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1 Department of Neurological Sciences, Rush University, Chicago, IL, USA.
2 Department of Anatomy and Cell Biology, Rush University, 507 Academic Facility, 600 South Paulina Street, Chicago, IL, 60612, USA.
3 School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, Australia.
4 Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA.
5 Servei de Bioquímica i Genètica Molecular. Hospital Clínic, IDIBAPS, CIBERER, Barcelona, Spain.
6 Neuroradiology Unit, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
7 Neuroimaging Research Group, Hospital Sant Pau, IIB-Sant Pau, UAB, Barcelona, Spain.
8 Universitat Autonoma Barcelona, Barcelona, Spain.
9 Department of Pathology and Laboratory Medicine, University of California at Davis Medical Center, Sacramento, CA, USA.
10 Departments of Medicine and Psychology at the University of Colorado Denver, Aurora, CO, USA.
11 Seaver Autism Center for Research and Treatment, Departments of Genetics and Genomic Sciences, Psychiatry, and Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
12 Department of Pediatrics & MIND Institute, University of California at Davis Medical Center, Sacramento, CA, USA.
13 Cytogenetics and Molecular Laboratory, Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.
14 Departments of Pediatrics and Biochemistry, Rush University, Chicago, IL, USA.
15 Department of Neurological Sciences, Rush University, Chicago, IL, USA. joan_a_okeefe@rush.edu.
16 Department of Anatomy and Cell Biology, Rush University, 507 Academic Facility, 600 South Paulina Street, Chicago, IL, 60612, USA. joan_a_okeefe@rush.edu.
1 Department of Neurological Sciences, Rush University, Chicago, IL, USA.
2 Department of Anatomy and Cell Biology, Rush University, 507 Academic Facility, 600 South Paulina Street, Chicago, IL, 60612, USA.
3 School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Melbourne, Australia.
4 Roxelyn and Richard Pepper Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, USA.
5 Servei de Bioquímica i Genètica Molecular. Hospital Clínic, IDIBAPS, CIBERER, Barcelona, Spain.
6 Neuroradiology Unit, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
7 Neuroimaging Research Group, Hospital Sant Pau, IIB-Sant Pau, UAB, Barcelona, Spain.
8 Universitat Autonoma Barcelona, Barcelona, Spain.
9 Department of Pathology and Laboratory Medicine, University of California at Davis Medical Center, Sacramento, CA, USA.
10 Departments of Medicine and Psychology at the University of Colorado Denver, Aurora, CO, USA.
11 Seaver Autism Center for Research and Treatment, Departments of Genetics and Genomic Sciences, Psychiatry, and Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
12 Department of Pediatrics & MIND Institute, University of California at Davis Medical Center, Sacramento, CA, USA.
13 Cytogenetics and Molecular Laboratory, Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.
14 Departments of Pediatrics and Biochemistry, Rush University, Chicago, IL, USA.
15 Department of Neurological Sciences, Rush University, Chicago, IL, USA. joan_a_okeefe@rush.edu.
16 Department of Anatomy and Cell Biology, Rush University, 507 Academic Facility, 600 South Paulina Street, Chicago, IL, 60612, USA. joan_a_okeefe@rush.edu.
Fragile X-associated tremor/ataxia syndrome (FXTAS) is a progressive neurodegenerative disorder caused by a repeat expansion in the fragile X mental retardation 1 (FMR1) gene. The disorder is characterized by kinetic tremor and cerebellar ataxia, shows age-dependent penetrance, and occurs more frequently in men. This paper summarizes the key emerging issues in FXTAS as presented at the Second International Conference on the FMR1 Premutation: Basic Mechanisms & Clinical Involvement in 2015. The topics discussed include phenotype-genotype relationships, neurobehavioral function, and updates on FXTAS genetics and imaging.
Conflict of Interests Randi Hagerman has received funding from Novartis, Roche, Neuren, and Alcobra for treatment trials in fragile X syndrome (FXS). She has also consulted with Roche/Genentech, Alcobra and Novartis regarding treatment trials in FXS. Elizabeth Berry-Kravis has received funding from Neuren and Alcobra to carry out treatment studies in patients with FXS. She has also received funding from Vtesse to carry out a clinical trial in Niemann-Pick type C. She has also consulted with Neuren, Alcobra, and Neurotrope regarding treatment studies in patients with FXS. Deborah Hall has received research funds from NINDS, Shapiro Foundation, National Parkinson Disease Foundation, Pfizer, and Neurocrine. Dr. Lozano has consulted for Ambry genetics, Courtagen and ClearView Healthcare Partners. The authors declare that they have no conflict of interest.
Figures
Fig. 1
Illustration of the fragile X…
Fig. 1
Illustration of the fragile X mental retardation 1 ( FMR1 ) gene
Fig. 1
Illustration of the fragile X mental retardation 1 (FMR1) gene
Fig. 2
Summary of expanded fragile X-associated…
Fig. 2
Summary of expanded fragile X-associated tremor/ataxia syndrome (FXTAS) and premutation phenotypes. PSP progressive…
Fig. 2
Summary of expanded fragile X-associated tremor/ataxia syndrome (FXTAS) and premutation phenotypes. PSP progressive supranuclear gaze palsy; FMR1 fragile X mental retardation 1 gene; PC premutation carrier; BAP broad autism phenotype; AR activation ratio; MCP middle cerebellar peduncles. Asterisk indicates that this study was conducted in individuals with normal FMR1 repeat size
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