Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas

Detalhes bibliográficos
Ano de defesa: 2016
Autor(a) principal: Ferreira, Jorge Frank Braga
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade do Estado do Amazonas
Brasil
UEA
Programa de Pós-Graduação em Biotecnologia e Recursos Naturais
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
PCR
Link de acesso: https://ri.uea.edu.br/handle/riuea/2189
Resumo: Fragile X Syndrome (FXS) is the main genetic condition associated to the development of Autism Spectrum Disorders (ASD) and hereditary Intellectual Deficiency (ID). Due to the variable expressivity of this syndrome and to its high prevalence among ASD patients, requiring screening tests for FXS is important for all individuals diagnosed with ASD and/or ID, because the presence of mutations in the FMR1 gene could lead to new options of treatment for the patient. In this study, the presence and the frequency of dynamic mutations in the FMR1 gene of 101 ASD patients has been verified by molecular analysis. There are few epidemiological data about the frequency of FXS in the Brazilian population and no study has already been performed in the State of Amazonas, so, this work provides a contribution to the prevalence of this syndrome in this Brazilian state. Keywords: FMR1. PCR. Dynamic mutation. CGG trinucleotide.
id UEA_1bdd5f7a8f7e114bf042c3191d4a47f0
oai_identifier_str oai:ri.uea.edu.br:riuea/2189
network_acronym_str UEA
network_name_str Repositório Institucional da Universidade do Estado do Amazonas (UEA)
repository_id_str
spelling Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-AmazonasFMR1PCRMutação dinâmicaTrinucleotídeo CGGBiotecnologiaFragile X Syndrome (FXS) is the main genetic condition associated to the development of Autism Spectrum Disorders (ASD) and hereditary Intellectual Deficiency (ID). Due to the variable expressivity of this syndrome and to its high prevalence among ASD patients, requiring screening tests for FXS is important for all individuals diagnosed with ASD and/or ID, because the presence of mutations in the FMR1 gene could lead to new options of treatment for the patient. In this study, the presence and the frequency of dynamic mutations in the FMR1 gene of 101 ASD patients has been verified by molecular analysis. There are few epidemiological data about the frequency of FXS in the Brazilian population and no study has already been performed in the State of Amazonas, so, this work provides a contribution to the prevalence of this syndrome in this Brazilian state. Keywords: FMR1. PCR. Dynamic mutation. CGG trinucleotide.Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorA Síndrome do X-Frágil (SXF) representa a principal condição genética associada ao desenvolvimento de Transtornos do Espectro Autista (TEA) e de Deficiência Intelectual hereditária. Uma vez que esta síndrome apresenta expressividade variável e alta prevalência em portadores de Transtornos do Espectro Autista, os testes de triagem para a SXF se fazem necessários para todos os indivíduos diagnosticados com TEA e/ou com Deficiência Intelectual, pois a observação de mutações no gene FMR1 pode levar a novas opções de tratamento do paciente. Neste estudo, foram verificadas a presença e a frequência de mutações dinâmicas no gene FMR1 de 101 indivíduos diagnosticados com TEA, por meio da análise molecular. Devido à carência de dados epidemiológicos sobre a SXF com a população brasileira e à ausência de estudos já realizados com a população do Estado do Amazonas, este trabalho representa uma contribuição sobre a frequência desta síndrome na população deste Estado brasileiro. Palavras-chave: FMR1. PCR. Mutação dinâmica. Trinucleotídeo CGG.Universidade do Estado do AmazonasBrasilUEAPrograma de Pós-Graduação em Biotecnologia e Recursos NaturaisRezende, Cleiton FantinBatista, Jacqueline da SilvaRezende, Cleiton FantinSantos, Joselita Maria Mendes dosSantos, Maria da Conceição Freitas dosFerreira, Jorge Frank Braga2020-03-17T18:20:43Z2024-09-05T17:30:28Z2020-03-162020-03-17T18:20:43Z2016-01-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttps://ri.uea.edu.br/handle/riuea/2189porAAIDD American Association on Intellectual and Developmental Disorders. Disponível em: http://aaidd.org/intellectual-disability/definition/faqs-on-intellectualdisability#.VMpiyWjF9qU. Acesso em: 29 jan. 2015. ABBEDUTO, Leonard; MCDUFFIE, Andrea; THURMAN, Angela J.; The fragile X syndrome-autism comorbidity: what do we really know? Frontiers in Genetics, n. October, p. 1-10, out. 2014. AMÂNCIO, Andrea Pires. Análise molecular de pacientes com suspeita da síndrome do X-Frágil. 2013. 75p. Dissertação (Mestrado em Genética – Pontifícia Universidade Católica de Goiás), Goiânia, Goiás, 2013. BAGNI, Claudia et al. Fragile X syndrome: causes, diagnosis, mechanisms, and therapeutics. The Journal of Clinical Investigation, v.122, n.12, p.4314-22, dez. 2012. BARON-COHEN, Simon et al. Why are autism spectrum condition more prevalent in males? PLoS Biology, v. 9, n.6, p.1-10, jun. 2011. BONAVENTURE, G et al. Fragile X founder effect found in Argentine. American Journal of Medical Genetics, v.79, p.200-204, 1998. BOURGEOIS, James et al. A review of fragile X premutation disorders: expanding the psychiatric perspective. The Journal of Clinical Psychiatry, v. 70, n. 6, p. 852–62, jun. 2009. BROWN, W.T. et al. Rapid fragile X carrier screening and prenatal diagnosis using a nonradioactive PCR test. Journal of the American Medical Association, v. 270, p.1569-1575, 1993. BUYLE, Sonja et al. Founder effect in a Belgian-Dutch fragile x population. Human Genetics, v.92, p.269-272, 1993. CHIURAZZI, P. et al. Fragile X founder chromosomes in Italy: a few initial events and possible explanation for their heterogeneity. American Journal of Medical Genetics, v.2, p.209-215, 1996. CHOI, Catherine H. et al. PDE-4 inhibition rescues aberrant synaptic plasticity in Drosophila and mouse models of fragile X syndrome. Neurobiology of Disease, v. 35, n.1, p. 396-408, jan. 2015. Classificação de Transtornos Mentais e de Comportamento da CID-10. Descrições Clínicas e Diretrizes Diagnósticas – Coord. Organiz. Mund. Da Saúde. Porto Alegre: Artmed, 1993. 