The capacity of (CTG⅐CAG) n and (GAA⅐TTC) n repeat tracts in plasmids to induce mutations in DNA flanking regions was evaluated in Escherichia coli. Long repeats of these sequences are involved in the etiology of myotonic dystrophy type 1 and Friedreich's ataxia, respectively. Long (CTG⅐CAG) n (where n ؍ 98 and 175) caused the deletion of most, or all, of the repeats and the flanking GFP gene. Deletions of 0.6 -1.8 kbp were found as well as inversions. Shorter repeat tracts (where n ؍ 0 or 17) were essentially inert, as observed for the (GAA⅐TTC) 176 -containing plasmid. The orientation of the triplet repeat sequence (TRS) relative to the unidirectional origin of replication had a pronounced effect, signaling the participation of replication and/or repair systems. Also, when the TRS was transcribed, the level of deletions was greatly elevated. Under certain conditions, 30 -50% of the products contained gross deletions. DNA sequence analyses of the breakpoint junctions in 47 deletions revealed the presence of 1-8-bp direct or inverted homologies in all cases. Also, the presence of non-B folded conformations (i.e. slipped structures, cruciforms, or triplexes) at or near the breakpoints was predicted in all cases. This genetic behavior, which was previously unrecognized for a TRS, may provide the basis for a new type of instability of the myotonic dystrophy protein kinase (DMPK) gene in patients with a full mutation.
Myotonic dystrophy type 1 (DM1)1 is an autosomal dominant neuromuscular disease that exhibits a high incidence (ϳ1:8000) and shows frequent mortality in affected infants (1). An unstable region on chromosome 19q13.3 was discovered as the genetic basis of DM1. A polymorphic locus was found to be larger in DM1 patients (1-3), because of substantial expansions of a CTG⅐CAG repeat tract in the 3Ј-untranslated region of the myotonic dystrophy protein kinase (DMPK) gene (1). As many as 3000 repeats (9000 bp) have been found in some patients, expanded from the normal range of 5-37 repeats.DM1 displays a non-Mendelian inheritance pattern.The molecular mechanisms responsible for this genetic instability have been extensively investigated in recent years in bacteria, yeast, cell culture, and mouse systems (reviewed in Refs. 1-4). DNA replication (5-9), repair (10 -13), and recombination (14 -16) are involved, probably acting in concert with other factors/processes, such as single-strand DNA-binding proteins (17) and transcription (9, 18). Also, the long CTG⅐CAG repeat tract can adopt an unusual flexible and writhed conformation (19), which may promote the formation of slipped structures (9, 20, 21) with a transiently formed, quasistable, long CTG sequence along with an unpaired and unstacked long CAG complementary strand. These types of preferential single-strand stabilities and DNA conformational behaviors are integral to the interpretation of the genetic instability effects of TRS orientation relative to the direction of DNA replication (1-4, 9).A 2.5-kbp poly(purine⅐pyrimidine) tract from the human polycy...