Heterozygosity for a Hypomorphic Polβ Mutation Reduces the Expansion Frequency in a Mouse Model of the Fragile X-Related Disorders

The Fragile X-related disorders (FXDs) are members of the Repeat Expansion Diseases, a group of human genetic conditions resulting from expansion of a specific tandem repeat. The FXDs result from expansion of a CGG/CCG repeat tract in the 5’ UTR of the FMR1 gene. While expansion in a FXD mouse model is known to require some mismatch repair (MMR) proteins, our previous work and work in mouse models of another Repeat Expansion Disease show that early events in the base excision repair (BER) pathway play a role in the expansion process. One model for repeat expansion proposes that a non-canonical MMR process makes use of the nicks generated early in BER to load the MMR machinery that then generates expansions. However, we show here that heterozygosity for a Y265C mutation in Polβ, a key polymerase in the BER pathway, is enough to significantly reduce both the number of expansions seen in paternal gametes and the extent of somatic expansion in some tissues of the FXD mouse. These data suggest that events in the BER pathway downstream of the generation of nicks are also important for repeat expansion. Somewhat surprisingly, while the number of expansions is smaller, the average size of the residual expansions is larger than that seen in WT animals. This may have interesting implications for the mechanism by which BER generates expansions.


Introduction
The Fragile X-related disorders (FXDs) are members of the group of diseases known as the Repeat Expansion Diseases. This group of diseases, which includes Huntington disease (HD) and Myotonic dystrophy type 1, are all caused by an increase in the number of repeats in an expansion-prone tandem repeat tract [1,2]. In the case of the FXDs the repeat is CGG/CCG and it is located in the 5' untranslated region of the FMR1 gene (MIM Ã 309550; reviewed in [3]). The FXDs include Fragile X-associated primary ovarian insufficiency and Fragile X-associated tremor/ataxia syndrome (MIM# 300623) that occur in carriers of alleles with 54-200 repeats, so-called premutation (PM) alleles. Fragile X syndrome (MIM# 300624), the leading heritable cause of intellectual disability is seen in carriers of full mutation alleles (>200 repeats).
The repeats responsible for the Repeat Expansion Diseases share the ability to form unusual secondary structures of one sort or another [1,2]. In the case of the FXDs, the repeats have the potential to form hairpins containing a mixture of Watson-Crick and Hoogsteen base pairs, as well as a variety of quadruplex structures [4,5,6,7,8,9,10]. Many of these sequences also form persistent RNA:DNA hybrids [11,12,13]. Current thinking in the field is that these structures are the substrates upon which the expansion and contraction processes act. However, the mechanism involved is unclear.
We have previously shown that oxidative damage exacerbates expansion risk in a mouse model of the FXDs [14]. Since Base Excision Repair (BER) is the major pathway involved in the repair of oxidized bases, this finding is consistent with the observation that OGG1 and NEIL1, DNA glycosylases involved in the initial recognition of oxidized bases in the BER pathway, are important for somatic expansion in a mouse model of HD [15,16]. However, the effect of DNA glycosylase mutations on intergenerational expansion was limited, with the loss of OGG1 having no effect, and the loss of NEIL1 reducing the average expansion size but not the expansion frequency. Whether this reflects mechanistic differences between germ line and somatic expansion or the contribution of other DNA glycosylases or other kinds of DNA damage to expansion is unclear. Furthermore, components of the mismatch repair (MMR) pathway have been shown to be essential for expansion in a number of different mouse and human tissue culture models of the Repeat Expansion Diseases [17,18,19,20,21,22,23,24,25,26]. This has led to the idea that BER per se does not lead to expansions but rather that the MMR machinery can use the nicks generated by BER DNA glycosylases to load MMR components onto the DNA that in turn are responsible for generating expansions via a non-canonical form of MMR [27].