49 COLLINS, Stephen C. et al. Array-based FMR1 sequencing and deletion analysis in patients with a fragile X syndrome-like phenotype. PloS one, v.5, n.3, p. e9476, jan. 2010. CRONISTER, Amy et al. Prevalence and instability of fragile X alleles: implications for offering fragile X prenatal diagnosis. Obstetrics and Gynecology, v. 111, n. 3, p. 596– 601, mar. 2008. DARNELL, Jeniffer C.; KLANN, Eric. The translation of translational control by FMRP: theraupeutic targets of FXS. Nature Neuroscience, v. 16, p. 1530-1536, maio 2013. DE DIEGO, Yolanda et al. Fragile x founder effect and distribution of cgg repeats among the mentally retarded population of Andalusia, South Spain. Genetics and Molecular Biology, v.25, p.1-6, 2002. DE ESCH, Celine E. F.; ZEIDLER, Shimriet.; WILLEMSEN, Rob. Translational endpoints in fragile X syndrome. Neuroscience and Biobehavioral Reviews, v. 46P2, n. 2014, p. 256–269, out. 2014. DOYLE, Jeff J.; DOYLE, Joseph L. Isolation of plant DNA from fresh tissue. Focus, 1990, vol. 12, no. 1, p. 13-15. DSM-5. MANUAL DIAGNÓSTICO E ESTATÍSTICO DE TRANSTORNOS MENTAIS. American Psychiatric Association. 5.ed. Porto Alegre: Artmed, 2014. ELSABBAGH, Mayada et al. Global prevalence of autism ond other pervasive developmental disorders. Autism Research, v.5, p. 160-79, abril, 2012. FARADZ, SMH et al. Genetic diversity at the FMR1 locus in the Indonesian population. Annals of Human Genetics, v.64, p.329–339, 2000. FERNANDEZ-CARVAJAL, Isabel et al. Expansion of an FMR1 grey-zone allele to a full mutation in two generations. The Journal of Molecular Diagnostics : JMD, v. 11, n. 4, p. 306–310, 2009. FILIPOVIC-SADIC, Stela et al. A novel FMR1 PCR method for the routine detection of low abundance expanded alleles and full mutations in fragile X syndrome. Clinical Chemistry, v. 56, p. 399–408, 2010. FRISTCH, Patrícia Maria. Triagem molecular para a síndrome do X-Frágil em pacientes com deficiência mental atendidos no HUB/UnB. 2011. 93p. Dissertação (Mestrado em Patologia Molecular – Universidade de Brasília), Brasília, Distrito Federal, 2011. FU, Ying H. et al. Variation of the CGG repeat at the fragile X site results in genetic instability: Resolution of the Sherman paradox. Cell, v. 67, n. 6, p. 1047–1058, dez. 1991. 50 GARBER, Kathryn; SMITH, Karen T; REINES, Danny; WARREN, Stephen T. et al. Transcription, translation and fragile X syndrome. Current opinion in genetics & development, v. 16, n. 3, p. 270–5, jun. 2006. GARBER, Kathryn; VISOOTSAK, Jeannie; WARREN, Stephen T. Fragile X syndrome. European Journal of Human Genetics, v.16, n.6, p.666-672, abr. 2008. GASTEIGER et al. Fmr1 gene deletion/reversion: a pitfall of fragile X carrier testing. Genetic Testing, v.7, p.303-308, 2003. GENEREUX, Diane; LAIRD, Charles. At what rate do new premutation alleles arise at the fragile X locus? Human Genetics, v.132, p.715-717, 2013. GESCHWIND, Daniel H. Genetics of autism spectrum disorders. Trends in Cognitive Sciences, v. 15, n. 9, p. 409–16, set. 2011. GÓMEZ, Marcela Kelly Astete. Estudo dos alelos da região 5’UTR no gene FMR1 (Fragile X Mental Retardation) em homens da população geral de Salvador – BA. 2011. 75p. Dissertação (Mestrado em Biotecnologia em Saúde e Medicina Investigativa – Fundação Oswaldo Cruz), Salvador, Bahia, 2011. HAGERMAN, Randi; HOEM, Gry; HAGERMAN, Paul. Fragile X and autism: intertwined at the molecular level leading to targeted treatments. Molecular Autism, v.1, n.1, p.1-12, 2010. HAGERMAN, Paul; HAGERMAN, Randi J. Fragile X-associated tremor/ataxia syndrome. Annals of the New York Academy of Sciences, v.1338, n.1, p.58-70, 2015. HAGERMAN, R. J.; ALTSHUL-STARK, D.; McBOGG, P. Recurrent otitis media in the fragile X syndrome. Am J Dis Child, v.141, n.2, p.184-187, feb. 1987. HAGERMAN, R. J. Medical follow-up and pharmacotherapy. In: HAGERMAN, R. J.; HAGERMAN, P. J. (eds). Fragile X syndrome: Diagnosis, Treatment and Research, 3 ed. Baltimore: The John Hopkins University Press, 2002, p.287-338. HAGERMAN, Randi; AU, Jacky; HAGERMAN, Paul. FMR1 premutation and full mutation molecular mechanisms related to autism. Journal of Neurodevelomental Disorders, v.3, n.3, p.211-224, 2011. HAGERMAN, Randi; HARRIS, Susan. Autism profiles of males with Fragile X syndrome. American Journal of Mental Retardation, v.18, p.1199-1216, 2008. HALL, Deborah; TASSONE, Flora; KLEPITSKAYA, Olga; LEEHEY, Maureen. Fragile X-associated tremor/ataxia syndrome in FMR1 gene gray zone alleles carries. Movement Disorders, v.29, n.6, p.997-1003, 2012. 