CTG repeats refer to a specific type of repetitive DNA sequence where the nucleotides cytosine (C), thymine (T), and guanine (G) repeat in a specific order. The length of these repeats can vary among individuals and is typically measured in terms of the number of CTG repeats.
Chromosome:
The location of the CTG repeat can vary depending on the disorder that it is associated with. For example, in myotonic dystrophy type 1 (DM1), the CTG repeat expansion is located in the 3' untranslated region of the DMPK gene on chromosome 19.
Gene:
The CTG repeat expansion is typically located within the coding or non-coding region of a specific gene. For example, in DM1, the CTG repeat expansion is located in the 3' untranslated region of the DMPK gene, which leads to abnormal RNA splicing and a toxic gain-of-function of the DMPK protein.
Number of repeats:
The number of CTG repeats can vary widely among individuals. In the case of DM1, the normal range of CTG repeats is 5-37. However, individuals with DM1 have CTG repeats that are expanded beyond the normal range, with the size of the expansion correlating with disease severity. For example, individuals with DM1 with fewer than 50 CTG repeats typically have a milder form of the disorder, while those with more than 1,000 CTG repeats have a severe form.
Significance:
The significance of CTG repeat expansions can vary depending on the location of the repeat and the gene that it affects. In the case of DM1, the CTG repeat expansion leads to the production of an abnormal DMPK protein that accumulates in muscle and other tissues, leading to muscle weakness, myotonia (delayed muscle relaxation), and other symptoms. CTG repeat expansions have also been associated with other disorders, such as Huntington's disease, spinocerebellar ataxia, and various forms of muscular dystrophy.
In addition to causing disease, CTG repeat expansions can also have functional consequences. For example, a recent study has shown that CTG repeat expansions in the intron of the TCF4 gene can regulate the expression of nearby genes, leading to altered gene expression and cellular function. Overall, CTG repeat expansions are an important area of research in the study of genetic disorders and gene regulation.
