ArticlebioRxiv : the preprint server for biology2025
Reconciling the effects of PMS2 in different repeat expansion disease models supports a common therapeutic strategy.
Article in bioRxiv : the preprint server for biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Expansion of a disease-specific tandem repeat is responsible for >45 Repeat Expansion Diseases (REDs). The expansion mutation in each of these diseases has different pathological consequences and most are currently incurable. If the underlying mechanism of mutation is shared, a strategy that slows repeat expansion in one RED may be applicable to multiple REDs. However, the fact that PMS2, a component of the MutLα mismatch repair complex, promotes expansion in some models and protects against it in others, suggests that the expansion mechanisms may differ. We show here using mouse models of two REDs caused by different repeats that the seemingly paradoxical effects of PMS2 do not reflect different expansion mechanisms but rather cell-type and dosage effects in different tissues. This differential effect is recapitulated in mouse embryonic stem cells with inducible PMS2 expression: PMS2 promotes expansion at low concentrations, an effect that requires a functional nuclease domain; while at higher concentrations it protects against expansion. The apparent paradoxical behavior of PMS2 can be resolved in a model based on the different
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