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Published on: February 27, 2018
Huntington's disease as caused by 34 CAG repeats
Jürgen Andrich1, Larissa Arning, Stefan Wieczorek
1Department of Neurology, St. Josef Hospital Bochum, Ruhr-University Bochum, Gudrunstr. 56, Bochum, Germany.
Insights
Huntington's disease (HD) is a neurodegenerative disorder linked to expanded CAG repeats in the HD gene. This case study details a 75-year-old male exhibiting HD symptoms with 34 CAG repeats, an intermediate allele size.
Area of Science:
- Genetics
- Neurodegenerative Disorders
- Molecular Biology
Background:
- Huntington's disease (HD) is an autosomal dominant neurodegenerative disorder.
- It results from expanded CAG (cytosine-adenine-guanine) trinucleotide repeats in the HD gene.
- Alleles with over 35 CAG repeats typically manifest clinical HD.
Observation:
- This report focuses on a 75-year-old male patient.
- The patient presented with clinical symptoms consistent with Huntington's disease.
- Genetic analysis revealed 34 CAG repeat units in the HD gene.
Findings:
- The patient's 34 CAG repeat count falls within the intermediate range (27-35 repeats).
- Intermediate alleles are associated with an increased risk of expansion in future generations.
- This case highlights the potential for clinical manifestation even with borderline repeat numbers.
Implications:
- This case underscores the complex genotype-phenotype correlations in Huntington's disease.
- Understanding intermediate alleles is crucial for genetic counseling and risk assessment.
- Further research into the mechanisms of repeat expansion and clinical presentation is warranted.
Abstract:
Huntington's disease (HD) is an autosomal dominantly inherited neurodegenerative disorder caused by an abnormal expansion of a polymorphic stretch of CAG repeats in the coding 5' part of the HD gene on chromosome 4p. Expansions of CAG blocks beyond 35 repeats are associated with the clinical presentation of HD. There is an intermediate range of rare alleles between 27 and 35 CAG repeats with a higher risk for further expansion in subsequent generations. Here, we report a 75-year-old male with clinical features of HD and 34 CAG repeat units.
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Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of Life

