The DOI matches its Crossref record; 155 of the 157 references it cites were found in a registry or an index.
Repeat instability: mechanisms of dynamic mutations
Abstract
Disease-causing repeat instability is an important and unique form of mutation that is linked to more than 40 neurological, neurodegenerative and neuromuscular disorders. DNA repeat expansion mutations are dynamic and ongoing within tissues and across generations. The patterns of inherited and tissue-specific instability are determined by both gene-specific cis-elements and trans-acting DNA metabolic proteins. Repeat instability probably involves the formation of unusual DNA structures during DNA replication, repair and recombination. Experimental advances towards explaining the mechanisms of repeat instability have broadened our understanding of this mutational process. They have revealed surprising ways in which metabolic pathways can drive or protect from repeat instability.
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“By a process that is poorly understood, a small number of specific normal-length STRs undergo somatic or germline expansion and transition to intermediate, pre-mutation, and mutation (affected) repeat unit tract lengths (Mirkin, 2007; Pearson et al., 2005).”
From Disease-Associated Short Tandem Repeats Co-localize with Chromatin Domain Boundaries (2018) · cites this paper as Pearson et al., 2005
In the citing paper
“Notably, a large number of daSTRs known to undergo paternal instability (McMurray, 2010; Pearson et al., 2005) co-localized to boundaries in mouse sperm and not in mouse oocytes (Du et al., 2017), suggesting that daSTRs could be at boundaries when germ line expansion takes place (Figure S3).”
From Disease-Associated Short Tandem Repeats Co-localize with Chromatin Domain Boundaries (2018) · cites this paper as Pearson et al., 2005
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Pan, F., Xu, P., Roland, C., Sagui, C., & Weninger, K. (2024) · Biomolecules · doi:10.3390/biom14101278 · Cited by 14
“The expansion is believed to be primarily caused by some sort of slippage during DNA replication, repair, recombination or transcription [1,8–10, 32– 34, 45– 53 ], which involves involves the 3 of 25 The expanded CAG region will result in mRNA containing the expanded region as well as a longer…”
BackgroundSurvey and analysis of simple sequence repeats (SSRs) present in the genomes of plant viroids
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“Besides, some microsatellite mutational dynamics have gained increasing attention as they have been shown to play a role in human genetic disorders (Pearson et al., 2005), and may have significant roles in the regulation of gene expression (Moxon and Wills, 1999).”
BackgroundKrysa, W., Rajkiewicz, M., & Sułek, A. (2012) · Neurologia i Neurochirurgia Polska · doi:10.5114/ninp.2012.28253 · Cited by 13
“This genetic instability, called dynamic mutation, manifests as a change in copy number (expansion and sometimes contraction) with a rate that depends to some extent on the tract length of initial repeats, tissue specificity or generational age [1].”
BackgroundModeling Neurological Disorders by Human Induced Pluripotent Stem Cells
Kunkanjanawan, T., Noisa, P., & Parnpai, R. (2011) · BioMed Research International · doi:10.1155/2011/350131 · Cited by 14
“This disease caused by no expression of the fragile X mental retardation 1 (FMR1) gene, resulting from untranslation of CGG triplet repeat expansion in the 5′ UTR region of the gene [41].”
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“In line with this notion, loss of several DNA repair genes has been shown to significantly modulate repeat instability in various experimental systems (Savouret et al. 2003; Pearson et al. 2005; Jung and Bonini 2007; Kovtun and McMurray 2008; McMurray 2010).”
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Patterns of Single-Gene Inheritance
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“The cellularmachinery includes components for maintaining genome integrity, such as DNA repair mechanisms, which result in mutational biases [9, 10] and other processes may lead to other biases.”
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“It appears that somatic instability depends on the type and length of the expanded repeat, increases with age, and is also influenced by DNA replication and the repair genes implicated in each particular cell type (Pearson et al. 2005).”
Kim, K., Hong, E. P., Lee, Y., McLean, Z. L., Elezi, E., Lee, R., Kwak, S., McAllister, B., Massey, T. H., Lobanov, S. V., et al. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2322924121 · Cited by 11
“Expansions of short tandem repeat DNA cause many Mendelian disorders (1, 2).”
Recurrent DNA nicks drive massive expansions of (GAA) n repeats
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“They have been first documented as, primarily, spontaneous expansions, or contractions of the tandem triplet repeats in DNA sequences, causing various neurodegenerative diseases ( Pearson et al. 2005; Orr and Zoghbi 2007 ;U sdin2008).”
