PMID- 17480217 OWN - NLM STAT- MEDLINE DCOM- 20070517 LR - 20220129 IS - 1471-2350 (Electronic) IS - 1471-2350 (Linking) VI - 8 DP - 2007 May 4 TI - MRX87 family with Aristaless X dup24bp mutation and implication for polyAlanine expansions. PG - 25 AB - BACKGROUND: Cognitive impairments are heterogeneous conditions, and it is estimated that 10% may be caused by a defect of mental function genes on the X chromosome. One of those genes is Aristaless related homeobox (ARX) encoding a polyA-rich homeobox transcription factor essential for cerebral patterning and its mutations cause different neurologic disorders. We reported on the clinical and genetic analysis of an Italian family with X-linked mental retardation (XLMR) and intra-familial heterogeneity, and provided insight into its molecular defect. METHODS: We carried out on linkage-candidate gene studies in a new MRX family (MRX87). All coding regions and exon-intron boundaries of ARX gene were analysed by direct sequencing. RESULTS: MRX87 patients had moderate to profound cognition impairment and a combination of minor congenital anomalies. The disease locus, MRX87, was mapped between DXS7104 and DXS1214, placing it in Xp22-p21 interval, a hot spot region for mental handicap. An in frame duplication of 24 bp (ARXdup24) in the second polyAlanine tract (polyA_II) in ARX was identified. CONCLUSION: Our study underlines the role of ARXdup24 as a critical mutational site causing mental retardation linked to Xp22. Phenotypic heterogeneity of MRX87 patients represents a new observation relevant to the functional consequences of polyAlanine expansions enriching the puzzling complexity of ARXdup24-linked diseases. FAU - Laperuta, Carmela AU - Laperuta C AD - Institute of Genetics and Biophysics Adriano Buzzati Traverso CNR, Naples, Italy. laperuta@igb.cnr.it FAU - Spizzichino, Letizia AU - Spizzichino L FAU - D'Adamo, Pio AU - D'Adamo P FAU - Monfregola, Jlenia AU - Monfregola J FAU - Maiorino, Antonio AU - Maiorino A FAU - D'Eustacchio, Angela AU - D'Eustacchio A FAU - Ventruto, Valerio AU - Ventruto V FAU - Neri, Giovanni AU - Neri G FAU - D'Urso, Michele AU - D'Urso M FAU - Chiurazzi, Pietro AU - Chiurazzi P FAU - Ursini, Matilde Valeria AU - Ursini MV FAU - Miano, Maria Giuseppina AU - Miano MG LA - eng GR - TGM06S01/TI_/Telethon/Italy PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070504 PL - England TA - BMC Med Genet JT - BMC medical genetics JID - 100968552 RN - 0 (ARX protein, human) RN - 0 (DNA Primers) RN - 0 (Homeodomain Proteins) RN - 0 (Peptides) RN - 0 (Transcription Factors) RN - 25191-17-7 (polyalanine) SB - IM MH - *Chromosomes, Human, X MH - DNA Primers MH - *Gene Duplication MH - *Genetic Linkage MH - Homeodomain Proteins/*genetics MH - Humans MH - Male MH - Mental Retardation, X-Linked/*genetics MH - Mutation MH - Pedigree MH - Peptides/*genetics MH - Sequence Analysis, DNA MH - Transcription Factors/*genetics PMC - PMC1868705 EDAT- 2007/05/08 09:00 MHDA- 2007/05/18 09:00 PMCR- 2007/05/04 CRDT- 2007/05/08 09:00 PHST- 2006/11/22 00:00 [received] PHST- 2007/05/04 00:00 [accepted] PHST- 2007/05/08 09:00 [pubmed] PHST- 2007/05/18 09:00 [medline] PHST- 2007/05/08 09:00 [entrez] PHST- 2007/05/04 00:00 [pmc-release] AID - 1471-2350-8-25 [pii] AID - 10.1186/1471-2350-8-25 [doi] PST - epublish SO - BMC Med Genet. 2007 May 4;8:25. doi: 10.1186/1471-2350-8-25.