To examine the contribution of downstream events in the BER pathway to repeat expansion we have examined the effect of a Y265C mutation in the gene encoding Polβ [28,29] on the expansion frequency in a mouse model of the FXDs. Polβ is the DNA polymerase central to BER. It acts downstream of the DNA glycosylases and the apurinic/apyrimidinic endonuclease 1 (APE1) to remove the 5 0 -terminal deoxyribose 5-phosphate resulting from APE1 digestion and in concert with DNA ligase 3 to complete the short patch pathway of BER. If short patch BER cannot be completed because of oxidation or reduction of the deoxyribose 5-phosphate then Polβ acts together with Lig1, FEN1 and sometimes other polymerases like Polδ and Polε, to repair the lesion using the long patch (LP) BER pathway. The Y265C mutation in PolB is a dominant mutation [30] that results in a Polβ with a normal lyase activity but a~20-fold lower steady state catalytic rate than the WT enzyme and a lower fidelity [28].
We show here that this Polβ mutation causes a decrease in the frequency of expansions seen in the sperm of young males and decreases the extent of somatic instability in some tissues. Thus central events in the BER pathway that occur subsequent to the generation of a nick also play a role in repeat expansion in the FXD mouse. The distribution of residual expansions in these animals is biased towards larger expansions and this may reflect the use of alternative pathways for BER-mediated repeat expansion when Polβ activity is impaired.

Results
Heterozygosity for the PolB c allele causes a decrease in the number of expanded alleles detected in sperm To examine the role of Polβ in repeat expansion we crossed our FX PM mice to mice with a Y265C mutation in PolB (PolB c ). Since we found homozygosity for the PolB c to be embryonic lethal in a pure C57BL/6 background and in animals backcrossed for 4 generations onto a 129S1 background, our efforts to understand the role of this protein in repeat expansion was of necessity limited to studying its effect in heterozygous animals. We confined our analysis to animals on a C57BL/6 background since there is reason to think that the expansion frequency would be higher in these animals [31]. Since mice heterozygous for a null mutation of PolB show significantly higher mutation rates in sperm than WT mice [32] and PolB +/C mice develop an autoimmune pathology that resembles systemic lupus erythematosus, a condition that has been suggested to reflect a BER deficiency [33], we rationalized that an effect of the Polβ mutation on expansion might be seen even in heterozygotes.
As the mutation rates in PolB +/animals are only elevated significantly in sperm [32], we anticipated that the effect of heterozygosity for the PolB C mutation might be limited to sperm. We thus used small pool PCR analysis to investigate the effect of the PolB mutation on repeat expansion in the paternal gametes. In this process a pair of nested PCR reactions is carried out on sperm DNA that has been diluted such that on average one genome equivalent is present in the initial PCR reaction. Typically the second PCR reaction is positive for a PM allele <50% of the time and thus a product obtained in this way likely reflects the allele present in a single gamete. Multiple independent reactions allow the variants present in a population of alleles to be readily identified. This approach has been widely used for studying repeat instability in mice (reviewed in [34]) and humans with FX PM alleles [35].
As can be seen in Fig 1, the sperm of 3-month-old PolB +/C mice had a significantly lower number of expansions than the sperm of PolB +/+ animals (Fig 1; 42% vs 74%; p = 0.0001). However, of the expansions that did occur, only 63% involved the addition of 1-5 repeats compared to 88% of the expansions seen in the sperm of WT mice (see Fig 2 inset). This relative deficit of small expansions is associated with a higher frequency of gametes that have gained >10 repeats: Only 3% of the expanded gametes of WT animals had gained this number of repeats while 22% of the expanded gametes of PolB +/C mice had done so. In addition, PolB +/C mice also had a 4.9-fold more gametes with alleles smaller than the parental allele (36.6% vs 7.4%, p = 0.0001). An increase in both large and small contractions was seen (Fig 2).
