Table 1.

Diseases caused by homopurine-homopyrimidine mirror repeats

DiseasePKDFRDAGAA-FGF14-related ataxiaXDPCANVASRCCFollicular lymphomaBurkitt lymphomaDiffuse large B cell lynphoma
Year of genetic discovery1995 (181)1996 (202)2023 (249,250)2017 (268)2019 (284,285)2022 (160)2004 (316)1993 (319)2024 (324)
H-motif2.5 kb-long PyRE with 23 perfect and 4 imperfect mirror repeats (179)(GAA)n (202)(GAA)n (249,250)(CCCTCT)n (268)(AAGGG)n (284,285)(GAAA)n (160)150 Mbr (317)5′-GGGAGGGGCGCTTATGGGGAGGG-3′ (177)5′-TGGAAAGGAGGTGGAGGAGAGGAA-3′ (211)
Evidence for H-DNA formationIn vitro (71,77,182)In vitro (69,114,217–220) In vivo (159)Unknown within context of this diseaseUnknownIn vitro(300)UnknownIn vitro (316,317)In vitro (94,176,320)In vitro (324)
H-motif locationIntron 21 of PKD1 gene gene (166,179,180)First intron of FXN gene (202)First intron of FGF14 gene (249,250)2.6 kb SINE-VNTR-Alu (SVA) retrotransposon insertion in 32nd intron of TAF1 gene (268,276,333)Poly(A) tail of AluSx3 element in second intron of RFC1 gene (284,285)First intron of UGT2B7 gene (160)Mbr of BCL2 gene (317)Promoter region of c-myc gene (319)Cluster II region of 5′ UTR of BCL6 (324)
Nonpathogenic/ pathogenic allelesN/AUnaffected:(GAA)33; Carriers: (GAA)34–66; Affected: (GAA)>66 (202,211–213)Unaffected:(GAA)<25, (GAAGGA)n, ((GAA)4(GCA))n; Partially penetrant: (GAA)>250; Fully penetrant: (GAA)>300 (249,250,261)Unaffected:absence of insertion; Affected: (CCCTCT)30–55 (268,276,333)Unaffected:(AAAAG)n, (AAGAG)n, (AGAGG)n, (AAAGG)<200; Affected: (AAGGG)>400, (ACAGG)n, (AAAGG)>700; Many other iterations with unknown pathogenicity (284,285,287,289–293,296)Unaffected: (GAAA)∼26; Affected: (GAAA)63–160 (160)N/AN/AN/A
Inheritance patternAutosomal dominant (178)Autosomal recessive (202)Autosomal dominant (249,250)Autosomal recessive (262,334)Autosomal recessive (284)UnknownN/AN/AN/A
Pathogenic mechanismMutations in PKD1 gene→kidney cysts→End-stage renal disease (178)(GAA)exp→epigenetic gene silencing→loss of function (114,123,238,239)Unknown,haploinsufficiency suggested (249,250)Loss of function (RNA and protein); intron retention (269,277,278,335)Unknown, loss of function suspected (284,287,303–306)UnknownRAG complex-mediated H-DNA cleavage→DSB→ translocation between BCL2 and immunoglobulin heavy-chain (316,317)Translocation between c-myc and an immunoglobulin gene→constitutive c-myc expressionTranslocation between BCL6 and various translocation partners→constitutive BCL6 expression (324)
Interaction with cellular machineryStallsreplication (77,89) Interferes with transcription (187)Stallsreplication; replication-related mechanisms of repeat instability (85,88,90,91,223,224) Interferes with transcription (69,82,241,242) Instability related to BER and MMR pathways (85,108,109,226–229)Unknown within context of this diseaseMMR machinery modify instability (270)Stalls replication (302) Reduces gene expression on protein level (302)UnknownRAG complex cleavage of H-DNA structure (317)NER protein binds H-motif (95) Triplex-mediated transcription arrest (321)Unknown