51 HAMOSH, Ada et al. Online Mendelian Inheritance in Man (OMIM), a knowledgebase of human genes and genetic disorders. Nucleic Acids Research, v. 33, p. 514–517, set. 2005. HAMDAN, Hasnah et al. Automated detection of trinucleotide repeats in fragile X syndrome. Molecular Diagnosis, v.2, p.259-269, 1997. HESSL, David et al. A solution to limitations of cognitive testing in children with intellectual disabilities: the case of fragile X syndrome. Journal of Neurodevelopmental Disorders, v. 1, p.33-45, 2009. HEULENS, Inge et al. Craniofacial characteristics of fragile X syndrome in mouse and man. European Journal of Human Genetics, v.21, p.816-823, 2013. JACQUEMONT, Sébastien et al. The challenges of clinical trials in fragile X syndrome. Psychopharmacology, v. 231, p. 1237-1250, 2014. JANG, J.-H. et al. Frequency of FMR1 premutation carriers and rate of expansion to full mutation in a retrospective diagnostic FMR1 Korean sample. Clinical Genetics, v. 85, n. 5, p. 441–5, maio 2014. JIN, Peng; WARREN, Stephen T. Understanding the molecular basis of fragile X syndrome. Human Molecular Genetics, v. 9, n. 6, p. 901–908, 1 abr. 2000. JORDE, Lynn B.; CAREY, John C.; BAMSHAD, Michael J.; WHITE, Raymond L. Genética Médica. 3.ed. Rio de Janeiro: Elsevier, 2004. KAUFMANN, Walter et al. Autism spectrum disorder in fragile X syndrome: Communication, social interaction, and specific behaviors, American Journal of Medical Genetics Part A, v.129, p.225-234, 2004. KHANIANI, Mahmoud S. et al. An improved Diagnostic PCR Assay for identification of Cryptic Heterozygosity for CGG Triplet Repeat Alleles in the Fragile X Gene (FMR1). Molecular Cytogenetics, v. 1, p. 5, jan. 2008. KUNST, C.B. et al. Fmr1 in global populations. American Journal of Human Genetics, v.58, p.513-522, 1996. LAI, Meng-Chuan; LOMBARDO, Michael V.; BARON-COHEN, Simon. Autism. Lancet, v. 383, n. 9920, p. 896–910, 8 mar. 2014. Lane Community College Genetics. Disponível em: http://laneccgenetics.pbworks.com/w/page/58174882/X%20linked%20Recessive%20 Inheritance. Acesso em: 09 jan. 2016. LAUMONNIER, Frédéric; CUTHBERT, Peter C.; GRANT, Seth G. N. The role of neuronal complexes in human x-linked brain diseases. The American Journal of Human Genetics, v. 80, p. 205-220, fev. 2007. 52 LIPTON, Jonathan; SAHIN, Mustafa. Fragile X syndrome therapeutics: translation, meet translational medicine. Neuron, v. 77, n. 2, p. 212–3, 23 jan. 2013. LIU, Xiaoxi; TAKUMI, Toru. Genomic and genetics aspects of autism spectrum disorder. Biochemical and Biophysical Research Communications, v.452, p. 24453, ago. 2014. LIU et al. Fragile X-associated tremor/ataxia syndrome (FXTAS) in grey zone carriers. Clinical Genetics, v.84, n.1, p.74-77, 2013. LUBS, H. A. A marker X chromosome. The American Journal of Human Genetics, v.21, p. 231-244, 1969. MADALENA, Anne et al. Technical standards and guidelines for fragile X: the first of a series of disease-specific supplements to the Standards and Guidelines for Clinical Genetics Laboratories of the American College of Medical Genetics. Quality Assurance Subcommittee of the Laboratories of the American College of Medical Genetics. Genetics in medicine : official journal of the American College of Medical Genetics, v.3. p.200-205, 2001. MALTER et al. Characterization of the full fragile X syndrome mutation in fetal gametes. Nature Genetics, v.15, p.165-169, 1997. MANDEL, J.L. BIANCALANA, V. Fragile X mental retardation syndrome: from pathogenesis to diagnostic issues. Growth Hormone & IGF Research, v.14, p.158165, 2004. MARTINS, Márcia P. Perturbações do espectro X frágil: aspectos clínicos. In: FRANCO, Victor (ed.). Síndrome do X Frágil: Pessoas, Contextos e Percursos. Curitiba, Ed. UFPR, 2014, p. 23-42. MARTIN, J.P.; BELL, Julia. A pedigree of mental defect showing sex-linkage. Journal of Neurology, Neurosurgery and Psychiatry, v.6, p. 154-157, 1943. MCCARY, Lindsay M.; ROBERTS, J. E. Early identification of autism in fragile X syndrome: a review. Journal of intellectual disability research : JIDR, v. 57, n. 9, p. 803–14, set. 2013. MCLENNAN, Yangratana; POLUSSA, Jonathan; TASSONE, Flora; HAGERMAN, Randi. Fragile x syndrome. Current genomics, v. 12, n. 3, p. 216–24, maio 2011. MEGUID, Nagwa et al. Simple molecular diagnostic method for Fragile X syndrome in Egyptian patients: Pilot study. Acta biochimica Polonica, v. 61, n. 2, p. 259–63, jan. 2014. MINGRONNI-NETTO, Regina Célia et al. Distribution of CGG repeats and FRAXAC1/DXS548 alleles in South American populations. American Journal of Medical Genetics, v.111, p.243-252, 2002. 53 MOURÃO, Carlos, A.; ABRAMOV, Dimitri M. Fisiologia Essencial. Rio de Janeiro: Guanabara Koogan, 2011. MUSUMECI, S.A. et al. Epilepsy and EEG findings in males with fragile X syndrome. Epilepsia, v.40, p.1092-1099, 1999. MYRICK, Leila K. et al. FMR1 missense mutation associated with intellectual disability and seizures. PNAS, v.112, n.4, p.1-8, 2015. National Fragile X Foundation (NFXF). Disponível em: https://fragilex.org/fragile-xassociated-disorders/fragile-x-syndrome/autism-and-fragile-x-syndrome/. Acesso em: 18 jun. 2015. NGUYEN, Di K.; DISTECHE, Christine M. High expression of the mammalian X chromosome in brain. Brain Research, v.1126, n.1, p. 46-49, dez. 2006. NOLIN, Sarah, L. et al. Expansion of the fragile X ccg repeat in females with premutation or intermediate alleles. American Journal of Human Genetics, v. 72, p. 454-464, jan. 2003. NOLIN, Sarah L. et al. Fragile X full mutation expansions are inhibited by one or more AGG interruptions in premutation carriers. Genetics in medicine : official journal of the American College of Medical Genetics, n. May, p. 1–7, 11 set. 2014. NUSSBAUM, Robert L.; MCINNES, Roderick R.; WILLARD, Huntington F. Thompsom & Thompson Genética Médica. 