When small pool PCR was carried out on the sperm of 11-month-old animals, no significant difference in the number of expansions was seen in the gametes of PolB +/+ and PolB +/C mice (Fig 3). This was not unexpected since we had previously shown that the number of expansions in the germ line increases with paternal age [36]. Since the number of gametes that had sustained at least one expansion in PolB +/C mice was 42% at 3 months of age, it was not surprising that this number had risen to~90% by 11 months of age. However, when we examined the distribution of residual expansions in these animals, we were surprised to see a relative enrichment for larger alleles (Fig 4). In WT animals the average number of repeats added had increased from an average of~1 repeat in 3 month old mice to an average of~7 repeats in the older animals consistent with our previous reports [36]. In contrast, in PolB +/C mice, a similar deficit of smaller alleles was seen in older mice as was seen in younger ones. In addition, the number of larger alleles had increased such that 39% of gametes that had expanded had gained more than 15 repeats compared to 9% in PolB +/+ animals. This data would be consistent with the idea that while the expansion frequency is lower in PolB +/C mice than it is in PolB +/+ animals, when expansions do occur, they tend to be larger. Thus repeated rounds of expansion in the germ line of PolB +/+ males would, for the most part, lead to an incremental increase in repeat number with time, while in PolB +/C mice, each expansion event, while less frequent, would add a larger number of repeats. The distribution of allele sizes in the gametes of 11-month-old The effect of heterozygosity for the PolB C mutation on the number of expansions, contractions and unchanged alleles seen in the gametes of 3-month-old male mice. Small pool PCR was carried out on sperm DNA isolated from two 3-month-old PolB +/+ and two 3-month-old PolB +/C male mice as described in the Materials and Methods. These animals all had~140 repeats. The difference between the number of expansions, contractions and unchanged alleles within each genotype and between the two genotypes was evaluated by Fisher's exact test. The error bars represent the 95% confidence intervals. There were no significant within genotype differences in the frequency of expansions, contractions or unchanged alleles. Allele classes that are significantly different in PolB +/C mice are marked with asterisks. Expansions were significantly reduced in PolB +/C gametes (p = 0.0001) and contractions significantly increased (p = 0.0001) by Fisher's exact test.  The effect of heterozygosity for the PolB C mutation on the distribution of repeat number changes seen in the gametes of 3-month-old male mice. The percentage of alleles with the indicated gains or losses in repeat number for PolB +/+ and PolB +/C mice was plotted. The mean gain of repeats was 3.17 (SD = 2.52) for PolB +/+ and 5.43 (SD = 4.48) for PolB +/C . This resulted in a distribution of expanded alleles that was significantly different in the two genotypes (p = 0.0001; t test). The mean loss of repeats was 10.83 (SD = 11.05) for PolB +/+ and 19.68 (SD = 31.58) for PolB +/C . The very high standard deviations due to the presence of some very large contractions particularly in the PolB +/C mice resulted in a distribution of contracted alleles that was not significantly different in the two genotypes. Inset: PolB +/C mice have fewer small expansions and more large expansions than PolB +/+ mice. The error bars represent the 95% confidence interval. Repeat size classes that are significantly different in PolB +/C mice are marked with an asterisk. The decrease in the number of alleles with 1-5 repeats was significant at p = 0.0001, and the increase in the number of alleles with >10 repeats was significant at p = 0.005.  The effect of heterozygosity for the PolB C mutation on the number of expansions, contractions and unchanged alleles seen in the gametes of 11-month-old male mice. Small pool PCR was carried out on sperm DNA isolated from three 11-month-old PolB +/+ and three 11-month-old PolB +/C male mice as described in the Materials and Methods. These animals all had~140 repeats. The error bars represent the 95% confidence interval. The difference between the number of expansions, contractions and unchanged alleles in the two groups of animals was evaluated by Fisher's exact test but no significant differences were found. PolB +/C mice showed a series of local maxima corresponding to gametes with 10, 16, 21 and 27 added repeats (indicated by the gray arrowheads in Fig 4). Taken together with the data for 3 month old fathers, the pattern would be consistent with many gametes in PolB +/C mice having undergone multiple rounds of expansion each involving the addition of~5-6 repeats, whereas in PolB +/C mice most expansions only add~1 repeat.
The number of alleles that were smaller than the original paternal allele was 8.4% in the gametes of 11-month-old PolB +/C mice (Fig 3). This represents a significant decrease relative to the number of such alleles seen in younger animals. In contrast the number of smaller alleles in PolB +/+ mice did not change significantly with age. The reduction in the number of smaller alleles in mutant mice would be consistent with the idea that between the ages of 3 and 11 months most gametes in PolB +/C mice that had initially undergone a contraction subsequently underwent one or more rounds of expansion.
