Author/Editor     Medica, I; Logar, N; Batagelj, M; Peterlin, B
Title     Characteristics of moyotonic dystrophy in Istria: molecular genetics approach - mutation analysis
Type     članek
Source     Coll Antropol
Vol. and No.     Letnik 22, št. 2
Publication year     1998
Volume     str. 477-84
Language     eng
Abstract     Myotonic dystrophy (DM) is the most prevalent myopathy in adults. In Istria one of the highest prevalence rates of 18/100000 has been reported. Two loci, the most prevalent 19q locus with mutations in the myotonin protein kinase gene and the second locus mapped to the 3q have been so far implicated in DM. The purpose of this study was to evaluate the molecular pathogenesis in the Istrian population by the analysis of (CTG) expansionin myotonin protein kinase gene. Additionally genotype - phenotype correlation was analysed, as well as the transmission of expanded trinucleotides through generations. We investigated 27 DM patients from the 10 families that were ascertained in isria in our pevious edpidemiological study. Southern blot and polymerase chain reaction (PCR) techniques were used to evaluate the (CTG) expansion. In 9 of the 10 DM familis an amplification was edintified as the mechanism of mutation. A correlation between the size of the (CTG) expansion and phenotype was found. Among 10 parent-child transmission analysed, one reduction, 2 stable transmissions and 7 amplifications were observed, one through the affected father. The amplification of (CTG) in the nyotonin protein kinase gene was identified in the majority of Istrian DM families Diret mutation analysis is the method of choice for clinical and prenatal diagnosis of DM.
Descriptors     MYOTONIA ATROPHICA
PROTEIN KINASES
MUTATION
TRINUCLEOTIDE REPEATS
POLYMERASE CHAIN REACTION
BLOTTING, SOUTHERN
CHROMOSOMES, HUMAN, PAIR 19
CHROMOSOMES, HUMAN, PAIR 3
PHENOTYPE
GENOTYPE
PEDIGREE
GENE AMPLIFICATION
CROATIA
ELECTROMYOGRAPHY
MUSCLE WEAKNESS