Home LiteratureArticle Details
PMID: 1415255 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

X-linked alpha-thalassemia/mental retardation (ATR-X) syndrome: localization to Xq12-q21.31 by X inactivation and linkage analysis.

American journal of human genetics ·Vol. 51 ·No. 5 ·1992-11-00 ·Pages 1136-49

Gibbons RJ, Suthers GK, Wilkie AO, Buckle VJ, Higgs DR

Abstract

We have examined seven pedigrees that include individuals with a recently described X-linked form of severe mental retardation associated with alpha-thalassemia (ATR-X syndrome). Using hematologic and molecular approaches, we have shown that intellectually normal female carriers of this syndrome may be identified by the presence of rare cells containing HbH inclusions in their peripheral blood and by an extremely skewed pattern of X inactivation seen in cells from a variety of tissues. Linkage analysis has localized the ATR-X locus to an interval of approximately 11 cM between the loci DXS106 and DXYS1X (Xq12-q21.31), with a peak LOD score of 5.4 (recombination fraction of 0) at DXS72. These findings provide the basis for genetic counseling, assessment of carrier risk, and prenatal diagnosis of the ATR-X syndrome. Furthermore, they represent an important step in developing strategies to understand how the mutant ATR-X allele causes mental handicap, dysmorphism, and down-regulation of the alpha-globin genes.