BackgroundConvergent transcription through microsatellite repeat tracts induces cell death
Lin, W. Y., Lin, Y., & Wilson, J. H. (2014) · Molecular Biology Reports · doi:10.1007/s11033-014-3432-y · Cited by 12
“The mechanisms of repeat instability and disease-associated neuronal cell death are not clearly defined [4, 16, 19].”
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“Other intrinsic properties of the repeat sequence, such as the genomic orientation of the repeat and the TNR purity affect the level of repeat instability between generations (4,11).”
BackgroundInfluentialSequence Length Dictates Repeated CAG Folding in Three-Way Junctions
Degtyareva, N. N., Barber, C. A., Reddish, M. J., & Petty, J. T. (2010) · Biochemistry · doi:10.1021/bi101756e · Cited by 12
“Toward this goal, the adenine isomer 2-aminopurine is used to develop structural and energetic models of repeated CAG sequences, which are prevalent in many inherited neurological diseases (14).”
Proteasome-dependent degradation of replisome components regulates faithful DNA replication
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Gojobori, J., & Ueda, S. (2010) · Molecular Biology and Evolution · doi:10.1093/molbev/msq225 · Cited by 13
“DNA strand slippage during replication or unequal crossing over is considered to cause the repeat length changes (Albrecht and Mundlos 2005; Pearson et al. 2005; Huntley and Golding 2006; Mirkin 2006, 2007).”
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Otoneurological Abnormalities in Patients with Friedreich's Ataxia
Zeigelboim, B. S., Fonseca, V. R., Faryniuk, J. H., Marques, J., Cardoso, R. C., Teive, H. A. G., & Mesti, J. (2016) · International Archives of Otorhinolaryngology · doi:10.1055/s-0036-1572529 · Cited by 12
DNA mismatch repair in trinucleotide repeat instability
Guo, J., Chen, L., & Li, G. (2017) · Science China Life Sciences · doi:10.1007/s11427-017-9186-7 · Cited by 16
Stress-induced acidification may contribute to formation of unusual structures in C9orf72-repeats
Zamiri, B., Mirceta, M., Abu‐Ghazalah, R. M., Wold, M. S., Pearson, C. E., & Macgregor, R. B. (2018) · Biochimica et Biophysica Acta (BBA) - General Subjects · doi:10.1016/j.bbagen.2018.03.001 · Cited by 12
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Repeat Expansion Disease Models
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“Prokaryotic and eukaryotic genomes contain many different types of repetitive DNA sequences, such as tandem repeats and inverted repeats [1], that play important roles in genome evolution, chromosome rearrangement, and regulation of expression [2,3].”
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“Expansion of GAC repeat sequences can be observed in exonic regions of the genome, which can lead to a poly-Asp track in the cartilage oligomeric matrix protein (COMP)(3) (1).”
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Characterizing tandem repeat complexities across long-read sequencing platforms with TREAT and otterPreprint
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“Observations about the changes of repeats in DNA may help to explain other spreading processes in multicellular organisms.”
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The importance of central auditory evaluation in Friedreich's ataxia
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Current molecular insight to reveal the dynamics of CAG repeating units in spinocerebellar ataxia
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FSHD: A Repeat Contraction Disease Finally Ready to Expand (Our Understanding of Its Pathogenesis)
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“Facioscapulohumeral muscular dystrophy (FSHD), was one of the first diseases shown to be caused by an unstable repeat in the early 1990s along with spinal and bulbar muscular atrophy (SBMA), myotonic dystrophy (DM1), and fragile X mental retardation (FRAXA), where the latter three are caused by genetically expanding t…”
Hudgell, M. A. B., & Smith, L. C. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.744783 · Cited by 10
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“DNA repeat expansion mutations are dynamic and ongoing within tissues (somatic instability) and across generations (germline instability) (Pearson et al. , 2005).”
A novel gold-based molecular beacon for probing CNG DNA repeat sequences
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“Because this repeat tends to show somatic and intergenerational instability, DM1 is one of the most variable genetic diseases.(18,19) An increase in repeat length, from 50 up to a few thousand triplets, correlates with more severe symptoms and an earlier age of onset.”
BackgroundThe impact of chromatin on double-strand break repair: Imaging tools and discoveries
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RAN Translation: Fragile X in the Running
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“…an FMRP-inactivating point mutation, I304N, that still produces a (CGG)25-containingmRNAandpresumably RAN-translation products, argues that there is little phenotypic contribution of the loss of RAN translation to the typical FRAXA presentation (Oostra and Willemsen, 2009; Pearson et al., 2005).”
