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Aicardi–Goutières syndrome

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Aicardi–Goutières syndrome ( AGS ), which is completely distinct from the similarly named Aicardi syndrome , is a rare, usually early onset childhood, inflammatory disorder most typically affecting the brain and the skin ( neurodevelopmental disorder ). The majority of affected individuals experience significant intellectual and physical problems, although this is not always the case. The clinical features of AGS can mimic those of in utero acquired infection, and some characteristics of the condition also overlap with the autoimmune disease systemic lupus erythematosus (SLE). Following an original description of eight cases in 1984, the condition was first referred to as 'Aicardi–Goutières syndrome' (AGS) in 1992, and the first international meeting on AGS was held in Pavia, Italy, in 2001.

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94-513: AGS can occur due to mutations in any one of a number of different genes , of which nine have been identified to date, namely: TREX1 , RNASEH2A , RNASEH2B , RNASEH2C (which together encode the ribonuclease H 2 enzyme complex), SAMHD1 , ADAR 1 , and IFIH1 (coding for MDA5 ). This neurological disease occurs in all populations worldwide, although it is almost certainly under-diagnosed. To date (2014) at least 400 cases of AGS are known. The initial description of AGS suggested that

188-448: A Cree First Nations community in Canada), and many cases previously described as pseudo- TORCH syndrome , (toxoplasmosis, rubella, cytomegalovirus, and herpes simplex virus), initially considered to be separate disorders, were later found to be the same as AGS (although other causes of, genetically distinct, 'pseudo-TORCH' phenotypes exist). Mutations In biology , a mutation

282-433: A butterfly may produce offspring with new mutations. The majority of these mutations will have no effect; but one might change the colour of one of the butterfly's offspring, making it harder (or easier) for predators to see. If this color change is advantageous, the chances of this butterfly's surviving and producing its own offspring are a little better, and over time the number of butterflies with this mutation may form

376-410: A family can show marked differences in severity. In about ten percent of cases, AGS presents at or soon after birth (i.e. in the neonatal period). This presentation of the disease is characterized by microcephaly, neonatal seizures, poor feeding, jitteriness, cerebral calcifications (accumulation of calcium deposits in the brain), white matter abnormalities, and cerebral atrophy ; thus indicating that

470-729: A group of expert geneticists and biologists , who have the responsibility of establishing the standard or so-called "consensus" sequence. This step requires a tremendous scientific effort. Once the consensus sequence is known, the mutations in a genome can be pinpointed, described, and classified. The committee of the Human Genome Variation Society (HGVS) has developed the standard human sequence variant nomenclature, which should be used by researchers and DNA diagnostic centers to generate unambiguous mutation descriptions. In principle, this nomenclature can also be used to describe mutations in other organisms. The nomenclature specifies

564-413: A healthy, uncontaminated cell. Naturally occurring oxidative DNA damage is estimated to occur 10,000 times per cell per day in humans and 100,000 times per cell per day in rats . Spontaneous mutations can be characterized by the specific change: There is increasing evidence that the majority of spontaneously arising mutations are due to error-prone replication ( translesion synthesis ) past DNA damage in

658-504: A key role in the cause of promotor hypermethylation of the BRCA1 gene in the affected twin, which caused the cancer.     It can be challenging to estimate the penetrance of a specific genotype due to all the influencing factors. In addition to the factors mentioned above there are several other considerations that must be taken into account when penetrance is determined: Penetrance estimates can be affected by ascertainment bias if

752-1018: A larger percentage of the population. Neutral mutations are defined as mutations whose effects do not influence the fitness of an individual. These can increase in frequency over time due to genetic drift . It is believed that the overwhelming majority of mutations have no significant effect on an organism's fitness. Also, DNA repair mechanisms are able to mend most changes before they become permanent mutations, and many organisms have mechanisms, such as apoptotic pathways , for eliminating otherwise-permanently mutated somatic cells . Beneficial mutations can improve reproductive success. Four classes of mutations are (1) spontaneous mutations (molecular decay), (2) mutations due to error-prone replication bypass of naturally occurring DNA damage (also called error-prone translesion synthesis), (3) errors introduced during DNA repair, and (4) induced mutations caused by mutagens . Scientists may sometimes deliberately introduce mutations into cells or research organisms for

846-497: A major source of raw material for evolving new genes, with tens to hundreds of genes duplicated in animal genomes every million years. Most genes belong to larger gene families of shared ancestry, detectable by their sequence homology . Novel genes are produced by several methods, commonly through the duplication and mutation of an ancestral gene, or by recombining parts of different genes to form new combinations with new functions. Here, protein domains act as modules, each with

