The fragile-X premutation: A maturing perspective

被引:360
作者
Hagerman, PJ
Hagerman, RJ
机构
[1] Univ Calif Davis, Sch Med, Dept Biochem & Mol Med, Davis, CA 95616 USA
[2] Univ Calif Davis, Med Ctr, Med Invest Neurodev Disorders Inst, Sacramento, CA 95817 USA
[3] Univ Calif Davis, Med Ctr, Dept Pediat, Sacramento, CA 95817 USA
关键词
D O I
10.1086/386296
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Carriers of premutation alleles (55-200 CGG repeats) of the fragile-X mental retardation 1 (FMR1) gene are often regarded as being clinically uninvolved. However, it is now apparent that such individuals can present with one ( or more) of three distinct clinical disorders: mild cognitive and/or behavioral deficits on the fragile-X spectrum; premature ovarian failure; and a newly described, neurodegenerative disorder of older adult carriers, fragile-X-associated tremor/ataxia syndrome (FXTAS). Awareness of these clinical presentations is important for proper diagnosis and therapeutic intervention, not only among families with known cases of fragile-X syndrome but also more broadly for adults with tremor, gait ataxia, and parkinsonism who are seen in movement-disorders clinics.
引用
收藏
页码:805 / 816
页数:12
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