DiseasePKDFRDAGAA-FGF14-related ataxiaXDPCANVASRCCFollicular lymphomaBurkitt lymphomaDiffuse large B cell lynphoma
Year of genetic discovery1995 (181)1996 (202)2023 (249,250)2017 (268)2019 (284,285)2022 (160)2004 (316)1993 (319)2024 (324)
H-motif2.5 kb-long PyRE with 23 perfect and 4 imperfect mirror repeats (179)(GAA)n (202)(GAA)n (249,250)(CCCTCT)n (268)(AAGGG)n (284,285)(GAAA)n (160)150 Mbr (317)5′-GGGAGGGGCGCTTATGGGGAGGG-3′ (177)5′-TGGAAAGGAGGTGGAGGAGAGGAA-3′ (211)
Evidence for H-DNA formationIn vitro (71,77,182)In vitro (69,114,217–220) In vivo (159)Unknown within context of this diseaseUnknownIn vitro(300)UnknownIn vitro (316,317)In vitro (94,176,320)In vitro (324)
H-motif locationIntron 21 of PKD1 gene gene (166,179,180)First intron of FXN gene (202)First intron of FGF14 gene (249,250)2.6 kb SINE-VNTR-Alu (SVA) retrotransposon insertion in 32nd intron of TAF1 gene (268,276,333)Poly(A) tail of AluSx3 element in second intron of RFC1 gene (284,285)First intron of UGT2B7 gene (160)Mbr of BCL2 gene (317)Promoter region of c-myc gene (319)Cluster II region of 5′ UTR of BCL6 (324)
Nonpathogenic/ pathogenic allelesN/AUnaffected:(GAA)33; Carriers: (GAA)34–66; Affected: (GAA)>66 (202,211–213)Unaffected:(GAA)<25, (GAAGGA)n, ((GAA)4(GCA))n; Partially penetrant: (GAA)>250; Fully penetrant: (GAA)>300 (249,250,261)Unaffected:absence of insertion; Affected: (CCCTCT)30–55 (268,276,333)Unaffected:(AAAAG)n, (AAGAG)n, (AGAGG)n, (AAAGG)<200; Affected: (AAGGG)>400, (ACAGG)n, (AAAGG)>700; Many other iterations with unknown pathogenicity (284,285,287,289–293,296)Unaffected: (GAAA)∼26; Affected: (GAAA)63–160 (160)N/AN/AN/A
Inheritance patternAutosomal dominant (178)Autosomal recessive (202)Autosomal dominant (249,250)Autosomal recessive (262,334)Autosomal recessive (284)UnknownN/AN/AN/A
Pathogenic mechanismMutations in PKD1 gene→kidney cysts→End-stage renal disease (178)(GAA)exp→epigenetic gene silencing→loss of function (114,123,238,239)Unknown,haploinsufficiency suggested (249,250)Loss of function (RNA and protein); intron retention (269,277,278,335)Unknown, loss of function suspected (284,287,303–306)UnknownRAG complex-mediated H-DNA cleavage→DSB→ translocation between BCL2 and immunoglobulin heavy-chain (316,317)Translocation between c-myc and an immunoglobulin gene→constitutive c-myc expressionTranslocation between BCL6 and various translocation partners→constitutive BCL6 expression (324)
Interaction with cellular machineryStallsreplication (77,89) Interferes with transcription (187)Stallsreplication; replication-related mechanisms of repeat instability (85,88,90,91,223,224) Interferes with transcription (69,82,241,242) Instability related to BER and MMR pathways (85,108,109,226–229)Unknown within context of this diseaseMMR machinery modify instability (270)Stalls replication (302) Reduces gene expression on protein level (302)UnknownRAG complex cleavage of H-DNA structure (317)NER protein binds H-motif (95) Triplex-mediated transcription arrest (321)Unknown