Heterozygosity for the PolB c allele also causes a decrease in the extent of somatic expansion in brain and tail To evaluate the effect of the Y265C mutation on somatic expansion we compared the extent of expansion in different tissues of 16-month-old PolB +/+ and PolB +/C male mice. The extent of expansion in individual tissues from each group of mice was quantified using the previously described Somatic Instability Index (SII) [37]. This index is based on the sum of the relative heights of the individual peaks seen in high resolution electropherograms generated from the products of amplification across the repeats. It thus can be used to quantitate the extent of expansion in a given tissue with age or relative to the same tissue in the neonate or an organ like heart that shows very little expansion. The effect of heterozygosity for the PolB C mutation on the distribution of repeat number changes seen in the gametes of 11-month-old male mice. The percentage of alleles with the indicated change in repeat number that were seen in the gametes of three 11-month-old mice PolB +/+ and three 11-month old PolB +/C mice. The grey arrowheads indicate the local maxima seen in the distribution of PolB +/C alleles. The mean gain of repeats was 8.75 (SD = 5.96) for PolB +/C and 14.04 (SD = 8.70) for PolB +/C . This resulted in a distribution of expanded alleles that was significantly different in the two genotypes (p = 0.0001; t test). Too few contractions were seen to carry out any statistical analysis. Inset: PolB +/C mice have fewer small expansions and more large expansions than PolB +/+ mice. The error bars represent the 95% confidence interval. Repeat size classes that are significantly different in PolB +/C mice are marked with an asterisk. The decrease in the number of alleles with 1-5 repeats was significant at p = 0.0001, and the increase in the number of alleles with >15 repeats was also significant at p = 0.0001. As can be seen from Fig 5, some tissues of PolB +/C mice have an average SII that is lower than their WT counterparts. The difference in SII was significant for testis, and the tail sample taken at euthanasia (Tail 2). While the expansion frequency seen in sperm of 11-month-old animals is not significantly different from WT animals, the lower SII seen in the testis as a whole may reflect the contribution of other cells of the testis. The limited number of tissues affected by the presence of the PolB C mutation is consistent with the limited effect of PolB mutations on the mutation rates of different tissue [32], an observation that has been interpreted to mean that DNA repair in most tissues is not sensitive to PolB C heterozygosity. Since we know that contractions do not occur post-natally in somatic cells [38], the decrease in the SII would be consistent with a role for Polβ in generating somatic expansions. While it is possible that some expansions seen in testis are derived from developing gametes, the fact that a decreased SII is also seen in tail indicates that the effect of the Polβ mutation is not confined to germ cells. While in sperm a lower expansion frequency is offset by a larger average expansion size, this effect is not apparent in either total testis DNA or tail. It may be that the decrease in the expansion frequency caused by the Y265C mutation is more marked in these cells than it is in sperm, such that the larger jumps produced by those few alleles that do expand is not apparent. Alternatively, the pathway that generates these larger jumps may not occur at high enough frequency for the effect to be seen in somatic cells.

