Gene 1 - Huntingtin is a disease gene linked to Huntington's disease, a
neurodegenerative disorder characterized by loss of striatal neurons.
This is thought to be caused by an expanded, unstable trinucleotide
repeat in the huntingtin gene, which translates as a polyglutamine
repeat in the protein product. A fairly broad range in the number of
trinucleotide repeats has been identified in normal controls, and repeat
numbers in excess of 40 have been described as pathological. The
huntingtin locus is large, spanning 180 kb and consisting of 67 exons.
The huntingtin gene is widely expressed and is required for normal
development. It is expressed as 2 alternatively polyadenylated forms
displaying different relative abundance in various fetal and adult
tissues. The larger transcript is approximately 13.7 kb and is expressed
predominantly in adult and fetal brain whereas the smaller transcript
of approximately 10.3 kb is more widely expressed. The genetic defect
leading to Huntington's disease may not necessarily eliminate
transcription, but may confer a new property on the mRNA or alter the
function of the protein. One candidate is the huntingtin-associated
protein-1, highly expressed in brain, which has increased affinity for
huntingtin protein with expanded polyglutamine repeats. This gene
contains an upstream open reading frame in the 5' UTR that inhibits
expression of the huntingtin gene product through translational
repression.
Gene 2 - Deletions and mutations in this gene are associated with supravalvular
aortic stenosis (SVAS) and autosomal dominant cutis laxa. Multiple
transcript variants encoding different isoforms have been found for this
gene.
Gene 3 - Alzheimer's disease (AD) patients with an inherited form of the disease
carry mutations in the presenilin proteins (PSEN1 or PSEN2) or the
amyloid precursor protein (APP). These disease-linked mutations result
in increased production of the longer form of amyloid-beta (main
component of amyloid deposits found in AD brains). Presenilins are
postulated to regulate APP processing through their effects on
gamma-secretase, an enzyme that cleaves APP. Also, it is thought that
the presenilins are involved in the cleavage of the Notch receptor such
that, they either directly regulate gamma-secretase activity, or
themselves act are protease enzymes. Two alternatively spliced
transcript variants encoding different isoforms of PSEN2 have been
identified.
Gene 5 - Mutations in this gene are associated with Marfan syndrome, isolated
ectopia lentis, autosomal dominant Weill-Marchesani syndrome, MASS
syndrome, and Shprintzen-Goldberg craniosynostosis syndrome.
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