7ª. Ed. Rio de Janeiro: Elsevier, 2008. OLIVEIRA, Eder J. et al. Origin, evolution and genome distribution of microsatellites. Genetics and Molecular Research, v.29, n.2, p.294-307, 2006. OMIM: Online Mendelian Inheritance of Man. Fragile X Mental Retardation Syndrome #30064. Disponível em: http://www.ncbi.nlm.nih.gov/omim. Acesso em: 30 dez. 2014. PEARSON, Christopher E.; EDAMURA, Kerrie N.; CLEARY, John D. Repeat instability: mechanisms of dynamic mutations. Nature Reviews Genetics, v. 6, n.10, p. 729-742, 2005. PENAGARIKANO, Olga; MULLE, Jennifer G.; WARREN, Stephen G. The pathophysiology of fragile x syndrome. Annual Review of Genomics and Human Genetics, v.8, p.109-129, maio 2007. PEPRAH, Emmanuel. Understanding decreased fertility in women carriers of the FMR1 premutation: a possible mechanism for Fragile X-Associated Primary Ovarian Insufficiency (FXPOI). Reproductive health, v. 11, n. 1, p. 67, jan. 2014. PEPRAH, Emmanuel. Fragile X syndrome: the FMR1 CGG repeat distribution among world populations. Annals of Human Genetics, v.76, p.178-191, 2012. 54 QUEIROZ, Mariana Arzua. Avaliação da pré-mutação por PCR na Síndrome do X Frágil. 2006. 72p. Dissertação (Mestrado em Engenharia Química – Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 2006. RASKE, Christopher; HAGERMAN, Paul. Molecular pathogenesis of FXTAS. Journal of Investigational Medicine, v.57, n.8, p.825-829, 2006. REYNIERS, Edwin et al. The full mutation in the FMR-1 gene of male fragile X patients is absent in their sperm. Nature genetics, v. 4, n. 2, p. 143–6, jun. 1993. ROBERTS, Jennifer L. et al. Chromosomal microarray analysis of consecutive individuals with autism spectrum disorders or learning disability presenting for genetic service. Gene, v.535, p.70-78, 2014. ROSALES-REYNOSO MA, MENDOZA-CARRERA F, TROYO-SANROMAN R, MEDINA C, BARROS-NUNEZ P. Genetic Diversity at the FMR1 Locus in Mexican Population. Archives of Medical Research, v.36, p. 412–417, 2005. ROUSSEAU, François et al. The fragile x mental retardation syndrome 20 years after the FMR1 gene discovery: an expanding universe of knowledge. The Clinical biochemist. Reviews / Australian Association of Clinical Biochemists, v.32, p.135-162, 2011. SALUTO, Alessandro et al. An enhanced polymerase chain reaction assay to detect pre- and full mutation alleles of the fragile X mental retardation 1 gene. The Journal of molecular diagnostics : JMD, v. 7, n. 5, p. 605–612, nov. 2005. SANDIN, S. et al. Autism risk associated with parental age and with incresing difference in age between the parents. Molecular Psychiatry, p.1-8, 2015. SCHUELKE, Markus. An economic method for the fluorescent labeling of PCR fragments. Nature biotechnology, v. 18, n. 2, p. 233–234, fev. 2000. SETHNA, Ferzin; MOON, Changjong; WANG, Hongbing. From FMRP function to potential therapies for fragile X syndrome. Neurochemical Research, v. 39, n. 6, p. 1016–31, jun. 2014. SHERMAN, Stephanie; PLETCHER, Beth A.; DRISCOLL, Deborah A. Fragile X syndrome: diagnostic and carrier testing. Genetics in Medicine, v.7, n.8, p.584-587, 2005. SILVA, Raquel Galvão. Detecção de expansões CGG na população do estado de Pernambuco e verificação de sua relação com a síndrome do X-Frágil. 2004. 55p. Dissertação (Mestrado em Genética – Universidade Federal de Pernambuco), Recife, Pernambuco, 2004. STEGANI, Fernanda Carla. Desafios na avalição genético-molecular de pacientes com suspeita de síndrome do X-Frágil atendidos na rede pública de saúde do 55 Estado de Goiás. 2011. 88p. Dissertação (Mestrado em Genética – Pontifícia Universidade Católica de Goiás), Goiânia, Goiás, 2011. SUCHAROV, Carmen C et al. Fragile x trinucleotide repeats from a normal population in Rio de Janeiro, Brazil. Hereditas, v.130, p.189-190, 1999. SUTHERLAND,G. Fragile sites on human chromosomes: demonstration of their dependence on the type of tissue culture medium. Science, v.197, p.265-266, 1977. TALLANTYRE, E.; ROBERTSON, Neil. P. Autism and intellectual disability. Journal of neurology, v. 260, n. 3, p. 936–9, mar. 2013. VÄISÄNEN, Marja Leena; HAATAJA, Ritva; LEISTI, Jaako. Decrease in the CGGn trinucleotide repeat mutation of the fragile X syndrome to normal size range during paternal transmission. American Journal of Human Genetics, v.59, p.540-546, 1996. VERKERK, Annemieke et al. Identification of a gene (FMR-1) containing a CGG repeat coincident with a breakpoint cluster region exhibiting length variation in fragile X syndrome. Cell, v.65, p.905-914, 1991. VITS, Lieve et al. Apparent regression of the CGG repeat in FMR1 to an allele of normal size. Human Genetics, v.94, p.523-526, 1994. WHEELER, Anne C. et al. DSM-5 Changes and the Prevalence of Parent-Reported Autism Spectrum Symptoms in Fragile X Syndrome. Journal of autism and developmental disorders, 19 set. 2014. WINARNI, T. I. et al. Fragile X syndrome: clinical, cytogenetic and molecular screening among autism spectrum disorder children in Indonesia. Clinical genetics, v. 84, n. 6, p. 577–80, dez. 2013. WOAD, K.J. et al. The genetic basis of premature ovarian failure. Aust N Z J Obstet Gynaecol, v.46, p.242–244, 2006. ZHOU, Y et al. FMR1 CGG repeat patterns and flanking haplotypes in three Asian populations and their relationship with repeat instability. Annals of Human Genetics, v.70, p.784–796, 2006Atribuição-NãoComercial-SemDerivados 3.0 Brasilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da Universidade do Estado do Amazonas (UEA)instname:Universidade do Estado do Amazonas (UEA)instacron:UEA2024-09-05T17:41:03Zoai:ri.uea.edu.br:riuea/2189Repositório InstitucionalPUBhttps://ri.uea.edu.br/server/oai/requestbibliotecacentral@uea.edu.bropendoar:2024-09-05T17:41:03Repositório Institucional da Universidade do Estado do Amazonas (UEA) - Universidade do Estado do Amazonas (UEA)false
