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TCNJ JOURNAL OF STUDENT SCHOLARSHIP VOLUME XII APRIL, 2010
FRAGILE X SYNDROME FULL MUTATION FEMALES AT INCREASED
RISK FOR MOSAIC
TURNER SYNDROME: FRAGILE X LEADS TO CHROMOSOME LOSS
Author:
Daniel DeMizio
Faculty Sponsors:
W.S. Klug
Department of Biology
ABSTRACT
Fragile X Syndrome, the most common form of inherited mental retardation, is characterized by autistic
behavior and mild to severe learning disabilities. The disease is caused by the expansion of a
trinucleotide repeat located on the FMR1 (Fragile X Mental Retardation) gene located on the X-
chromosome. Since the early 1990s, 348 prenatal female samples have been analyzed for Fragile X
Syndrome at the NYS Institute of Basic Research in Developmental Disabilities. Of the 94 Fragile X
affected females found, five of these cases were also determined to be afflicted with an extremely rare (1
in 20,000-30,000) disease, known as mosaic Turner Syndrome. Five cases of Fragile X/Mosaic Turner
affected females discovered in such a small sample size contradict the diseases’ low prevalence. This led
to the hypothesis that there is a connection between Fragile X Syndrome and Turner Syndrome. In order
to strengthen this hypothesis, we assessed the origin of the lost chromosome, and aimed to provide a
mechanism by which the chromosome is lost. We believed the maternal Fragile X chromosome was
being lost in these cases. Using the DXS451 and androgen receptor polymorphisms in polymerase chain
reactions (PCR) and capillary electrophoresis, analysis of the five affected females and their parents
allowed us to size the alleles and to identify the origin of parental chromosome loss. Two long term
lymphoblastoid (LTL) cell lines of different full mutation females were also harvested for observations of
chromosome loss over time. After allele sizing, 4 of the 5 Fragile X
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