Inverted repeats are often described as "hotspots" of eukaryotic and prokaryotic genomic instability. Long inverted repeats are deemed to greatly influence the stability of the genome of various organisms. This is exemplified in
E. coli, where genomic sequences with long inverted repeats are seldom replicated, but rather deleted with rapidity. The illustration shows an inverted repeat undergoing cruciform extrusion. DNA in the region of the inverted repeat unwinds and then recombines, forming a four-way junction with two
stem-loop structures. The cruciform structure occurs because the inverted repeat sequences self-pair to each other on their own strand. Extruded cruciforms can lead to
frameshift mutations when a DNA sequence has inverted repeats in the form of a
palindrome combined with regions of
direct repeats on either side. During
transcription, slippage and partial dissociation of the polymerase from the template strand can lead to both
deletion and
insertion mutations. Deletion occurs when a portion of the unwound
template strand forms a stem-loop that gets "skipped" by the transcription machinery. Insertion occurs when a stem-loop forms in a dissociated portion of the nascent (newly synthesized) strand causing a portion of the template strand to be transcribed twice.
Antithrombin deficiency from a point mutation Imperfect inverted repeats can lead to
mutations through intrastrand and interstrand switching. The
antithrombin III gene's coding region is an example of an imperfect inverted repeat as shown in the figure on the right. The
stem-loop structure forms with a bump at the bottom because the G and T do not pair up. A strand switch event could result in the G (in the bump) being replaced by an A which removes the "imperfection" in the inverted repeat and provides a stronger stem-loop structure. However, the replacement also creates a
point mutation converting the GCA codon to ACA. If the strand switch event is followed by a second round of
DNA replication, the mutation may become fixed in the
genome and lead to disease. Specifically, the
missense mutation would lead to a defective gene and a deficiency in antithrombin which could result in the development of
venous thromboembolism (blood clots within a vein).
Osteogenesis imperfecta from a frameshift mutation Mutations in the
collagen gene can lead to the disease
Osteogenesis Imperfecta, which is characterized by brittle bones. In the illustration, a stem-loop formed from an imperfect inverted repeat is mutated with a thymine (T) nucleotide insertion as a result of an inter- or intrastrand switch. The addition of the T creates a
base-pairing "match up" with the adenine (A) that was previously a "bump" on the left side of the stem. While this addition makes the stem stronger and perfects the inverted repeat, it also creates a
frameshift mutation in the nucleotide sequence which alters the
reading frame and will result in an incorrect expression of the gene. ==Programs and databases==