dc.title.none.fl_str_mv Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
title Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
spellingShingle Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
Ferreira, Jorge Frank Braga
FMR1
PCR
Mutação dinâmica
Trinucleotídeo CGG
Biotecnologia
title_short Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
title_full Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
title_fullStr Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
title_full_unstemmed Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
title_sort Investigação molecular da síndrome do x-frágil em portadores de transtornos do espectro autista na cidade de Manaus-Amazonas
author Ferreira, Jorge Frank Braga
author_facet Ferreira, Jorge Frank Braga
author_role author
dc.contributor.none.fl_str_mv Rezende, Cleiton Fantin
Batista, Jacqueline da Silva
Rezende, Cleiton Fantin
Santos, Joselita Maria Mendes dos
Santos, Maria da Conceição Freitas dos
dc.contributor.author.fl_str_mv Ferreira, Jorge Frank Braga
dc.subject.por.fl_str_mv FMR1
PCR
Mutação dinâmica
Trinucleotídeo CGG
Biotecnologia
topic FMR1
PCR
Mutação dinâmica
Trinucleotídeo CGG
Biotecnologia
description Fragile X Syndrome (FXS) is the main genetic condition associated to the development of Autism Spectrum Disorders (ASD) and hereditary Intellectual Deficiency (ID). Due to the variable expressivity of this syndrome and to its high prevalence among ASD patients, requiring screening tests for FXS is important for all individuals diagnosed with ASD and/or ID, because the presence of mutations in the FMR1 gene could lead to new options of treatment for the patient. In this study, the presence and the frequency of dynamic mutations in the FMR1 gene of 101 ASD patients has been verified by molecular analysis. There are few epidemiological data about the frequency of FXS in the Brazilian population and no study has already been performed in the State of Amazonas, so, this work provides a contribution to the prevalence of this syndrome in this Brazilian state. Keywords: FMR1. PCR. Dynamic mutation. CGG trinucleotide.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-29
2020-03-17T18:20:43Z
2020-03-16
2020-03-17T18:20:43Z
2024-09-05T17:30:28Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ri.uea.edu.br/handle/riuea/2189
url https://ri.uea.edu.br/handle/riuea/2189
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv AAIDD American Association on Intellectual and Developmental Disorders. Disponível em: http://aaidd.org/intellectual-disability/definition/faqs-on-intellectualdisability#.VMpiyWjF9qU. Acesso em: 29 jan. 2015. ABBEDUTO, Leonard; MCDUFFIE, Andrea; THURMAN, Angela J.; The fragile X syndrome-autism comorbidity: what do we really know? Frontiers in Genetics, n. October, p. 1-10, out. 2014. AMÂNCIO, Andrea Pires. Análise molecular de pacientes com suspeita da síndrome do X-Frágil. 2013. 75p. Dissertação (Mestrado em Genética – Pontifícia Universidade Católica de Goiás), Goiânia, Goiás, 2013. BAGNI, Claudia et al. Fragile X syndrome: causes, diagnosis, mechanisms, and therapeutics. The Journal of Clinical Investigation, v.122, n.12, p.4314-22, dez. 2012. BARON-COHEN, Simon et al. Why are autism spectrum condition more prevalent in males? PLoS Biology, v. 9, n.6, p.1-10, jun. 2011. BONAVENTURE, G et al. Fragile X founder effect found in Argentine. American Journal of Medical Genetics, v.79, p.200-204, 1998. BOURGEOIS, James et al. A review of fragile X premutation disorders: expanding the psychiatric perspective. The Journal of Clinical Psychiatry, v. 70, n. 6, p. 852–62, jun. 2009. BROWN, W.T. et al. Rapid fragile X carrier screening and prenatal diagnosis using a nonradioactive PCR test. Journal of the American Medical Association, v. 270, p.1569-1575, 1993. BUYLE, Sonja et al. Founder effect in a Belgian-Dutch fragile x population. Human Genetics, v.92, p.269-272, 1993. CHIURAZZI, P. et al. Fragile X founder chromosomes in Italy: a few initial events and possible explanation for their heterogeneity. American Journal of Medical Genetics, v.2, p.209-215, 1996. CHOI, Catherine H. et al. PDE-4 inhibition rescues aberrant synaptic plasticity in Drosophila and mouse models of fragile X syndrome. Neurobiology of Disease, v. 35, n.1, p. 396-408, jan. 2015. Classificação de Transtornos Mentais e de Comportamento da CID-10. Descrições Clínicas e Diretrizes Diagnósticas – Coord. Organiz. Mund. Da Saúde. Porto Alegre: Artmed, 1993. 