robin082006 Forum Hero

Topics: 471 Posts: 5,125
| | 03/14/06 - 10:23 PM  
 
   
 
|   #2 |
X linked dominant, CGG repeat expansion
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| mitty Forum Guru
Topics: 52 Posts: 376
| | 03/15/06 - 12:28 AM  
 
   
 
|   #3 |
yes. Kaplan says it is x linked dominant but FA says autosomal recessive.
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| nickriviera Forum Newbie
Topics: 0 Posts: 4
| | 03/15/06 - 10:57 AM  
 
   
 
|   #4 |
Itīs definitively dominant! Itīs a classic example of both dominant and of rep expansion as well as Huntington.
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| Geroo Forum Guru
Topics: 114 Posts: 799
| | 03/15/06 - 11:15 AM  
 
   
 
|   #5 |
goljan says it's x linked recessive
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| sonaliraj99 Forum Senior
Topics: 39 Posts: 132
| | 03/18/06 - 06:20 AM  
 
   
 
|   #6 |
HMMM.... i don't know wat d books mentioned above say... but i had a theory d moment i read d q.. i'l try it here..pl. do tel if its rt... see... v say its phenotypic expression is in men.... they inherit it from ma... who doesn't ALWAYS express it.... cos she has 2 x.. so i think.. its recessive.. i'm REALLY REALLY SORRY if i'm confusin anyone.... i jus remembered d pedigree chart.. so d guess
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| sonaliraj99 Forum Senior
Topics: 39 Posts: 132
| | 03/18/06 - 10:52 PM  
 
   
 
|   #7 |
ANOTHER THING GUYS... ROBBINS SAYS ITS RECESSIVE
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| DrVirgo Forum Hero

Topics: 1041 Posts: 3,342
| | 03/20/06 - 09:32 PM  
 
   
 
|   #8 |
I came here to ask the same question since I found contradicting statements regarding X linked dominant or recessive in different books. Can anyone look up in Harrisons or Merck? I don't have those right now. Thanks. Anyway: First of all, X-linked means no Male to Male inheritance (because males give a Y to their sons) X-linked dominant means that it can affect females as well as males since you only need ONE mutated X to have the disease. X-linked recessive is more common in males becasue you have to have it on ALL your X chromosomes to have the disease. (Males only have one X, so its easier for them to get it. Females have 2, so its not likely they will get it).
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| pearljam59 Forum Guru

Topics: 120 Posts: 273
| | 03/21/06 - 01:40 PM  
 
   
 
|   #9 |
Actually FA 2006 just says X-linked.
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| yasmeen Forum Guru
Topics: 67 Posts: 936
| | 03/22/06 - 07:02 AM  
 
   
 
|   #10 |
its x linked dominant
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| DrVirgo Forum Hero

Topics: 1041 Posts: 3,342
| | 03/23/06 - 02:23 PM  
 
   
 
|   #11 |
Harrisons says X-Linked Recessive. Lets just forget if its dominant or recessive, and remember that its X-Linked. If its so uncertain and there are so many contradictions in various texts, the bad news is thats its frustrating for us, but the good news is that it doesn't make a good question for USMLE and will NEVER be asked.

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| paganini Forum Senior

Topics: 26 Posts: 159
| | 04/13/06 - 09:25 PM  
 
   
 
|   #12 |
I had the same confusion a month ago. Kaplan lecture notes (2006-2007) of Biochemistry and Pathology says that Fragile X syndrome is X link dominant, Big mistake. Goljan, Robbins says X link recessive, BIG MISTAKE. BRS of pathology only says X-linked disorder, BIG MISTAKE. After reading many books, only 2 of them have good explanations: kaplan REVIEW volume I (2005), which is from a different author than that of the lecture notes; an Pathophysiology of disease (2005). Correct answer is to say that it follows a NONMENDELIAN INHERITANCE PATTERN. Fragile X syndrome is clearly a genetic disease, but fails to fallow the patterns for normal X-linked recessive or dominant mutation. Completely unaffected carrier males, called nonpenetrant transmitting males, may be identified in pedigrees (Kaplan Biochemistry lecture notes says: male have 100% penetrance, BIG MISTAKE). The male or famale offspring from such a carrier male are completely normal, but the grandchildren from the carrier's daughter may Be affected. Among these grandchildren aproximately 25% of the males will be affected, 25% will be unaffected carriers. Around 25% of the females may have mild symptoms of the disease, and about 25% of the females will be unaffected carriers. 50% of the grandchildren, both males and females, will be completely normal. A female carrier has an inheritance number of repeats, greater than 50 but less than 230. The promoter region is not hypermethylated, she has a premutation and is asymptomatic. If she has more than 230 repeats the promoter region is hypermethylated(the cause is unknown) and will manifest the symptoms. So is not x-recessive because you may have females affected. Is no x-dominant because males dont have complete penetrance. In some respect, fragile x syndrome is similar to other genetic conditions caused by X-linked mutations: Affected males are impaired more severely than females and is never transmitted from father to son. However it breaks the rule Of mendiluan transmission in that at least 20% of carriers males manifest NO signs of it, so we can not say it is X-linked. What you should learn is that it is classified as a disorder with nonmendelian inheritance pattern.
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| gpsbrar Forum Elite

Topics: 34 Posts: 278
| | 04/16/06 - 05:13 PM  
 
   
 
|   #13 |
Paganini is right. It is non mendelian pattern of inheritence. Only think very important about it is Think Big (physical appearance) and low IQ. Linked to FMR 1 gene, X link and trinucleotide repeat expansion.
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