940-502: A minor effect. For instance, human height is determined by hundreds of genetic variants ("mutations") but each of them has a very minor effect on height, apart from the impact of nutrition . Height (or size) itself may be more or less beneficial as the huge range of sizes in animal or plant groups shows. Attempts have been made to infer the distribution of fitness effects (DFE) using mutagenesis experiments and theoretical models applied to molecular sequence data. DFE, as used to determine

1034-402: A mutation in the gene responsible for a particular autosomal dominant disorder has 95% penetrance, then 95% of those with the mutation will go on to develop the disease, showing its phenotype, whereas 5% will not.   Penetrance only refers to whether an individual with a specific genotype exhibits any phenotypic signs or symptoms, and is not to be confused with variable expressivity which

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1128-565: A number of beneficial mutations as well. For instance, in a screen of all gene deletions in E. coli , 80% of mutations were negative, but 20% were positive, even though many had a very small effect on growth (depending on condition). Gene deletions involve removal of whole genes, so that point mutations almost always have a much smaller effect. In a similar screen in Streptococcus pneumoniae , but this time with transposon insertions, 76% of insertion mutants were classified as neutral, 16% had

1222-404: A particular and independent function, that can be mixed together to produce genes encoding new proteins with novel properties. For example, the human eye uses four genes to make structures that sense light: three for cone cell or colour vision and one for rod cell or night vision; all four arose from a single ancestral gene. Another advantage of duplicating a gene (or even an entire genome)

1316-453: A particular gender. This is called gender-related penetrance or sex-dependent penetrance and may be the result of allelic variation, disorders in which the expression of the disease is limited to organs only found in one sex such as testis or ovaries, or sex steroid-responsive genes. Breast cancer caused by the BRCA2 mutation is an example of a disease with gender-related penetrance. The penetrance

1410-424: A severe early onset encephalopathy , which was characterized by calcification of the basal ganglia , abnormalities of the cerebral white matter and diffuse brain atrophy. An excess of white cells, chiefly lymphocytes , was found in the cerebrospinal fluid (CSF), thus indicating an inflammatory condition. During the first year of life, these children developed microcephaly , spasticity and dystonia . Some of

1504-472: A significant number are cortically blind . Hearing is almost invariably normal. Over time, up to 40% of patients develop so-called chilblain lesions, most typically on the toes and fingers and occasionally also involving the ears. They are usually worse in the winter. AGS is a genetically heterogeneous disease resulting from mutations in any of seven genes encoding: a 3' repair exonuclease with preferential activity on single stranded DNA ( TREX1 ); any of

1598-486: A significantly reduced fitness, but 6% were advantageous. This classification is obviously relative and somewhat artificial: a harmful mutation can quickly turn into a beneficial mutations when conditions change. Also, there is a gradient from harmful/beneficial to neutral, as many mutations may have small and mostly neglectable effects but under certain conditions will become relevant. Also, many traits are determined by hundreds of genes (or loci), so that each locus has only

1692-452: A specific genotype appear more frequently with increasing age, the penetrance is said to be age dependent. Some diseases are non-penetrant up until a certain age and then the penetrance starts to increase drastically, whilst others exhibit low penetrance at an early age and continue to increase with time. For this reason, many diseases have a different estimated penetrance dependent on the age. A specific hexanucleotide repeat expansion within

1786-468: A whole. Changes in DNA caused by mutation in a coding region of DNA can cause errors in protein sequence that may result in partially or completely non-functional proteins. Each cell, in order to function correctly, depends on thousands of proteins to function in the right places at the right times. When a mutation alters a protein that plays a critical role in the body, a medical condition can result. One study on

1880-415: Is a major pathway for repairing double-strand breaks. NHEJ involves removal of a few nucleotides to allow somewhat inaccurate alignment of the two ends for rejoining followed by addition of nucleotides to fill in gaps. As a consequence, NHEJ often introduces mutations. Induced mutations are alterations in the gene after it has come in contact with mutagens and environmental causes. Induced mutations on

1974-468: Is accepted that the majority of mutations are neutral or deleterious, with advantageous mutations being rare; however, the proportion of types of mutations varies between species. This indicates two important points: first, the proportion of effectively neutral mutations is likely to vary between species, resulting from dependence on effective population size ; second, the average effect of deleterious mutations varies dramatically between species. In addition,

