Downloaded from http://cshperspectives.cshlp.org/ on September 24, 2021 - Published by Cold Spring Harbor Laboratory Press Repeat-Associated Non-ATG Translation in Neurological Diseases Tao Zu,1,2 Amrutha Pattamatta,1,2 and Laura P.W. Ranum1,2,3,4 1Center for Neuro-Genetics, University of Florida, Gainesville, Florida 32610 2Departments of Molecular Genetics and Microbiology, University of Florida, Gainesville, Florida 32610 3Departments of Neurology, College of Medicine, University of Florida, Gainesville, Florida 32610 4Genetics Institute, University of Florida, Gainesville, Florida 32610 Correspondence:
[email protected] More than 40 different neurological diseases are caused by microsatellite repeat expansions that locate within translated or untranslated gene regions, including 50 and 30 untranslated regions (UTRs), introns, and protein-coding regions. Expansion mutations are transcribed bidirectionally and have been shown to give rise to proteins, which are synthesized from three reading frames in the absence of an AUG initiation codon through a novel process called repeat-associated non-ATG (RAN) translation. RAN proteins, which were first de- scribed in spinocerebellar ataxia type 8 (SCA8) and myotonic dystrophy type 1 (DM1), have now been reported in a growing list of microsatellite expansion diseases. This article reviews what is currently known about RAN proteins in microsatellite expansion diseases and experiments that provide clues on how RAN translation is regulated. icrosatellite repeats, or short repetitive built on inferring the mechanisms of these dis- Mstretches of DNA containing 2–10 nucleo- eases based on the position of the mutations tides are common in the human genome. A sub- within their corresponding genes. For example, set of these sequences has been shown to be un- for diseases such as HD, in which the mutation is stable, and when expanded too many times, can translated as a glutamine stretch that is part of a cause disease.