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Origin of the expansion mutation in myotonic dystrophy

Abstract

Myotonic dystrophy (DM) is caused by the expansion of a CTG trinucleotide repeat. The mutation is in complete linkage disequilibrium with a nearby two–allele insertion/deletion polymorphism, suggesting a single origin for the mutation or predisposing mutation. To trace this ancestral event, we have studied the association of CTG repeat alleles in a normal population to alleles of the insertion/deletion polymorphism and of a (CA)n repeat marker 90 kilobases from the DM mutation. The results strongly suggest that the initial predisposing event(s) consisted of a transition from a (CTG)5 allele to anallele with 19 to 30 repeats. The heterogeneous class of (CTG)19–30 alleles which has an overall frequency of about 10%, may constitute a reservoir for recurrent DM mutations.

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Imbert, G., Kretz, C., Johnson, K. et al. Origin of the expansion mutation in myotonic dystrophy. Nat Genet 4, 72–76 (1993). https://doi.org/10.1038/ng0593-72

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