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Fragile X Syndrome

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Copyright 1988, 1989, 1990, 1991, 1994, 1995, 1997, 1998, 1999, 2006

NORD is grateful to Robert A. Saul, MD, Senior Clinical Geneticist, Greenwood Genetic Center, for assistance in the preparation of this report.

Synonyms of Fragile X Syndrome
  • Fragile Site, Folic Acid Type, Rare, Fra(X)(Q27.3)
  • Fragile X Mental Retardation Protein, FMRP
  • Fragile X Mental Retardation Syndrome
  • Marker X Syndrome
  • Martin-Bell Syndrome
  • Mental Retardation, X-Linked, Associated With Mar Xq28
  • X-linked Mental Retardation and Macroorchidism

Disorder Subdivisions



General Discussion
Fragile X syndrome is characterized by moderate mental retardation in affected males and mild mental retardation in affected females. Distinctive physical features are sometimes present in affected males including a large head, long face, prominent forehead and chin, protruding ears, loose joints and large testes, but these features develop over time and may not be obvious until puberty. Motor and language delays are usually present but also become more apparent over time. Behavioral abnormalities including autistic behaviors are common.

Fragile X syndrome is caused by an abnormality (mutation) in the FMR1 gene. Affected individuals have an increased number of copies of a portion of the gene called CGG repeats. The greater the number of copies of CGG, the more likely the increased severity of the disorder. Fragile X syndrome occurs more often in males and results in more severe disease in males.

Mutations in the FMR1 gene are associated with two other conditions in addition to the fragile X syndrome (FXTAS and POF) and these conditions have been termed FMR1-Related Disorders. (See the Related Disorders section of this report for brief summaries of the other disorders.)

Organizations related to Fragile X Syndrome
  • Arc (a national organization on mental retardation)
    1010 Wayne Ave
    Suite 650
    Silver Spring MD 20910
    Phone #: 301-565-3842
    800 #: 800-433-5255
    e-mail: info@thearc.org
    Home page: http://www.thearc.org/
  • FRAXA Research Foundation
    45 Pleasant Street
    Newburyport MA 01950
    Phone #: 978-462-1866
    800 #: --
    e-mail: info@fraxa.org
    Home page: http://www.fraxa.org
  • Fragile X Society
    Road End House
    6 Stortford Road
    Great Dunmow, Essex None CM6 1DA
    Phone #: 00 -44 -(0) 1371 875100
    800 #: N/A
    e-mail: info@fragilex.org.uk
    Home page: http://www.fragilex.org.uk
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: ordr@od.nih.gov
    Home page: http://rarediseases.info.nih.gov/Default.aspx
  • Let Them Hear Foundation
    1900 University Avenue, Suite 101
    East Palo Alto CA 94303
    Phone #: 650-462-3143
    800 #: 877-735-2929
    e-mail: info@letthemhear.org
    Home page: http://www.letthemhear.org
  • MUMS (Mothers United for Moral Support, Inc) National Parent-to-Parent Network
    150 Custer Court
    Green Bay WI 54301-1243
    Phone #: 920-336-5333
    800 #: 877-336-5333
    e-mail: mums@netnet.net
    Home page: http://www.netnet.net/mums/
  • Madisons Foundation
    PO Box 241956
    Los Angeles CA 90024
    Phone #: 310-264-0826
    800 #: N/A
    e-mail: getinfo@madisonsfoundation.org
    Home page: http://www.madisonsfoundation.org
  • NIH/National Institute of Child Health and Human Development
    31 Center Dr
    Building 31, Room 2A32
    MSC2425
    Bethesda MD 20892
    Phone #: 301-496-5133
    800 #: --
    e-mail: N/A
    Home page: http://www.nichd.nih.gov/
  • NIH/National Institute on Aging
    PO Box 8057
    Gaithersburg MD 20892-8057
    Phone #: 301-496-1752
    800 #: 800-222-2225
    e-mail: N/A
    Home page: http://www.nih.gov/nia
  • National Fragile X Foundation
    PO Box 37
    Walnut Creek CA 94597
    Phone #: 925-938-9300
    800 #: 800-688-8765
    e-mail: NATLFX@FragileX.org
    Home page: http://www.FragileX.org
  • New Horizons Un-Limited, Inc.
    811 East Wisconsin Ave
    Suite 937
    Milwaukee WI 53202
    Phone #: 414-299-0124
    800 #: N/A
    e-mail: horizons@new-horizons.org
    Home page: http://www.new-horizons.org
  • New York State Institute for Basic Research in Developmental Disabilities
    1050 Forest Hill Road
    Staten Island NY 10314
    Phone #: 718-494-0600
    800 #: --
    e-mail: vietcoat@ix.netcom.com
    Home page: N/A
  • Simon, Valerie, M.D.
    Kennedy-Krieger Institute
    Behavioral Genetics Unit
    Room 103
    707 North Broadway Avenue
    Baltimore MD 21205
    Phone #: 301-550-9321
    800 #: --
    e-mail: N/A
    Home page: N/A

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Last modified Wednesday, November 26, 2008