Evidence map›Paper›PMID 24591415›Full record

ArticleJournal of medical genetics2014

CGG allele size somatic mosaicism and methylation in FMR1 premutation alleles.

Dalyir I Pretto, Guadalupe Mendoza-Morales, Joyce Lo, Ru Cao, Andrew Hadd, Gary J Latham, Blythe Durbin-Johnson, Randi Hagerman, Flora Tassone

Open access · greenAbstract read
In one paragraph

Article in Journal of medical genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 84 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Dalyir I PrettoDepartment of Biochemistry and Molecular Medicine, University of California Davis, School of Medicine, Sacramento, California, USA.
Guadalupe Mendoza-Morales
Joyce Lo
Ru Cao
Andrew Hadd
Gary J Latham
Blythe Durbin-Johnson
Randi Hagerman
Flora Tassone
University of California, Davis · USAsuragen (United States) · US

Funding

Restoring FMRP Phenotypes Frpm Temporal Regional and Splice- Isoforms VarationsP30HD002274 · NICHD · UNIVERSITY OF WASHINGTON · PI GURALNICK, MICHAEL J · 1985 to 2013
$33.6M
GENOTYPE/PHENOTYPE RELATIONSHIPS IN FRAGILE X FAMILIESR01HD036071 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI PAUL J HAGERMAN, RANDI J. HAGERMAN · 1998 to 2026
$13.8M
UC Davis Clinical and Translational Science CenterUL1TR000002 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$12.2M
Expression of the Fragile X GeneR01HD040661 · NICHD · UNIVERSITY OF CALIFORNIA DAVIS · PI HAGERMAN, PAUL J · 2002 to 2016
$4.3M
NCATS NIH HHS UL1 TR000002NICHD NIH HHS HD02274NICHD NIH HHS HD036071NICHD NIH HHS HD040661NICHD NIH HHS P30 HD002274NICHD NIH HHS R01 HD036071NICHD NIH HHS R01 HD040661
6 · The paper itself

Abstract

backgroundGreater than 200 CGG repeats in the 5'UTR of the FMR1 gene lead to epigenetic silencing and lack of the FMR1 protein, causing fragile X Syndrome. Individual carriers of a premutation (PM) allele with 55-200 CGG repeats are typically unmethylated and can present with clinical features defined as FMR1-associated conditions.

methodsBlood samples from 17 male PM carriers were assessed clinically and molecularly by Southern blot, western blot, PCR and QRT-PCR. Blood and brain tissue from an additional 18 PM males were also similarly examined. Continuous outcomes were modelled using linear regression and binary outcomes were modelled using logistic regression.

resultsMethylated alleles were detected in different fractions of blood cells in all PM cases (n=17). CGG repeat numbers correlated with percent of methylation and mRNA levels and, especially in the upper PM range, with greater number of clinical involvements. Inter-tissue/intra-tissue somatic instability and differences in percent methylation were observed between blood and fibroblasts (n=4) and also observed between blood and different brain regions in three of the 18 PM cases examined. CGG repeat lengths in lymphocytes remained unchanged over a period of time ranging from 2 to 6 years, three cases for whom multiple samples were available.

conclusionsIn addition to CGG size instability, individuals with a PM expanded allele can exhibit methylation and display more clinical features likely due to RNA toxicity and/or FMR1 silencing. The observed association between CGG repeat length and percent of methylation with the severity of the clinical phenotypes underscores the potential value of methylation in affected PM to further understand penetrance, inform diagnosis and expand treatment options.

Indexed as

AllelesDNA MethylationMosaicismAdolescentAgedChildChild, PreschoolFibroblastsFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeHeterozygoteHumansMaleMutationTrinucleotide Repeat ExpansionYoung AdultFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1DiagnosisGeneticsMovement disorders (other than Parkinsons)

Identifiers

PMID24591415
PMCPMC4010431
OpenAlexW1972746354

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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.