FMR1

protein-coding

fragile X messenger ribonucleoprotein 1

Gene summary

The protein encoded by this gene binds RNA and is associated with polysomes. The encoded protein may be involved in mRNA trafficking from the nucleus to the cytoplasm. A trinucleotide repeat (CGG) in the 5' UTR is normally found at 6-53 copies, but an expansion to 55-230 repeats is the cause of fragile X syndrome. Expansion of the trinucleotide repeat may also cause one form of premature ovarian failure (POF1). Multiple alternatively spliced transcript variants that encode different protein isoforms and which are located in different cellular locations have been described for this gene. [provided by RefSeq, May 2010]

Previous symbols:
  • POF1
  • POF

MANE transcript

NM_002024.6

Inheritance

XL

ClinVar variants

P:22U:252B:41

Top phenotype

Premature ovarian failure 1

gnomAD constraint

pLI —, LoF o/e 0.2

Max pathogenic AF

—

Genomic locus

chrX:147,911,919-147,951,125

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~39.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

fragile X syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: Myriad Women's Health

fragile X syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: G2P

premature ovarian failure 1DEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010706

Submitter: G2P

fragile X syndromeSUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: Orphanet

fragile X-associated tremor/ataxia syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010382

Submitter: G2P

fragile X syndromeSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: Labcorp Genetics (formerly Invitae)

fragile X-associated tremor/ataxia syndromeSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010382

Submitter: Labcorp Genetics (formerly Invitae)

premature ovarian failure 1STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010706

Submitter: Labcorp Genetics (formerly Invitae)

fragile X syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: Ambry Genetics

fragile X-associated tremor/ataxia syndromeSUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010382

Submitter: Orphanet

premature ovarian failure 1STRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010706

Submitter: Ambry Genetics

fragile X-associated tremor/ataxia syndromeSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010382

Submitter: Ambry Genetics

fragile X syndromeSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: PanelApp Australia

fragile X syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: ClinGen

*FMR1* was first reported in relation to X-linked fragile X syndrome in 1991 (Kremer et al., PMID: 1675488). The majority of cases are a result of an unstable expanded trinucleotide (CGG)n repeat sequence of greater than 200 repeats in the 5-prime untranslated region of *FMR1*; however, other types of variants (missense, splice, nonsense, frameshift, and large deletions) have also been reported. Other phenotypic presentations (Fragile X tremor ataxia syndrome, and Primary ovarian insufficiency) may be observed in individuals with *FMR1* premutations (defined as 55-200 repeats). For the purposes of this curation, however, we have chosen to only evaluate evidence related to classic fragile X syndrome. Ten variants (repeat expansion, missense, splice, nonsense, frameshift, and large deletions) that have been reported in 10 probands in 8 publications (PMIDs: 1675488, 7670500, 8069307, 8490650, 21267007, 24448548, 25693964, 28176767) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 points) has been reached. The mechanism of pathogenicity is hemizygous loss of function. This gene-disease relationship is also supported by animal models and functional assays. In summary, there is definitive evidence supporting the relationship between *FMR1* and X-linked fragile X syndrome. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Intellectual Disability and Autism Gene Curation Expert Panel on June 3, 2019 (SOP Version 6).

fragile X syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010383

Submitter: Natera

Clinical Genomic Database (CGD)

Premature ovarian failure 1XL

Manifestation: Craniofacial; Endocrine; Neurologic; Obstetric

Intervention: Obstetric

Rationale: Genetic knowledge may be beneficial to allow interventions such as preserving eggs in women with premature ovarian insufficiency

Refs: 5794013; 7333582; 6958915; 6711591; 3398009; 2195034; 1944467; 9719368; 10208170; 10325264; 11445641; 12730995; 12638084; 12533098; 14747503; 15065016; 15052536; 16043804; 16493202; 17166801; 18348275; 19724010; 19411303; 20228389; 19542082; 21518720; 21188402; 21300345; 21912443; 23703681Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to FMR1 variants in ClinVar

