Evidence map›Paper›PMID 28176767›Full record

SynthesisEuropean journal of human genetics : EJHG2017

Intragenic FMR1 disease-causing variants: a significant mutational mechanism leading to Fragile-X syndrome.

Angélique Quartier, Hélène Poquet, Brigitte Gilbert-Dussardier, Massimiliano Rossi, Anne-Sophie Casteleyn, Vincent des Portes, Claire Feger, Elsa Nourisson, Paul Kuentz, Claire Redin and 21 more

3 registry-linked trialsOpen access · bronzeAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in European journal of human genetics : EJHG, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
6.2field-weighted citation impact, top 4% 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.

NCT06480968 phase1completednot on this mapstarted 2023, after this paper: background citation

Safety and Tolerability of CTH120, First-in-human Phase I Study Encompassing Three Parts: Single and Multiple Ascending Doses and Potential Food Interaction

TypeinterventionalSponsorConnecta Therapeutics, S.L.Ran2023 to 2024Enrolled76ConditionsFragile X SyndromeArmsCTH120, Placebo
NCT06957054 completednot on this mapstarted 2024, after this paper: background citation

Assessment of Neural Biomarkers in Adult Subjects With Fragile X Syndrome and Typically Developing Subjects

TypeobservationalSponsorConnecta Therapeutics, S.L.Ran2024 to 2025Enrolled20ConditionsFragile X Syndrome (FXS), Neurotypical AdultsArmsAny
NCT07654114 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Evaluation of the Safety, Tolerability, and Effectiveness of CTH120 in Adult Males With Fragile X Syndrome

TypeinterventionalSponsorConnecta Therapeutics, S.L.Ran2026 to 2027Enrolled30ConditionsFragile X Syndrome (FXS), Fragile X SyndromeArmsCTH120, CTH120 placebo hard capsules
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 60 citations in OpenAlex.

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  13. Frontiers in genetics · 2022
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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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  19. Characterization ofFrontiers in genetics · 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

31 authors at 9 institutions in 1 country.

