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Fragile X screening program in New York State.

S L Nolin1, D A Snider, E C Jenkins

  • 1New York State Institute for Basic Research in Developmental Disabilities, Staten Island 10314.

American Journal of Medical Genetics
|February 1, 1991
PubMed
Summary
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New York State

Area of Science:

  • Genetics
  • Medical Genetics
  • Neurodevelopmental Disorders

Background:

  • Fragile X (fra(X)) syndrome is a significant cause of inherited intellectual disability.
  • Many affected males in New York State remain undiagnosed, leaving female relatives unaware of their genetic risks.
  • Early identification of fra(X) is crucial for genetic counseling and family planning.

Purpose of the Study:

  • To establish a screening program for fragile X syndrome in mentally retarded males in New York State.
  • To identify affected males and inform their families about the diagnosis and associated risks.
  • To facilitate risk assessment for female relatives of affected individuals.

Main Methods:

  • Development of a screening form assessing 10 features (physical, behavioral, family history).

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  • Males exhibiting at least 5 features, or macroorchidism/family history of intellectual disability, were selected for cytogenetic analysis.
  • A two-step screening procedure was employed to efficiently evaluate a large population.
  • Main Results:

    • 995 males were screened, with 352 (35%) selected for cytogenetic analysis.
    • 17 out of 161 completed studies (10.5%) were positive for fragile X (fra(X)).
    • Numerous potential female carriers were identified within the families of affected males.

    Conclusions:

    • The program successfully identified previously undiagnosed fragile X (fra(X)) males within the intellectually disabled population.
    • The two-step screening approach is effective for large-scale fra(X) identification without universal cytogenetic testing.
    • This initiative improves genetic awareness and risk assessment for families, particularly for female relatives.