Although expansion of trinucleotide repeats accounts for over 30 human diseases, mechanisms of repeat instability remain poorly understood. We show that a Drosophila model for the CAG/ polyglutamine (polyQ) disease spinocerebellar ataxia type 3 recapitulates key features of human CAG-repeat instability, including large repeat changes and strong expansion bias. Instability is dramatically enhanced by transcription and modulated by nuclear excision repair and a regulator of DNA repair adenosine 3´,5´-monophosphate (cAMP) response element–binding protein (CREB)– binding protein—a histone acetyltransferase (HAT) whose decreased activity contributes to polyQ disease. Pharmacological treatment to normalize acetylation suppressed instability. Thus, toxic consequences of pathogenic polyQ protein may include enhancing repeat instability. Expansion of repeat sequences causesmore than 30 human diseases, includingthe CAG-repeat polyQ diseases spino-cerebellar ataxia type 3 (SCA3) and Huntington’s disease (HD), as well as noncoding repeat ex-pansion diseases like the CGG 5 ´ untranslated region (5′UTR)–repeat disease fragile X syn-drome (1, 2). Although the repeats are normal
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