This table enumerates the year of genetic discovery of the disease, H-motif involved in each disease, evidence for H-DNA formation, where the H-motif resides, the known nonpathogenic and pathogenic alleles, inheritance pattern, the pathogenic mechanism known or hypothesized, and interaction of the H-motif with cellular machinery.

Table 1.

Diseases caused by homopurine-homopyrimidine mirror repeats

DiseasePKDFRDAGAA-FGF14-related ataxiaXDPCANVASRCCFollicular lymphomaBurkitt lymphomaDiffuse large B cell lynphoma
Year of genetic discovery1995 (181)1996 (202)2023 (249,250)2017 (268)2019 (284,285)2022 (160)2004 (316)1993 (319)2024 (324)
H-motif2.5 kb-long PyRE with 23 perfect and 4 imperfect mirror repeats (179)(GAA)n (202)(GAA)n (249,250)(CCCTCT)n (268)(AAGGG)n (284,285)(GAAA)n (160)150 Mbr (317)5′-GGGAGGGGCGCTTATGGGGAGGG-3′ (177)5′-TGGAAAGGAGGTGGAGGAGAGGAA-3′ (211)
Evidence for H-DNA formationIn vitro (71,77,182)In vitro (69,114,217–220) In vivo (159)Unknown within context of this diseaseUnknownIn vitro(300)UnknownIn vitro (316,317)In vitro (94,176,320)In vitro (324)
H-motif locationIntron 21 of PKD1 gene gene (166,179,180)First intron of FXN gene (202)First intron of FGF14 gene (249,250)2.6 kb SINE-VNTR-Alu (SVA) retrotransposon insertion in 32nd intron of TAF1 gene (268,276,333)Poly(A) tail of AluSx3 element in second intron of RFC1 gene (284,285)First intron of UGT2B7 gene (160)Mbr of BCL2 gene (317)Promoter region of c-myc gene (319)Cluster II region of 5′ UTR of BCL6 (324)
Nonpathogenic/ pathogenic allelesN/AUnaffected:(GAA)33; Carriers: (GAA)34–66; Affected: (GAA)>66 (202,211–213)Unaffected:(GAA)<25, (GAAGGA)n, ((GAA)4(GCA))n; Partially penetrant: (GAA)>250; Fully penetrant: (GAA)>300 (249,250,261)Unaffected:absence of insertion; Affected: (CCCTCT)30–55 (268,276,333)Unaffected:(AAAAG)n, (AAGAG)n, (AGAGG)n, (AAAGG)<200; Affected: (AAGGG)>400, (ACAGG)n, (AAAGG)>700; Many other iterations with unknown pathogenicity (284,285,287,289–293,296)Unaffected: (GAAA)∼26; Affected: (GAAA)63–160 (160)N/AN/AN/A
Inheritance patternAutosomal dominant (178)Autosomal recessive (202)Autosomal dominant (249,250)Autosomal recessive (262,334)Autosomal recessive (284)UnknownN/AN/AN/A
Pathogenic mechanismMutations in PKD1 gene→kidney cysts→End-stage renal disease (178)(GAA)exp→epigenetic gene silencing→loss of function (114,123,238,239)Unknown,haploinsufficiency suggested (249,250)Loss of function (RNA and protein); intron retention (269,277,278,335)Unknown, loss of function suspected (284,287,303–306)UnknownRAG complex-mediated H-DNA cleavage→DSB→ translocation between BCL2 and immunoglobulin heavy-chain (316,317)Translocation between c-myc and an immunoglobulin gene→constitutive c-myc expressionTranslocation between BCL6 and various translocation partners→constitutive BCL6 expression (324)
Interaction with cellular machineryStallsreplication (77,89) Interferes with transcription (187)Stallsreplication; replication-related mechanisms of repeat instability (85,88,90,91,223,224) Interferes with transcription (69,82,241,242) Instability related to BER and MMR pathways (85,108,109,226–229)Unknown within context of this diseaseMMR machinery modify instability (270)Stalls replication (302) Reduces gene expression on protein level (302)UnknownRAG complex cleavage of H-DNA structure (317)NER protein binds H-motif (95) Triplex-mediated transcription arrest (321)Unknown