15 Conditions Cataloged
not providedTotal: 94
Inborn genetic diseasesTotal: 47
not specifiedTotal: 37
Fragile X syndromeTotal: 29
FMR1-related disorderTotal: 9
Intellectual disabilityTotal: 8
Fragile X-associated tremor/ataxia syndromeTotal: 5
Premature ovarian failure 1Total: 4

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_002024.6. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
24
clinvar
21
clinvar
1
clinvar
46
missense
1
clinvar
5
clinvar
172
clinvar
15
clinvar
1
clinvar
194
nonsense
3
clinvar
2
clinvar
14
clinvar
19
start loss
1
clinvar
1
frameshift
3
clinvar
2
clinvar
1
clinvar
1
clinvar
7
splice donor/acceptor (+/-2bp)
3
clinvar
3
clinvar
40
clinvar
2
clinvar
48
Total1012252392315

Highest pathogenic variant AF is 0.000006457225

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 95 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_002024.6RefSeqNP_002015.117MANE Select
ENST00000370475.9EnsemblENSP00000359506.517MANE Select
NM_001185075.2RefSeqNP_001172004.116Standard
NM_001185076.2RefSeqNP_001172005.116Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
fmr1Danio rerio

Structure: Rohon-Beard neuron

Quality: increased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • RNA transport - Homo sapiens (human)
  • Serotonin and anxiety

Biological Process

  • regulation of alternative mRNA splicing, via spliceosome
  • positive regulation of protein phosphorylation
  • positive regulation of receptor internalization
  • mRNA processing
  • cellular response to DNA damage stimulus

Molecular Function

  • G-quadruplex RNA binding
  • chromatin binding
  • RNA binding
  • mRNA binding
  • mRNA 3'-UTR binding

Cellular Component

  • chromosome, centromeric region
  • nucleus
  • nucleoplasm
  • chromosome
  • nucleolus

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000370475
Coding exons
17
Length
39177
Individuals with no LoFs
125508
Homozygous LoFs
86
Heterozygous LoFs
152
Defined
125746
p
0.000947
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.971182500.4710.00001974157
Missense (PolyPhen)2284.0720.261681230
Synonymous1.406783.20.8050.000006321189
Loss of Function3.73525.20.1980.00000187450