Relationship between proteins involved in BER and the propensity of some organs to show high levels of expansion
The propensity of the CAG/CTG repeat to expand more in striatum than in the cerebellum of a mouse model for HD has been attributed to differences in the stoichiometry of the proteins PolB +/C mice show a reduced somatic instability index in testis and tail. The somatic instability index of different organs of three 16 month old PolB +/+ and three 16 month old PolB +/C mice with~140 repeats was determined as previously described [46]. Tail 1 and tail 2 refer to tail samples taken at 3 weeks of age and tail samples taken at 16 months respectively. The error bars represent the standard deviations. The significance of the differences in the SII for different genotypes was determined using Student's t-test. The tissues in which the SII was significantly lower in PolB +/C mice are indicated by asterisks. The SII for PolB +/C testis was significantly lower at p = 0.001 and the SII for the PolB +/C tail 2 sample was significantly lower at p = 0.013. involved in BER that are expressed in these two brain regions [39,40]. To evaluate the role of these proteins in determining the tissue specificity of expansion in the Fragile PM mouse we compared the expression levels of the key BER enzymes APE1, DNA ligase 1, DNA ligase 3, FEN1, OGG1, NEIL1 and Polβ in a selection of different tissues. Expansion levels in these tissues follow the trend: testis (SII = 19) > liver (SII = 15) > brain (SII = 12) > kidney (SII = 4) > heart (SII = 0). As can be seen from Fig 6, some of the proteins tested do not show a good correlation with the propensity to expand. For example, DNA ligase 3 and OGG1 show the highest levels of expression in heart, an organ in which the repeat is stable whilst NEIL1 is expressed at its lowest levels in brain, liver and testis, organs that show the highest levels of expansion. Expression of various BER proteins in different mouse organs. Total protein was extracted from different organs of 3 different FXD mice as described in the Materials and Methods. Since in our experience proteins used as "normalizing controls" including β-actin and α-tubulin and GAPDH differ significantly in different organs, we took care to analyze equal amounts of protein as assessed by the Bradford Assay. Ten micrograms of protein from the organs of each animal were pooled and loaded onto 3-8% Tris-Acetate gels, resolved by gel electrophoresis and subjected to Western blotting as described in the Materials and Methods. Furthermore, organs that have very different propensities to expand, like brain and heart, have similar levels of Polβ. A low level of FEN1 relative to Polβ has been suggested to be an important determinant of the predisposition of cells of the striatum to expand relative to cells of the cerebellum in a HD mouse model [41]. However, in our mouse background this relationship does not appear to hold, with the FEN1/Polβ ratio being lower in heart, an organ that shows no expansion, than it is in brain. Of all the proteins tested, only APE1 and FEN1 showed a general correlation between the level of expression and the SII of all 5 organs tested.

Discussion
Here we demonstrate that heterozygosity for the Polβ Y265C mutation causes a significant decrease in the number of expansions seen in the paternal germ line of young FX PM mice (Fig 1). This decrease specifically impacted the class of repeat length changes involving the addition of 1-5 repeats, while not negatively impacting larger repeat expansions (Fig 2). In fact, in both 3-month-old and 11-month-old PolB +/C males the number of gametes with larger expansions was significantly higher than it was in WT animals (Figs 2 and 4). The Y265C mutation also resulted in a decrease in somatic expansion that was significant in DNA from testis and tail but not other organs tested like liver and brain (Fig 5). The differential effect of heterozygosity for the PolB c mutation on the extent of somatic expansion in different tissue does not necessarily mean that different mechanisms of expansion operate in different organs. Evidence from mice heterozygous for a null allele of PolB demonstrate that liver and brain do not show reduced levels of Polβ or increased levels of mutation, while male germ cells do [32]. This may be because some cells have regulatory mechanisms that are able to compensate for the presence of only one fully functional allele.
While 3 month old PolB +/C mice showed evidence of more contractions than PolB +/+ mice (Figs 1 and 2), at 11 months of age the number of alleles that were smaller than the original parental allele in the PolB +/C mice were the same as those seen in age-matched PolB +/+ mice (Figs  3 and 4). This would be consistent with the hypothesis that when BER is suboptimal, a higher than normal fraction of alleles are processed by an alternative, currently unidentified, repair pathway that leads to contractions, but that over time the number of alleles smaller than the parental allele decreases as those alleles undergo subsequent rounds of expansion. These data also suggest that the PolB C mutation does not reduce the frequency of intergenerational expansions by promoting contractions, but rather that it directly impacts the efficacy of the expansion process. Thus these data implicate Polβ, and thus central events in the BER pathway, in generating expansions.