DiseasePKDFRDAGAA-FGF14-related ataxiaXDPCANVASRCCFollicular lymphomaBurkitt lymphomaDiffuse large B cell lynphoma
Year of genetic discovery1995 (181)1996 (202)2023 (249,250)2017 (268)2019 (284,285)2022 (160)2004 (316)1993 (319)2024 (324)
H-motif2.5 kb-long PyRE with 23 perfect and 4 imperfect mirror repeats (179)(GAA)n (202)(GAA)n (249,250)(CCCTCT)n (268)(AAGGG)n (284,285)(GAAA)n (160)150 Mbr (317)5′-GGGAGGGGCGCTTATGGGGAGGG-3′ (177)5′-TGGAAAGGAGGTGGAGGAGAGGAA-3′ (211)
Evidence for H-DNA formationIn vitro (71,77,182)In vitro (69,114,217–220) In vivo (159)Unknown within context of this diseaseUnknownIn vitro(300)UnknownIn vitro (316,317)In vitro (94,176,320)In vitro (324)
H-motif locationIntron 21 of PKD1 gene gene (166,179,180)First intron of FXN gene (202)First intron of FGF14 gene (249,250)2.6 kb SINE-VNTR-Alu (SVA) retrotransposon insertion in 32nd intron of TAF1 gene (268,276,333)Poly(A) tail of AluSx3 element in second intron of RFC1 gene (284,285)First intron of UGT2B7 gene (160)Mbr of BCL2 gene (317)Promoter region of c-myc gene (319)Cluster II region of 5′ UTR of BCL6 (324)
Nonpathogenic/ pathogenic allelesN/AUnaffected:(GAA)33; Carriers: (GAA)34–66; Affected: (GAA)>66 (202,211–213)Unaffected:(GAA)<25, (GAAGGA)n, ((GAA)4(GCA))n; Partially penetrant: (GAA)>250; Fully penetrant: (GAA)>300 (249,250,261)Unaffected:absence of insertion; Affected: (CCCTCT)30–55 (268,276,333)Unaffected:(AAAAG)n, (AAGAG)n, (AGAGG)n, (AAAGG)<200; Affected: (AAGGG)>400, (ACAGG)n, (AAAGG)>700; Many other iterations with unknown pathogenicity (284,285,287,289–293,296)Unaffected: (GAAA)∼26; Affected: (GAAA)63–160 (160)N/AN/AN/A
Inheritance patternAutosomal dominant (178)Autosomal recessive (202)Autosomal dominant (249,250)Autosomal recessive (262,334)Autosomal recessive (284)UnknownN/AN/AN/A
Pathogenic mechanismMutations in PKD1 gene→kidney cysts→End-stage renal disease (178)(GAA)exp→epigenetic gene silencing→loss of function (114,123,238,239)Unknown,haploinsufficiency suggested (249,250)Loss of function (RNA and protein); intron retention (269,277,278,335)Unknown, loss of function suspected (284,287,303–306)UnknownRAG complex-mediated H-DNA cleavage→DSB→ translocation between BCL2 and immunoglobulin heavy-chain (316,317)Translocation between c-myc and an immunoglobulin gene→constitutive c-myc expressionTranslocation between BCL6 and various translocation partners→constitutive BCL6 expression (324)
Interaction with cellular machineryStallsreplication (77,89) Interferes with transcription (187)Stallsreplication; replication-related mechanisms of repeat instability (85,88,90,91,223,224) Interferes with transcription (69,82,241,242) Instability related to BER and MMR pathways (85,108,109,226–229)Unknown within context of this diseaseMMR machinery modify instability (270)Stalls replication (302) Reduces gene expression on protein level (302)UnknownRAG complex cleavage of H-DNA structure (317)NER protein binds H-motif (95) Triplex-mediated transcription arrest (321)Unknown

This table enumerates the year of genetic discovery of the disease, H-motif involved in each disease, evidence for H-DNA formation, where the H-motif resides, the known nonpathogenic and pathogenic alleles, inheritance pattern, the pathogenic mechanism known or hypothesized, and interaction of the H-motif with cellular machinery.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close