Related Experiment Video
Updated: Jun 12, 2026

Using Next Generation Sequencing to Identify Mutations Associated with Repair of a CAS9-induced Double Strand Break Near the CD4 Promoter
Published on: March 31, 2022
Isolated short CTG/CAG DNA slip-outs are repaired efficiently by hMutSbeta, but clustered slip-outs are poorly
Gagan B Panigrahi1, Meghan M Slean, Jodie P Simard
1Program of Genetics and Genome Biology, The Hospital for Sick Children, Toronto, ON, Canada M5G 1L7.
Abstract:
Expansions of CTG/CAG trinucleotide repeats, thought to involve slipped DNAs at the repeats, cause numerous diseases including myotonic dystrophy and Huntington's disease. By unknown mechanisms, further repeat expansions in transgenic mice carrying expanded CTG/CAG tracts require the mismatch repair (MMR) proteins MSH2 and MSH3, forming the MutSbeta complex. Using an in vitro repair assay, we investigated the effect of slip-out size, with lengths of 1, 3, or 20 excess CTG repeats, as well as the effect of the number of slip-outs per molecule, on the requirement for human MMR. Long slip-outs escaped repair, whereas short slip-outs were repaired efficiently, much greater than a G-T mismatch, but required hMutSbeta. Higher or lower levels of hMutSbeta or its complete absence were detrimental to proper repair of short slip-outs. Surprisingly, clusters of as many as 62 short slip-outs (one to three repeat units each) along a single DNA molecule with (CTG)50*(CAG)50 repeats were refractory to repair, and repair efficiency was reduced further without MMR. Consistent with the MutSbeta requirement for instability, hMutSbeta is required to process isolated short slip-outs; however, multiple adjacent short slip-outs block each other's repair, possibly acting as roadblocks to progression of repair and allowing error-prone repair. Results suggest that expansions can arise by escaped repair of long slip-outs, tandem short slip-outs, or isolated short slip-outs; the latter two types are sensitive to hMutSbeta. Poor repair of clustered DNA lesions has previously been associated only with ionizing radiation damage. Our results extend this interference in repair to neurodegenerative disease-causing mutations in which clustered slip-outs escape proper repair and lead to expansions.
Insights
DNA repair mechanisms involving mismatch repair (MMR) proteins are crucial for preventing expansions of CTG/CAG repeats that cause diseases like Huntington's. Short DNA slip-outs require hMutSbeta for repair, but clustered slip-outs can block repair, leading to disease-associated expansions.
Area of Science:
- Molecular Biology
- Genetics
- Biochemistry
Background:
- Trinucleotide repeat expansions, such as CTG/CAG, are implicated in neurodegenerative diseases and involve DNA slippage.
- The mismatch repair (MMR) system, particularly the hMutSbeta complex (MSH2/MSH3), is known to be involved in processing these repeat expansions.
Purpose of the Study:
- To investigate the in vitro repair requirements for DNA slip-outs of varying lengths and numbers.
- To elucidate the role of the hMutSbeta complex in the repair of CTG/CAG repeat expansions.
Main Methods:
- In vitro DNA repair assays were performed using varying lengths (1, 3, 20 repeats) and numbers of CTG slip-outs.
- The requirement for human MMR proteins, specifically hMutSbeta, was assessed under different conditions.
Main Results:
- Short slip-outs (1-3 repeats) were efficiently repaired but strictly required hMutSbeta, with optimal repair occurring at specific protein levels.
- Long slip-outs (>3 repeats) escaped repair, and clusters of short slip-outs acted as roadblocks, hindering repair and reducing efficiency.
- MMR deficiency exacerbated the lack of repair for clustered slip-outs, similar to observed effects with ionizing radiation damage.
Conclusions:
- DNA repeat expansions can result from escaped repair of long slip-outs or inefficient repair of clustered short slip-outs.
- The hMutSbeta complex plays a critical role in repairing isolated short slip-outs, but clustered slip-outs interfere with this process.
- Interference in the repair of clustered DNA lesions, including disease-associated repeat expansions, contributes to genetic instability and disease pathogenesis.
More Related Videos
Related Concept Videos
Mismatch Repair
The Mutator Protein Family Plays a Key Role in DNA Mismatch Repair
The human genome has more than 3 billion base pairs of DNA per cell. Prior to cell division, that vast amount of genetic...
Mismatch Repair
Fixing Double-strand Breaks
Fixing Double-strand Breaks
Homologous Recombination
Translesion DNA Polymerases
TLS polymerases are found in all three domains of life - archaea, bacteria, and eukaryotes. Of the different classes of TLS polymerases, members of the Y family are fitted with specialized structures that...

