Skip to main content
American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1996 May;58(5):906–913.

A study of FRAXE in mentally retarded individuals referred for fragile X syndrome (FRAXA) testing in the United Kingdom.

S J Knight 1, R J Ritchie 1, L Chakrabarti 1, G Cross 1, G R Taylor 1, R F Mueller 1, J Hurst 1, J Paterson 1, J R Yates 1, D J Dow 1, K E Davies 1
PMCID: PMC1914619  PMID: 8651274

Abstract

The folate-sensitive fragile site FRAXE is located in proximal Xq28 of the human X chromosome and lies approximately 600 kb distal to the fragile X syndrome (FRAXA) fragile site at Xq27.3. The cytogenetic expression of FRAXE is thought to be associated with mental handicap, but this is usually mild compared to that of the more common fragile X syndrome that is associated with the expression of the FRAXA fragile site. The exact incidence of FRAXE mental retardation is uncertain. We describe here the results of a U.K. survey designed to assess the frequency of FRAXE in a population of individuals referred for fragile X syndrome testing and found to be negative for expansion events at the FRAXA locus. No FRAXE expansion events were found in 362 cytogenetically negative males studied, and one expansion event was identified in a sample of 534 males for whom cytogenetic analyses were either unrecorded or not performed. Further FRAXE expansion events were detected in two related females known to be cytogenetically positive for a fragile site in Xq27.3-28. To gain insight into the FRAXE phenotype, the clinical details of the identified FRAXE male plus three other FRAXE individuals identified through previous referrals for fragile X syndrome testing are presented. For the population studied, we conclude that FRAXE mental retardation is a relatively rare but significant form of mental retardation for which genetic diagnosis would be appropriate.

