2021
DOI: 10.3390/genes12101633
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Mechanisms of Genome Instability in the Fragile X-Related Disorders

Abstract: The Fragile X-related disorders (FXDs), which include the intellectual disability fragile X syndrome (FXS), are disorders caused by expansion of a CGG-repeat tract in the 5′ UTR of the X-linked FMR1 gene. These disorders are named for FRAXA, the folate-sensitive fragile site that localizes with the CGG-repeat in individuals with FXS. Two pathological FMR1 allele size classes are distinguished. Premutation (PM) alleles have 54–200 repeats and confer the risk of fragile X-associated tremor/ataxia syndrome (FXTAS… Show more

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Cited by 7 publications
(3 citation statements)
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“…Mosaicisms in FXS usually refer to two different FMR1 alterations, size and methylation mosaicisms [ 8 ]. The most common is “size mosaicism”, detected in 38% of the patients, which results in a variable clinical phenotype depending on the proportion of cells that have normal premutation alleles (55–200 CGGs) or FM alleles [ 9 ]. In addition, there are numerous cases of “methylation mosaicism”, in which an FM allele is fully or partially methylated.…”
Section: Discussionmentioning
confidence: 99%
“…Mosaicisms in FXS usually refer to two different FMR1 alterations, size and methylation mosaicisms [ 8 ]. The most common is “size mosaicism”, detected in 38% of the patients, which results in a variable clinical phenotype depending on the proportion of cells that have normal premutation alleles (55–200 CGGs) or FM alleles [ 9 ]. In addition, there are numerous cases of “methylation mosaicism”, in which an FM allele is fully or partially methylated.…”
Section: Discussionmentioning
confidence: 99%
“…Local DNA structures, also called ‘non-B’ DNA structures, have been recognised as important regulators of many fundamental regulatory processes, including replication [ 1 ], transcription [ 2 ], translation [ 3 ], epigenetics [ 4 ], DNA damage repair [ 5 , 6 , 7 ], genome evolution and rearrangement [ 8 ]. Negative supercoiling of DNA and protein binding can increase the stability of local DNA conformation and/or induce conformational changes that give rise to various alternative DNA structures, the best-described being cruciforms [ 7 ], Z-DNA/Z-RNA [ 9 , 10 ], triplexes [ 11 ] and quadruplexes [ 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…For the molecular component, Hayward and Usdin [ 5 ] review the current state of knowledge on the mechanisms of somatic and germline instability of expanded FMR1 alleles in Fragile X-related disorders. The review discusses the potential impact of mosaicism for FMR1 alleles of different CGG expansion sizes, on clinical presentation.…”
mentioning
confidence: 99%