49 COLLINS, Stephen C. et al. Array-based FMR1 sequencing and deletion analysis in patients with a fragile X syndrome-like phenotype. PloS one, v.5, n.3, p. e9476, jan. 2010. CRONISTER, Amy et al. Prevalence and instability of fragile X alleles: implications for offering fragile X prenatal diagnosis. Obstetrics and Gynecology, v. 111, n. 3, p. 596– 601, mar. 2008. DARNELL, Jeniffer C.; KLANN, Eric. The translation of translational control by FMRP: theraupeutic targets of FXS. Nature Neuroscience, v. 16, p. 1530-1536, maio 2013. DE DIEGO, Yolanda et al. Fragile x founder effect and distribution of cgg repeats among the mentally retarded population of Andalusia, South Spain. Genetics and Molecular Biology, v.25, p.1-6, 2002. DE ESCH, Celine E. F.; ZEIDLER, Shimriet.; WILLEMSEN, Rob. Translational endpoints in fragile X syndrome. Neuroscience and Biobehavioral Reviews, v. 46P2, n. 2014, p. 256–269, out. 2014. DOYLE, Jeff J.; DOYLE, Joseph L. Isolation of plant DNA from fresh tissue. Focus, 1990, vol. 12, no. 1, p. 13-15. DSM-5. MANUAL DIAGNÓSTICO E ESTATÍSTICO DE TRANSTORNOS MENTAIS. American Psychiatric Association. 5.ed. Porto Alegre: Artmed, 2014. ELSABBAGH, Mayada et al. Global prevalence of autism ond other pervasive developmental disorders. Autism Research, v.5, p. 160-79, abril, 2012. FARADZ, SMH et al. Genetic diversity at the FMR1 locus in the Indonesian population. Annals of Human Genetics, v.64, p.329–339, 2000. FERNANDEZ-CARVAJAL, Isabel et al. Expansion of an FMR1 grey-zone allele to a full mutation in two generations. The Journal of Molecular Diagnostics : JMD, v. 11, n. 4, p. 306–310, 2009. FILIPOVIC-SADIC, Stela et al. A novel FMR1 PCR method for the routine detection of low abundance expanded alleles and full mutations in fragile X syndrome. Clinical Chemistry, v. 56, p. 399–408, 2010. FRISTCH, Patrícia Maria. Triagem molecular para a síndrome do X-Frágil em pacientes com deficiência mental atendidos no HUB/UnB. 2011. 93p. Dissertação (Mestrado em Patologia Molecular – Universidade de Brasília), Brasília, Distrito Federal, 2011. FU, Ying H. et al. Variation of the CGG repeat at the fragile X site results in genetic instability: Resolution of the Sherman paradox. Cell, v. 67, n. 6, p. 1047–1058, dez. 1991. 50 GARBER, Kathryn; SMITH, Karen T; REINES, Danny; WARREN, Stephen T. et al. Transcription, translation and fragile X syndrome. Current opinion in genetics & development, v. 16, n. 3, p. 270–5, jun. 2006. GARBER, Kathryn; VISOOTSAK, Jeannie; WARREN, Stephen T. Fragile X syndrome. European Journal of Human Genetics, v.16, n.6, p.666-672, abr. 2008. GASTEIGER et al. Fmr1 gene deletion/reversion: a pitfall of fragile X carrier testing. Genetic Testing, v.7, p.303-308, 2003. GENEREUX, Diane; LAIRD, Charles. At what rate do new premutation alleles arise at the fragile X locus? Human Genetics, v.132, p.715-717, 2013. GESCHWIND, Daniel H. Genetics of autism spectrum disorders. Trends in Cognitive Sciences, v. 15, n. 9, p. 409–16, set. 2011. GÓMEZ, Marcela Kelly Astete. Estudo dos alelos da região 5’UTR no gene FMR1 (Fragile X Mental Retardation) em homens da população geral de Salvador – BA. 2011. 75p. Dissertação (Mestrado em Biotecnologia em Saúde e Medicina Investigativa – Fundação Oswaldo Cruz), Salvador, Bahia, 2011. HAGERMAN, Randi; HOEM, Gry; HAGERMAN, Paul. Fragile X and autism: intertwined at the molecular level leading to targeted treatments. Molecular Autism, v.1, n.1, p.1-12, 2010. HAGERMAN, Paul; HAGERMAN, Randi J. Fragile X-associated tremor/ataxia syndrome. Annals of the New York Academy of Sciences, v.1338, n.1, p.58-70, 2015. HAGERMAN, R. J.; ALTSHUL-STARK, D.; McBOGG, P. Recurrent otitis media in the fragile X syndrome. Am J Dis Child, v.141, n.2, p.184-187, feb. 1987. HAGERMAN, R. J. Medical follow-up and pharmacotherapy. In: HAGERMAN, R. J.; HAGERMAN, P. J. (eds). Fragile X syndrome: Diagnosis, Treatment and Research, 3 ed. Baltimore: The John Hopkins University Press, 2002, p.287-338. HAGERMAN, Randi; AU, Jacky; HAGERMAN, Paul. FMR1 premutation and full mutation molecular mechanisms related to autism. Journal of Neurodevelomental Disorders, v.3, n.3, p.211-224, 2011. HAGERMAN, Randi; HARRIS, Susan. Autism profiles of males with Fragile X syndrome. American Journal of Mental Retardation, v.18, p.1199-1216, 2008. HALL, Deborah; TASSONE, Flora; KLEPITSKAYA, Olga; LEEHEY, Maureen. Fragile X-associated tremor/ataxia syndrome in FMR1 gene gray zone alleles carries. Movement Disorders, v.29, n.6, p.997-1003, 2012. 51 HAMOSH, Ada et al. Online Mendelian Inheritance in Man (OMIM), a knowledgebase of human genes and genetic disorders. Nucleic Acids Research, v. 33, p. 514–517, set. 2005. HAMDAN, Hasnah et al. Automated detection of trinucleotide repeats in fragile X syndrome. Molecular Diagnosis, v.2, p.259-269, 1997. HESSL, David et al. A solution to limitations of cognitive testing in children with intellectual disabilities: the case of fragile X syndrome. Journal of Neurodevelopmental Disorders, v. 1, p.33-45, 2009. HEULENS, Inge et al. Craniofacial characteristics of fragile X syndrome in mouse and man. European Journal of Human Genetics, v.21, p.816-823, 2013. JACQUEMONT, Sébastien et al. The challenges of clinical trials in fragile X syndrome. Psychopharmacology, v. 231, p. 1237-1250, 2014. JANG, J.-H. et al. Frequency of FMR1 premutation carriers and rate of expansion to full mutation in a retrospective diagnostic FMR1 Korean sample. Clinical Genetics, v. 85, n. 5, p. 441–5, maio 2014. JIN, Peng; WARREN, Stephen T. Understanding the molecular basis of fragile X syndrome. Human Molecular Genetics, v. 9, n. 6, p. 901–908, 1 abr. 2000. JORDE, Lynn B.; CAREY, John C.; BAMSHAD, Michael J.; WHITE, Raymond L. Genética Médica. 