DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms

Unstable repeat disorders comprise a variable group of incurable human neurological and neuromuscular diseases caused by an increase in the copy number of tandem repeats located in various regions of their resident genes. It has become clear that dense DNA methylation in hyperexpanded non-coding rep...

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Main Authors: Loredana Poeta, Denise Drongitis, Lucia Verrillo, Maria Giuseppina Miano
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/11/6/684
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author Loredana Poeta
Denise Drongitis
Lucia Verrillo
Maria Giuseppina Miano
author_facet Loredana Poeta
Denise Drongitis
Lucia Verrillo
Maria Giuseppina Miano
author_sort Loredana Poeta
collection DOAJ
description Unstable repeat disorders comprise a variable group of incurable human neurological and neuromuscular diseases caused by an increase in the copy number of tandem repeats located in various regions of their resident genes. It has become clear that dense DNA methylation in hyperexpanded non-coding repeats induces transcriptional silencing and, subsequently, insufficient protein synthesis. However, the ramifications of this paradigm reveal a far more profound role in disease pathogenesis. This review will summarize the significant progress made in a subset of non-coding repeat diseases demonstrating the role of dense landscapes of 5-methylcytosine (5mC) as a common disease modifier. However, the emerging findings suggest context-dependent models of 5mC-mediated silencing with distinct effects of excessive DNA methylation. An in-depth understanding of the molecular mechanisms underlying this peculiar group of human diseases constitutes a prerequisite that could help to discover novel pathogenic repeat loci, as well as to determine potential therapeutic targets. In this regard, we report on a brief description of advanced strategies in DNA methylation profiling for the identification of unstable Guanine-Cytosine (GC)-rich regions and on promising examples of molecular targeted therapies for Fragile X disease (FXS) and Friedrich ataxia (FRDA) that could pave the way for the application of this technique in other hypermethylated expansion disorders.
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spelling doaj.art-39f85c42253b4c22ba5e0b1a587532b82023-11-20T04:38:45ZengMDPI AGGenes2073-44252020-06-0111668410.3390/genes11060684DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic MechanismsLoredana Poeta0Denise Drongitis1Lucia Verrillo2Maria Giuseppina Miano3Institute of Genetics and Biophysics “Adriano Buzzati-Traverso”, CNR, 80131 Naples, ItalyInstitute of Genetics and Biophysics “Adriano Buzzati-Traverso”, CNR, 80131 Naples, ItalyInstitute of Genetics and Biophysics “Adriano Buzzati-Traverso”, CNR, 80131 Naples, ItalyInstitute of Genetics and Biophysics “Adriano Buzzati-Traverso”, CNR, 80131 Naples, ItalyUnstable repeat disorders comprise a variable group of incurable human neurological and neuromuscular diseases caused by an increase in the copy number of tandem repeats located in various regions of their resident genes. It has become clear that dense DNA methylation in hyperexpanded non-coding repeats induces transcriptional silencing and, subsequently, insufficient protein synthesis. However, the ramifications of this paradigm reveal a far more profound role in disease pathogenesis. This review will summarize the significant progress made in a subset of non-coding repeat diseases demonstrating the role of dense landscapes of 5-methylcytosine (5mC) as a common disease modifier. However, the emerging findings suggest context-dependent models of 5mC-mediated silencing with distinct effects of excessive DNA methylation. An in-depth understanding of the molecular mechanisms underlying this peculiar group of human diseases constitutes a prerequisite that could help to discover novel pathogenic repeat loci, as well as to determine potential therapeutic targets. In this regard, we report on a brief description of advanced strategies in DNA methylation profiling for the identification of unstable Guanine-Cytosine (GC)-rich regions and on promising examples of molecular targeted therapies for Fragile X disease (FXS) and Friedrich ataxia (FRDA) that could pave the way for the application of this technique in other hypermethylated expansion disorders.https://www.mdpi.com/2073-4425/11/6/684hypermethylated expansion disordersDNA hypermethylation-induced transcriptional silencingneurological and neuromuscular diseases5-methylcytosineCpG sitediagnostic methods
spellingShingle Loredana Poeta
Denise Drongitis
Lucia Verrillo
Maria Giuseppina Miano
DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms
Genes
hypermethylated expansion disorders
DNA hypermethylation-induced transcriptional silencing
neurological and neuromuscular diseases
5-methylcytosine
CpG site
diagnostic methods
title DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms
title_full DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms
title_fullStr DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms
title_full_unstemmed DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms
title_short DNA Hypermethylation and Unstable Repeat Diseases: A Paradigm of Transcriptional Silencing to Decipher the Basis of Pathogenic Mechanisms
title_sort dna hypermethylation and unstable repeat diseases a paradigm of transcriptional silencing to decipher the basis of pathogenic mechanisms
topic hypermethylated expansion disorders
DNA hypermethylation-induced transcriptional silencing
neurological and neuromuscular diseases
5-methylcytosine
CpG site
diagnostic methods
url https://www.mdpi.com/2073-4425/11/6/684
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