Evidence map›Paper›PMID 18412117›Full record

ReviewAmerican journal of medical genetics. Part A2008

Mosaic FMR1 deletion causes fragile X syndrome and can lead to molecular misdiagnosis: a case report and review of the literature.

Bradford Coffee, Morna Ikeda, Dejan B Budimirovic, Lawrence N Hjelm, Walter E Kaufmann, Stephen T Warren

Open access · greenAbstract readCase ReportsReview
In one paragraph

Review in American journal of medical genetics. Part A, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Genes · 2025
    Article
  5. Review
  6. Review
  7. NAR molecular medicine · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Frontiers in genetics · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Molecular analysis ofExpert review of molecular diagnostics · 2020
    Article
  20. 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

6 authors at 2 institutions in 1 country.

Bradford CoffeeDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia 30322, USA. bcoffee@genetics.emory.edu
Morna Ikeda
Dejan B Budimirovic
Lawrence N Hjelm
Walter E Kaufmann
Stephen T Warren
Emory University · USJohns Hopkins University · US

Funding

UNDERSTANDING FXTAS AMONG MALES WITH THE FMR1 PREMUTATIONP30HD024064 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI TOLIAS, KIMBERLY R · 1988 to 2013
$29.4M
PREDOCTORAL TRAINING PROGRAM IN GENETICST32GM008490 · NIGMS · EMORY UNIVERSITY · PI BOSS, JEREMY M. · 1993 to 2022
$8.0M
MOLECULAR CLONING OF THE FRAGILE X SITER01HD020521 · NICHD · EMORY UNIVERSITY · PI WARREN, STEPHEN T. · 1986 to 2011
$2.8M
MOLECULAR CLONING OF THE FRAGILE X SITER37HD020521 · NICHD · EMORY UNIVERSITY · PI WARREN, STEPHEN T. · 1996 to 2005
$1.7M
NICHD NIH HHS HD020521NICHD NIH HHS HD24064NICHD NIH HHS P30 HD024064NICHD NIH HHS R01 HD020521NICHD NIH HHS R37 HD020521NIGMS NIH HHS T32 GM008490
6 · The paper itself

Abstract

The most common cause of fragile X syndrome is expansion of a CGG trinucleotide repeat in the 5'UTR of FMR1. This expansion leads to transcriptional silencing of the gene. However, other mutational mechanisms, such as deletions of FMR1, also cause fragile X syndrome. The result is the same for both the expansion mediated silencing and deletion, absence of the gene product, FMRP. We report here on an 11-year-old boy with a cognitive and behavioral profile with features compatible with, but not specific to, fragile X syndrome. A mosaic deletion of 1,013,395 bp was found using high-density X chromosome microarray analysis followed by sequencing of the deletion breakpoints. We review the literature of FMR1 deletions and present this case in the context of other FMR1 deletions having mental retardation that may or may not have the classic fragile X phenotype.

Indexed as

Diagnostic ErrorsMosaicismSequence DeletionBehavioral SymptomsChildChromosomes, Human, XFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeHumansMaleMental DisordersNucleic Acid HybridizationOligonucleotide Array Sequence AnalysisFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID18412117
PMCPMC2697959
OpenAlexW2108733962

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.