Evidence map›Paper›PMID 33927378›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Refining the risk for fragile X-associated primary ovarian insufficiency (FXPOI) by FMR1 CGG repeat size.

Emily Graves Allen, Krista Charen, Heather S Hipp, Lisa Shubeck, Ashima Amin, Weiya He, Sarah L Nolin, Anne Glicksman, Nicole Tortora, Bonnie McKinnon and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. 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
5.7field-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.

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, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Cognitive dysfunction in women with theJournal of Alzheimer's disease : JAD · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Fragile X Syndrome in Adulthood: A Study of Electronic Health Records.American journal on intellectual and developmental disabilities · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Depression Symptom Trajectories in Mothers With the FMR1 Premutation Vary by CGG Repeat Length: A Longitudinal Study of 73 Women Spanning 20-75 Years of Age.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2025
    Article
  12. Article
  13. Review
  14. International journal of molecular sciences · 2025
    Article
  15. Review
  16. Review
  17. Mammalian oocytes receive maternal-effect RNAs from granulosa cells.bioRxiv : the preprint server for biology · 2025
    Article
  18. Article
  19. Population-based FMR1 carrier screening among reproductive women.Journal of assisted reproduction and genetics · 2024
    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

12 authors at 2 institutions in 1 country.

Emily Graves AllenDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA. emgrave@emory.edu.ORCID 0000-0003-0963-036X
Krista CharenDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Heather S HippDepartment of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
Lisa ShubeckDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Ashima AminDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Weiya HeDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Sarah L NolinDepartment of Human Genetics, New York State Institute for Basic Research in Developmental Disabilities, Staten Island, NY, USA.
Anne GlicksmanDepartment of Human Genetics, New York State Institute for Basic Research in Developmental Disabilities, Staten Island, NY, USA.
Nicole TortoraDepartment of Human Genetics, New York State Institute for Basic Research in Developmental Disabilities, Staten Island, NY, USA.
Bonnie McKinnonDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Katharine E ShellyDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Stephanie L ShermanDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Emory University · USNew York State Office for People With Developmental Disabilities · US

Funding

Preclinical CoreP50HD103573 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GABRIEL S DICHTER · 2020 to 2026
$9.7M
Recruitment CoreU54NS091859 · NINDS · EMORY UNIVERSITY · PI WARREN, STEPHEN T. · 2014 to 2019
$9.1M
The FMR1 CGG repeat as functional element and therapeutic target in Fragile X associated disordersP50HD104463 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI NELSON, DAVID LOREN · 2020 to 2024
$9.0M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
NCATS NIH HHS UL1 TR000424NICHD NIH HHS P50 HD103573NICHD NIH HHS P50 HD104463NINDS NIH HHS U54 NS091859
6 · The paper itself

Abstract

purposeApproximately 20-30% of women with an FMR1 premutation experience fragile X-associated primary ovarian insufficiency (FXPOI); however, current risk estimates based on repeat size only identify women with the midrange of repeats to be at the highest risk.

methodsTo better understand the risk by repeat size, we collected self-reported reproductive histories on 1,668 women and divided them into high-resolution repeat size bins of ~5 CGG repeats to determine a more accurate risk for FXPOI in relation to CGG repeat length.

resultsAs previously reported, women with 70-100 CGG repeats were at the highest risk for FXPOI using various statistical models to compare average age at menopause and risk of FXPOI, with women with 85-89 repeats being at the highest risk. Importantly, women with <65 repeats or >120 repeats did not have a significantly increased risk for FXPOI compared to women with <45 repeats.

conclusionUsing a large cross-section study on 1,668 women, we have provided more personalized risk assessment for FXPOI using high-resolution repeat size bins. Understanding the variability in risk has important implications for family planning and overall health among women with a premutation.

Indexed as

Fragile X SyndromeMenopause, PrematurePrimary Ovarian InsufficiencyFemaleFragile X Messenger Ribonucleoprotein 1HumansFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID33927378
PMCPMC8460441
OpenAlexW3157985826

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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.