One proposed model for BER-mediated repeat expansion suggests that expansion results from a Polβ/FEN1-dependent branch of the LP BER pathway where the weak strand displacement synthesis activity of Polβ is proposed to facilitate limited strand-slippage of the repeats in the DNA downstream of the nick [42] as illustrated in Fig 7(i). This process would be promoted by hairpin formation by the repeats and would create a larger gap that would need to be filled by Polβ. A stable hairpin would force FEN1 to capture and cleave a series of short flaps resulting from breathing or realignment of the 5' end of the hairpins. This so-called alternate cleavage process would be essential for the creation of the ligatable nick necessary to complete repair. The failure to fully remove the flap would result in expansions. A second model, illustrated in Fig 7(ii), proposes that expansion arises via the use of a second branch of the LP BER pathway in which DNA synthesis is carried out by a combination of Polβ, Polδ and perhaps Polε. Expansion would be triggered by strand slippage of the nascent strand during progressive DNA synthesis by Polδ/Polε and the resultant formation of a hairpin by the repeats [43]. If the hairpin does not have a 3' tail, Polδ and Polε could reinitiate DNA synthesis after using their 3'-5' proofreading activity to remove the hairpin. However, if Polβ reinitiates synthesis the hairpin would be retained since Polβ has no such proofreading activity. This would result in repeat expansion if the hairpin were not subsequently removed. Some strand displacement could also contribute to the incorporation of additional bases.
It may be that the differential effect of the Y265C mutation on the frequency of small and large expansions can be ascribed to the contribution of both branches of the LP BER pathway to repeat expansion if one were to generate small expansions and the other larger ones. For example, it may be that a Polδ/Polε-independent branch that is dependent on the weak stranddisplacement activity of Polβ to generate supernumerary bases would give rise to small expansions as illustrated in Fig 7(i), while the Polβ/Polδ/Polε branch could give rise to larger expansions as shown in Fig 7(ii), since Polδ/Polε could generate hairpins both by strand slippage and strand displacement [44]. In this view, the slower polymerization rate of the Y265C mutant would contribute to the reduction in the overall expansion frequency and to the frequency of small expansions via the Polδ/Polε-independent branch. The slower polymerization rate may reduce the extent of strand displacement by Polβ and give FEN1 longer to properly process the flap bases [42]. The Y265C mutation may be less likely to negatively impact the use of the pathway in which Polδ/Polε also participates and thus may not reduce the fraction of alleles that sustain larger expansions. Model for BER-mediated repeat expansion in the FX PM mouse. Nicks that do not get repaired by short patch BER may be channeled into one of two branches of the LP BER pathway. (i) The Polβdependent, Polδ/Polε-independent branch. Nick processing is carried out by Polβ, a poorly processive polymerase with weak strand-displacement activity. The resultant small flaps are processed by FEN1 to generate a ligatable 5' end that still contains a few additional flap bases (shown in orange). (ii) The Polβ/Polδ/ Polε-dependent branch. Since both Polδ and Polε are more processive than Polβ, more strand slippage and more extensive strand displacement may result. Repriming of DNA synthesis on the slipped-strand using Polβ would not remove looped out bases (shown in red) since Polβ lacks a suitable proofreading activity. Limited strand displacement by Polβ or more extensive strand displacement by Polδ/Polε, followed by FEN1 cleavage could also result a ligatable end that still contains some flap bases (shown in orange). In either case, repair synthesis initiated on the complementary strand would fix the supernumerary bases into the derivative allele thus generating either a small (i) or large (ii) expansion. MMR proteins may facilitate this process by stabilizing the hairpins. These proteins may also directly generate expansions by channelling the hairpins formed during BER into the MMR pathway. In many mouse models of the Repeat Expansion Diseases smaller increases in repeat number are characteristic of tissue such as kidney or tail while larger increases in repeat number are more typical of liver and some parts of the brain (see [38,45,46] for examples). It is tempting to speculate that these differences result from the differential use of these two branches of the LP BER pathway with the pathway choice perhaps being related to the relative levels of Polβ and Polδ/Polε. LP BER requires Ligase 1 and FEN1. In previous work we showed that there was no effect of either Fen1 heterozygosity or homozygosity for a Lig1 hypomorphic mutation on the frequency of repeat expansion in our mouse model [14]. However, since Fen1 and Lig1 null mice are not viable, a role for these proteins in repeat expansion could not be definitely excluded. The requirement of MSH2 for repeat expansion in this mouse model [19] may reflect a role of MSH2-containing complexes in binding to and stabilizing structures formed by strand slippage or strand displacement thus favoring the incorporation of supernumerary bases into the "repaired" strand. It is also possible that this binding leads to the recruitment of the rest of the MMR machinery to carry out BER-dependent, MMR-generated expansions.
