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Zbornik - Društvo genetičara Srbije

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V-Pos-16 ZBORNIK ABSTRAKATA III KONGRESA GENETIÈARA SRBIJE 219<br />

Subotica, 30. novembar - 4. decembar 2004.<br />

FRIDRAJHOVA ATAKSIJA: ANALIZA MITOTIÈKE<br />

I MEJOTIÈKE NESTABILNOSTI FRDA LOKUSA<br />

V. Dobrièiæ, D. Saviæ, D. Keckareviæ i S. Romac<br />

Biološki fakultet, Univerzitet u Beogradu, Centar za razvoj i primenu PCR-a, Beograd<br />

Fridrajhova ataksija je autozomalno recesivno obolenje i predstavlja najèešæu formu<br />

naslednih ataksija koja se javlja sa uèestalošæu od 1u50000ukavkazoidnoj populaciji.<br />

Osnovni klinièki simptomi Fridrajhove ataksije su: ataksièan hod, ataksija ekstremiteta,<br />

arefleksija donjih ekstremiteta, odsutni mišiæni tetivni refleksi, dizartrija, oslabljen<br />

vibracioni senzibilitet, ekstenzioni plantarni odgovor, kardiomiopatija, pes cavus i<br />

skolioza.<br />

U 96% sluèajeva uzrok bolesti je homozigotna ekspanzija GAA ponovaka u prvom<br />

intronu gena za frataksin (FRDA). U 4% sluèajeva bolest je izazvana GAA ekspanzijom<br />

na jednom i taèkastom mutacijom na drugom hromozomu. Normalni aleli sadre od 5 do<br />

33 GAA ponovaka. Aleli velièine od 34 do 65 ponovaka nisu asocirani sa bolešæu, ali<br />

imaju veæu verovatnoæu ekspanzije prilikom intergeneracijskog prenošenja u odnosu na<br />

normalne alele. Mutirani aleli sadre od 66 do 1700 ponovaka i odlikuju se somatskom<br />

nestabilnošæu.<br />

Rutinska molekularna dijagnostika Fridrajhove ataksije vrši se PCR amplifikacijom<br />

regiona FRDA gena sa GAA ponovcima i analizom amplifikovanih fragmenata na 1%<br />

agaroznom gelu.<br />

U našoj laboratoriji uspostavljena je znatno preciznija i senzitivnija metoda (eng. small<br />

pool, long range PCR based Southern blot) za odreðivanje broja GAA ponovaka u<br />

FRDA genu, u cilju izuèavanja intra- i intertkivnog somatskog mozaicizma mutiranog<br />

alela, kao i praæenja intergeneracijske nestabilnosti istih.<br />

FRIEDREICH’S ATAXIA: ANALYSIS OF MITOTIC<br />

AND MEIOTIC INSTABILITY<br />

Friedreich ataxia is an autosomal recessive disease and it is the most common of the inherited<br />

ataxias, with a frequency of 1 in 50 000 in the Caucasian population. Friedreich’s<br />

ataxia is characterized by ataxic gait, limb ataxia, lower limb areflexia, absent tendon reflexes,<br />

dysarthria, decreased vibration sense, extensor plantar response, cardiomyopathy,<br />

pes cavus and scoliosis.<br />

Friedreich’s ataxia is primarily caused by an homozygous GAA repeat-expansion mutation<br />

within intron 1 of the FRDA gene (96% of patients). Approximately 4% of patients<br />

are compound heterozygotes for this expansion and a point mutation within the same<br />

gene. The number of GAA repeats in normal alleles range from 5 to 33. Alleles with<br />

34-65 GAA repeats are not associated with an abnormal phenotype but they have significant<br />

propensity to expand during parental transmission. Disease-causing alleles are<br />

caracterised by the huge number of GAA repeats (66-1700) and somatic instability.<br />

Routine genetic testing is performed by PCR based GAA repeat length analysis.<br />

In our laboratory we established more sensitive and precise method: small pool, long<br />

range PCR based Southern blot method. It is used for study of intra- and intertissue<br />

mosaicism and intergenerational instability of disease-causing allele.

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