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2068-755: Is an alteration in the nucleic acid sequence of the genome of an organism , virus , or extrachromosomal DNA . Viral genomes contain either DNA or RNA . Mutations result from errors during DNA or viral replication , mitosis , or meiosis or other types of damage to DNA (such as pyrimidine dimers caused by exposure to ultraviolet radiation), which then may undergo error-prone repair (especially microhomology-mediated end joining ), cause an error during other forms of repair, or cause an error during replication ( translesion synthesis ). Mutations may also result from substitution , insertion or deletion of segments of DNA due to mobile genetic elements . Mutations may or may not produce detectable changes in

2162-444: Is called a de novo mutation . A change in the genetic structure that is not inherited from a parent, and also not passed to offspring, is called a somatic mutation . Somatic mutations are not inherited by an organism's offspring because they do not affect the germline . However, they are passed down to all the progeny of a mutated cell within the same organism during mitosis. A major section of an organism therefore might carry

2256-399: Is determined to be much higher in women than men. By age 70, around 86% of females in contrast to 6% of males with the same mutation is estimated to develop breast cancer. In cases where clinical symptoms or the phenotype related to a genetic mutation are present only in one sex, the disorder is said to be sex-limited. Familial male-limited precocious puberty (FMPP) caused by a mutation in

2350-467: Is estimated to have a breast cancer penetrance of around 65% in women. Meaning that about 65% of women carrying the gene will develop breast cancer by the time they turn 70. Many factors such as age, sex, environment, epigenetic modifiers, and modifier genes are linked to penetrance. These factors can help explain why certain individuals with a specific genotype exhibit symptoms or signs of disease, whilst others do not. If clinical signs associated with

2444-478: Is important in animals that have a dedicated germline to produce reproductive cells. However, it is of little value in understanding the effects of mutations in plants, which lack a dedicated germline. The distinction is also blurred in those animals that reproduce asexually through mechanisms such as budding , because the cells that give rise to the daughter organisms also give rise to that organism's germline. A new germline mutation not inherited from either parent

2538-445: Is in a coding or non-coding region . Mutations in the non-coding regulatory sequences of a gene, such as promoters, enhancers, and silencers, can alter levels of gene expression, but are less likely to alter the protein sequence. Mutations within introns and in regions with no known biological function (e.g. pseudogenes , retrotransposons ) are generally neutral , having no effect on phenotype – though intron mutations could alter

2632-497: Is independent from SAMHD1's famous dNTPase activity. Laboratory : normal metabolic and infective screening. An increase in the number of white cells (particularly lymphocytes) in the CSF, and high levels of interferon-alpha activity and neopterin in the CSF are important clues – however, these features are not always present. More recently, a persistent elevation of mRNA levels of interferon-stimulated gene transcripts have been recorded in

2726-503: Is one gene primarily responsible for development of the disease, but modifier genes inherited separately can affect the phenotype. Meaning that the presence of a mutation located on a loci different from the one with the disease-causing mutation, may either hinder manifestation of the phenotype or alter the mutations effects, and thereby influencing the penetrance. Exposure to environmental and lifestyle factors such as chemicals , diet , alcohol intake , drugs and stress are some of

2820-406: Is that this increases engineering redundancy ; this allows one gene in the pair to acquire a new function while the other copy performs the original function. Other types of mutation occasionally create new genes from previously noncoding DNA . Changes in chromosome number may involve even larger mutations, where segments of the DNA within chromosomes break and then rearrange. For example, in

2914-422: Is that when they move within a genome, they can mutate or delete existing genes and thereby produce genetic diversity. Nonlethal mutations accumulate within the gene pool and increase the amount of genetic variation. The abundance of some genetic changes within the gene pool can be reduced by natural selection , while other "more favorable" mutations may accumulate and result in adaptive changes. For example,

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3008-501: Is to what extent or degree the symptoms for said disease are shown (the expression of the phenotypic trait). Meaning that, even if the same disease-causing mutation affects separate individuals, the expressivity will vary. If 100% of individuals carrying a particular genotype express the associated trait, the genotype is said to show complete penetrance. Neurofibromatosis type 1 (NF1) , is an autosomal dominant condition which shows complete penetrance, consequently everyone who inherits

3102-519: The C9orf72 gene said to be a major cause for developing amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) is an example of a genotype with age dependent penetrance. The genotype is said to be non-penetrant until the age of 35, 50% penetrant by the age of 60, and almost completely penetrant by age 80. For some mutations, the phenotype is more frequently present in one sex and in rare cases mutations appear completely non-penetrant in

3196-460: The DNA sequence, but from epigenetic alterations such as DNA methylation or histone modifications . Epigenetic differences may therefore be one of the factors contributing to reduced penetrance.  A study done on a pair of genetically identical monozygotic twins , where one twin got diagnosed with leukemia and later on thyroid carcinoma whilst the other had no registered illnesses, showed that

