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Human Molecular Genetics Pages 821-825

Analysis of germline variation at the FMR1 CGG repeat shows variation in the normal-premutated borderline range
Introduction
Results
   CGG expansions and contractions in sperm
   CGG expansions and contractions in blood cells
   Arrays structure of C1 and C2 patients
Discussion
Materials And Methods
Acknowledgements
References


Analysis of germline variation at the FMR1 CGG repeat shows variation in the normal-premutated borderline range

Analysis of germline variation at the FMR1 CGG repeat shows variation in the normal-premutated borderline range Etienne Mornet1,2,*, Corinne Chateau1, Mark C. Hirst3, François Thepot4, Agnès Taillandier1, Olivier Cibois1 and Jean-Louis Serre2

1Centre d'Etudes de Biologie Prénatale SESEP, Université de Versailles-Saint Quentin, Versailles, France, 2Laboratoire de Cytogénétique et Biologie Moléculaire Humaine, Université de Versailles-Saint Quentin, Versailles, France, 3Fragile X Group, Institute of Molecular Medicine, John Radcliffe Hospital, Headington, Oxford, UK and 4Laboratoire de Cytogénétique et de Biologie de la Reproduction, Centre Hospitalier Universitaire d'Amiens, Amiens, France

Received February 14, 1996; Revised and Accepted March 21, 1996

In order to characterize the dynamics of CGG repeat instability at the fragile X syndrome locus (FMR1 gene), we have used small pool PCR to estimate the mutation rate within germline (sperm) and somatic tissue (leukocytes) of two normal males, one carrying the most common 29 CGG repeats allele, the other carrying a borderline normal-premutated allele of 55 repeats. Large contractions and moderate expansions of the repeat were found in sperm and blood for the 55 repeat allele while almost no variation was found in sperm or blood with the 29 repeat allele. Somatic blood DNA exhibited fewer expansions and contractions than sperm. Contractions were more frequent than expansions, and all the expansions were found in the +4 to +10 repeats range, while most of the contractions were found in the -10 to -30 range, suggesting that a subset of contractions results from a distinct mechanism. These results also suggest that the dynamics of the CGG repeat could be partly due to germline instability within the high normal or premutated ranges.

INTRODUCTION

Fragile X syndrome is the most common cause of inherited mental retardation, with an incidence of ~1 in 1500 males and 1 in 2500 females. It is associated with a rare, fragile site at Xq27.3 (FRAXA). In males, the syndrome is associated with moderate to severe mental retardation, facial anomalies, macroorchidism and a folate-sensitive fragile site. Phenotypic expression has been linked to abnormal cytosine methylation of a single CpG island (1 -3 ). This region contains a repetitive sequence (CGG)n which lengthens dramatically in fragile X patients and has been identified as lying within the first exon of the FMR1 gene (4 ). Analysis of length variation in the (CGG)n repeat in normal individuals has shown a range of allele sizes extending from six to 54 repeats (5 ). Premutations showing no phenotypic effect in fragile X families range in size from ~54 to >200 repeats, while alleles with >200 repeats correspond to the full mutation. Expansions from premutations to full mutations do not occur in germline but result from early postzygotic instability (6 ). Premutation alleles are unstable and frequently show an intergenerational expansion.

The expansion from a premutation to a full mutation has been studied extensively in fragile X families. By contrast, very little is known about the transition from normal to premutated alleles, and nothing is known about intergenerational variation at the (CGG)n locus within the normal or premutation range.

Although there is no definitive evidence, DNA polymerase slippage, a mechanism responsible for allelic variation in microsatellites, is assumed to account for at least some of the transitions from normal to premutated alleles, particularly in the 35-55 repeats range where the risk for further expansion has been shown to be increased (7 -9 ). These alleles, which are more liable to mutate than others, are issued from a few founder chromosomes (10 -12 ) or from a particular haplotype background (13 ). Recent studies showed that these alleles exhibited larger pure repeat lengths at the 3' end (14 -18 ) and that the loss of an interspersed AGG triplet within the 3' end acts to promote slippage in the pure CGG repeat, perhaps by forming in DNA a stable complex structure (19 -21 ).

