Myotonic dystrophy (DM) is genetically characterized by abnormal expan
sion of an unstable CTG trinucleotide repeat, located in the 3'-untran
slated region of mRNA encoding the family of serine-threonine protein
kinases. DNA extracted from various organs of patients with DM was ana
lyzed by the Southern blotting method. We identified differently expan
ded bands in DNAs from various tissues from patients with DM. In study
ing the length of the CTG repeat in different regions of the brain, we
found a noticeably small increase in repeat length in the cerebellum
compared with other tissues. While this phenomenon has been reported i
n other tripler repeat diseases such as Huntington disease, spinocereb
ellar ataxia type 1, and dentatorubral-pallidoluysian atrophy, we are
the first to describe it in DM. Although the mechanism of expansion of
the triplet repeat remains to be defined, the tissue-dependent somati
c mosaicism suggests that its occurrence may depend on the differentia
ted state of each tissue.