DNA is like an instruction book that tells our cells how to make proteins. Proteins do lots of important jobs to keep our bodies working properly. DNA is kept safe in the centre of the cell, called the nucleus, and it can’t leave.
But the part of the cell that makes proteins is outside the nucleus. To solve this, the cell makes a copy of the DNA called RNA. RNA can leave the nucleus and carry the instructions to where proteins are made.
In myotonic dystrophy, a gene called DMPK is changed. It has extra bits added — this is called an expansion. When the cell makes RNA from this gene, the RNA gets stuck in the nucleus. This stops the cell from working properly. Scientists can even see the stuck RNA as spots in the nucleus under a microscope.
We don’t yet know exactly why the RNA gets stuck. One idea is that the cell adds tags to the RNA that affects how it works – even though the RNA stays the same. This is called epigenetics. It’s a bit like using sticky notes or highlighters in a book: the words stay the same, but the notes change how you read them.
Some genes or proteins in the nucleus might be adding these tags. Scientists are now testing which ones might be causing the RNA to get trapped.