Angélique QuartierInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Hélène PoquetEA 4271 GAD « Génétique des Anomalies du Développement » and FHU TRANSLAD, CHU Dijon, Université de Bourgogne, Dijon, France.
Brigitte Gilbert-DussardierService de Génétique et Centre de Référence Anomalies du Développement-Ouest, CHU de Poitiers; EA3808, Université de Poitiers, Poitiers, France.
Massimiliano RossiCentre de Référence Anomalies du Développement, Service de génétique, Hospices Civils de Lyon et INSERM U1028, CNRS UMR5292, GENDEV Team, Centre de Recherche en Neurosciences de Lyon, Lyon, France.
Anne-Sophie CasteleynService de neuropédiatrie, CHU Angoulême, Angoulême, France.
Vincent des PortesReference Center for Fragile X and Rare Intellectual Disabilities, Lyon, France.
Claire FegerLaboratoire de diagnostic génétique, Institut de Génétique Médicale d'Alsace, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Elsa NourissonLaboratoire de diagnostic génétique, Institut de Génétique Médicale d'Alsace, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Paul KuentzEA 4271 GAD « Génétique des Anomalies du Développement » and FHU TRANSLAD, CHU Dijon, Université de Bourgogne, Dijon, France.
Claire RedinInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Julien ThevenonEA 4271 GAD « Génétique des Anomalies du Développement » and FHU TRANSLAD, CHU Dijon, Université de Bourgogne, Dijon, France.ORCID 0000-0001-9271-3961
Anne-Laure Mosca-BoidronLaboratoire de génétique moléculaire et de Cytogénétique, Plateau Technique de Biologie, CHU Dijon, Dijon,France.
Patrick CallierLaboratoire de génétique moléculaire et de Cytogénétique, Plateau Technique de Biologie, CHU Dijon, Dijon,France.
Jean MullerLaboratoire de diagnostic génétique, Institut de Génétique Médicale d'Alsace, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.ORCID 0000-0002-7682-559X
Gaetan LescaCentre de Référence Anomalies du Développement, Service de génétique, Hospices Civils de Lyon et INSERM U1028, CNRS UMR5292, GENDEV Team, Centre de Recherche en Neurosciences de Lyon, Lyon, France.
Frédéric HuetCentre de Génétique et Centre de Référence Maladies Rares 'Anomalies du Développement, CHU Dijon, Dijon, France.
Véronique GeoffroyLaboratoire de Génétique Médicale, Institut de Génétique Médicale d'Alsace, INSERM U1112, Fédération de Médecine Translationnelle de Strasbourg (FMTS), Université de Strasbourg, Strasbourg, France.
Salima El ChehadehCentre de Génétique et Centre de Référence Maladies Rares 'Anomalies du Développement, CHU Dijon, Dijon, France.
Matthieu JungInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Benoit TrojakService de Psychiatrie Générale et Addictologie, CHU, Dijon, Strasbourg,France.
Stéphanie Le GrasInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Daphné LehalleEA 4271 GAD « Génétique des Anomalies du Développement » and FHU TRANSLAD, CHU Dijon, Université de Bourgogne, Dijon, France.
Bernard JostInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Stéphanie MauryService de Génétique médicale Institut de Génétique Médicale d'Alsace, Hôpitaux Universitaires de Strasbourg, France.
Alice MasurelCentre de Génétique et Centre de Référence Maladies Rares 'Anomalies du Développement, CHU Dijon, Dijon, France.
Patrick EderyCentre de Référence Anomalies du Développement, Service de génétique, Hospices Civils de Lyon et INSERM U1028, CNRS UMR5292, GENDEV Team, Centre de Recherche en Neurosciences de Lyon, Lyon, France.
Christel Thauvin-RobinetEA 4271 GAD « Génétique des Anomalies du Développement » and FHU TRANSLAD, CHU Dijon, Université de Bourgogne, Dijon, France.
Bénédicte GérardLaboratoire de diagnostic génétique, Institut de Génétique Médicale d'Alsace, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Jean-Louis MandelInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Laurence FaivreEA 4271 GAD « Génétique des Anomalies du Développement » and FHU TRANSLAD, CHU Dijon, Université de Bourgogne, Dijon, France.
Amélie PitonInstitut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Centre National de la Recherche Scientifique · FRUniversité de Bourgogne · FRHôpitaux Universitaires de Strasbourg · FRInserm · FRLaboratoire de Génétique Cellulaire · FRCentre Hospitalier d'Angoulême · FRInstitut de génétique et de biologie moléculaire et cellulaire · FRNVH Medicinal (France) · FRUniversité de Poitiers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fragile-X syndrome (FXS) is a frequent genetic form of intellectual disability (ID). The main recurrent mutagenic mechanism causing FXS is the expansion of a CGG repeat sequence in the 5'-UTR of the FMR1 gene, therefore, routinely tested in ID patients. We report here three FMR1 intragenic pathogenic variants not affecting this sequence, identified using high-throughput sequencing (HTS): a previously reported hemizygous deletion encompassing the last exon of FMR1, too small to be detected by array-CGH and inducing decreased expression of a truncated form of FMRP protein, in three brothers with ID (family 1) and two splice variants in boys with sporadic ID: a de novo variant c.990+1G>A (family 2) and a maternally inherited c.420-8A>G variant (family 3). After clinical reevaluation, the five patients presented features consistent with FXS (mean Hagerman's scores=15). We conducted a systematic review of all rare non-synonymous variants previously reported in FMR1 in ID patients and showed that six of them are convincing pathogenic variants. This study suggests that intragenic FMR1 variants, although much less frequent than CGG expansions, are a significant mutational mechanism leading to FXS and demonstrates the interest of HTS approaches to detect them in ID patients with a negative standard work-up.

Indexed as

MutationFemaleFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeHumansMaleMiddle AgedPolymorphism, Single NucleotideRNA SplicingSiblingsFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID28176767
PMCPMC5386424
OpenAlexW2586202726

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.