There was not a simple relationship between the level of expression of proteins active in BER like OGG1, NEIL1, Lig1, and Polβ in different mouse organs and the extent of somatic expansion. Nor were the highest levels of expansion associated with organs that showed the lowest FEN1/Polβ ratio as previously suggested [47]. However, a correlation was seen between the level of expression of both APE1 and FEN1 and the amount of expansion seen in a particular tissue. Specifically, the levels of these proteins increased in the order heart<kidney<brain<liver<testis, a progression that parallels the increase in the SII of those organs (Figs 5 and 6). In particular, the correlation with APE1 expression may be of significance since APE1 facilitates loading of Polβ on the incised AP site and stimulates the strand-displacement activity of Polβ, thus facilitating the use of the LP BER pathway [41]. The correlation between APE1 expression and the propensity to expand is interesting since the abasic sites that are substrates for APE1 can be generated independently of DNA glycosylase activity. For example, it is thought that spontaneous depurination, to which the G-rich FX repeats may be particularly prone [48], is one of the most frequent promutagenic events that impacts the mammalian genome [49]. The association between elevated APE1 levels and the likelihood of expansion may thus point to sources of DNA damage that in addition to oxidative stress, may contribute to expansion risk.
We have also previously shown that expansion only occurs when the PM allele is located on the active X chromosome in the FX PM mouse [50]. A similar dependence for the PM allele to be on the active X is also suggested by data from humans [51]. However, we have also shown that while CSB, a protein essential to the Transcription Coupled Repair pathway, contributes to expansions it likely does so via a different mechanism [36]. Since it has been reported that BER complexes in general [52] and LP BER complexes in particular [53] are excluded from heterochromatic regions of the genome, the use of the LP BER pathway may account for this dependence.

Mouse breeding and maintenance
The FX PM and the PolB c mice were generated as previously described [29,54]. Mice were maintained in accordance with the guidelines of the NIDDK Animal Care and Use Committee and with the Guide for the Care and Use of Laboratory Animals (NIH publication no. 85-23, revised 1996). No PolB c/c mice were ever obtained from PolB +/C crosses in the C57BL/6 background or after backcrossing for more than four generations onto a 129S1/SvImJ background. Since there is data to suggest that there would be fewer expansions in 129S1 background than a C57BL/6 background [31], we therefore confined our analysis to heterozygous animals in the C57BL/6 background.

DNA isolation and genotyping
Genomic DNA from tails and different mouse organs was extracted using a Maxwell 1 16 Mouse tail DNA purification kit (Promega, Madison, WI) according to the manufacturer's instructions. Sperm was isolated from mouse epididymis using standard procedures. Polβ genotyping was carried out by PCR analysis of tail DNA using the forward primer Y265C-F1: 5 0 AGAAAAGCAGCT TCCAGCAG and reverse primer Y265C-R4: 5 0 CAGACTTTCCAAGTGCAGGAT. PCR was carried out at 95°C for 3 min followed by 30-40 cycles of 95°C denaturation for 30 s, 60°C annealing for 15 s, and 72°C extension for 1 min. The WT allele produced a 440 bp PCR product and the mutant a 490 bp product [29]. The presence of the expanded CGG•CCG-repeat tract was determined as described previously using the frax-m4 (5'-CTTGAGGCCCAGCCGCC GTCGGCC-3') and frax-m5 (5'-CGGGGGGCGTGCGGTAACGGCCCAA-3') primers [55]. The primer binding sites are located immediately adjacent to the repeat and the PCR product corresponds to the length of the repeat with 49 bases of flanking sequence. For genotyping the PCR products were resolved by electrophoresis on a 1.5% agarose gel and stained with ethidium bromide.

