Squitieri, F. | bioRxiv Science

bioRxiv2026

STRmie-HD enables interruption-aware HTT repeat genotyping and somatic mosaicism profiling across sequencing platforms

Short tandem repeat expansions in exon 1 of the HTT gene drive Huntingtons disease (HD) pathogenesis, with disease onset and progression heavily influenced by somatic mosaicism and sequence interruptions. While sequencing technologies enable repeat sizing, many computational tools lack the resolution to capture subtle interruption motifs and allele-specific somatic variation. We present STRmie-HD, an alignment-free, de novo framework for interruption-aware genotyping and quantitative profiling of somatic mosaicism at single-read resolution. The tool parses individual reads to quantify uninterrupted CAG tract length, CCG repeat content, and critical interruption variants, including Loss of Interruption (LOI) and Duplication of Interruption (DOI). Validated across Illumina, PacBio SMRT, and Oxford Nanopore platforms, STRmie-HD demonstrates high concordance with reference genotypes and superior sensitivity in identifying rare interruption patterns that conventional tools often overlook. Furthermore, it implements somatic mosaicism metrics to characterize repeat dynamics, successfully distinguishing the higher somatic expansion burden in brain tissues compared to peripheral blood. STRmie-HD offers a comprehensive and extensible solution for high-resolution molecular characterization of HTT variation, providing a robust framework for patient stratification and genetic research in HD. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=72 SRC="FIGDIR/small/713334v1_ufig1.gif" ALT="Figure 1"> View larger version (27K): org.highwire.dtl.DTLVardef@17a54aforg.highwire.dtl.DTLVardef@4dcfc5org.highwire.dtl.DTLVardef@8398edorg.highwire.dtl.DTLVardef@1acefde_HPS_FORMAT_FIGEXP M_FIG Graphical Abstract: STRmie-HD flowchart. STRmie-HD is a comprehensive analytical framework that processes sequencing reads to analyze CAG/CCG trinucleotide repeats, interruption variants, and somatic mosaicism in the HTT gene. The workflow begins with sequencing reads (FASTA/FASTQ) that can undergo optional custom processing eq]based on the sequencing design. These reads are then fed into a regular expression-based engine (STRmie-HD) to identify CAG and CCG motifs. The identified motifs lead to the estimation of CAG/CCG alleles, visualized as distinct peaks representing different allele sizes, interruption variant assessment, and somatic mosaicism quantification. STRmie-HD produces an HTML output that wraps this information into a report. C_FIG

bioinformatics↗

bioRxiv2019

Length of uninterrupted CAG repeats, independent of polyglutamine size, results in increased somatic instability and hastened age of onset in Huntington disease

Huntington disease (HD) is an autosomal dominant neurological disorder that is caused by a CAG repeat expansion, translated into polyglutamine, in the huntingtin (HTT) gene. Although the length of this repeat polymorphism is inversely correlated with age of onset (AOO), it does not fully explain the variability in AOO. Genomic studies have provided evidence for the involvement of DNA repair in modifying this trait, potentially through somatic repeat instability. We therefore assessed genetic variants within the 12bp interrupting sequence between the pathogenic CAG repeat and the polymorphic proline (CCG) tract in the HTT gene and identified variants that result in complete loss of interruption (LOI) between the adjacent CAG/CCG repeats. Analysis of multiple HD pedigrees showed that this variant is associated with dramatically earlier AOO and is particularly relevant to HD patients with reduced penetrance alleles. On average AOO of HD is hastened by an average of 25 years in LOI carriers. This finding indicates that the number of uninterrupted CAG repeats is the most significant contributor to AOO of HD and is more impactful than polyglutamine length, which is not altered in these patients. We show that the LOI variant is associated with increases in both somatic and germline repeat instability, demonstrating a potential mechanism for this effect. Screening individuals from the general population (n=2,674 alleles) suggests that the variant occurs only in expanded CAG repeat alleles. Identification of this modifier has important clinical implications for disease management of HD families, especially for those in the reduced penetrance ranges.

genetics↗