Evidence map›Paper›PMID 24763282›Full record

ArticlePLoS genetics2014

FRA2A is a CGG repeat expansion associated with silencing of AFF3.

Sofie Metsu, Liesbeth Rooms, Jacqueline Rainger, Martin S Taylor, Hemant Bengani, David I Wilson, Chandra Sekhar Reddy Chilamakuri, Harris Morrison, Geert Vandeweyer, Edwin Reyniers and 6 more

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

33 citing papers in PubMed, 54 citations in OpenAlex.

  1. Review
  2. A genome-wide approach for the discovery of novel repeat expansion disorders in the Undiagnosed Diseases Network cohort.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
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  14. GC-rich repeat expansions: associated disorders and mechanisms.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2021
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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

16 authors at 7 institutions in 4 countries.

Sofie MetsuDepartment of Medical Genetics, University of Antwerp, Antwerp, Belgium.
Liesbeth RoomsDepartment of Medical Genetics, University of Antwerp, Antwerp, Belgium.
Jacqueline RaingerMedical and Developmental Genetics Section, MRC Human Genetics Unit, IGMM, University of Edinburgh, Edinburgh, United Kingdom.
Martin S TaylorMedical and Developmental Genetics Section, MRC Human Genetics Unit, IGMM, University of Edinburgh, Edinburgh, United Kingdom.
Hemant BenganiMedical and Developmental Genetics Section, MRC Human Genetics Unit, IGMM, University of Edinburgh, Edinburgh, United Kingdom.
David I WilsonUniversity of Southampton, Centre for Human Development, Stem Cells and Regeneration, Human Genetics, Southampton, United Kingdom.
Chandra Sekhar Reddy ChilamakuriDepartment of Tumor Biology, Institute for Cancer Research, Oslo University Hospital, Oslo, Norway.
Harris MorrisonMedical and Developmental Genetics Section, MRC Human Genetics Unit, IGMM, University of Edinburgh, Edinburgh, United Kingdom.
Geert VandeweyerDepartment of Medical Genetics, University of Antwerp, Antwerp, Belgium.
Edwin ReyniersDepartment of Medical Genetics, University of Antwerp, Antwerp, Belgium.
Evelyn DouglasGenetics and Molecular Pathology, SA Pathology, Adelaide, South Australia, Australia.
Geoffrey ThompsonDepartment of Paediatrics, The University of Adelaide, Adelaide, South Australia, Australia; Department of Paediatrics and Child Health, Flinders University, Adelaide, South Australia, Australia.
Eric HaanGenetics and Molecular Pathology, SA Pathology, Adelaide, South Australia, Australia; South Australian Clinical Genetic Service, SA Pathology (at Women's and Children's Hospital), Adelaide, South Australia, Australia.
Jozef GeczGenetics and Molecular Pathology, SA Pathology, Adelaide, South Australia, Australia; Department of Paediatrics, The University of Adelaide, Adelaide, South Australia, Australia.
David R FitzpatrickMedical and Developmental Genetics Section, MRC Human Genetics Unit, IGMM, University of Edinburgh, Edinburgh, United Kingdom.
R Frank KooyDepartment of Medical Genetics, University of Antwerp, Antwerp, Belgium.
University of Antwerp · BEMRC Institute of Genetics and Molecular Medicine · GBSouth Australia Pathology · AUUniversity of Adelaide · AUOslo University Hospital · NOUniversity of Edinburgh · GBUniversity of Southampton · GB

Funding

Medical Research Council MC_PC_U127561093Medical Research Council MC_PC_U127597124Medical Research Council MC_U127561093
6 · The paper itself

Abstract

Folate-sensitive fragile sites (FSFS) are a rare cytogenetically visible subset of dynamic mutations. Of the eight molecularly characterized FSFS, four are associated with intellectual disability (ID). Cytogenetic expression results from CGG tri-nucleotide-repeat expansion mutation associated with local CpG hypermethylation and transcriptional silencing. The best studied is the FRAXA site in the FMR1 gene, where large expansions cause fragile X syndrome, the most common inherited ID syndrome. Here we studied three families with FRA2A expression at 2q11 associated with a wide spectrum of neurodevelopmental phenotypes. We identified a polymorphic CGG repeat in a conserved, brain-active alternative promoter of the AFF3 gene, an autosomal homolog of the X-linked AFF2/FMR2 gene: Expansion of the AFF2 CGG repeat causes FRAXE ID. We found that FRA2A-expressing individuals have mosaic expansions of the AFF3 CGG repeat in the range of several hundred repeat units. Moreover, bisulfite sequencing and pyrosequencing both suggest AFF3 promoter hypermethylation. cSNP-analysis demonstrates monoallelic expression of the AFF3 gene in FRA2A carriers thus predicting that FRA2A expression results in functional haploinsufficiency for AFF3 at least in a subset of tissues. By whole-mount in situ hybridization the mouse AFF3 ortholog shows strong regional expression in the developing brain, somites and limb buds in 9.5-12.5dpc mouse embryos. Our data suggest that there may be an association between FRA2A and a delay in the acquisition of motor and language skills in the families studied here. However, additional cases are required to firmly establish a causal relationship.

Indexed as

AllelesChromosome Fragile SitesDNA MethylationFemaleFos-Related Antigen-2Gene ExpressionHumansIntellectual DisabilityMaleNuclear ProteinsPhenotypePolymorphism, Single NucleotidePromoter Regions, GeneticTrinucleotide Repeat ExpansionAFF3 protein, humanFOSL2 protein, humanFos-Related Antigen-2Nuclear Proteins

Identifiers

PMID24763282
PMCPMC3998887
OpenAlexW2033771292

What OpenQuestion holds

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LicenceCC BY
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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.