Analysis of (CGG)n variation in sperm might help to determine the respective contributions of germinal and postzygotic expansions to the transition from normal to premutated alleles. It may also help to understand the mechanisms underlying this transition and determine the rates of contractions within the normal and high normal ranges, data critical in providing an overall picture of the dynamics of the FMR1 CGG repeat. Previous reports showed that analysis of germline mutations in human minisatellites or in the myotonic dystrophy (DM) gene was possible using the small pool PCR (SP-PCR) technology (22 ,23 ). In this study, we have investigated the mutation rate of the FMR1 (CGG)n array within germline (sperm) and somatic tissue (leukocytes) of two normal males, one carrying the most common 29 repeat allele, the other carrying a borderline normal-premutated allele of 55 repeats. Our data show variation in sperm and blood for the 55 repeat allele, while almost no variation was found for the 29 repeat allele. Contractions were found to be more frequent than expansions, and the clear-cut difference in the distributions of the sizes of expansions and contractions suggests that these two kinds of mutations result from distinct mechanisms.

RESULTS

CGG expansions and contractions in sperm

The results of SP-PCR analysis are shown in Table 1 and in Figures 1 and 2 . Due to artifacts of PCR resulting in shorter and longer amplification products, the germline contractions and expansions of <4 repeats were not recorded. Indeed, the observed PCR products in these ranges may result from DNA polymerase slippage during PCR as well as genuine DNA polymerase slippage during cell divisions in germline, without any possibility of distinguishing between these two phenomena. Analysis of 10-fold diluted DNA samples (17.5 cells per pool) suggested that most of the observed short-range variation occurred during PCR (not shown). In sperm from individual C1 (55 repeats), the rate of expansion was found to be 7*10-4 (14 variants in 18900 equivalent cells analyzed) and the most frequent change in size was + 4 repeats (five cases). DNA from sperm of individual C2 (29 repeats) did not show any expansion in the 10 800 cells analyzed.


Figure 1. SP-PCR of sperm DNA from individual C2 (29 repeats). Each lane corresponds to amplification of 175 haploid genomes. T: PCR product of 100 ng of genomic DNA from individual C1 (55 repeats).


Among 8000 equivalent C1 cells analyzed, we found a contraction rate of 19*10-4 (15 contractions ranging in size from -4 to -30 repeats). Amplification of premutated alleles (up to 170 repeats) under the same DNA dilution conditions indicates that the lower expansion rate is not due to misamplification of larger alleles (not shown). Except for one four repeat contraction, all the contractions detected were found to be longer than nine repeats. This is in stark contrast to the observed expansions in C1, which were of much shorter unit length. Only one contraction of five repeats was found in the 11 000 cells analyzed from individual C2, suggesting again that contractions are dependent upon the size of the repeat.

CGG expansions and contractions in blood cells

Somatic blood DNA from C1 showed an expansion rate of 1*10-4, ~7-times lower than that in sperm. As in sperm, contractions were found more frequently (8*10-4). We found no evidence for instability in DNA of somatic lymphocytes from C2. The different rates of instability observed in germline and soma of C1 indicate that variations of greater than four repeats are unlikely to be due to PCR artifacts since the size of the repeat is the same in both tissues.

Table 1 Distribution of expansions and contractions in DNA from sperm and blood of two individuals, carrying 8A9A36 (C1) and 9A9A9 (C2) FMR1 repeat arrays
 

Donor C1

 

 

Donor C2

 

Sperm

Leukocytes

 

Sperm

Leukocytes

Expansions

N

18 900

12 400

 

10 800

14 200

+4

5

1

 

0

0

+5

2

0

 

0

0

+6

2

0

 

0

0

+7

2

0

 

0

0

+8

1

0

 

0

0

+9

0

0

 

0

0

+10

2

0

 

0

0

Instability

7*10-4

1*10-4

 

0

0

Contractions

N

8000

7100

 

11 000

12 200

4

1

0

 

0

0

5

0

0

 

1

0

6

0

0

 

0

0

9

1

0

 

0

0

10

2

1

 

0

0

11

1

0

 

0

0

12

1

0

 

0

0

13

1

0

 

0

0

15

1

2

 

0

0

20

1

0

 

0

0

21

0

1

 

0

0

22

1

0

 

0

0

23

1

0

 

0

0

25

1

0

 

0

0

27

1

0

 

0

0

28

1

0

 

0

0

29

0

1

 

0

0

30

1

1

 

0

0

Instability

19*10-4

8*10-4

 

1*10-4

0

The first column indicates the size of expansions (with +) and contractions (with -) in triplet repeatsN: number of equivalent cells analyzed by SP-PCR.