BackgroundInfluentialFragile-X Mental Retardation: Molecular Diagnosis in Argentine Patients
Giliberto, F., Szijan, I., & Ferreiro, V. (2006) · BMB Reports · doi:10.5483/bmbrep.2006.39.6.766 · Cited by 10
“It is presently assumed that the expansion from premutation to full mutation always occurs in the female (Pearson et al., 2005), but it has not yet been determined whether this expansion is pre or postzygotic (Pearson, 2003).”
BackgroundNon-Radioactive Detection of Trinucleotide Repeat Size Variability
Tomé, S., Nicole, A., Gomes-Pereira, M., & Gourdon, G. (2014) · PLoS Currents · doi:10.1371/currents.md.ad50113b899fa1352ce70c087eead706 · Cited by 10
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Eukaryotic Replication Barriers: How, Why and Where Forks Stall
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“Repeat instability occurs in both the germline and somatic tissues of affected individuals, where their continued instability in different tissues exacerbates disease symptoms [6-10].”
BackgroundWiethoff, S., O’Connor, E., Haridy, N. A., Nethisinghe, S., Wood, N. W., Giunti, P., Bettencourt, C., & Houlden, H. (2018) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp-2017-317253 · Cited by 10
Owens, K. M., Quinonez, S. C., Thomas, P. E., Keegan, C. E., Lefebvre, N. D. S., Roulston, D., Larsen, C. A., Stadler, H. S., & Innis, J. W. (2013) · American Journal of Medical Genetics Part A · doi:10.1002/ajmg.a.35843 · Cited by 10
“While replication slippage and associated mechanisms [Chen et al., 2005; Pearson et al., 2005; McMurray, 2010] have been shown to cause the unstable contractions and expansions associated with classic trinucleotide repeat diseases, polyalanine expansions are hypothesized to be caused by unequal crossing-over [Warren,…”
BackgroundWissler, L., Godmann, L., & Bornberg‐Bauer, E. (2012) · Trends in Evolutionary Biology · doi:10.4081/eb.2012.e7 · Cited by 10
Avaliação audiológica na ataxia espinocerebelar
Zeigelboim, B. S., Teive, H. A. G., Santos, R. S., Arruda, W. O., Jurkiewicz, A. L., Mengelberg, H., França, D. M. V. R., & Marques, J. M. (2013) · CoDAS · doi:10.1590/s2317-17822013005000001 · Cited by 10
“The diagnosis of ataxia was performed by a genetic test, using the polymerase chain reaction (PCR)(12-14).”
MethodCraig, K., Takiyama, Y., Soong, B., Jardim, L. B., Pereira, M. L. S., Lythgow, K. T., Morino, H., Maruyama, H., Kawakami, H., & Chinnery, P. F. (2008) · European Journal of Human Genetics · doi:10.1038/ejhg.2008.20 · Cited by 10
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“Myotonic dystrophy is considered a disease of unstable nucleotide repeat expansion and the specific pathophysiology of DM1 will be described, however the interested reader is directed toward published general reviews on nucleotide repeat disorders [9,10].”
BackgroundInterpreting Gene Expression Effects of Disease-Associated Variants: A Lesson from SNCA rs356168
Glenn, O.-C., Tagliafierro, L., Beach, T. G., Woltjer, R. L., & Chiba‐Falek, O. (2017) · Frontiers in Genetics · doi:10.3389/fgene.2017.00133 · Cited by 10
“(Pearson et al., 2005; Mirkin, 2007; Willems et al., 2014; Sudmant et al., 2015; Gymrek et al., 2016; Huddleston and Eichler, 2016; Saul et al., 2016) and that haplotypes matter (Gross et al.”
BackgroundFlow cytometric detection of tandem repeat mutations induced by various chemical classes
Healy, C., Wade, M., McMahon, A., Williams, A., Johnson, D. A., & Parfett, C. L. J. (2006) · Mutation research. Fundamental and molecular mechanisms of mutagenesis · doi:10.1016/j.mrfmmm.2006.01.012 · Cited by 10
“genetic instabilities can lead to impairment of gene functions and to diseases [6].”
BackgroundAdvances in Huntington’s disease diagnostics: development of a standard reference material
Levin, B. C., Richie, K. L., & Jakupciak, J. P. (2006) · Expert Review of Molecular Diagnostics · doi:10.1586/14737159.6.4.587 · Cited by 10
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Bridging the gap: R-loop mediated genomic instability and its implications in neurological diseases
Westover, K. R., Jin, P., & Yao, B. (2024) · Epigenomics · doi:10.2217/epi-2023-0379 · Cited by 11
Holt, I., Lam, L. T., Tomé, S., Wansink, D. G., Riele, H. T., Gourdon, G., & Morris, G. E. (2011) · Journal of Cellular Biochemistry · doi:10.1002/jcb.23075 · Cited by 9
“Recently, MMR and especially Mutsb has been recognized as a major player in trinucleotide repeat instability [Pearson et al., 2005].”
