[Satellite DNA and disease--possible mechanisms. Trinucleotide repeats]

Abstract

The new data on the mechanisms underlying trinucleotide repeat expansion are reviewed with special reference to the role of chromatin structure, DNA replication, methylation, and amplification in repeat expansion during ontogeny. A hypothesis is advanced as to the crucial role of processes that occur at the preimplantation developmental stage, such as sister chromatid exchanges, single-strand DNA breaks, and demethylation. The molecular and cellular events responsible for association between trinucleotide expansion and various diseases are discussed.