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CAG repeats

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lightbulbAbout this topic
CAG repeats refer to sequences of DNA where the nucleotide triplet cytosine-adenine-guanine (CAG) is repeated multiple times. These repeats are significant in genetic research, particularly in relation to certain hereditary diseases, as their expansion can lead to gene dysfunction and associated phenotypic effects.
lightbulbAbout this topic
CAG repeats refer to sequences of DNA where the nucleotide triplet cytosine-adenine-guanine (CAG) is repeated multiple times. These repeats are significant in genetic research, particularly in relation to certain hereditary diseases, as their expansion can lead to gene dysfunction and associated phenotypic effects.

Key research themes

1. How do CAG repeat expansions mechanistically drive Huntington’s disease onset and progression?

This theme investigates the molecular and genetic underpinnings of Huntington’s disease (HD) focusing on how expansions of the CAG trinucleotide repeat in the HTT gene determine age of onset, somatic and intergenerational instability, and clinical progression. Understanding the underlying DNA repair, replication, and transcriptional mechanisms that govern repeat instability and their impacts on disease phenotypes may reveal therapeutic targets to delay or prevent disease.

Key finding: The review consolidates evidence that alternative DNA structures formed by expandable repeats, including CAG repeats, underpin repeat instability through somatic and intergenerational expansion, fragility, and mutagenesis.... Read more
Key finding: Using extensive mouse knock-in models, the study quantified intergenerational CAG repeat instability, revealing sex-dependent biases with paternal transmissions favoring expansions and maternal ones contractions. Repeat... Read more
Key finding: The study identifies opposing functions of single-stranded DNA-binding proteins canonical RPA and alternative Alt-RPA in handling slipped-CAG DNA structures. Canonical RPA promotes error-free repair reducing expansions,... Read more

2. What is the role of repeat-mediated DNA structural dynamics and chromatin context in CAG repeat instability?

This theme explores how DNA secondary structures formed at CAG repeat tracts, together with associated chromatin modifications, influence repeat instability processes that drive disease. It emphasizes the DNA-level mechanisms such as formation of slipped-strand or hairpin structures, replication fork stalling, and epigenetic modifiers that contribute to repeat expansion and genomic fragility.

Key finding: The paper reviews how non-B-DNA structures formed by expandable repeats, including hairpins and slipped-strand DNA, induce genomic instability by impeding replication and repair processes. These structures influence... Read more
Key finding: This work identified insulator elements formed by CTCF-binding sites flanking CTG/CAG repeat tracts, whose methylation disrupts insulator function. This suggests that chromatin architecture and epigenetic regulation at CAG... Read more
Key finding: This comprehensive review posits repetitive DNA, including tandem repeats such as CAG tracts, as critical architectural and functional genome components organizing chromatin domains and nuclear structure. Repeats serve as... Read more
Key finding: The paper highlights instances where Huntington-like phenotypes occur without pathogenic CAG expansions, emphasizing the importance of considering locus-specific epigenetic and structural factors beyond repeat length. It... Read more

3. How do CAG repeat expansions manifest across related neurodegenerative disorders and what are the clinical and diagnostic implications?

This theme synthesizes knowledge on the diverse clinical phenotypes caused by CAG repeat expansions across disorders such as Huntington’s disease, spinocerebellar ataxias (SCAs), and related polyglutamine diseases. It also discusses diagnostic approaches for sizing repeats, genetic counseling relevance, and phenotypic heterogeneity due to repeat dynamics.

Key finding: By cataloging thousands of highly polymorphic CGG repeats genome-wide, many located in neurodevelopmental disease genes, this study suggests that similar repeat expansions, including CAG repeats, may contribute broadly to... Read more
Key finding: This review highlights the molecular features and clinical phenotypes of the predominant SCAs caused by CAG repeat expansions, emphasizing how variable repeat lengths and interruptions influence pathogenesis. It discusses... Read more
Key finding: The study demonstrates the use of fragment analysis for accurate determination of HTT CAG repeat numbers in affected families, identifying risk alleles in asymptomatic individuals. It reinforces that alleles in the 36-39... Read more
Key finding: Through haplotype and repeat length analysis in Brazilian HD families, the paper confirms an inverse correlation between CAG repeat size and age of onset. It documents common haplotypes linked to pathogenic expansions and... Read more
Key finding: This study shows that normal SCA1 alleles harbor CAT interruptions within CAG repeats that stabilize the tract, whereas pathogenic expansions lack these interruptions, leading to instability. Comparative analysis across... Read more

All papers in CAG repeats

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will... more
Machado-Joseph disease (MJD) is an autosomal dominant neurodegenerative disorder of late onset (occurring at a mean age of 40.2 years). The clinical manifestation of MJD is dependent on the presence of an expansion of the (CAG) n motif... more
La enfermedad de Huntington (HD, por sus siglas en inglés) es una enfermedad neurodegenerativa progresiva, con una prevalencia en la población caucásica de 10.6-13.7 casos por 100 000 habitantes. La prevalencia de la forma juvenil (<20... more
Androgen receptor (AR) gene CAG polymorphisms may be associated with body shape, and are associated with certain breast and prostate cancers. In addition, body shape is associated with risk for a variety of diseases, including heart... more
We demonstrate a significant association between longer CAG repeats in the hKCa3/KCNN3 calcium-activated potassium channel gene and schizophrenia in Israeli Ashkenazi Jews. We genotyped alleles from 84 Israeli Jewish patients with... more
A cytokine storm, autoimmune features and dysfunctions of myeloid cells significantly contribute to severe coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Genetic... more
Huntington's disease is a fatal and devastating neurodegenerative genetic disorder for which there is currently no cure. It is characterized by Huntingtin protein's mRNA transcripts with 36 or more CAG repeats. Inhibiting the formation of... more
Background The aim of this study was to determine the frequency of intermediate alleles (IAs) in ATXN1, ATXN2 and HTT in patients with neurodegenerative diseases. Methods This is a multicentric study that included 1126 Alzheimer disease... more
Background The aim of this study was to determine the frequency of intermediate alleles (IAs) in ATXN1, ATXN2 and HTT in patients with neurodegenerative diseases. Methods This is a multicentric study that included 1126 Alzheimer disease... more
Huntington’s Disease (HD) is a late-onset and progressive neurodegenerative disease of the central nervous system with autosomal dominant inheritance. The prevalence of the disease is about 1/100 000 among individuals of European descent.... more
Huntington's Disease (HD) is a late-onset and progressive neurodegenerative disease of the central nervous system with autosomal dominant inheritance. The prevalence of the disease is about 1/100 000 among individuals of European... more
HuntingtonÕs Disease (HD) is a late-onset and progressive neurodegenerative disease of the central nervous system with autosomal dominant inheritance. The prevalence of the disease is about 1/100 000 among individuals of European descent.... more
Huntington gene is located on chromosome 4p16.3 IT15 locus considered a major causative gene of Huntington disorder. HTT is a neurodegenerative disorder mutation in gene cause abnormal movements and psychiatric disturbances. HTT is... more
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