Evidence map›Paper›PMID 16271017›Full record

ArticleMolecular diagnosis : a journal devoted to the understanding of human disease through the clinical application of molecular biology2005

Skewed X inactivation of the normal allele in fully mutated female carriers determines the levels of FMRP in blood and the fragile X phenotype.

Raquel Martínez, Victoria Bonilla-Henao, Antonio Jiménez, Miguel Lucas, Carmen Vega, Inmaculada Ramos, Francisco Sobrino, Elizabeth Pintado

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In one paragraph

Article in Molecular diagnosis : a journal devoted to the understanding of human disease through the clinical application of molecular biology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. mSphere · 2026
    Article
  2. Article
  3. Advances in the study of ARR3 in myopia.Frontiers in cell and developmental biology · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. A nonsense mutation in FMR1 causing fragile X syndrome.European journal of human genetics : EJHG · 2011
    Article
  9. Article
  10. Article
  11. Article
  12. Presynaptic FMR1 genotype influences the degree of synaptic connectivity in a mosaic mouse model of fragile X syndrome.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2007
    Article
  13. X-chromosome inactivation patterns in females with Prader-Willi syndrome.American journal of medical genetics. Part A · 2007
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Raquel MartínezDepartamento de Bioquímica Médica y Biología Molecular, Facultad de Medicina, Universidad de Sevilla, Seville, Spain.
Victoria Bonilla-Henao
Antonio Jiménez
Miguel Lucas
Carmen Vega
Inmaculada Ramos
Francisco Sobrino
Elizabeth Pintado
Hospital Universitario Virgen Macarena · ESUniversidad de Sevilla · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe variable phenotype in female carriers of a full mutation is explained in part by non-random X-chromosome inactivation. The molecular diagnosis of fragile X syndrome is based on the resolution of the number of CGG triplet repeats and the methylation status of a critical CpG in the fragile X mental retardation gene (FMR1) promoter. Neighboring CpGs in the FMR1 promoter are supposed to be equally methylated or unmethylated.

methodSouthern blot analysis was performed with double digestion, either with EcoRI/EagI or with HindIII/SacII. The EagI restriction site was studied by sequencing. The fragile X encoded protein (FMRP) was detected in white blood cells by Western blot. The fragile X phenotype was evaluated by specific clinical examinations.

resultsWithin one family we found three female carriers of a full mutation and a different degree of methylation of the normal allele that correlated with the levels of FMRP in blood and the fragile X phenotype. Complete methylation at the EagI CpG target (but partially methylated SacII CpG site) was associated with extremely skewed X inactivation (confirmed by analysis of the methylation status at the PGK locus), undetectable FMRP in blood, and a male-like phenotype.

conclusionsIn fully mutated female carriers the methylation status at the EagI restriction site correlates with the levels of FMRP in blood and the fragile X phenotype. Neighboring CpG sequences in the FMR1 promoter can be differentially methylated, which should be taken into consideration for molecular diagnosis.

Indexed as

AllelesHeterozygoteBlotting, SouthernExonsFemaleFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeHomozygoteHumansMutationPedigreePhenotypeX Chromosome InactivationFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID16271017
OpenAlexW2040773687

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.