BackgroundTeng, Y., Pramanik, S., Tateishi‐Karimata, H., Ohyama, T., & Sugimoto, N. (2018) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2018.01.083 · Cited by 10
All in the Family: Repeats and ALS/FTD
Pattamatta, A., Cleary, J. D., & Ranum, L. P. W. (2018) · Trends in Neurosciences · doi:10.1016/j.tins.2018.03.010 · Cited by 9
Deletion of the GAPDH gene contributes to genome stability in Saccharomyces cerevisiae
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Short Tandem Repeats and Genetic Variation
Madsen, B. E., Villesen, P., & Wiuf, C. (2010) · Methods in molecular biology · doi:10.1007/978-1-60327-367-1_16 · Cited by 9
Choi, D. E., Shin, J. W., Zeng, S., Hong, E. P., Jang, J.-H., Loupe, J. M., Wheeler, V. C., Stutzman, H. E., Kleinstiver, B., & Lee, J. (2023) · eLife · doi:10.7554/elife.89782 · Cited by 33
“…age- at-onset and respective CAG repeat length ( Gusella and MacDonald, 2000 ; Orr and Zoghbi, 2007 ; Orr et al., 1993 ; Pulst et al., 1996 ; Stevanin et al., 2000 ; Zoghbi and Orr, 2000 ; Schöls et al., 2004 ; Pearson et al., 2005 ; Andrew et al., 1993 ; Duyao et al., 1993 ; Lee et al., 2012 ).”
BackgroundModeling diseases of noncoding unstable repeat expansions using mutant pluripotent stem cells
Yanovsky‐Dagan, S. (2015) · World Journal of Stem Cells · doi:10.4252/wjsc.v7.i5.823 · Cited by 10
Takeuchi, Y., Inubushi, M., Jin, Y.-N., Murai, C., Tsuji, A. B., Hata, H., Kitagawa, Y., & Saga, T. (2014) · Annals of Nuclear Medicine · doi:10.1007/s12149-014-0901-2 · Cited by 9
“The rationale for using 12HRE in SPECT imaging in spite of the saturation effect seen when using more than 6 or 8 copies of HREs was that tandem repeat DNA sequences are commonly known to be unstable and, consequently, the number of repeats may decrease during DNA replication, repair, and recombination in vivo [28, 29…”
MethodAlexandrov, B. S., Valtchinov, V. I., Alexandrov, L. B., Gelev, V., Dagon, Y., Bock, J., Kohane, I. S., Rasmussen, K. Ø., Bishop, A. R., & Usheva, A. (2011) · PLoS ONE · doi:10.1371/journal.pone.0019800 · Cited by 9
“disorders typically have large and variable repeat expansions [6]”
BackgroundAndreoni, F., Darmon, E., Poon, W. C. K., & Leach, D. R. F. (2009) · FEBS Letters · doi:10.1016/j.febslet.2009.11.042 · Cited by 9
“The fact that TNRs can form DNA secondary structures supports the widely accepted hypothesis that polymerase slippage is the primary cause of instability [9,10].”
BackgroundPathogenesis of polyglutamine diseases: Piecing together a complex molecular puzzle
Gonzalez, E. V., & Zoghbi, H. Y. (2025) · The Journal of Experimental Medicine · doi:10.1084/jem.20241336 · Cited by 11
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“Major DNA repair pathways including DNA base excision repair (BER) (9), mismatch repair (MMR) (10) and transcription coupled-nucleotide excision repair (TC-NER) (11) are all involved in modulating TNR instability.”
BackgroundSNP Formation Bias in the Murine Genome Provides Evidence for Parallel Evolution
Plyler, Z. E., Hill, A. E., McAtee, C. W., Cui, X., Moseley, L. A., & Sorscher, E. J. (2015) · Genome Biology and Evolution · doi:10.1093/gbe/evv150 · Cited by 8
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“Microsatellite genesis is a complex evolutionary dynamic process, while the mechanism of SSR change in repeat number is suggested to be determined by mutation rate (Ellegren 2004; Pearson et al. 2005).”
