Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability

Short tandem repeats (STRs) are units of 1–6 base pairs that occur in tandem repetition to form a repeat tract. STRs exhibit repeat instability, which generates expansions or contractions of the repeat tract. Over 50 diseases, primarily affecting the central nervous system and muscles, are character...

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Main Authors: Stephanie Calluori, Rebecca Stark, Brandon L. Pearson
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/2/515
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author Stephanie Calluori
Rebecca Stark
Brandon L. Pearson
author_facet Stephanie Calluori
Rebecca Stark
Brandon L. Pearson
author_sort Stephanie Calluori
collection DOAJ
description Short tandem repeats (STRs) are units of 1–6 base pairs that occur in tandem repetition to form a repeat tract. STRs exhibit repeat instability, which generates expansions or contractions of the repeat tract. Over 50 diseases, primarily affecting the central nervous system and muscles, are characterized by repeat instability. Longer repeat tracts are typically associated with earlier age of onset and increased disease severity. Environmental exposures are suspected to play a role in the pathogenesis of repeat expansion diseases. Here, we review the current knowledge of mechanisms of environmentally induced repeat instability in repeat expansion diseases. The current evidence demonstrates that environmental factors modulate repeat instability via DNA damage and induction of DNA repair pathways, with distinct mechanisms for repeat expansion and contraction. Of particular note, oxidative stress is a key mediator of environmentally induced repeat instability. The preliminary evidence suggests epigenetic modifications as potential mediators of environmentally induced repeat instability. Future research incorporating an array of environmental exposures, new human cohorts, and improved model systems, with a continued focus on cell-types, tissues, and critical windows, will aid in identifying mechanisms of environmentally induced repeat instability. Identifying environmental modulators of repeat instability and their mechanisms of action will inform preventions, therapies, and public health measures.
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spelling doaj.art-23b617600bbd47cd925283fe12178fa62023-11-16T19:19:20ZengMDPI AGBiomedicines2227-90592023-02-0111251510.3390/biomedicines11020515Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat InstabilityStephanie Calluori0Rebecca Stark1Brandon L. Pearson2Department of Environmental Health Sciences, Mailman School of Public Health Columbia University, New York, NY 10032, USADepartment of Environmental Health Sciences, Mailman School of Public Health Columbia University, New York, NY 10032, USADepartment of Environmental Health Sciences, Mailman School of Public Health Columbia University, New York, NY 10032, USAShort tandem repeats (STRs) are units of 1–6 base pairs that occur in tandem repetition to form a repeat tract. STRs exhibit repeat instability, which generates expansions or contractions of the repeat tract. Over 50 diseases, primarily affecting the central nervous system and muscles, are characterized by repeat instability. Longer repeat tracts are typically associated with earlier age of onset and increased disease severity. Environmental exposures are suspected to play a role in the pathogenesis of repeat expansion diseases. Here, we review the current knowledge of mechanisms of environmentally induced repeat instability in repeat expansion diseases. The current evidence demonstrates that environmental factors modulate repeat instability via DNA damage and induction of DNA repair pathways, with distinct mechanisms for repeat expansion and contraction. Of particular note, oxidative stress is a key mediator of environmentally induced repeat instability. The preliminary evidence suggests epigenetic modifications as potential mediators of environmentally induced repeat instability. Future research incorporating an array of environmental exposures, new human cohorts, and improved model systems, with a continued focus on cell-types, tissues, and critical windows, will aid in identifying mechanisms of environmentally induced repeat instability. Identifying environmental modulators of repeat instability and their mechanisms of action will inform preventions, therapies, and public health measures.https://www.mdpi.com/2227-9059/11/2/515repeat instabilityshort tandem repeatrepeat expansion diseasegene–environment interactionsenvironmentoxidative stress
spellingShingle Stephanie Calluori
Rebecca Stark
Brandon L. Pearson
Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability
Biomedicines
repeat instability
short tandem repeat
repeat expansion disease
gene–environment interactions
environment
oxidative stress
title Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability
title_full Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability
title_fullStr Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability
title_full_unstemmed Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability
title_short Gene–Environment Interactions in Repeat Expansion Diseases: Mechanisms of Environmentally Induced Repeat Instability
title_sort gene environment interactions in repeat expansion diseases mechanisms of environmentally induced repeat instability
topic repeat instability
short tandem repeat
repeat expansion disease
gene–environment interactions
environment
oxidative stress
url https://www.mdpi.com/2227-9059/11/2/515
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AT brandonlpearson geneenvironmentinteractionsinrepeatexpansiondiseasesmechanismsofenvironmentallyinducedrepeatinstability