Unstable Microsatellites and Human Disease Advance Registration 2025

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An expanded repeat located in a non-coding region causes cellular toxicity in myotonic dystrophy (DM), fragile X-associated tremor/ataxia syndrome (FXTAS) and spinocerebellar ataxias type 8, 10 and 12 (SCA8, SCA10 and SCA12).
Because microsatellites consist of such repetitive sequences, DNA polymerase may make errors at a higher rate in these sequence regions. Several studies have found evidence that slippage is the cause of microsatellite mutations. Typically, slippage in each microsatellite occurs about once per 1,000 generations.
More than 50 neurological diseases are caused by microsatellite repeat expansions, including myotonic dystrophy, C9ORF72 amyotrophic lateral sclerosis/ frontotemporal dementia (C9-ALS/FTD), and Huntington disease (HD).
The most common microsatellite motifs in the human genome are A/T rich and more than a third of microsatellites in our data set (36.4%) are composed of the motifs A/T or AC/GT (Table 1).
Microsatellite repeat expansions in DNA produce pathogenic RNA species that cause dominantly inherited diseases such as myotonic dystrophy type 1 and 2 (DM1/2), Huntingtons disease, and C9orf72-linked amyotrophic lateral sclerosis (C9-ALS).
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Microsatellite instability may be caused by mistakes that dont get corrected when DNA is copied in a cell.

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