Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-01T04:23:23.869Z Has data issue: false hasContentIssue false

Chapter 41 - Fragile X Syndrome

from Genetic Syndromes and Phakomatoses

Published online by Cambridge University Press:  07 August 2021

Mirna Lechpammer
Affiliation:
New York University School of Medicine
Marc Del Bigio
Affiliation:
University of Manitoba, Canada
Rebecca Folkerth
Affiliation:
New York University School of Medicine
Get access

Summary

Fragile X syndrome (FXS) is a genetic condition associated with CGG trinucleotide repeats in the fragile X mental retardation 1 gene (FMR1) on the X chromosome, which is a prevalent cause of inherited intellectual disability in both males and females. In the general population, the CGG trinucleotide repeats range from 5 to 40 CGG. The full mutation of the FMR1 gene leads to a complete deficit of FMR1 protein (FMRP). The prevalence of full mutation in males is 1 in 4,000 to 1 in 7,000, while in females it is 30–60% lower. The premutation (an expansion of 55 to 200 CGG repeats) is often asymptomatic, but it can also be associated with fragile X-associated primary ovarian insufficiency (FXPOI), anxiety, depression, and medical problems, including hypertension, hypothyroidism, immune-mediated problems, and the fragile X-associated tremor ataxia syndrome (FXTAS).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Saldarriaga, W, Tassone, F, Gonzalez-Teshima, L, Forero-Forero, J, Ayala-Zapata, S, Hagerman, RJ. Fragile X syndrome. Colomb Med (Cali) 2014;45:190–8.Google Scholar
Bagni, C, Tassone, F, Neri, G, Hagerman, RJ. Fragile X syndrome: causes, diagnosis, mechanisms, and therapeutics. J Clin Invest 2012;122:4314–22.CrossRefGoogle ScholarPubMed
Hagerman, RJ, Hagerman, PJ. Fragile X-associated tremor/ataxia syndrome – features, mechanisms and management. Nat Rev Neurol 2016;12:403–12.Google Scholar
Coffey, S, Cook, K, Tartaglia, N, Tassone, F, Nguyen, DV, Pan, R, et al. Expanded clinical phenotype of women with the FMR1 premutation. Am J Med Genet A 2008;146A:1009–16.Google Scholar
Hunter, J, Rivero-Arias, O, Angelov, A, Kim, E, Fotheringham, I, Leal, J. Epidemiology of fragile X syndrome: A systematic review and meta-analysis. Am J Med Genet A 2014;164(7):1648–58.Google Scholar
Devys, D, Lutz, Y, Rouyer, N, Bellocq, J-P, Mandel, J-L. The FMR-1 protein is cytoplasmic, most abundant in neurons and appears normal in carriers of a fragile X premutation. Nat Genet 1993;4(4):335–40.CrossRefGoogle ScholarPubMed
Lozano, R, Rosero, CA, Hagerman, RJ. Fragile X spectrum disorders. Intractable Rare Dis Res 2014;3(4):134–46.Google Scholar
Hagerman, RJ, Berry-Kravis, E, Hazlett, HC, Bailey, DB, Moine, H, Kooy, RF, et al. Fragile X syndrome. Nat Rev Dis Primers 2017;3:17065.Google Scholar
Bailey, DB, Raspa, M, Bishop, E, Holiday, D. No change in the age of diagnosis for fragile X syndrome: findings from a national parent survey. Pediatrics 2009;124(2):527–33.Google Scholar
Antar, LN, Dictenberg, JB, Plociniak, M, Afroz, R, Bassell, GJ. Localization of FMRP-associated mRNA granules and requirement of microtubules for activity-dependent trafficking in hippocampal neurons. Genes Brain Behav 2005;4(6):350–9.Google Scholar
Bailey, DB, Raspa, M, Holiday, D, Bishop, E, Olmsted, M. Functional skills of individuals with fragile X syndrome: A lifespan cross-sectional analysis. Am J Intellect Dev Disabil 2009;114(4):289303.Google Scholar
Hagerman, PJ, Stafstrom, CE. Origins of epilepsy in fragile X syndrome. Epilepsy Curr 2009;9(4):108–12.Google Scholar
Hatton, DD, Wheeler, A, Sideris, J, Sullivan, K, Reichardt, A, Roberts, J, et al. Developmental trajectories of young girls with Fragile X Syndrome. Am J Intellect Dev Disabil 2009;114(3):161–71.Google Scholar
