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Neurology. Genetics · 2021

Brain Regional Differences in Hexanucleotide Repeat Length in X-Linked Dystonia-Parkinsonism Using Nanopore Sequencing.

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Reyes Charles Jourdan, Laabs Björn-Hergen, Schaake Susen, Lüth Theresa, Ardicoglu Raphaela, Rakovic Aleksandar, Grütz Karen, Alvarez-Fischer Daniel, Jamora Roland Dominic, Rosales Raymond L, Weyers Imke, König Inke R, Brüggemann Norbert, Klein Christine, Dobricic Valerija, Westenberger Ana, Trinh Joanne

Аннотация

OBJECTIVE: Our study investigated the presence of regional differences in hexanucleotide repeat number in postmortem brain tissues of 2 patients with X-linked dystonia-parkinsonism (XDP), a combined dystonia-parkinsonism syndrome modified by a (CCCTCT)n repeat within the causal SINE-VNTR-Alu retrotransposon insertion in the TAF1 gene.

METHODS: Genomic DNA was extracted from blood and postmortem brain samples, including the basal ganglia and cortex from both patients and from the cerebellum, midbrain, and pituitary gland from 1 patient. Repeat sizing was performed using fragment analysis, small-pool PCR-based Southern blotting, and Oxford nanopore sequencing.

RESULTS: The basal ganglia (p < 0.001) and cerebellum (p < 0.001) showed higher median repeat numbers and higher degrees of repeat instability compared with blood.

CONCLUSIONS: Somatic repeat instability may predominate in brain regions selectively affected in XDP, thereby hinting at its potential role in disease manifestation and modification.