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Stable Longitudinal Methylation Levels at the CpG Sites Flanking the CTG Repeat of DMPK in Patients with Myotonic Dystrophy Type 1

Title: Stable Longitudinal Methylation Levels at the CpG Sites Flanking the CTG Repeat of DMPK in Patients with Myotonic Dystrophy Type 1
Authors: Mathis Hildonen; Kirsten Lykke Knak; Morten Dunø; John Vissing; Zeynep Tümer
Source: Genes ; Volume 11 ; Issue 8 ; Pages: 936
Publisher Information: Multidisciplinary Digital Publishing Institute
Publication Year: 2020
Collection: MDPI Open Access Publishing
Subject Terms: epigenetics; genetics; trinucleotide; repeat; inheritance; blood; muscle; biomarker
Description: Myotonic dystrophy type 1 (DM1) is an autosomal dominant multisystem disorder mainly characterized by gradual muscle loss, weakness, and delayed relaxation after muscle contraction. It is caused by an expanded CTG repeat in the 3′ UTR of DMPK, which is transcribed into a toxic gain-of-function mRNA that affects the splicing of a range of other genes. The repeat is unstable, with a bias towards expansions both in somatic cells and in the germline, which results in a tendency for earlier onset with each generation, as longer repeat lengths generally correlate with earlier onset. Previous studies have found hypermethylation in the regions flanking the repeat in congenital onset DM1 and in some patients with non-congenital DM1. We used pyrosequencing to investigate blood methylation levels in 68 patients with non-congenital DM1, compare the methylation levels between the blood and muscle, and assess whether methylation levels change over time in the blood. We found higher methylation levels in the blood of DM1 patients than in healthy controls and especially in the patients who had inherited the disease allele maternally. The methylation levels remained relatively stable over time and are a strong biomarker of the disease, as well as of the maternal inheritance of the disease.
Document Type: text
File Description: application/pdf
Language: English
Relation: Human Genomics and Genetic Diseases; https://dx.doi.org/10.3390/genes11080936
DOI: 10.3390/genes11080936
Availability: https://doi.org/10.3390/genes11080936
Rights: https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.B0EFB508
Database: BASE