We report on a large 5-generation family with "nonspecific" X-linked mental retardation. Nine living affected males have an I& between 50 and 70 but have normal stature, facial appearance, and testicular volumes and no other abnormalities. Two obligate carrier females had borderline intellectual abi
Linkage analysis in three families with nonspecific X-linked mental retardation
β Scribed by Claes, S.; Gu, X. X.; Legius, E.; Lorenzetti, E.; Marynen, P.; Fryns, J. P.; Cassiman, J. J.; Raeymaekers, P.
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 155 KB
- Volume
- 64
- Category
- Article
- ISSN
- 0148-7299
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β¦ Synopsis
Nonspecific X-linked mental retardation (XLMR) is a common disorder. The number of genes involved in this condition is not known, but it is estimated to be more than 10. We present a clinical and linkage study on 3 families with XLMR. All families were analyzed using highly polymorphic markers covering the X chromosome; screening for the fragile X mutation was negative. The first family (MRX 36) consisted of 1 female and 4 male patients in 3 generations and 7 healthy individuals. Considering the female as an expressing heterozygous carrier, a maximum LOD score of 3.41 was reached in region Xp21.2-Xp22.1. Considering her phenotype to be unknown, a LOD,,, of 1.97 was reached in the same region. The second family consisted of 5 affected and 6 healthy males with mild to borderline mental retardation. Linkage analysis using an X-linked recessive model with full penetrance and no phenocopies excluded linkage over almost the entire X chromosome. Using alternative models, including an affecteds-only analysis, a LOD,., of 1.49 was found in region Xq24-28. The third family, consisting of 4 male patients with moderate mental retardation in 1 generation yielded a LOD,, of 0.9 in region Xp22.13-11.3. However, even in this small pedigree, exclusion mapping was able to exclude very large parts of the X chromosome and in this way identify a likely candidate region. @
π SIMILAR VOLUMES
Mental retardation unassociated with the Fragile X syndrome accounts for up to 60% of patients with X-linked mental retardation. In this investigation, we report on a family with mild non-specific X-linked mental retardation (MRX) without other apparent phenotypic abnormalities. Linkage analysis on
The identification of X-linked mental retardation genes (XLMR) represents a challenge of considerable medical importance, given the reported high cumulative frequency of this heterogenous disorder, estimated at approximately 1/600 male births. Whereas pooling families is useful to fine-map genetic l