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J Med Genet 1999;36:62-64 ( January )

Short report

Unstable expansion of the CAG trinucleotide repeat in MAB21L1: report of a second pedigree and effect on protein expression Russell L Margolisa, O Colin Stineb, Christopher M Warda, Mary L Franza, Adam Rosenblatta, Colleen Callahana, Meeia Sherra, Christopher A Rossa c, Nicholas T Potterd

a Division of Neurobiology, Department of Psychiatry and Behavioral Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA, b Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA, c Department of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, Program in Cellular and Molecular Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA, d Developmental and Genetic Center, The University of Tennessee Medical Center, Knoxville, TN, USA

Correspondence to: Dr Margolis, Department of Psychiatry, Meyer 2-181, 600 N Wolfe Street, Baltimore, MD 21287, USA.

Received 7 May 1998; Revised version accepted for publication 17 June 1998

MAB21L1, originally termed CAGR1, is the human homologue of the C elegans cell fate determining gene mab21. MAB21L1, mapped to 13q13, contains a highly polymorphic 5' untranslated CAG repeat that normally ranges from six to 31 triplets in length. A pedigree has been previously reported in which the repeat length is expanded to 45-50 triplets and is transmitted unstably between generations; the expansion did not correlate to a clinical phenotype but did exhibit somatic mosaicism. We now report a second pedigree with an expanded and unstably transmitted MAB21L1 CAG repeat of similar length. The expansion is not clearly associated with a clinical phenotype, though the complexity of the pedigree renders any conclusion concerning phenotype-genotype relationships speculative. The expansion did not result in decreased expression of MAB21L1 protein. The length, C-G rich composition, somatic mosaicism, and unstable transmission of the expanded CAG repeat in MAB21L1 resemble the premutations observed in other genes, such as FMR1 and MDPK, in which longer expanded repeats are associated with a clinical phenotype. This raises the possibility that longer expansions in the MAB21L1 repeat may also be associated with a clinical phenotype.


Keywords: trinucleotide; repeat; expansion; MAB21L1


© 1999 by J Med Genet






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