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• Xq27.3
• FMR1 gene
Pathogenesis
CGG sequence
If the repeat
number is...
no symptoms of present in
1. Primary methylation of
Fragile X female carrier
Ovarian deoxycitidines
Syndrome
Insufficiency in promoter
(POI) when passed on region
through X-
linked hypermetylation
2. Fragile X- inheritance of CpG Island
associated
tremor ataxia
syndrome can increase prevent
(FXTAS) due to the repeats of transcription
excess mRNA mutation and translation
(accumulate in of FMR1 gene
subsequent
generations) absence of FMR
protein
more
phenotypically
Pathophysiology
severe
FRAGILE X
development delays, SYNDROME
mental retardation,
irritated, hyperactive
FRAGILE X
SYNDROME