Evidence map›Paper›PMID 16723388›Full record

SynthesisJournal of medical genetics2006

Size bias of fragile X premutation alleles in late-onset movement disorders.

Sebastien Jacquemont, Maureen A Leehey, Randi J Hagerman, Laurel A Beckett, Paul J Hagerman

Open access · bronzeAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Journal of medical genetics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
7.8field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 116 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Mild Neurological Signs in FMR1 Premutation Women in an Unselected Community-Based Cohort.Movement disorders : official journal of the Movement Disorder Society · 2021
    Article
  7. Article
  8. Women with Fragile X-associated Tremor/Ataxia Syndrome.Movement disorders clinical practice · 2020
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. [Genetics of tremor].Der Nervenarzt · 2018
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. A genetic study of the FMR1 gene in a Sardinian multiple sclerosis population.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2015
    Article
  19. Article
  20. Review
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

5 authors at 4 institutions in 2 countries.

Sebastien JacquemontService de Génétique, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Maureen A Leehey
Randi J Hagerman
Laurel A Beckett
Paul J Hagerman
University Hospital of Lausanne · CHUniversity of California, Davis · USUniversity of California Davis Medical Center · USUniversity of Colorado Health · US

Funding

GENOTYPE/PHENOTYPE RELATIONSHIPS IN FRAGILE X FAMILIESR01HD036071 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI PAUL J HAGERMAN, RANDI J. HAGERMAN · 1998 to 2026
$13.8M
Neurological Phenotype in FMR1 Premutation CarriersR01NS043532 · NINDS · UNIVERSITY OF CALIFORNIA DAVIS · PI HAGERMAN, PAUL J · 2002 to 2005
$1.2M
NICHD NIH HHS HD36071NICHD NIH HHS R01 HD036071NINDS NIH HHS NS43532NINDS NIH HHS R01 NS043532
6 · The paper itself

Abstract

backgroundFragile X-associated tremor/ataxia syndrome (FXTAS), caused by premutation expansions (55-200 CGG repeats) of the FMR1 gene, shares clinical features with other movement disorders, particularly in the domains of gait ataxia, intention tremor and parkinsonism. However, the prevalence of FXTAS within other diagnostic categories is not well defined.

methodsA meta-analysis was conducted of all published (n = 14) genetic screens for expanded FMR1 alleles to assess the prevalence and CGG-repeat size bias of FMR1 premutation alleles in those populations.

resultsIn men with late-onset cerebellar ataxia, the prevalence of premutation alleles (1.5%; 16/1049) was 13 times greater than expected based on its prevalence in the general population (2%; 16/818 for age of onset >50 years; odds ratio 12.4; 95% confidence interval 1.6 to 93.5). Meta-analysis of CGG-repeat data for screened patients with premutation alleles shows a shift to larger repeat size than in the general population (p<0.001). 86% (19/22) of premutation alleles were larger than 70 repeats in the patients screened, whereas only approximately 22% of premutation alleles are larger than 70 repeats in the general population.

conclusionsExpanded FMR1 alleles contribute to cases of late-onset sporadic cerebellar ataxia, suggesting that FMR1 genetic testing should be carried out in such cases. The biased distribution of FMR1 allele sizes has substantial implications for genetic counselling of carriers with smaller alleles who are at a low risk of developing FXTAS, and suggests that the estimated prevalence of FXTAS among men >50 years of age in the general population may be two to threefold lower than the initial figure of 1 in 3000.

Indexed as

AllelesAdultAgedAged, 80 and overAge of OnsetAtaxiaBiasChildFemaleFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeGenetic TestingHumansMaleMiddle AgedMovement DisordersFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID16723388
PMCPMC2563171
OpenAlexW2150101606

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.