3290-530: The Homininae , two chromosomes fused to produce human chromosome 2 ; this fusion did not occur in the lineage of the other apes , and they retain these separate chromosomes. In evolution, the most important role of such chromosomal rearrangements may be to accelerate the divergence of a population into new species by making populations less likely to interbreed, thereby preserving genetic differences between these populations. Sequences of DNA that can move about

3384-409: The product of a gene , or prevent the gene from functioning properly or completely. Mutations can also occur in non-genic regions . A 2007 study on genetic variations between different species of Drosophila suggested that, if a mutation changes a protein produced by a gene, the result is likely to be harmful, with an estimated 70% of amino acid polymorphisms that have damaging effects, and

3478-429: The "Delicious" apple and the "Washington" navel orange . Human and mouse somatic cells have a mutation rate more than ten times higher than the germline mutation rate for both species; mice have a higher rate of both somatic and germline mutations per cell division than humans. The disparity in mutation rate between the germline and somatic tissues likely reflects the greater importance of genome maintenance in

3572-470: The DFE also differs between coding regions and noncoding regions , with the DFE of noncoding DNA containing more weakly selected mutations. In multicellular organisms with dedicated reproductive cells , mutations can be subdivided into germline mutations , which can be passed on to descendants through their reproductive cells, and somatic mutations (also called acquired mutations), which involve cells outside

3666-474: The DFE of advantageous mutations may lead to increased ability to predict the evolutionary dynamics. Theoretical work on the DFE for advantageous mutations has been done by John H. Gillespie and H. Allen Orr . They proposed that the distribution for advantageous mutations should be exponential under a wide range of conditions, which, in general, has been supported by experimental studies, at least for strongly selected advantageous mutations. In general, it

3760-422: The DNA. Ordinarily, a mutation cannot be recognized by enzymes once the base change is present in both DNA strands, and thus a mutation is not ordinarily repaired. At the cellular level, mutations can alter protein function and regulation. Unlike DNA damages, mutations are replicated when the cell replicates. At the level of cell populations, cells with mutations will increase or decrease in frequency according to

3854-465: The LHCGR gene, is an example of a genotype only penetrant in males. Meaning that males with this particular genotype exhibit symptoms of the disease whilst the same genotype is nonpenetrant in females. Genetic modifiers are genetic variants or mutations able to modify a primary disease-causing variant's phenotypic outcome without being disease causing themselves. For instance, in single gene disorders there

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3948-492: The adaptation rate of organisms, they have some times been named as adaptive mutagenesis mechanisms, and include the SOS response in bacteria, ectopic intrachromosomal recombination and other chromosomal events such as duplications. The sequence of a gene can be altered in a number of ways. Gene mutations have varying effects on health depending on where they occur and whether they alter the function of essential proteins. Mutations in

4042-467: The affected twin had increased methylation levels of the BRCA 1 gene. The research concluded that the family had no known DNA-repair syndrome or any other hereditary diseases in the last four generations, and no genetic differences between the studied pair of monozygotic twins were detected in the BRCA1 regulatory region. This indicates that epigenetic changes caused by environmental or behavioral factors had

4136-518: The appearance of skin cancer during one's lifetime is induced by overexposure to UV radiation that causes mutations in the cellular and skin genome. There is a widespread assumption that mutations are (entirely) "random" with respect to their consequences (in terms of probability). This was shown to be wrong as mutation frequency can vary across regions of the genome, with such DNA repair - and mutation-biases being associated with various factors. For instance, Monroe and colleagues demonstrated that—in

4230-439: The category of by effect on function, but depending on the specificity of the change the mutations listed below will occur. In genetics , it is sometimes useful to classify mutations as either harmful or beneficial (or neutral ): Large-scale quantitative mutagenesis screens , in which thousands of millions of mutations are tested, invariably find that a larger fraction of mutations has harmful effects but always returns

4324-416: The cause as to how different paths lead to the same phenotypic display. When similar phenotypes can be observed but by different causes, it is called phenocopies . Phenocopies is when environmental and/or behavioral modifiers causes an illness which mimics the phenotype of a genetic inherited disease. Because of phenocopies, determining the degree of penetrance for a genetic disease requires full knowledge of

4418-403: The clinical phenotypic traits related to its mutation (taking into consideration the expressivity), but the signs or symptoms displayed by a specific affected individual can often be similar to other unrelated phenotypical traits. Taking into consideration the effect that environmental or behavioral modifiers have, and how they can impact the cause of a mutation or epigenetic alteration, we now have