MeSH Terms
Dosage Compensation, Genetic Female Genetic Carrier Screening Genetic Linkage Genetic Markers/genetics Globins/genetics Humans Intellectual Disability/genetics Lod Score Male Pedigree Risk Syndrome X Chromosome alpha-Thalassemia/genetics
Chemicals
Genetic Markers Globins
Authors & Affiliations
5 authors, click to expand affiliations / ORCID
Gibbons R J
MRC Molecular Haematology Unit, John Radcliffe Hospital, Oxford, U.K.
Suthers G K
Wilkie A O
Buckle V J
Higgs D R
References (48)
48 references, click to expand
  1. Genetic counseling in rare syndromes: a resampling method for determining an approximate confidence interval for gene location with linkage data from a single pedigree.
    Am J Hum Genet. 1990 Jul;47(1):53-61 PMID: 2349950
  2. GENETIC TESTS WITH A SEX-LINKED MARKER: GLUCOSE-6-PHOSPHATE DEHYDROGENASE.
    Cold Spring Harb Symp Quant Biol. 1964;29:415-25 PMID: 14278486
  3. Choroideremia and deafness with stapes fixation: a contiguous gene deletion syndrome in Xq21.
    Am J Hum Genet. 1989 Oct;45(4):530-40 PMID: 2491012
  4. A review of the molecular genetics of the human alpha-globin gene cluster.
    Blood. 1989 Apr;73(5):1081-104 PMID: 2649166
  5. Report of the committee on linkage and gene order.
    Cytogenet Cell Genet. 1989;51(1-4):459-502 PMID: 2791656
  6. Close linkage of the Wieacker-Wolff syndrome to the DNA segment DXYS1 in proximal Xq.
    Am J Med Genet. 1987 Sep;28(1):245-53 PMID: 2890303
  7. Physical fine mapping of the choroideremia locus using Xq21 deletions associated with complex syndromes.
    Genomics. 1989 Jan;4(1):41-6 PMID: 2914708
  8. A new syndrome with mental retardation, short stature and an Xq duplication.
    Am J Med Genet. 1988 May-Jun;30(1-2):239-50 PMID: 3177451
  9. A non-syndromal form of X-linked mental retardation (XLMR) is linked to DXS14.
    Am J Med Genet. 1988 May-Jun;30(1-2):485-91 PMID: 3177466
  10. Linkage studies with the gene for an X-linked syndrome of mental retardation, microcephaly and spastic diplegia (MRX2)
    Am J Med Genet. 1988 May-Jun;30(1-2):493-508 PMID: 3177467
  11. X-linked motor-sensory neuropathy type-II with deafness and mental retardation: a new disorder.
    Am J Med Genet. 1985 Feb;20(2):307-15 PMID: 3856385
  12. Primordial cell pool size and lineage relationships of five human cell types.
    Ann Hum Genet. 1973 Jul;37(1):39-48 PMID: 4759903
  13. Carrier detection of the X-linked primary immunodeficiency diseases using X-chromosome inactivation analysis.
    J Allergy Clin Immunol. 1990 Jun;85(6):1090-7 PMID: 2191994
  14. A major positive regulatory region located far upstream of the human alpha-globin gene locus.
    Genes Dev. 1990 Sep;4(9):1588-601 PMID: 2253879
  15. Clinical features and molecular analysis of the alpha thalassemia/mental retardation syndromes. II. Cases without detectable abnormality of the alpha globin complex.
    Am J Hum Genet. 1990 Jun;46(6):1127-40 PMID: 2339705
  16. Allan-Herndon syndrome. II. Linkage to DNA markers in Xq21.
    Am J Hum Genet. 1990 Sep;47(3):454-8 PMID: 2393020
  17. Isolation and characterization of a human variable copy number tandem repeat at Xcen-p11.22.
    Genomics. 1989 Jul;5(1):144-8 PMID: 2570025
  18. Report of the DNA committee and catalogs of cloned and mapped genes and DNA polymorphisms.
    Cytogenet Cell Genet. 1989;51(1-4):622-947 PMID: 2676386
  19. Clonal analysis using recombinant DNA probes from the X-chromosome.
    Cancer Res. 1987 Sep 15;47(18):4806-13 PMID: 2887283
  20. Prenatal diagnosis of X-linked choroideremia with mental retardation, associated with a cytologically detectable X-chromosome deletion.
    Hum Genet. 1987 Mar;75(3):286-90 PMID: 3030927
  21. Linkage analysis suggests at least two loci for X-linked non-specific mental retardation.
    Am J Med Genet. 1988 May-Jun;30(1-2):473-83 PMID: 3177465
  22. Approximate confidence intervals for risk prediction in genetic counseling.
    Am J Hum Genet. 1986 May;38(5):681-7 PMID: 3459355
  23. Multilocus linkage analysis in humans: detection of linkage and estimation of recombination.
    Am J Hum Genet. 1985 May;37(3):482-98 PMID: 3859205
  24. Studies of skin fibroblasts from 10 families with HGPRT deficiency, with reference in X-chromosomal inactivation.
    Am J Hum Genet. 1971 Mar;23(2):199-210 PMID: 5092480
  25. A technique for radiolabeling DNA restriction endonuclease fragments to high specific activity.
    Anal Biochem. 1983 Jul 1;132(1):6-13 PMID: 6312838
  26. X-autosome translocations: cytogenetic characteristics and their consequences.
    Hum Genet. 1982;61(4):295-309 PMID: 7152515
  27. Diagnosis of Wiskott-Aldrich syndrome by analysis of the X chromosome inactivation patterns in maternal leucocyte populations using the hypervariable DXS255 locus.
    Clin Exp Immunol. 1991 May;84(2):219-22 PMID: 1709069
  28. New X-linked syndrome of mental retardation, gynecomastia, and obesity is linked to DXS255.
    Am J Med Genet. 1991 Sep 15;40(4):406-13 PMID: 1746601
  29. Alpha thalassaemia/mental retardation syndrome (non-deletional type): report of a family supporting X linked inheritance.
    J Med Genet. 1991 Nov;28(11):734-7 PMID: 1770528
  30. The non-deletion alpha thalassaemia/mental retardation syndrome: further support for X linkage.
    J Med Genet. 1991 Nov;28(11):742-5 PMID: 1770530
  31. Dinucleotide repeat polymorphism at the DXYS1X locus.
    Nucleic Acids Res. 1991 Apr 11;19(7):1721 PMID: 1840656
  32. Characterization of the major regulatory element upstream of the human alpha-globin gene cluster.
    Mol Cell Biol. 1991 Sep;11(9):4679-89 PMID: 1875946
  33. The non-deletion type of alpha thalassaemia/mental retardation: a recognisable dysmorphic syndrome with X linked inheritance.
    J Med Genet. 1991 Oct;28(10):724 PMID: 1941971
  34. X chromosome linked immunodeficiency.
    Immunodefic Rev. 1990;2(3):233-51 PMID: 1981831
  35. Unique X-linked mental retardation syndrome with fingertip arches and contractures linked to Xq21.31.
    Am J Med Genet. 1991 Feb-Mar;38(2-3):215-23 PMID: 2018061
  36. Occurrence of the alpha thalassaemia-mental retardation syndrome (non-deletional type) in an Australian male.
    J Med Genet. 1990 Sep;27(9):577-81 PMID: 2231651
  37. Molecular and cytogenetic analysis of a familial microdeletion of Xq.
    J Med Genet. 1991 Mar;28(3):163-6 PMID: 1675684
  38. A newly defined X linked mental retardation syndrome associated with alpha thalassaemia.
    J Med Genet. 1991 Nov;28(11):729-33 PMID: 1770527
  39. X linked alpha thalassaemia/mental retardation: spectrum of clinical features in three related males.
    J Med Genet. 1991 Nov;28(11):738-41 PMID: 1770529
  40. X linked mental retardation.
    J Med Genet. 1991 Jun;28(6):361-71 PMID: 1870092
  41. An 18-locus linkage map of the pericentromeric region of the human X chromosome: genetic framework for mapping X-linked disorders.
    Genomics. 1991 Aug;10(4):849-57 PMID: 1916819
  42. Localization of the X inactivation centre on the human X chromosome in Xq13.
    Nature. 1991 Jan 3;349(6304):82-4 PMID: 1985270
  43. A highly informative X-chromosome probe, M27 beta, can be used for the determination of tumour clonality.
    Br J Haematol. 1990 Mar;74(3):371-2 PMID: 2334646
  44. Clinical features and molecular analysis of the alpha thalassemia/mental retardation syndromes. I. Cases due to deletions involving chromosome band 16p13.3.
    Am J Hum Genet. 1990 Jun;46(6):1112-26 PMID: 2339704
  45. Hemizygous expression of glucose-6-phosphate dehydrogenase in erythrocytes of heterozygotes for the Lesch-Nyhan syndrome.
    Proc Natl Acad Sci U S A. 1970 Jan;65(1):214-8 PMID: 5263751
  46. Hemoglobin H disease and mental retardation: a new syndrome or a remarkable coincidence?
    N Engl J Med. 1981 Sep 10;305(11):607-12 PMID: 6267462
  47. Genomic sequencing.
    Proc Natl Acad Sci U S A. 1984 Apr;81(7):1991-5 PMID: 6326095
  48. X-linked spastic paraplegia: evidence for homogeneity with a variable phenotype.
    Clin Genet. 1989 Feb;35(2):116-20 PMID: 2470540
Article Info
Journal
American journal of human genetics
Abbr.
Am J Hum Genet
ISSN
0002-9297
Published
1992-11-00
Pages
1136-49
Language
English
Region
United States
NLM ID
0370475
PMCID
PMC1682840
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: [email protected]