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000150.00012rare
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian00.0absent
Finnish0.0110.0083notable
European (Non-Finnish)0.000570.00041rare
South Asian0.000100.000065rare
Other0.00150.0011notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Multifunctional polyribosome-associated RNA-binding protein that plays a central role in neuronal development and synaptic plasticity through the regulation of alternative mRNA splicing, mRNA stability, mRNA dendritic transport and postsynaptic local protein synthesis of a subset of mRNAs (PubMed:16631377, PubMed:18653529, PubMed:19166269, PubMed:23235829, PubMed:25464849). Plays a role in the alternative splicing of its own mRNA (PubMed:18653529). Plays a role in mRNA nuclear export (By similarity). Together with export factor NXF2, is involved in the regulation of the NXF1 mRNA stability in neurons (By similarity). Stabilizes the scaffolding postsynaptic density protein DLG4/PSD-95 and the myelin basic protein (MBP) mRNAs in hippocampal neurons and glial cells, respectively; this stabilization is further increased in response to metabotropic glutamate receptor (mGluR) stimulation (By similarity). Plays a role in selective delivery of a subset of dendritic mRNAs to synaptic sites in response to mGluR activation in a kinesin- dependent manner (By similarity). Plays a role as a repressor of mRNA translation during the transport of dendritic mRNAs to postnyaptic dendritic spines (PubMed:11532944, PubMed:11157796, PubMed:12594214, PubMed:23235829). Component of the CYFIP1-EIF4E- FMR1 complex which blocks cap-dependent mRNA translation initiation (By similarity). Represses mRNA translation by stalling ribosomal translocation during elongation (By similarity). Reports are contradictory with regards to its ability to mediate translation inhibition of MBP mRNA in oligodendrocytes (PubMed:23891804). Also involved in the recruitment of the RNA helicase MOV10 to a subset of mRNAs and hence regulates microRNA (miRNA)-mediated translational repression by AGO2 (PubMed:14703574, PubMed:17057366, PubMed:25464849). Facilitates the assembly of miRNAs on specific target mRNAs (PubMed:17057366). Plays also a role as an activator of mRNA translation of a subset of dendritic mRNAs at synapses (PubMed:19097999, PubMed:19166269). In response to mGluR stimulation, FMR1-target mRNAs are rapidly derepressed, allowing for local translation at synapses (By similarity). Binds to a large subset of dendritic mRNAs that encode a myriad of proteins involved in pre- and postsynaptic functions (PubMed:7692601, PubMed:11719189, PubMed:11157796, PubMed:12594214, PubMed:17417632, PubMed:23235829, PubMed:24448548). Binds to 5'-ACU[GU]-3' and/or 5'-[AU]GGA-3' RNA consensus sequences within mRNA targets, mainly at coding sequence (CDS) and 3'-untranslated region (UTR) and less frequently at 5'- UTR (PubMed:23235829). Binds to intramolecular G-quadruplex structures in the 5'- or 3'-UTRs of mRNA targets (PubMed:11719189, PubMed:18579868, PubMed:25464849, PubMed:25692235). Binds to G- quadruplex structures in the 3'-UTR of its own mRNA (PubMed:7692601, PubMed:11532944, PubMed:12594214, PubMed:15282548, PubMed:18653529). Binds also to RNA ligands harboring a kissing complex (kc) structure; this binding may mediate the association of FMR1 with polyribosomes (PubMed:15805463). Binds mRNAs containing U-rich target sequences (PubMed:12927206). Binds to a triple stem-loop RNA structure, called Sod1 stem loop interacting with FMRP (SoSLIP), in the 5'- UTR region of superoxide dismutase SOD1 mRNA (PubMed:19166269). Binds to the dendritic, small non-coding brain cytoplasmic RNA 1 (BC1); which may increase the association of the CYFIP1-EIF4E-FMR1 complex to FMR1 target mRNAs at synapses (By similarity). Associates with export factor NXF1 mRNA-containing ribonucleoprotein particles (mRNPs) in a NXF2-dependent manner (By similarity). Binds to a subset of miRNAs in the brain (PubMed:14703574, PubMed:17057366). May associate with nascent transcripts in a nuclear protein NXF1-dependent manner (PubMed:18936162). In vitro, binds to RNA homopolymer; preferentially on poly(G) and to a lesser extent on poly(U), but not on poly(A) or poly(C) (PubMed:7688265, PubMed:7781595, PubMed:12950170, PubMed:15381419, PubMed:8156595). Moreover, plays a role in the modulation