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DNA diagnostics of Friedrich's ataxia

Publication at Second Faculty of Medicine |
1997

Abstract

Friedreich's ataxia (FA) is an autosomal recessive neurodegenerative disease with an estimated prevalence of 1:50 000 -100 000. The corresponding gene (X25) is mapped on chromosome 9ql3 encoding ä 210-amino acid protein, named frataxin, with unknown fimction.

In 98 % of FA patients a dynamic mutation is foimd. The mutation is characterized by amplification of GAA triplet repeats within intron 1 of X25 gene.

We used the PCR method for detection of the amplified GAA region in 16 patients with the chnical diagnosis of FA. For visuahsation of amphfied repeats we used agarose gel and for radioactive labeled products denatiu-ating PAGE.

From 16 patients we detected amplifications of GAA trinucleotides in 7 probands. Twenty-two healthy carriers were found in their famihes.

There were from 400 to 900 GAA trinucleotides. In one case an equal number of 447 amplified sequences was detected on both alleles.

In all families the number of amplified GAA repeats, through the pedigree, was stable in length. Identification of X25 gene and molecular genetic diagnosis of this disorder is a marked contribution to the neurology and cUnical genetics.

It offers the real possibility of classification of this type of ataxia and the subsequent genetic counselhng, possibly reevaluation of chnical results.