Fragile X Syndrome in children
David O Acero-Garcés1, Wilmar Saldarriaga1,2, Ana M Cabal-Herrera3
1Universidad del Valle, Facultad de Salud, Escuela de Medicina, Cali, Colombia.
Fragile X syndrome, the most common genetic cause of intellectual disability and autism, results from FMR1 gene silencing. Early diagnosis and a multidisciplinary approach are crucial for improving patient outcomes and quality of life.
Area of Science:
- Genetics
- Neuroscience
- Developmental Biology
Background:
- Fragile X syndrome is a leading monogenic cause of intellectual disability and autism spectrum disorder.
- It stems from CGG triplet expansions in the FMR1 gene, leading to gene silencing and FMRP protein absence.
- This absence causes cellular dysfunction, impacting brain development and resulting in physical and neurological abnormalities.
Purpose of the Study:
- To highlight the genetic basis and clinical manifestations of Fragile X syndrome.
- To emphasize the importance of early diagnosis and molecular confirmation.
- To advocate for a multidisciplinary approach in managing Fragile X syndrome.
Main Methods:
- Review of genetic mechanisms underlying Fragile X syndrome.
- Analysis of clinical and neurological presentations.
- Discussion of diagnostic criteria and intervention strategies.
Main Results:
- Fragile X syndrome is characterized by FMR1 gene silencing due to CGG expansions.
- Clinical manifestations include neurodevelopmental delay, intellectual disability, and autism spectrum disorder.
- Early identification and intervention significantly improve functional prognosis.
Conclusions:
- Fragile X syndrome diagnosis should be considered in patients with neurodevelopmental delay.
- Molecular testing is essential for confirmation.
- A multidisciplinary healthcare approach is vital for optimizing quality of life for affected individuals and their families.
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