Greco, CM, Berman, RF, Martin, RM, Tassone, F, Schwartz, PH, Chang, A, et al. Neuropathology of fragile X-associated tremor/ataxia syndrome (FXTAS). Brain 2006;129(1):243–55.CrossRefGoogle ScholarPubMed
Martínez-Cerdeño, V, Lechpammer, M, Lott, A, Schneider, A, Hagerman, RJ. Fragile X-associated tremor/ataxia syndrome in a man in his 30’s. JAMA Neurol 2015;72:1070–3.CrossRefGoogle Scholar
Hagerman, RJ, Leehey, M, Heinrichs, W, Tassone, F, Wilson, R, Hills, J, et al. Intention tremor, parkinsonism, and generalized brain atrophy in male carriers of fragile X. Neurology 2001;57:127–30.Google Scholar
Lechpammer, M, Martínez Cerdeńo, V, Hunsaker, MR, Hah, M, Gonzales, H, Tisch, S, Joffe, R, Pamphlett, R, Tassone, F, Hagerman, PJ, Bolitho, SJ, Hagerman, RJ. Concomitant occurrence of FXTAS and clinically defined sporadic inclusion body myositis: report of two cases. Croat Med J 2017;58(4):310–15.Google Scholar
Brunberg, JA, Jacquemont, S, Hagerman, RJ, Berry-Kravis, EM, Grigsby, J, Leehey, MA, et al. Fragile X premutation carriers: characteristic MRI findings of adult male patients with progressive cerebellar and cognitive dysfunction. Am J Neuroradiol 2002;23(10):1757–66.Google ScholarPubMed
Hallahan, BP, Craig, MC, Toal, F, Daly, EM, Moore, CJ, Ambikapathy, A, Robertson, D, Murphy, KC, Murphy, DG. In vivo brain anatomy of adult males with Fragile X syndrome: an MRI study. Neuroimage 2011;54(1):1624.Google Scholar
Wang, JY, Hessl, D, Hagerman, RJ, Simon, TJ, Tassone, F, Ferrer, E, et al. Abnormal trajectories in cerebellum and brainstem volumes in carriers of the fragile X premutation. Neurobiol Aging 2017;55:1119.Google Scholar
Bruno, J, Shelly, E, Quintin, E-M, Rostami, M, Patnaik, S, Spielman, D, et al. Aberrant basal ganglia metabolism in fragile X syndrome: a magnetic resonance spectroscopy study. J Neurodev Disord 2013;5(1):20.Google Scholar
Sherman, S, Pletcher, BA, Driscoll, DA. Fragile X syndrome: diagnostic and carrier testing. Genet Med 2005;7(8):584–7.CrossRefGoogle ScholarPubMed
LaFauci, G, Adayev, T, Kascsak, R, Brown, WT. Detection and quantification of the fragile X mental retardation protein 1 (FMRP). Genes (Basel) 2016;7(12):pii:E121.Google Scholar
Greco, CM, Hagerman, RJ, Tassone, F, Chudley, AE, Del Bigio, MR, Jacquemont, S, et al. Neuronal intranuclear inclusions in a new cerebellar tremor/ataxia syndrome among fragile X carriers. Brain 2002;125(8):1760–71.Google Scholar
Salcedo-Arellano, MJ, Hagerman, RJ, Martínez-Cerdeño, V. Síndrome de temblor y ataxia asociado al X frágil: presentación clínica, patología y tratamiento. Rev Neurol 2019;68(5):199206.Google Scholar
Ariza, J, Rogers, H, Hartvigsen, A, Snell, M, Dill, M, Judd, D, Hagerman, P, Martínez-Cerdeño, V. Iron accumulation and dysregulation in the putamen in fragile X-associated tremor/ataxia syndrome. Mov Disord 2017;32(4):585–91.Google Scholar
Martínez Cerdeño, V, Hong, T, Amina, S, Lechpammer, M, Ariza, J, Tassone, F, Noctor, SC, Hagerman, P, Hagerman, R. Microglial cell activation and senescence are characteristic of the pathology FXTAS. Mov Disord 2018;33(12):1887–94.Google Scholar
Hayward, BE, Kumari, D, Usdin, K. Recent advances in assays for the fragile X-related disorders. Hum Genet 2017;136(10):1313–27.Google Scholar
Martínez-Cerdeño, V, Lechpammer, M, Noctor, S, Ariza, J, Hagerman, P, Hagerman, R. FMR1 premutation with Prader-Willi phenotype and fragile X-associated tremor/ataxia syndrome. Clin Case Rep 2017;5:625–9.Google Scholar
Jalnapurkar, I, Cochran, DM, Frazier, JA. New therapeutic options for fragile X syndrome. Curr Treat Options Neurol 2019;21(3):12.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×