease.<br />

Chromosome location: X, recessive.<br />

410

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