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Case Reports
. 1996 Aug 9;64(2):302-8.
doi: 10.1002/(SICI)1096-8628(19960809)64:2<302::AID-AJMG14>3.0.CO;2-J.

The fragile X phenotype in a mosaic male with a deletion showing expression of the FMR1 protein in 28% of the cells

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Case Reports

The fragile X phenotype in a mosaic male with a deletion showing expression of the FMR1 protein in 28% of the cells

E de Graaff et al. Am J Med Genet. .

Abstract

The instability of the CGG repeat region of FMR1 is not restricted to the CGG repeat but expands to flanking sequences as well. A mosaic fragile X male is reported with a deletion of part of the CGG repeat and 30 bp immediately 3' of the repeat, thus confirming the presence of a hotspot for deletions in the CGG region of FMR1. The deletion, detected in 28% of his lymphocytes, did not impair the transcription and translation of FMR1, suggesting that regulatory elements are not present in the deleted region. The patient has the characteristic fragile X phenotype and assuming that the mosaic pattern detected in the lymphocytes reflects the mosaic pattern in brain, 28% expression of FMRP may not be sufficient for normal cognitive functioning.

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