3.ed. Rio de Janeiro: Elsevier, 2004. KAUFMANN, Walter et al. Autism spectrum disorder in fragile X syndrome: Communication, social interaction, and specific behaviors, American Journal of Medical Genetics Part A, v.129, p.225-234, 2004. KHANIANI, Mahmoud S. et al. An improved Diagnostic PCR Assay for identification of Cryptic Heterozygosity for CGG Triplet Repeat Alleles in the Fragile X Gene (FMR1). Molecular Cytogenetics, v. 1, p. 5, jan. 2008. KUNST, C.B. et al. Fmr1 in global populations. American Journal of Human Genetics, v.58, p.513-522, 1996. LAI, Meng-Chuan; LOMBARDO, Michael V.; BARON-COHEN, Simon. Autism. Lancet, v. 383, n. 9920, p. 896–910, 8 mar. 2014. Lane Community College Genetics. Disponível em: http://laneccgenetics.pbworks.com/w/page/58174882/X%20linked%20Recessive%20 Inheritance. Acesso em: 09 jan. 2016. LAUMONNIER, Frédéric; CUTHBERT, Peter C.; GRANT, Seth G. N. The role of neuronal complexes in human x-linked brain diseases. The American Journal of Human Genetics, v. 80, p. 205-220, fev. 2007. 52 LIPTON, Jonathan; SAHIN, Mustafa. Fragile X syndrome therapeutics: translation, meet translational medicine. Neuron, v. 77, n. 2, p. 212–3, 23 jan. 2013. LIU, Xiaoxi; TAKUMI, Toru. Genomic and genetics aspects of autism spectrum disorder. Biochemical and Biophysical Research Communications, v.452, p. 24453, ago. 2014. LIU et al. Fragile X-associated tremor/ataxia syndrome (FXTAS) in grey zone carriers. Clinical Genetics, v.84, n.1, p.74-77, 2013. LUBS, H. A. A marker X chromosome. The American Journal of Human Genetics, v.21, p. 231-244, 1969. MADALENA, Anne et al. Technical standards and guidelines for fragile X: the first of a series of disease-specific supplements to the Standards and Guidelines for Clinical Genetics Laboratories of the American College of Medical Genetics. Quality Assurance Subcommittee of the Laboratories of the American College of Medical Genetics. Genetics in medicine : official journal of the American College of Medical Genetics, v.3. p.200-205, 2001. MALTER et al. Characterization of the full fragile X syndrome mutation in fetal gametes. Nature Genetics, v.15, p.165-169, 1997. MANDEL, J.L. BIANCALANA, V. Fragile X mental retardation syndrome: from pathogenesis to diagnostic issues. Growth Hormone & IGF Research, v.14, p.158165, 2004. MARTINS, Márcia P. Perturbações do espectro X frágil: aspectos clínicos. In: FRANCO, Victor (ed.). Síndrome do X Frágil: Pessoas, Contextos e Percursos. Curitiba, Ed. UFPR, 2014, p. 23-42. MARTIN, J.P.; BELL, Julia. A pedigree of mental defect showing sex-linkage. Journal of Neurology, Neurosurgery and Psychiatry, v.6, p. 154-157, 1943. MCCARY, Lindsay M.; ROBERTS, J. E. Early identification of autism in fragile X syndrome: a review. Journal of intellectual disability research : JIDR, v. 57, n. 9, p. 803–14, set. 2013. MCLENNAN, Yangratana; POLUSSA, Jonathan; TASSONE, Flora; HAGERMAN, Randi. Fragile x syndrome. Current genomics, v. 12, n. 3, p. 216–24, maio 2011. MEGUID, Nagwa et al. Simple molecular diagnostic method for Fragile X syndrome in Egyptian patients: Pilot study. Acta biochimica Polonica, v. 61, n. 2, p. 259–63, jan. 2014. MINGRONNI-NETTO, Regina Célia et al. Distribution of CGG repeats and FRAXAC1/DXS548 alleles in South American populations. American Journal of Medical Genetics, v.111, p.243-252, 2002. 53 MOURÃO, Carlos, A.; ABRAMOV, Dimitri M. Fisiologia Essencial. Rio de Janeiro: Guanabara Koogan, 2011. MUSUMECI, S.A. et al. Epilepsy and EEG findings in males with fragile X syndrome. Epilepsia, v.40, p.1092-1099, 1999. MYRICK, Leila K. et al. FMR1 missense mutation associated with intellectual disability and seizures. PNAS, v.112, n.4, p.1-8, 2015. National Fragile X Foundation (NFXF). Disponível em: https://fragilex.org/fragile-xassociated-disorders/fragile-x-syndrome/autism-and-fragile-x-syndrome/. Acesso em: 18 jun. 2015. NGUYEN, Di K.; DISTECHE, Christine M. High expression of the mammalian X chromosome in brain. Brain Research, v.1126, n.1, p. 46-49, dez. 2006. NOLIN, Sarah, L. et al. Expansion of the fragile X ccg repeat in females with premutation or intermediate alleles. American Journal of Human Genetics, v. 72, p. 454-464, jan. 2003. NOLIN, Sarah L. et al. Fragile X full mutation expansions are inhibited by one or more AGG interruptions in premutation carriers. Genetics in medicine : official journal of the American College of Medical Genetics, n. May, p. 1–7, 11 set. 2014. NUSSBAUM, Robert L.; MCINNES, Roderick R.; WILLARD, Huntington F. Thompsom & Thompson Genética Médica. 7ª. Ed. Rio de Janeiro: Elsevier, 2008. OLIVEIRA, Eder J. et al. Origin, evolution and genome distribution of microsatellites. Genetics and Molecular Research, v.29, n.2, p.294-307, 2006. OMIM: Online Mendelian Inheritance of Man. Fragile X Mental Retardation Syndrome #30064. Disponível em: http://www.ncbi.nlm.nih.gov/omim. Acesso em: 30 dez. 2014. PEARSON, Christopher E.; EDAMURA, Kerrie N.; CLEARY, John D. Repeat instability: mechanisms of dynamic mutations. Nature Reviews Genetics, v. 6, n.10, p. 729-742, 2005. PENAGARIKANO, Olga; MULLE, Jennifer G.; WARREN, Stephen G. The pathophysiology of fragile x syndrome. Annual Review of Genomics and Human Genetics, v.8, p.109-129, maio 2007. PEPRAH, Emmanuel. Understanding decreased fertility in women carriers of the FMR1 premutation: a possible mechanism for Fragile X-Associated Primary Ovarian Insufficiency (FXPOI). Reproductive health, v. 11, n. 1, p. 67, jan. 2014. PEPRAH, Emmanuel. Fragile X syndrome: the FMR1 CGG repeat distribution among world populations. Annals of Human Genetics, v.76, p.178-191, 2012. 