List the 4 trinucleotide repeat disorders
Fragile X Huntington’s Mytonic dystrophy Friedreich ataxia
(CTG)n
Myotonic dystrophy
(CGG)n
Fragile X
Mode of inheritance: Fragile X syndrome
X-linked
Trinucleotide repeat
What causes myotonic dystrophy?
Expansion of DMPK1 gene = abnormal expression of myotonin protein kinase
(CAG)n
Huntington’s
Fragile X syndrome is 2nd most common cause of:
Inherited intellectual disability
(after Downs)
Muscle wasting + frontal balding + cataracts + testicular atrophy
Myotonic dystrophy (expansion of CTG in DMPK gene)
(GAA)n
Friedrich ataxia
Marcoorchidism + long face + large jaw + everted ears + autism + MVP
Fragile X syndrome
(Xtra large ears, balls, jaw)