Genome fluidity is limited by several factors, two of which are sequen
ce constraints and the viability of the prescribed phenotype. On page
96, Kersten Small and colleagues present data that reflect both; their
dissection of a deletion on the X chromosome in Emery-Dreifuss muscul
ar dystrophy (EMD) encompassing the emerin gene, suggests models that
twist chromosomes (and the imagination) into alternative configuration
s'. Intra- and inter-chromosomal misalignment of long repeats - motifs
of nearly-identical sequence that occur in cis and sandwich interveni
ng sequence - have been implicated as the cause of several disorders.
Intrachromatid recombination via the parallel alignment of two inverte
d repeats is known to disrupt factor VIII, giving rise to haemophilia
A(2), and has been recently indicted as a cause of Hunter syndrome(3).
Large repeats also bear the burden of blame in Charcot-Marie-Tooth sy
ndrome(4), although here, interchromosomal misalignment is proposed, w
hereby a repeat proximal to the critical PMP-22 gene misaligns with a
distal repeat and recombination between the two clinches a duplication
. In this case, however, the repeats are necessarily in the same direc
tion. The X-chromosomal rearrangement revealed by Small er al. implies
a combination of these features: the long, highly homologous repeats
that flank the critical region in EMD are inverted, but the shuffled c
ontents of the intervening region in a patient with EMD suggest a mon
exotic mechanism involving interchromosomal alignment (see Fig. 1). On
recognising the potential of these impressive repeats (each is approx
imately 11.3 kb and has 99% sequence identity with the other), Warren
and colleagues examined normal X chromosomes and, surprisingly, found
that 33% of females carry an inversion between them. How does this hap
pen? Is the inversion intrachromosomally mediated, with a single recom
bination event, or interchromosomally mediated, with recombination occ
uring in both repeats? Assigning maternal or paternal inheritance to t
hese inversions may help to answer this question - a study of the exch
ange leading to haemophilia A suggests that intrachromatid exchange is
roughly 300 times more common in male than in female gametogenesis(5)
, While the sex effect on the 'emerin' inversion has yet to be assesse
d, the current study provides a neat resolution of the discrepancy bet
ween physical mapping and the low recombination frequency noted in thi
s region, and an instructive lesson for those faced with such discrepa
ncies in other areas of the genome.