Arrays structure of C1 and C2 patients

Sequence analysis of the repeat arrays showed the structures 5'-(CGG)8 AGG (CGG)9 AGG (CGG)36-3' (8A9A36) in C1 and 5'-(CGG)9 AGG (CGG)9 AGG (CGG)9-3' (9A9A9) in C2.

DISCUSSION


Figure 2. SP-PCR of sperm DNA from individual C1 (55 repeats). Expansions can be seen in lanes 1, 10, 17 and 19 and contractions in lanes 7, 11, 15 and 18.


We analyzed, by SP-PCR, the variation in FMR1 (CGG)n repeat length in sperm and leukocytes from two normal males, one with a 29 repeat allele and the other with a 55 repeat allele. We observed variations by expansion or contraction mostly in the upper normal range (55 repeats), and rarely in the average normal range (29 repeats). As previously observed (14 -18 ), we presume that the length variation occurred in the 3' most (CGG)n block in C1. This indicates that germline instability of CGG repeats in the intermediate range depends on the size of the repeat, more particularly on the pure CGG tract length. Due to the fact that short contractions and expansions cannot be distinguished from PCR artifact products, the rates of expansion and contraction reported here are underestimated and more reliable for large variations.

Our data show that, for C1, contraction rates are significantly greater than expansion rates in germline (19*10-4 versus 7*10-4; P<10-2) and in somatic tissues (8*10-4 versus 1*10-4; P<10-2). This is consistent with previous reports for the (CAG)n arrays within the androgen receptor (AR) and myotonic dystrophy (DM) genes within the germline of high normal range individuals (23 ,24 ). However, the frequencies of change in these genes seem greater than in (CGG)n. The expansion rate in AR increased disproportionately by >200-fold in cells with full mutations, though contractions increased 15-fold, suggesting that expansion and contraction may be due to distinct molecular mechanisms (25 ). In order to put a figure to expansions and contractions in the (CGG)n repeat, it would be interesting to analyze germline variation from individuals with intermediate allelic ranges, for example 35 and 45 repeats and with premutations. Interestingly, all the expansions were found in the +4 to +10 repeats range while most of the contractions were in the -10 to -30 range (Table 1 ). This may suggest that expansions and short contractions occurred by the same mechanism but that an additional subset of large contractions emerged from a disruptive mechanism, perhaps hairpin deletion as suggested by in vitro studies (21 ). This hypothesis is corroborated by the fact that this disruptive mechanism also depends on the size of the repeat, since no large contraction was observed in the DNA from C2. Sperm typing of CAG repeats in the AR gene allowed Zhang et al. to reach the same conclusion (24 ,25 ). Large contractions within the germline of premutated individuals may also account for observed regressions in size within fragile X families (26 ,27 ).

Sequence analysis of the repeat arrays in C1 and C2 showed the structures 8A9A36 and 9A9A9, respectively. Individual C1 was shown to carry the founder haplotype DX204-AC155-A as defined by the flanking microsatellites DXS548 and FRAXAC2 (11 ) and FRAXAC1 (16 ). This was found previously to be an `at-risk' haplotype because it is more frequent in fragile X chromosomes (10 ,11 ). Moreover, Hirst et al. (16 ) previously reported the array structure 8A9Ax in two chromosomes with 41 and 45 repeats (x = 22 and 26, respectively) associated with the same FRAXAC1 A allele but two different DXS548 alleles. This might suggest that the 8A9Ax structure arrays share a common ancestor. The different DXS548 alleles may reflect meiotic recombination between FRAXA and DXS548 which are 150 kb away. Because the array structure 8A9Ax is very rare in repeats shorter than 35, it may be associated with a subset of alleles predisposed to further expansion. The size of the CGG repeat in the offspring of C1 was not analyzed.

