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RNA transcription, RNA processing, FSHD
What do promoters do, and where are they located?
specific DNA sequences upstream (5') of the coding sequence that mark where transcription begins. They give specificity and help determine how much RNA (and therefore protein) is made.
What is the typical FSHD clinical course?
Onset usually 15-30 years but variable; highly variable expressivity even within families (up to 30% of carriers non-penetrant or minimal); slow progression with possible periods of stability; about 20% need a wheelchair after age 50; normal lifespan
key characteristic of FSHD
scapular winging
Where is the FSHD locus and what gene is involved?
4q35. D4Z4 macrosatellite repeats contain the DUX4 gene (double homeobox 4), which is normally epigenetically repressed after development.
What is D4Z4 and how many repeats do affected vs unaffected people have?
A tandem array of 3.3 kb CpG-rich repeats, each containing a full DUX4 open reading frame. Unaffected people have 8-150 repeats; people with FSHD1 have 1-10 repeats (contraction). BUT not everyone with a contraction in this region has a phenotype!
example of combining alternative splicing and alternative 3’end formation
alpha-tropomyosin gene