BackgroundGomes-Pereira, M., & Monckton, D. G. (2017) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2017.00153 · Cited by 9
“A number of different molecular mechanisms of trinucleotide repeat expansion have been suggested, involving aberrant DNA replication, DNA repair and/or DNA homologous recombination (Richards and Sutherland, 1994; Richard and Pâques, 2000; Pearson et al., 2005; Gomes-Pereira and Monckton, 2006; Mirkin, 2007; McMurray,…”
BackgroundInfluentialmicRocounter: Microsatellite Characterization in Genome Assemblies
Lo, J., Jonika, M. M., & Blackmon, H. (2019) · G3 Genes Genomes Genetics · doi:10.1534/g3.119.400335 · Cited by 8
“Thesesequencesareprimarilyfoundinnon-coding regions of the genome, although some are located in regulatory or intronic regions (Pearson et al. 2005).”
BackgroundAssociation Analysis of Chromosome X to Identify Genetic Modifiers of Huntington’s Disease
Hong, E. P., Chao, M. J., Massey, T. H., McAllister, B., Lobanov, S. V., Jones, L., Holmans, P., Kwak, S., Orth, M., Ciosi, M., et al. (2021) · Journal of Huntington s Disease · doi:10.3233/jhd-210485 · Cited by 8
Das, B., Nagano, K., Kawai, G., Murata, A., & Nakatani, K. (2021) · The Journal of Organic Chemistry · doi:10.1021/acs.joc.1c02383 · Cited by 7
Chinese homozygous Machado–Joseph disease (MJD)/SCA3: a case report
Zeng, S., Zeng, J., He, M., Zeng, X., Zhou, Y., Liu, Z., Jiang, H. F., Tang, B., & Wang, J. (2015) · Journal of Human Genetics · doi:10.1038/jhg.2014.117 · Cited by 8
Allelic Gene Structure Variations in Anopheles gambiae Mosquitoes
Li, J., Ribeiro, J. M. C., & Yan, G. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010699 · Cited by 8
“First, the deletions/ insertions mutations within exon regions simulate IntronR alternative splicing [34]; Second, tandem repeats at processing sites cause allelic structure variations, since tandem repeats are highly unstable [35].”
BackgroundMagaña, J. J., Cortés-Reynosa, P., Escobar‐Cedillo, R. E., Gómez, R., Leyva‐García, N., & Cisneros, B. (2010) · Molecular Biology Reports · doi:10.1007/s11033-010-0235-7 · Cited by 8
Regulatory Potential of Competing Endogenous RNAs in Myotonic Dystrophies
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Genome-wide simple sequence repeat analysis and specific molecular marker development of rye
Li, Z., Zhao, L., Yang, T., Tang, J., Yu, M., & Ren, T. (2024) · BMC Genomics · doi:10.1186/s12864-024-10689-1 · Cited by 7
Small molecule-induced trinucleotide repeat contractions during in vitro DNA synthesis
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Autosomal Dominant Spinocerebellar Ataxias and Episodic Ataxias
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Electronystagmography findings in spinocerebellar ataxia type 3 (SCA3) and type 2 (SCA2)
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“These expanded triplet repeat tracts, involving (CTG·CAG)n, (CGG·CCG)n, or (GAA·TTC)n sequences, are known to be unstable in vivo in somatic cells and during intergenerational transmission [7,8].”
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“These molecular mechanisms responsible for the genetic instability of TRS are additionally influenced by many factors (Pearson et al. 2005).”
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Metadata
- Authors
- Pearson, C. E., Edamura, K. N., & Cleary, J. D.
- Affiliations
- University of Toronto (CA)
- Hospital for Sick Children (CA)
- Corresponding author
- Pearson, Christopher E.
- Venue
- Nature Reviews Genetics
- Published
- 2005-10
- Volume
- 6
- Issue
- 10
- Pages
- 729-742
- ISSN
- 1471-0056 (ISSN-L)
- 1471-0064
- OpenAlex
- W2087505473
- Cited by
- 924
- References
- 157
- Citations by year
- 2026: 13 · 2025: 23 · 2024: 45 · 2023: 29 · 2022: 25 · 2021: 54 · 2020: 27 · 2019: 38 · 2018: 53 · 2017: 45 · 2016: 58 · 2015: 41 · 2014: 55 · 2013: 46 · 2012: 56
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Genetics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Genetic Neurodegenerative Diseases
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Keywords
- repeat instability, dynamic mutation, trinucleotide repeat disorders, neurodegenerative diseases, neuromuscular disorders, cis-regulatory elements, trans-acting proteins, DNA replication, DNA repair, DNA recombination, DNA secondary structure
- MeSH terms
- DNA Repair, DNA Replication, Humans, Models, Genetic, Mutation, Recombination, Genetic, Trinucleotide Repeat Expansion, Heredodegenerative Disorders, Nervous System, DNA Repeat Expansion, Genomic Instability
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