of the sodium-activated potassium channel KCNT1 gating activity (PubMed:20512134). Negatively regulates the voltage-dependent calcium channel current density in soma and presynaptic terminals of dorsal root ganglion (DRG) neurons, and hence regulates synaptic vesicle exocytosis (By similarity). Modulates the voltage-dependent calcium channel CACNA1B expression at the plasma membrane by targeting the channels for proteosomal degradation (By similarity). Plays a role in regulation of MAP1B- dependent microtubule dynamics during neuronal development (By similarity). Recently, has been shown to play a translation- independent role in the modulation of presynaptic action potential (AP) duration and neurotransmitter release via large-conductance calcium-activated potassium (BK) channels in hippocampal and cortical excitatory neurons (PubMed:25561520). Finally, FMR1 may be involved in the control of DNA damage response (DDR) mechanisms through the regulation of ATR-dependent signaling pathways such as histone H2AFX/H2A.x and BRCA1 phosphorylations (PubMed:24813610). {ECO:0000250|UniProtKB:P35922, ECO:0000250|UniProtKB:Q80WE1, ECO:0000269|PubMed:11157796, ECO:0000269|PubMed:11532944, ECO:0000269|PubMed:11719189, ECO:0000269|PubMed:12594214, ECO:0000269|PubMed:12927206, ECO:0000269|PubMed:12950170, ECO:0000269|PubMed:14703574, ECO:0000269|PubMed:15282548, ECO:0000269|PubMed:15381419, ECO:0000269|PubMed:15805463, ECO:0000269|PubMed:16631377, ECO:0000269|PubMed:17057366, ECO:0000269|PubMed:17417632, ECO:0000269|PubMed:18579868, ECO:0000269|PubMed:18653529, ECO:0000269|PubMed:18936162, ECO:0000269|PubMed:19097999, ECO:0000269|PubMed:19166269, ECO:0000269|PubMed:20512134, ECO:0000269|PubMed:23235829, ECO:0000269|PubMed:23891804, ECO:0000269|PubMed:24448548, ECO:0000269|PubMed:24813610, ECO:0000269|PubMed:25464849, ECO:0000269|PubMed:25561520, ECO:0000269|PubMed:25692235, ECO:0000269|PubMed:7688265, ECO:0000269|PubMed:7692601, ECO:0000269|PubMed:7781595, ECO:0000269|PubMed:8156595}.; FUNCTION: Isoform 6: binds to RNA homopolymer; preferentially on poly(G) and to a lesser extent on poly(U), but not on poly(A) or poly(C) (PubMed:24204304). May bind to RNA in Cajal bodies (PubMed:24204304). {ECO:0000269|PubMed:24204304}.;
Disease
DISEASE: Fragile X syndrome (FXS) [MIM:300624]: A X-linked dominant disease characterized by moderate to severe mental retardation, macroorchidism (enlargement of the testicles), large ears, prominent jaw, and high-pitched, jocular speech. The defect in most patients results from an amplification of a CGG repeat region in the FMR1 gene and abnormal methylation. {ECO:0000269|PubMed:10196376, ECO:0000269|PubMed:11157796, ECO:0000269|PubMed:15380484, ECO:0000269|PubMed:15805463, ECO:0000269|PubMed:17850748, ECO:0000269|PubMed:18093976, ECO:0000269|PubMed:18664458, ECO:0000269|PubMed:23235829, ECO:0000269|PubMed:24204304, ECO:0000269|PubMed:24448548, ECO:0000269|PubMed:24514761, ECO:0000269|PubMed:24813610, ECO:0000269|PubMed:25561520, ECO:0000269|PubMed:7633450, ECO:0000269|PubMed:7688265, ECO:0000269|PubMed:8156595, ECO:0000269|PubMed:8401578, ECO:0000269|PubMed:8490650, ECO:0000269|PubMed:9659908}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Fragile X tremor/ataxia syndrome (FXTAS) [MIM:300623]: In FXTAS, the expanded repeats range in size from 55 to 200 repeats and are referred to as 'premutations'. Full repeat expansions with greater than 200 repeats results in fragile X mental retardation syndrome [MIM:300624]. Carriers of the premutation typically do not show the full fragile X syndrome phenotype, but comprise a subgroup that may have some physical features of fragile X syndrome or mild cognitive and emotional problems. {ECO:0000269|PubMed:11445641}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Premature ovarian failure 1 (POF1) [MIM:311360]: An ovarian disorder defined as the cessation of ovarian function under the age of 40 years. It is characterized by oligomenorrhea or amenorrhea, in the presence of elevated levels of serum gonadotropins and low estradiol. {ECO:0000269|PubMed:9719368}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.517

Intolerance Scores

LoFtool
0.543
RVIS EVS
0.26
RVIS percentile EVS
70.26

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.970

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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