DNA Methylation, Mechanisms of <i>FMR1</i> Inactivation and Therapeutic Perspectives for Fragile X Syndrome

Among the inherited causes of intellectual disability and autism, Fragile X syndrome (FXS) is the most frequent form, for which there is currently no cure. In most FXS patients, the <i>FMR1</i> gene is epigenetically inactivated following the expansion over 200 triplets of a CGG repeat (...

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Bibliographic Details
Main Authors: Veronica Nobile, Cecilia Pucci, Pietro Chiurazzi, Giovanni Neri, Elisabetta Tabolacci
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/11/2/296
Description
Summary:Among the inherited causes of intellectual disability and autism, Fragile X syndrome (FXS) is the most frequent form, for which there is currently no cure. In most FXS patients, the <i>FMR1</i> gene is epigenetically inactivated following the expansion over 200 triplets of a CGG repeat (FM: full mutation). <i>FMR1</i> encodes the Fragile X Mental Retardation Protein (FMRP), which binds several mRNAs, mainly in the brain. When the FM becomes methylated at 10–12 weeks of gestation, the <i>FMR1</i> gene is transcriptionally silent. The molecular mechanisms involved in the epigenetic silencing are not fully elucidated. Among FXS families, there is a rare occurrence of males carrying a FM, which remains active because it is not methylated, thus ensuring enough FMRPs to allow for an intellectual development within normal range. Which mechanisms are responsible for sparing these individuals from being affected by FXS? In order to answer this critical question, which may have possible implications for FXS therapy, several potential epigenetic mechanisms have been described. Here, we focus on current knowledge about the role of DNA methylation and other epigenetic modifications in <i>FMR1</i> gene silencing.
ISSN:2218-273X