As a whole, the intermediate range allele exhibited higher instability within sperm than within leukocytes (1.08*10-3 versus 3.6*10-4; P[approx]5*10-3). Due to the large sample size, this conclusion stays valid for expansions (7*10-4 versus 1*10-4; P<10-2) and is only borderline for contractions (19*10-4 versus 8*10-4; P = 9*10-2). These data suggest that germinal variation may also result from meiosis and that the mechanism of instability is different in germline and soma. This meiotic instability could be estimated by the difference between the mutation rate in sperm and the mutation rate in blood, but such a calculation requires that leukocytes and sperm are derived from approximately the same number of founder cells. Thus, germline instability may partly account for the dynamics of the CGG in the premutation borderline range. Postzygotic instability, suggested to be responsible for most of the transitions from premutations to full mutations (6 ), could be acting together with germline instability in the transition from normal to premutated alleles. The relatively small size of expansions in both germline and blood suggests that several recurrent mutations must have occurred on a chromosome before reaching the premutation array. Such a multistep process would lead to a series of hierarchical reservoirs resulting in genetic drift through a series of hierarchical founder effects. This could explain the reported existence of founder chromosomes (10 -12 ,18 ). However, high normal range alleles in DM (23 ) and AR (24 ) were shown to expand with rates respectively 100-fold and 500-fold greater than C1, even when variations of fewer than four repeats were not recorded. Moreover, one MD allele of 27 repeats had a 5-fold higher rate of expansion than contraction (25 ) and one HD allele of 30 repeats exhibited a rate of expansion higher than its contraction (28 ). Thus, the founder haplotype found in C1 does not necessarily make it a candidate for further expansion, since it contracts at a higher rate than it expands. However, it may predispose to additional changes enhanced by other factors such as cis-acting flanking elements, as previously suggested (13 ,27 ,28 ).

In conclusion, our data suggest that both germline and somatic variation contribute to the dynamics of the (CGG)n repeat length variation within the high normal-premutation range. In addition, the size changes observed suggest that expansions and contractions might result from distinct mechanisms.

MATERIALS AND METHODS

Sperm and blood samples were obtained from two individuals from the general population. CGG repeat length variation was analyzed by SP-PCR (22 ) using a PCR protocol adapted from Fu et al. (5 ) and Levinson et al. (29 ). Genomic DNA from lymphocytes or sperm was diluted to a concentration of 1.14 ng/[mu]l, corresponding to ~350 haploid genomes/[mu]l. Aliquots of 175 (or 17.5 in a few cases) cells were denatured with 0.5 [mu]l of 0.8 M NaOH, 1 mM EDTA for 5 min at room temperature and neutralized with 0.5 [mu]l of 0.5 M NH4C2H3O2 pH 5.4. Samples were amplified by PCR in 10 mM Tris-HCl pH 8.3, 50 mM KCl using 2 mM MgCl2, 500 mM each dATP, dCTP, dTTP and deaza-dGTP, 10% dimethysulfoxide and 1 U of Taq DNA polymerase (Eurobio, France). The reaction mixture was heated to 95oC for 10 min, and then subjected to five cycles of DNA denaturation (2 min 30 s at 95oC), annealing (1 min at 65oC) and extension (2 min 30 s at 72oC) and 25 cycles of DNA denaturation (1 min 30 s at 95oC), annealing (1 min at 55oC) and extension (2 min 30 s at 72oC). The sense primer used was 5'AGCCCCGCACTTCCACCACCAGCTCCTCCA and the antisense primer was 5'GCTCAGCTCCGTTTCGGTTTCACTTCCGGT.

PCR products were migrated onto a sequencing gel of 4% polyacrylamide, transferred onto a nylon membrane and hybridized with a GCC7 oligonucleotide probe end-labeled with DNA terminal transferase (Boehringer Mannheim) and digoxygenin-ddUTP. Hybridization was performed at 62oC in 5* SSC, 0.1% laurylsarcosine, 0.02% SDS and 1% blocking reagent (Boehringer Mannheim). Membranes were washed for 20 min at 62oC in 2* SSC, 0.1% SDS and detected by chemiluminescence.

The size of the CGG alleles of the two tested individuals was checked by sequence analysis of the repeat arrays and by amplification of 200 ng of somatic DNA co-migrated with a sequencing reaction of bacteriophage M13.

Preparation of sequencing templates and sequence analysis of the repeat arrays was performed with Pfu polymerase (Stratagene) as previously described (16 ). Significances of the instability rates were statistically tested by using a 2*2 [chi]2 test.

ACKNOWLEDGEMENTS

This work was supported by a grant from the Fondation pour la Recherche Médicale. M.H. is funded by the Wellcome Trust.

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*To whom correspondence should be addressed


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