fragile x premutation expansion risk


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  • Typically, a definite diagnosis of FXS requires the presence of a full-mutation repeat size (>200 CGG repeats) while the diagnosis of FXTAS or FXPOI is associated with a premutation-sized repeat (55-200 CGG repeats).

  • What is repeat expansion in fragile X syndrome?

    In families with fragile X, the CGG repeat is remarkably unstable and undergoes massive expansions to more than several hundred repeats in full-mutation alleles.
    Repeat instability is influenced by several factors.
    First, expansion to a full mutation occurs exclusively on transmission through premutation females.

  • What is the risk of expansion of FMR1?

    FMR1 is notable for instability of the cytosine guanine guanine (CGG) repeat in its 5′ untranslated region.
    This repeat can expand to more than 200 units (full mutation) which causes intellectual disabilities in males and some females by silencing the gene (Oberle et al., 1991; Verkerk et al., 1991; Yu et al., 1991).

  • What are the health risks of fragile X premutation?

    The RNA toxicity causes various health problems in the carriers including but not limited to fragile X-associated tremor/ataxia syndrome, fragile X-associated primary ovarian insufficiency, and fragile X-associated neuropsychiatric disorders.

  • What does this mean for my pregnancies? Not at increased risk to have a child with fragile X syndrome. There is a 50% chance of passing on an expanded repeat length (premutation or full mutation) in each pregnancy. The chance the premutation could expand to a full mutation ranges from 95-100%.
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