Background: The Repeat Expansion Diseases are caused by intergenerational expansions of a specific tandem repeat. More than 20 such diseases have been identified thus far. Expansion of a CGG.CCG-repeat in the 5'UTR of the FMR1 gene is associated with 3 different clinical presentations: Individuals with 55-200 repeats, the so-called premutation allele, are at risk for a neurodegenerative disorder, Fragile X-associated tremor-ataxia syndrome and a form of infertility known as FX-associated primary ovarian insufficiency. Furthermore, in females, the premutation allele can undergo expansion on intergenerational transfer that can result in their children having alleles with >200 repeats. This expanded allele is known as a full mutation and individuals who inherit such alleles almost always have Fragile X syndrome (FXS), which is the leading heritable cause of intellectual disability. The mechanism by which is expansion occurs is unknown. It is thought to differ from the generalized microsatellite instability seen in many different cancers in that the instability is confined to a single genetic locus and shows a strong expansion bias. Expanded alleles are also associated with a folate-sensitive fragile site that is coincident with the repeat on the X chromosome. This site, which gives the disorder its name, is one of many fragile sites present on the human genome. These sites are prone to breakage and in some cases are associated with deleterious chromosome deletions and translocations. Progress report: Tandem repeats are prone to deletion when cloned in bacteria. This makes it difficult to develop contructs to study the biological effect of these sequences. It also results in under-represention of such sequences in databases based on cloned sequences. This can lead to a variety of problems that may impact human health. We have shown that the cloning difficulties can be ameliorated using linear plasmids with low levels of transcription (Godiska et. al., 2009). We have also shown that KBrO3, a potent DNA oxidizing agent that is used in food production and certain hair products and can be found in the water supply as a byproduct of certain sterilization methods, significantly increases the germline expansion frequency (Entezam, Lokanga, Le, Hoffman and Usdin, 2010). Our data thus suggest that oxidative damage, either intrinsic or environmental, may be a factor affecting expansion risk in humans. In parallel experiments we showed that neither a Fen1 nor a Lig1 deficiency had any effect on the expansion frequency, suggesting that delayed Okazaki fragment processing, which plays a role in expansion in yeast, and Long patch base excision repair, which is frequently involved in the repair of oxidative damage, are unlikely to be involved in the repeat expansion seen in mice.

Project Start
Project End
Budget Start
Budget End
Support Year
4
Fiscal Year
2010
Total Cost
$323,483
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Zhao, Xiao-Nan; Usdin, Karen (2018) FAN1 protects against repeat expansions in a Fragile X mouse model. DNA Repair (Amst) 69:1-5
Hayward, Bruce E; Kumari, Daman; Usdin, Karen (2017) Recent advances in assays for the fragile X-related disorders. Hum Genet 136:1313-1327
Zhao, Xiao-Nan; Lokanga, Rachel; Allette, Kimaada et al. (2016) A MutS?-Dependent Contribution of MutS? to Repeat Expansions in Fragile X Premutation Mice? PLoS Genet 12:e1006190
Zhao, Xiao-Nan; Usdin, Karen (2016) Ups and Downs: Mechanisms of Repeat Instability in the Fragile X-Related Disorders. Genes (Basel) 7:
Hayward, Bruce E; Zhou, Yifan; Kumari, Daman et al. (2016) A Set of Assays for the Comprehensive Analysis of FMR1 Alleles in the Fragile X-Related Disorders. J Mol Diagn 18:762-774
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Zhao, Xiao-Nan; Usdin, Karen (2015) The Repeat Expansion Diseases: The dark side of DNA repair. DNA Repair (Amst) 32:96-105
Zhao, Xiao-Nan; Usdin, Karen (2015) The transcription-coupled repair protein ERCC6/CSB also protects against repeat expansion in a mouse model of the fragile X premutation. Hum Mutat 36:482-7
Usdin, Karen; House, Nealia C M; Freudenreich, Catherine H (2015) Repeat instability during DNA repair: Insights from model systems. Crit Rev Biochem Mol Biol 50:142-67
Lokanga, Rachel Adihe; Senejani, Alireza Ghodsi; Sweasy, Joann Balazs et al. (2015) Heterozygosity for a hypomorphic Pol? mutation reduces the expansion frequency in a mouse model of the Fragile X-related disorders. PLoS Genet 11:e1005181

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