4512-438: The comparatively higher frequency of cell divisions in the parental sperm donor germline drive conclusions that rates of de novo mutation can be tracked along a common basis. The frequency of error during the DNA replication process of gametogenesis , especially amplified in the rapid production of sperm cells, can promote more opportunities for de novo mutations to replicate unregulated by DNA repair machinery. This claim combines

4606-544: The comparison of genes between different species of Drosophila suggests that if a mutation does change a protein, the mutation will most likely be harmful, with an estimated 70 per cent of amino acid polymorphisms having damaging effects, and the remainder being either neutral or weakly beneficial. Some mutations alter a gene's DNA base sequence but do not change the protein made by the gene. Studies have shown that only 7% of point mutations in noncoding DNA of yeast are deleterious and 12% in coding DNA are deleterious. The rest of

4700-407: The complementary undamaged strand in DNA as a template or an undamaged sequence in a homologous chromosome if it is available. If DNA damage remains in a cell, transcription of a gene may be prevented and thus translation into a protein may also be blocked. DNA replication may also be blocked and/or the cell may die. In contrast to a DNA damage, a mutation is an alteration of the base sequence of

4794-457: The cytosolic double-stranded RNA receptor ( MDA5 , also known as IFIH1 ). Mutations in the gene OCLN on chromosome 5q13.2, which is thought to cause band-like calcification in the brain, have been discovered in affected individuals and categorized as BLCPMG which often associated with AGS. In most cases, except for IFIH1- and rare cases of TREX1- and ADAR1-related disease, these mutations follow an autosomal recessive inheritance pattern (and thus

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4888-404: The dedicated reproductive group and which are not usually transmitted to descendants. Diploid organisms (e.g., humans) contain two copies of each gene—a paternal and a maternal allele. Based on the occurrence of mutation on each chromosome, we may classify mutations into three types. A wild type or homozygous non-mutated organism is one in which neither allele is mutated. A germline mutation in

4982-496: The disease process became active before birth i.e. in utero . These infants can have hepatosplenomegaly and thrombocytopaenia , very much like cases of transplacental viral infection. About one third of such early presenting cases, most frequently in association with mutations in TREX1 , die in early childhood. Otherwise the majority of AGS cases present in early infancy, sometimes after an apparently normal period of development. During

5076-592: The disease was always severe, and was associated with unremitting neurological decline, resulting in death in childhood. As more cases have been identified, it has become apparent that this is not necessarily the case, with many patients now considered to demonstrate an apparently stable clinical picture, alive in their 4th decade. Moreover, rare individuals with pathogenic mutations in the AGS-related genes can be minimally affected (perhaps only with chilblains ) and are in mainstream education, and even affected siblings within

5170-405: The disease-causing variant of this gene will develop some degree of symptoms for NF1. The penetrance is said to be reduced if less than 100% of individuals carrying a particular genotype express associated traits, and is likely to be caused by a combination of genetic, environmental and lifestyle factors.   BRCA1 is an example of a genotype with reduced penetrance. By age 70, the mutation

5264-431: The distribution of fitness effects was done by Motoo Kimura , an influential theoretical population geneticist . His neutral theory of molecular evolution proposes that most novel mutations will be highly deleterious, with a small fraction being neutral. A later proposal by Hiroshi Akashi proposed a bimodal model for the DFE, with modes centered around highly deleterious and neutral mutations. Both theories agree that

5358-435: The effects of the mutations on the ability of the cell to survive and reproduce. Although distinctly different from each other, DNA damages and mutations are related because DNA damages often cause errors of DNA synthesis during replication or repair and these errors are a major source of mutation. Mutations can involve the duplication of large sections of DNA, usually through genetic recombination . These duplications are

5452-473: The factors that might influence disease penetrance. For example, several studies of BRCA1 and BRCA2 mutations, associated with an elevated risk of breast and ovarian cancer in women, have examined associations with environmental and behavioral modifiers such as pregnancies , history of breast feeding , smoking , diet, and so forth. Sometimes, genetic alterations which can cause genetic disease and phenotypic traits, are not from changes related directly to

5546-855: The feet / hands warm. Physical therapy, including the use of splints can help to prevent contractures and surgery is sometimes required. Botox (botulinium toxin) has sometimes caused severe immune reactions in some AGS patients, and the high risk of possible further brain damage must be considered before giving Botox. Occupational therapy can help with development, and the use of technology (e.g. Assistive Communication Devices) can facilitate communication. Patients should be regularly screened for treatable conditions, most particularly glaucoma and endocrine problems (especially hypothyroidism ). The risk versus benefit of giving immunizations also must be considered, as some AGS patients have high immune responses or flares that cause further brain damage from immunizations but other patients have no problems with immunizations; on

