2004
DOI: 10.1002/ana.20333
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Friedreich ataxia in carriers of unstable borderline GAA triplet‐repeat alleles

Abstract: Friedreich ataxia patients are homozygous for expanded GAA triplet-repeats containing 66 to 1,700 triplets. We report two patients with delayed-onset, hyperreflexia and gradually progressive disease. Both were heterozygous for large expansions and also carried alleles with 44 and 66 triplet-repeats, respectively. Due to somatic instability, 15% (GAA-44) and 75% (GAA-66) of cells contained alleles with >/=66 triplet-repeats, constituting a plausible mechanism for their mild phenotype. A sibling with a stable GA… Show more

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Cited by 47 publications
(43 citation statements)
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“…This disease is caused by the loss of transcription of the frataxin gene as a result of the genetic expansion of 30 2* − 0.0502 −22 (GAA•TTC) 60 1 − 0.0537 −24 (GAA•TTC) 60 2* + 0.0305 −14 (GAA•TTC) 176 1 − 0.0505 −24 (GAA•TTC) 176 2* + 0.0266 −14 (GAA•TTC) 176 2** − 0.0501 −27 (CG•CG) 22 1 − 0.0581 −24…”
Section: Discussionmentioning
confidence: 98%
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“…This disease is caused by the loss of transcription of the frataxin gene as a result of the genetic expansion of 30 2* − 0.0502 −22 (GAA•TTC) 60 1 − 0.0537 −24 (GAA•TTC) 60 2* + 0.0305 −14 (GAA•TTC) 176 1 − 0.0505 −24 (GAA•TTC) 176 2* + 0.0266 −14 (GAA•TTC) 176 2** − 0.0501 −27 (CG•CG) 22 1 − 0.0581 −24…”
Section: Discussionmentioning
confidence: 98%
“…The plasmids analyzed were pRW1628 (vector) (black), pRW4886 (royal blue), pRW4882 (green), pRW4887 (light blue), pRW4876 (red), pRW4892 (yellow), pRW4893 (pink) and pRW4894 (purple). Inset: analysis of pRW1564 which is a pBR322 derivative, containing one tract of (CG•CG) 22 and has the ability to form Z-DNA. 47 The data for this plasmid were compared to the average negative supercoil density of the vector.…”
Section: Discussionmentioning
confidence: 99%
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“…The number of GAA repeats correlates with the reduction in frataxin expression, which correlates, in turn, with disease severity. Larger GAA expansion results in an earlier age of onset; loss of ambulation occurs earlier [89][90][91][92]. Another source of variability in the clinical presentation of FA are mutations within the FRX gene [93], present in 1-5% of the affected individuals.…”
Section: Friedreich's Ataxiamentioning
confidence: 97%