Fragile X Syndrome

Fragile X syndrome occurs when a person's cells do not produce the FMRP protein. The genetic code for how to synthesize this protein is carried on the X chromosome, so men (who carry an X and a Y chromosome) can produce the protein only if there is a stable gene on their X chromosome telling their body how to do so. Women (who have XX chromosomes) may carry stable FMR1 on both chromosomes, resulting in normal protein production, while others carry one mutated X and one normal X (resulting in mild impairments, some protein production) and others still carry double mutated genes (which means there is no protein production). As a result, people with fragile x suffer from symptoms much like children or adults with Down syndrome.

Physical characteristics of Fragile X resemble signs of Down syndrome, with features like pronounced chins and foreheads, large heads and long ears that protrude from the head. Long faces, connective tissue problems, flat feet, ear infections, being double-jointed, having enlarged testicles and problematic menstrual cycles are other common physical symptoms. These features are more common for males over 10 and women who have gone through puberty. The classic long face, prominent ears and enlarged testes is said to only be present in 60% of cases. At least 10% of cases show only intellectual impairment.

Adults should be tested for Fragile X syndrome if there is a known history in the family, if anyone in the family shows signs of Down syndrome, Autism, delayed learning, inherited disability or mental retardation, if anyone has been previously assessed for Fragile X, or if a woman has had premature ovarian failure. Many asymptomatic carriers are unaware of their genetic makeup because the signs are not always exhibited. It is estimated that 1/300 women carry the mutation in some fashion. To check for the mutation, a chromosomal DNA test is done via a blood sample. The tests usually cost $300-$600 and return in 2-4 weeks with a 99% accuracy.


Just as there are Autism and Down syndrome support networks, Fragile X syndrome has an organization of its own. The National Fragile X Foundation (NFXF) was created in 1984 to help individuals, their families and caregiver professionals. The organization works to increase awareness, improve education and advance research to find a cure. Parents can find over 300 pages of information at www.fragilex.org that can help them raise a developmentally disabled child.

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