The phenomenon of genetic anticipation, the progression of severity of
an inherited disorder in successive generations, has not had a biolog
ic explanation until recently. A new mutational mechanism of unstable
trinucleotide (or triplet) tandem repeats in human genes has provided
such an explanation. Several neurologic disorders including fragile X
syndrome, myotonic dystrophy, Huntington's disease, spinocerebellar at
axia type 1, spinal and bulbar muscular atrophy, and FRAXE mental reta
rdation, are caused by this type of mutation. A recent approach to ide
ntifying expanded repeats may simplify the process of finding candidat
e genes for other disorders that show features suggestive of anticipat
ion.