5640-422: The first few months after birth, these children develop features of an encephalopathy with irritability, persistent crying, feeding difficulties, an intermittent fever (without obvious infection), and abnormal neurology with disturbed tone, dystonia, an exaggerated startle response , and sometimes seizures. Glaucoma can be present at birth, or develop later. Many children retain apparently normal vision, although

5734-516: The following: Genetics : pathogenic mutations in any of the seven genes known to be involved in AGS. At the moment there are no therapies specifically targeting the underlying cause of AGS. Current treatments address the symptoms, which can be varied both in scope and severity. Many patients benefit from tube-feeding. Drugs can be administered to help with seizures / epilepsy . The treatment of chilblains remains problematic, but particularly involves keeping

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5828-455: The genome, such as transposons , make up a major fraction of the genetic material of plants and animals, and may have been important in the evolution of genomes. For example, more than a million copies of the Alu sequence are present in the human genome , and these sequences have now been recruited to perform functions such as regulating gene expression . Another effect of these mobile DNA sequences

5922-399: The germline than in the soma. In order to categorize a mutation as such, the "normal" sequence must be obtained from the DNA of a "normal" or "healthy" organism (as opposed to a "mutant" or "sick" one), it should be identified and reported; ideally, it should be made publicly available for a straightforward nucleotide-by-nucleotide comparison, and agreed upon by the scientific community or by

6016-460: The individuals attending the studies, and the factors that may or may not have caused their illness.       For example, new research on Hypertrophic Cardiomyopathy ( HCM ) based on a technique called Cardiac Magnetic Resonance (CMR), describes how various genetic illnesses that showcase the same phenotypic traits as HCM, are actually phenocopies. Previously these phenocopies were all diagnosed and treated, thought to arrive from

6110-491: The loss of RNASEH2 activity causes neuroinflammation , atrophy of the cerebellum , and white matter defects that mirror AGS. The signaling of unrepaired DNA damage appears to be the basic cause of the neurodegenerative features that are characteristic of AGS. Type I interferon activity was originally described over 50 years ago as a soluble factor produced by cells treated with inactivated, non-replicating viruses that blocked subsequent infection with live virus. Although

6204-549: The molecular level can be caused by: Whereas in former times mutations were assumed to occur by chance, or induced by mutagens, molecular mechanisms of mutation have been discovered in bacteria and across the tree of life. As S. Rosenberg states, "These mechanisms reveal a picture of highly regulated mutagenesis, up-regulated temporally by stress responses and activated when cells/organisms are maladapted to their environments—when stressed—potentially accelerating adaptation." Since they are self-induced mutagenic mechanisms that increase

6298-494: The mutations are either neutral or slightly beneficial. Incomplete penetrance Penetrance in genetics is the proportion of individuals carrying a particular variant (or allele ) of a gene ( genotype ) that also expresses an associated trait ( phenotype ). In medical genetics , the penetrance of a disease -causing mutation is the proportion of individuals with the mutation that exhibit clinical symptoms among all individuals with such mutation.  For example: If

6392-513: The observable characteristics ( phenotype ) of an organism. Mutations play a part in both normal and abnormal biological processes including: evolution , cancer , and the development of the immune system , including junctional diversity . Mutation is the ultimate source of all genetic variation , providing the raw material on which evolutionary forces such as natural selection can act. Mutation can result in many different types of change in sequences. Mutations in genes can have no effect, alter

6486-470: The observed effects of increased probability for mutation in rapid spermatogenesis with short periods of time between cellular divisions that limit the efficiency of repair machinery. Rates of de novo mutations that affect an organism during its development can also increase with certain environmental factors. For example, certain intensities of exposure to radioactive elements can inflict damage to an organism's genome, heightening rates of mutation. In humans,

6580-425: The other hand, AGS patients have died from illnesses that can be immunized against, so the family must consider the risk vs. benefit of each immunization vs. risk of the actual virus if they choose not to immunize. As of 2017, there are current drug trials being conducted that may lead to drug treatments for AGS. In 1984, Jean Aicardi and Francoise Goutières described eight children from five families presenting with

6674-480: The parents of an affected child face a 1 in 4 risk of having a further child similarly affected at every conception). AGS can be divided into subtypes based on the gene in which the causative mutation occurs. A survey of 374 patients with an AGS diagnosis reported that the most frequent mutations occurred in RNASEH2B. AGS-associated mutations have been found to show incomplete penetrance in some cases, with children in