54 QUEIROZ, Mariana Arzua. Avaliação da pré-mutação por PCR na Síndrome do X Frágil. 2006. 72p. Dissertação (Mestrado em Engenharia Química – Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, 2006. RASKE, Christopher; HAGERMAN, Paul. Molecular pathogenesis of FXTAS. Journal of Investigational Medicine, v.57, n.8, p.825-829, 2006. REYNIERS, Edwin et al. The full mutation in the FMR-1 gene of male fragile X patients is absent in their sperm. Nature genetics, v. 4, n. 2, p. 143–6, jun. 1993. ROBERTS, Jennifer L. et al. Chromosomal microarray analysis of consecutive individuals with autism spectrum disorders or learning disability presenting for genetic service. Gene, v.535, p.70-78, 2014. ROSALES-REYNOSO MA, MENDOZA-CARRERA F, TROYO-SANROMAN R, MEDINA C, BARROS-NUNEZ P. Genetic Diversity at the FMR1 Locus in Mexican Population. Archives of Medical Research, v.36, p. 412–417, 2005. ROUSSEAU, François et al. The fragile x mental retardation syndrome 20 years after the FMR1 gene discovery: an expanding universe of knowledge. The Clinical biochemist. Reviews / Australian Association of Clinical Biochemists, v.32, p.135-162, 2011. SALUTO, Alessandro et al. An enhanced polymerase chain reaction assay to detect pre- and full mutation alleles of the fragile X mental retardation 1 gene. The Journal of molecular diagnostics : JMD, v. 7, n. 5, p. 605–612, nov. 2005. SANDIN, S. et al. Autism risk associated with parental age and with incresing difference in age between the parents. Molecular Psychiatry, p.1-8, 2015. SCHUELKE, Markus. An economic method for the fluorescent labeling of PCR fragments. Nature biotechnology, v. 18, n. 2, p. 233–234, fev. 2000. SETHNA, Ferzin; MOON, Changjong; WANG, Hongbing. From FMRP function to potential therapies for fragile X syndrome. Neurochemical Research, v. 39, n. 6, p. 1016–31, jun. 2014. SHERMAN, Stephanie; PLETCHER, Beth A.; DRISCOLL, Deborah A. Fragile X syndrome: diagnostic and carrier testing. Genetics in Medicine, v.7, n.8, p.584-587, 2005. SILVA, Raquel Galvão. Detecção de expansões CGG na população do estado de Pernambuco e verificação de sua relação com a síndrome do X-Frágil. 2004. 55p. Dissertação (Mestrado em Genética – Universidade Federal de Pernambuco), Recife, Pernambuco, 2004. STEGANI, Fernanda Carla. Desafios na avalição genético-molecular de pacientes com suspeita de síndrome do X-Frágil atendidos na rede pública de saúde do 55 Estado de Goiás. 2011. 88p. Dissertação (Mestrado em Genética – Pontifícia Universidade Católica de Goiás), Goiânia, Goiás, 2011. SUCHAROV, Carmen C et al. Fragile x trinucleotide repeats from a normal population in Rio de Janeiro, Brazil. Hereditas, v.130, p.189-190, 1999. SUTHERLAND,G. Fragile sites on human chromosomes: demonstration of their dependence on the type of tissue culture medium. Science, v.197, p.265-266, 1977. TALLANTYRE, E.; ROBERTSON, Neil. P. Autism and intellectual disability. Journal of neurology, v. 260, n. 3, p. 936–9, mar. 2013. VÄISÄNEN, Marja Leena; HAATAJA, Ritva; LEISTI, Jaako. Decrease in the CGGn trinucleotide repeat mutation of the fragile X syndrome to normal size range during paternal transmission. American Journal of Human Genetics, v.59, p.540-546, 1996. VERKERK, Annemieke et al. Identification of a gene (FMR-1) containing a CGG repeat coincident with a breakpoint cluster region exhibiting length variation in fragile X syndrome. Cell, v.65, p.905-914, 1991. VITS, Lieve et al. Apparent regression of the CGG repeat in FMR1 to an allele of normal size. Human Genetics, v.94, p.523-526, 1994. WHEELER, Anne C. et al. DSM-5 Changes and the Prevalence of Parent-Reported Autism Spectrum Symptoms in Fragile X Syndrome. Journal of autism and developmental disorders, 19 set. 2014. WINARNI, T. I. et al. Fragile X syndrome: clinical, cytogenetic and molecular screening among autism spectrum disorder children in Indonesia. Clinical genetics, v. 84, n. 6, p. 577–80, dez. 2013. WOAD, K.J. et al. The genetic basis of premature ovarian failure. Aust N Z J Obstet Gynaecol, v.46, p.242–244, 2006. ZHOU, Y et al. FMR1 CGG repeat patterns and flanking haplotypes in three Asian populations and their relationship with repeat instability. Annals of Human Genetics, v.70, p.784–796, 2006
dc.rights.driver.fl_str_mv Atribuição-NãoComercial-SemDerivados 3.0 Brasil
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribuição-NãoComercial-SemDerivados 3.0 Brasil
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade do Estado do Amazonas
Brasil
UEA
Programa de Pós-Graduação em Biotecnologia e Recursos Naturais
publisher.none.fl_str_mv Universidade do Estado do Amazonas
Brasil
UEA
Programa de Pós-Graduação em Biotecnologia e Recursos Naturais
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade do Estado do Amazonas (UEA)
instname:Universidade do Estado do Amazonas (UEA)
instacron:UEA
instname_str Universidade do Estado do Amazonas (UEA)
instacron_str UEA
institution UEA
reponame_str Repositório Institucional da Universidade do Estado do Amazonas (UEA)
collection Repositório Institucional da Universidade do Estado do Amazonas (UEA)
repository.name.fl_str_mv Repositório Institucional da Universidade do Estado do Amazonas (UEA) - Universidade do Estado do Amazonas (UEA)
repository.mail.fl_str_mv bibliotecacentral@uea.edu.br
_version_ 1844156616744632320