三核苷酸重複序列擴張疾病(Trinucleotide Repeat Disorders)

若基因突變的方式是以三個核甘酸為單位,重複擴張至不正常的數量,則可能導致疾病。最有名的舉例為「亨丁頓舞蹈症」(Huntington's Disease)。正常人在第四對染色體上本來就帶有包含少於35個CAG重複出現的Huntingtin基因。然而亨丁頓舞蹈症患者的CAG序列重複大於37次。

重複出現的CAG會轉錄轉譯出蛋白質glutamine。而這類的病變不只出現在亨丁頓舞蹈症,有許多神經退化性的疾病也是由此相同的機轉造成,統稱為「Polyglutamine Diseases」。舉例如下:

  • Huntington’s Disease (HD)
  • SBMA (Spinobulbar Muscular Atrophy)
  • SCA1 (Spinocerebellar Ataxia Type 1)
  • SCA2 (Spinocerebellar Ataxia Type 2)
  • SCA3 (Spinocerebellar Ataxia Type 3 or Machado-Joseph Disease)
  • SCA6 (Spinocerebellar Ataxia Type 6)
  • SCA7 (Spinocerebellar Ataxia Type 7)

另一群也三核苷酸重複序列擴張,但擴張序列並非CAG的疾病如下:

  • Non-Polyglutamine Diseases
  • Myotonic Dystrophy
  • Fragile X Syndrome
  • Friedreich’s Ataxia
  • Spinocerebellar Ataxia Type 8, 12



Reference:
1. Huntington's Outreach Project for Education at Stanford
http://web.stanford.edu/group/hopes/cgi-bin/hopes_test/trinucleotide-repeat-disorders/#sca1-spinocerebellar-ataxia-type-1
2. Di Prospero, Nicholas A., and Kenneth H. Fischbeck. "Therapeutics development for triplet repeat expansion diseases." Nature Reviews Genetics 6.10 (2005): 756-767.

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