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 rangeEtienne 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.
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.
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.
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.
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.
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