2021
DOI: 10.7759/cureus.16340
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Fragile X Syndrome in a Female With Homozygous Full-Mutation Alleles of the FMR1 Gene

Abstract: Fragile X syndrome (FXS) has been reported as the leading cause of mental retardation (MR) that predominantly involves males compared to females. An over-expansion of CGG repeats in the 5′ untranslated region of the FMR1 gene plays the primary role in this disease. In this study, we encountered a homozygote female patient affected by FMR1 expansion mutation. Surprisingly, she had inherited her fullmutated alleles from two different ancestors. This condition is an extremely rare case of FXS. After accurate gene… Show more

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Cited by 8 publications
(7 citation statements)
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“…The inclusion of subjects of both sexes is also important for studying FXS, both in human and preclinical research. Although FXS is more common in boys than girls, increasing attention has been devoted to heterozygous females, as they are the ones producing the affected offspring 26 , and they represent the majority of FXS female patients, as homozygous FMR1 mutations are extremely rare 27 . In humans, FXS female carriers present several behavioral symptoms, including hyperactivity 28 , mild cognitive impairments 29 , 30 and autistic behaviors 31 .…”
Section: Introductionmentioning
confidence: 99%
“…The inclusion of subjects of both sexes is also important for studying FXS, both in human and preclinical research. Although FXS is more common in boys than girls, increasing attention has been devoted to heterozygous females, as they are the ones producing the affected offspring 26 , and they represent the majority of FXS female patients, as homozygous FMR1 mutations are extremely rare 27 . In humans, FXS female carriers present several behavioral symptoms, including hyperactivity 28 , mild cognitive impairments 29 , 30 and autistic behaviors 31 .…”
Section: Introductionmentioning
confidence: 99%
“…Homozygous alleles are met in women born from consanguineous couples and are rare. [13] Over time researchers noticed abnormalities in functioning cells with loss of the FMR1 gene. They have become anchor points for further investigation of the mutation and its consequences in living organisms.…”
Section: Pathogenesismentioning
confidence: 99%
“…The number of repeats may be considered normal, generate the premutation, or be the full mutation associated with the disorder. Consequently, the amount of FMRP produced is dependent on the number of repeats, with more repetitions producing less FMRP and resulting in a more severe condition [ 1 , 2 , 5 ]. Symptoms are not exhibited by individuals with the normal allele (5-44 repeats) and premutation allele (55-200 repeats) and are therefore not diagnosed with FXS.…”
Section: Reviewmentioning
confidence: 99%
“…Symptoms are not exhibited by individuals with the normal allele (5-44 repeats) and premutation allele (55-200 repeats) and are therefore not diagnosed with FXS. Individuals with the full mutation allele (>200) are diagnosed with FXS and experience a variety of symptoms and clinical features [ 5 ]. These clinical features can be subclassified into physical, psychological/psychiatric, and developmental issues.…”
Section: Reviewmentioning
confidence: 99%