6768-412: The parents of the children were genetically related to each other, and the children were both male and female, which suggested that the disease was inherited as an autosomal recessive genetic trait. In 1988, Pierre Lebon and his colleagues identified the additional feature of raised levels of interferon-alpha in patient CSF in the absence of infection. This observation supported the suggestion that AGS

6862-475: The penetrance. Large-scale population-based studies, which use both genetic sequencing and phenotype data from large groups of people, is a different method for determining penetrance. This method offers less upward bias compared to family-based studies and is more accurate the larger the sample population is. These studies may contain a healthy-participant-bias which can lead to lower penetrance estimates. A genotype with complete penetrance will always display

6956-481: The peripheral blood of almost all cases of AGS with mutations in TREX1 , RNASEH2A , RNASEH2C , SAMHD1 , ADAR1 and IFIH1 , and in 75% of patients with mutations in RNASEH2B . These results are irrespective of age. Thus, this interferon signature appears to be a very good marker of disease. Neuroradiology : The spectrum of neuroradiological features associated with AGS is broad, but is most typically characterised by

7050-479: The protein product if they affect mRNA splicing. Mutations that occur in coding regions of the genome are more likely to alter the protein product, and can be categorized by their effect on amino acid sequence: A mutation becomes an effect on function mutation when the exactitude of functions between a mutated protein and its direct interactor undergoes change. The interactors can be other proteins, molecules, nucleic acids, etc. There are many mutations that fall under

7144-531: The rapid induction and amplification of the type I interferon system is highly adaptive in terms of virus eradication, aberrant stimulation or unregulated control of the system could lead to inappropriate and / or excessive interferon output. Studies of the AGS-related proteins TREX1, the RNase H2 complex, SAMHD1 and ADAR1, suggest that an inappropriate accumulation of self-derived nucleic acids can induce type I interferon signaling. The findings of IFIH1 mutations in

7238-415: The relative abundance of different types of mutations (i.e., strongly deleterious, nearly neutral or advantageous), is relevant to many evolutionary questions, such as the maintenance of genetic variation , the rate of genomic decay , the maintenance of outcrossing sexual reproduction as opposed to inbreeding and the evolution of sex and genetic recombination . DFE can also be tracked by tracking

7332-487: The remainder being either neutral or marginally beneficial. Mutation and DNA damage are the two major types of errors that occur in DNA, but they are fundamentally different. DNA damage is a physical alteration in the DNA structure, such as a single or double strand break, a modified guanosine residue in DNA such as 8-hydroxydeoxyguanosine , or a polycyclic aromatic hydrocarbon adduct. DNA damages can be recognized by enzymes, and therefore can be correctly repaired using

7426-431: The reproductive cells of an individual gives rise to a constitutional mutation in the offspring, that is, a mutation that is present in every cell. A constitutional mutation can also occur very soon after fertilization , or continue from a previous constitutional mutation in a parent. A germline mutation can be passed down through subsequent generations of organisms. The distinction between germline and somatic mutations

7520-453: The sake of scientific experimentation. One 2017 study claimed that 66% of cancer-causing mutations are random, 29% are due to the environment (the studied population spanned 69 countries), and 5% are inherited. Humans on average pass 60 new mutations to their children but fathers pass more mutations depending on their age with every year adding two new mutations to a child. Spontaneous mutations occur with non-zero probability even given

7614-487: The same family with the same mutations showing markedly different neurological and developmental outcomes. Clinical features and disease course vary somewhat by genotype, with TREX1 associated with likely in utero onset and high mortality rate, and RNASEH2B mutations associated with slightly milder neurological impairments, lower interferon activity, and longer lifespan. RNASEH2 is employed in genome surveillance to remove misincorporated ribonucleotides in DNA . In mice,

7708-413: The same mutation. These types of mutations are usually prompted by environmental causes, such as ultraviolet radiation or any exposure to certain harmful chemicals, and can cause diseases including cancer. With plants, some somatic mutations can be propagated without the need for seed production, for example, by grafting and stem cuttings. These type of mutation have led to new types of fruits, such as

7802-456: The sampling is not systematic. Traditionally a phenotype-driven approach focusing on individuals with a given condition and their family members has been used to determine penetrance. However, it may be difficult to transfer these estimates over to the general population because family members may share other genetic and/or environmental factors that could influence manifestation of said disease, leading to ascertainment bias and an overestimation of

