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Postmortem examination of two fragile X brothers with anFMR1 full mutation

✍ Scribed by Reyniers, Edwin; Martin, Jean-Jacques; Cras, Patrick; Van Marck, Eric; Handig, Ingrid; Jorens, Hugo Z.J.; Oostra, Ben A.; Kooy, R. Frank; Willems, Patrick J.


Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
19 KB
Volume
84
Category
Article
ISSN
0148-7299
DOI
10.1002/(sici)1096-8628(19990528)84:3<245::aid-ajmg16>3.0.co;2-u

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✦ Synopsis


Large expansions of the CGG repeat in the 5' untranslated region of the FMR1 gene are found in patients with the fragile X syndrome. Amplified CGG repeats in FMR1 are unstable and show intergenerational increase from mother to offspring. The exact timing of repeat amplification, however, is unknown. We have compared the extent of CGG expansion in various tissues of this deceased fragile X patient, and found only limited variation in repeat expansion. The repeat was fully methylated in all tissues examined. Therefore, no evidence for extensive mitotic expansion of the CGG repeat during fetal or postnatal life of a fragile X patient was found, in contrast to dynamic mutations caused by CAG/CTG repeat expansion. Extensive pathological examination of this patient and his affected brother revealed no evidence for specific abnormalities relevant to fragile X syndrome; cerebellar hypoplasia, which has been reported in this disorder, was not evident in either patient.


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