Evidence map›Paper›PMID 41145416›Full record

ArticleNature communications2025

Mechanism of trinucleotide repeat expansion by MutSβ-MutLγ and contraction by FAN1.

Issam Senoussi, Valentina Mengoli, Arianna Cerana, Andrea Rinaldi, Andrés Marco, Giordano Reginato, Simone G Moro, Ananya Acharya, Megha Roy, Akshay Jayachandran and 3 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Issam SenoussiFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.
Valentina MengoliFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.
Arianna CeranaFaculty of Biomedical Sciences, Institute of Oncology Research, Università della Svizzera italiana (USI), Bellinzona, Switzerland.
Andrea RinaldiFaculty of Biomedical Sciences, Institute of Oncology Research, Università della Svizzera italiana (USI), Bellinzona, Switzerland.
Andrés MarcoData Curators B.V, DH, Oegstgeest, The Netherlands.
Giordano ReginatoFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.ORCID http://orcid.org/0009-0002-5284-4339
Simone G MoroFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.ORCID http://orcid.org/0000-0001-5199-8390
Ananya AcharyaFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.
Megha RoyFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.ORCID http://orcid.org/0009-0001-7053-1195
Akshay JayachandranFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.ORCID http://orcid.org/0000-0003-1513-8582
Elda CannavoFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.
Ilaria CeppiFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland.ORCID http://orcid.org/0000-0001-6496-8983
Petr CejkaFaculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), Bellinzona, Switzerland. petr.cejka@irb.usi.ch.ORCID http://orcid.org/0000-0002-9087-032X

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 101018257Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 310030_205199
6 · The paper itself

Abstract

Triplet repeat expansion underlies multiple pathologies, including Huntington's disease, often arising in somatic non-dividing tissues such as the brain. Despite identification of genetic modifiers, mechanistic insights remain limited. Using purified human proteins, we show that MutLγ (MLH1-MLH3), stimulated by MutSβ (MSH2-MSH3), incises DNA opposite an extrahelical loop on the 5' side. This activity, with a moderate sequence preference, generates DNA nicks enabling Polδ-mediated displacement synthesis with the loop as a template, leading to expansion. PCNA confines these MutLγ incisions near the loop. FAN1, instead, preferentially targets the looped strand. RFC-PCNA stimulate and direct FAN1 nuclease to the 3' boundary of the loop while restricting its exonuclease activity. No pre-existing nick is required. Following FAN1-RFC-PCNA action, Polδ removes the loop and resynthesizes DNA, causing contraction. FAN1 also directly inhibits MutLγ, preventing its activation by MutSβ. Our study illuminates both repeat expansion and contraction mechanisms and reveals the protective function of FAN1.

Indexed as

EndodeoxyribonucleasesExodeoxyribonucleasesMultifunctional EnzymesMutL ProteinsTrinucleotide Repeat ExpansionDNADNA Polymerase IIIHumansHuntington DiseaseMutL Protein Homolog 1MutS Homolog 2 ProteinMutS Homolog 3 ProteinProliferating Cell Nuclear AntigenDNADNA Polymerase IIIEndodeoxyribonucleasesExodeoxyribonucleasesFAN1 protein, humanMLH1 protein, humanMSH2 protein, humanMSH3 protein, humanMultifunctional EnzymesMutL Protein Homolog 1MutL ProteinsMutS Homolog 2 ProteinMutS Homolog 3 ProteinProliferating Cell Nuclear Antigen

Identifiers

PMID41145416
PMCPMC12559329

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.