Repeat analysis
For determination of the repeat number the repeat was amplified using as described previously except that primer frax-m4 was labeled with 6-carboxyfluorescein (FAM) [55]. For determination of the repeat number or profile in bulk DNA, 50-100 ng of DNA was used for the PCR. For small pool PCR analysis from sperm, the DNA was diluted to 3pg/μl (roughly 1 haploid genome equivalent/μl). The diluted DNA was then subjected to nested PCR. The first round of PCR was carried out using the primers frax-C (5'-gctcagctccgtttcggtttcacttccggt-3') and frax-F (5'-agccccgcacttccaccaccagctcctcca-3') in a 25 μl reaction using the same PCR conditions used previously [55]. One microliter of this PCR reaction was then subjected to a second round of PCR using frax-m4 and frax-m5. Our PCR conditions allow us to amplify a wide range of repeat lengths without significant allele dropout or bias. Under these conditions <50% of samples yielded a PCR product. This is consistent with the idea that each positive PCR reaction likely represented the products of amplification of DNA from a single sperm cell. The total number of positive PCR reactions was considered to represent the total number of alleles analyzed. The PCR products were resolved by capillary electrophoresis on an ABI Genetic Analyzer and the PCR profiles analyzed using GeneMapper Software 5. Alleles that were smaller, larger or the same size as the parental allele were counted and the proportion of each allele size class calculated as a fraction of the total number of alleles analyzed. The somatic instability index from different organs was calculated using 3 mice of each genotype as previously described [36]. Statistical analysis of these data were carried out using the Graphpad Quickcalcs website (http://www.graphpad.com/quickcalcs/). The 95% confidence intervals for the proportion of expansions, contractions and unchanged alleles were determined using the Graphpad implementation of the modified Wald method. The significance of the differences in the frequency with which these classes were observed in PolB +/+ mice and PolB +/C mice was determined using Fisher's exact test. The significance of the differences in the SII and the distribution of derivative alleles in gametes was determined using Student's t-test.

Western blotting
Protein extracts were prepared from flash frozen tissues. Tissues were homogenized using a tissue homogenizer (Precellys 1 24,Bertin Technologies, Rockville, MD) with T-PER protein extraction reagent (Pierce Biotechnology, Inc, Rockford, IL) supplemented with complete, Mini, EDTA-free protease inhibitor cocktail (Roche Applied Science, Indianapolis, IN) and phosphatase inhibitor cocktail-3 (Sigma-Aldrich, St. Louis, MO) according to the supplier's instructions. The protein concentration was determined using a Bio-Rad protein assay kit (Bio-Rad, Hercules, CA). Because of tissue-specific differences in the expression of proteins often used as normalizing controls, including β-actin, tubulin and GAPDH, care was taken to load equal amounts of protein in each gel lane. Prior to loading, the protein samples were heated for 10 min at 70°C in LDS-Sample Buffer (Life Technologies, Grand Island, NY) supplemented with 50 mM DTT. The proteins were then resolved by electrophoresis on 3-8% NuPAGE Novex Tris-Acetate gels (Life Technologies) and electro-blotted onto nitrocellulose membranes using NuPAGE Transfer Buffer (Life Technologies) supplemented with 10% methanol. Transfer was carried out at 100 V at room temperature for 1 hour. Membranes were blocked for one hour at room temperature in 5% ECL Prime blocking agent (GE Healthcare Bio-Sciences, Pittsburgh, PA) in TBST pH 7.5 (10 mM Tris-HCl, 0.15 mM NaCl and 0.01% Tween 20), then incubated overnight at 4°C with antibodies to the following proteins APE1 (ab137708), DNA ligase 1 (ab76232), FEN1 (ab70815); NEIL1 (ab21337) and Polβ (ab26343) from Abcam (Cambridge, MA); OGG1 (15125-1-AP) from Proteintech Group (Chicago, IL) and DNA ligase 3 (611876) from BD Biosciences (Sparks, MD). After incubation with the appropriate secondary antibody and the addition of the ECL Prime detection reagent (GE Healthcare Bio-Sciences), the blot was imaged using a Fluorchem M imaging system (Proteinsimple, Santa Clara, CA).