7896-719: The similar context implicates the aberrant sensing of nucleic acids as a cause of immune upregulation. What is the source of the nucleic acid inducing the immune disturbance in AGS? Intriguingly, it has been shown that TREX1 can metabolise reverse-transcribed HIV-1 DNA and that single-stranded DNA derived from endogenous retroelements accumulates in Trex1-deficient cells; however, the upregulation of retroelements in TREX1-null cells has recently been disputed. Similarly, another AGS-related gene product SAMHD1 also presents strong potency against activity of multiple non-LTR retroelements, which

7990-657: The single-stranded human immunodeficiency virus ), replication occurs quickly, and there are no mechanisms to check the genome for accuracy. This error-prone process often results in mutations. The rate of de novo mutations, whether germline or somatic, vary among organisms. Individuals within the same species can even express varying rates of mutation. Overall, rates of de novo mutations are low compared to those of inherited mutations, which categorizes them as rare forms of genetic variation . Many observations of de novo mutation rates have associated higher rates of mutation correlated to paternal age. In sexually reproducing organisms,

8084-408: The skewness of the distribution of mutations with putatively severe effects as compared to the distribution of mutations with putatively mild or absent effect. In summary, the DFE plays an important role in predicting evolutionary dynamics . A variety of approaches have been used to study the DFE, including theoretical, experimental and analytical methods. One of the earliest theoretical studies of

8178-416: The structure of genes can be classified into several types. Large-scale mutations in chromosomal structure include: Small-scale mutations affect a gene in one or a few nucleotides. (If only a single nucleotide is affected, they are called point mutations .) Small-scale mutations include: The effect of a mutation on protein sequence depends in part on where in the genome it occurs, especially whether it

8272-565: The studied plant ( Arabidopsis thaliana )—more important genes mutate less frequently than less important ones. They demonstrated that mutation is "non-random in a way that benefits the plant". Additionally, previous experiments typically used to demonstrate mutations being random with respect to fitness (such as the Fluctuation Test and Replica plating ) have been shown to only support the weaker claim that those mutations are random with respect to external selective constraints, not fitness as

8366-425: The template strand. In mice , the majority of mutations are caused by translesion synthesis. Likewise, in yeast , Kunz et al. found that more than 60% of the spontaneous single base pair substitutions and deletions were caused by translesion synthesis. Although naturally occurring double-strand breaks occur at a relatively low frequency in DNA, their repair often causes mutation. Non-homologous end joining (NHEJ)

8460-451: The three components of the ribonuclease H 2 endonuclease complex acting on ribonucleotides in RNA:DNA hybrids ( RNASEH2A , RNASEH2B , RNASEH2C ); a SAM domain and HD domain containing protein which functions as a deoxynucleoside triphosphate triphosphohydrolase ( SAMHD1 ); an enzyme catalysing the hydrolytic deamination of adenosine to inosine in double-stranded RNA ( ADAR1 ); and

8554-756: The type of mutation and base or amino acid changes. Mutation rates vary substantially across species, and the evolutionary forces that generally determine mutation are the subject of ongoing investigation. In humans , the mutation rate is about 50–90 de novo mutations per genome per generation, that is, each human accumulates about 50–90 novel mutations that were not present in his or her parents. This number has been established by sequencing thousands of human trios, that is, two parents and at least one child. The genomes of RNA viruses are based on RNA rather than DNA. The RNA viral genome can be double-stranded (as in DNA) or single-stranded. In some of these viruses (such as

8648-451: The vast majority of novel mutations are neutral or deleterious and that advantageous mutations are rare, which has been supported by experimental results. One example is a study done on the DFE of random mutations in vesicular stomatitis virus . Out of all mutations, 39.6% were lethal, 31.2% were non-lethal deleterious, and 27.1% were neutral. Another example comes from a high throughput mutagenesis experiment with yeast. In this experiment it

8742-416: Was an inflammatory disease, as did the later finding of increased levels of the inflammatory marker neopterin in CSF, and the demonstration that more than 90% of individuals with a genetic diagnosis of AGS, tested at any age, demonstrate an upregulation of interferon-induced gene transcripts – a so-called interferon signature. All cases of Cree encephalitis (an early-onset progressive encephalopathy in

8836-432: Was shown that the overall DFE is bimodal, with a cluster of neutral mutations, and a broad distribution of deleterious mutations. Though relatively few mutations are advantageous, those that are play an important role in evolutionary changes. Like neutral mutations, weakly selected advantageous mutations can be lost due to random genetic drift, but strongly selected advantageous mutations are more likely to be fixed. Knowing

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