A four-year-old boy with severe psychomotor retardation, facial appearance consistent with the fragile X syndrome, hypotonia, and overgrowth was found to have a deletion including the fragile X gene (FMR1). The breakpoints of the deletion were established between CDR1 and sWXD2905 (approximately 200
The fragile X phenotype in a mosaic male with a deletion showing expression of theFMR1 protein in 28% of the cells
β Scribed by de Graaff, Esther; de Vries, Bert B. A.; Willemsen, Rob; van Hemel, Jan O.; Mohkamsing, Serieta; Oostra, Ben A.; van den Ouweland, Ans M. W.
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 790 KB
- Volume
- 64
- Category
- Article
- ISSN
- 0148-7299
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β¦ Synopsis
The instability of the CGG repeat region of F M R l is not restricted to the CGG repeat but expands to flanking sequences as well. A mosaic fragile X male is reported with a deletion of part of the CGG repeat and 30 bp immediately 3' of the repeat, thus confirming the presence of a hotspot for deletions in the CGG region of FMR1. The deletion, detected in 28% of his lymphocytes, did not impair the transcription and translation of F M R l , suggesting that regulatory elements are not present in the deleted region. The patient has the characteristic fragile X phenotype and assuming that the mosaic pattern detected in the lymphocytes reflects the mosaic pattern in brain, 28% expression of FMRP may not be sufficient for normal cognitive functioning.
π SIMILAR VOLUMES
Fragile X syndrome is associated with an unstable CGG-repeat in the FMR-1 gene. There are few reports of affected males transmitting the FMR-1 gene to offspring. We report on a family in which the propositus and his twin sister each had a full mutation with abnormal methylation. Their mother had an
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