Full text

PDF
906

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Allingham-Hawkins D. J., Ray P. N. FRAXE expansion is not a common etiological factor among developmentally delayed males. Am J Hum Genet. 1995 Jul;57(1):72–76. [PMC free article] [PubMed] [Google Scholar]
  2. Brown W. T. The fragile X: progress toward solving the puzzle. Am J Hum Genet. 1990 Aug;47(2):175–180. [PMC free article] [PubMed] [Google Scholar]
  3. Dennis N. R., Curtis G., Macpherson J. N., Jacobs P. A. Two families with Xq27.3 fragility, no detectable insert in the FMR-1 gene, mild mental impairment, and absence of the Martin-Bell phenotype. 1992 Apr 15-May 1Am J Med Genet. 43(1-2):232–236. doi: 10.1002/ajmg.1320430137. [DOI] [PubMed] [Google Scholar]
  4. Ewart A. K., Morris C. A., Atkinson D., Jin W., Sternes K., Spallone P., Stock A. D., Leppert M., Keating M. T. Hemizygosity at the elastin locus in a developmental disorder, Williams syndrome. Nat Genet. 1993 Sep;5(1):11–16. doi: 10.1038/ng0993-11. [DOI] [PubMed] [Google Scholar]
  5. Flynn G. A., Hirst M. C., Knight S. J., Macpherson J. N., Barber J. C., Flannery A. V., Davies K. E., Buckle V. J. Identification of the FRAXE fragile site in two families ascertained for X linked mental retardation. J Med Genet. 1993 Feb;30(2):97–100. doi: 10.1136/jmg.30.2.97. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hamel B. C., Smits A. P., de Graaff E., Smeets D. F., Schoute F., Eussen B. H., Knight S. J., Davies K. E., Assman-Hulsmans C. F., Oostra B. A. Segregation of FRAXE in a large family: clinical, psychometric, cytogenetic, and molecular data. Am J Hum Genet. 1994 Nov;55(5):923–931. [PMC free article] [PubMed] [Google Scholar]
  7. Hirst M. C., Barnicoat A., Flynn G., Wang Q., Daker M., Buckle V. J., Davies K. E., Bobrow M. The identification of a third fragile site, FRAXF, in Xq27--q28 distal to both FRAXA and FRAXE. Hum Mol Genet. 1993 Feb;2(2):197–200. doi: 10.1093/hmg/2.2.197. [DOI] [PubMed] [Google Scholar]
  8. Knight S. J., Flannery A. V., Hirst M. C., Campbell L., Christodoulou Z., Phelps S. R., Pointon J., Middleton-Price H. R., Barnicoat A., Pembrey M. E. Trinucleotide repeat amplification and hypermethylation of a CpG island in FRAXE mental retardation. Cell. 1993 Jul 16;74(1):127–134. doi: 10.1016/0092-8674(93)90300-f. [DOI] [PubMed] [Google Scholar]
  9. Knight S. J., Voelckel M. A., Hirst M. C., Flannery A. V., Moncla A., Davies K. E. Triplet repeat expansion at the FRAXE locus and X-linked mild mental handicap. Am J Hum Genet. 1994 Jul;55(1):81–86. [PMC free article] [PubMed] [Google Scholar]
  10. Lubs H. A. A marker X chromosome. Am J Hum Genet. 1969 May;21(3):231–244. [PMC free article] [PubMed] [Google Scholar]
  11. Mulley J. C., Yu S., Loesch D. Z., Hay D. A., Donnelly A., Gedeon A. K., Carbonell P., López I., Glover G., Gabarrón I. FRAXE and mental retardation. J Med Genet. 1995 Mar;32(3):162–169. doi: 10.1136/jmg.32.3.162. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Nakahori Y., Knight S. J., Holland J., Schwartz C., Roche A., Tarleton J., Wong S., Flint T. J., Froster-Iskenius U., Bentley D. Molecular heterogeneity of the fragile X syndrome. Nucleic Acids Res. 1991 Aug 25;19(16):4355–4359. doi: 10.1093/nar/19.16.4355. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Nancarrow J. K., Holman K., Mangelsdorf M., Hori T., Denton M., Sutherland G. R., Richards R. I. Molecular basis of p(CCG)n repeat instability at the FRA16A fragile site locus. Hum Mol Genet. 1995 Mar;4(3):367–372. doi: 10.1093/hmg/4.3.367. [DOI] [PubMed] [Google Scholar]
  14. Parrish J. E., Oostra B. A., Verkerk A. J., Richards C. S., Reynolds J., Spikes A. S., Shaffer L. G., Nelson D. L. Isolation of a GCC repeat showing expansion in FRAXF, a fragile site distal to FRAXA and FRAXE. Nat Genet. 1994 Nov;8(3):229–235. doi: 10.1038/ng1194-229. [DOI] [PubMed] [Google Scholar]
  15. Ritchie R. J., Knight S. J., Hirst M. C., Grewal P. K., Bobrow M., Cross G. S., Davies K. E. The cloning of FRAXF: trinucleotide repeat expansion and methylation at a third fragile site in distal Xqter. Hum Mol Genet. 1994 Dec;3(12):2115–2121. doi: 10.1093/hmg/3.12.2115. [DOI] [PubMed] [Google Scholar]
  16. Rubinsztein D. C., Amos W., Leggo J., Goodburn S., Jain S., Li S. H., Margolis R. L., Ross C. A., Ferguson-Smith M. A. Microsatellite evolution--evidence for directionality and variation in rate between species. Nat Genet. 1995 Jul;10(3):337–343. doi: 10.1038/ng0795-337. [DOI] [PubMed] [Google Scholar]
  17. Sutherland G. R., Baker E. Characterisation of a new rare fragile site easily confused with the fragile X. Hum Mol Genet. 1992 May;1(2):111–113. doi: 10.1093/hmg/1.2.111. [DOI] [PubMed] [Google Scholar]
  18. Wang Q., Green E., Barnicoat A., Garrett D., Mullarkey M., Bobrow M., Mathew C. G. Cytogenetic versus DNA diagnosis in routine referrals for fragile X syndrome. Lancet. 1993 Oct 23;342(8878):1025–1026. doi: 10.1016/0140-6736(93)92882-t. [DOI] [PubMed] [Google Scholar]
  19. Wang Q., Green E., Bobrow M., Mathew C. G. A rapid, non-radioactive screening test for fragile X mutations at the FRAXA and FRAXE loci. J Med Genet. 1995 Mar;32(3):170–173. doi: 10.1136/jmg.32.3.170. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Human Genetics are provided here courtesy of American Society of Human Genetics

RESOURCES