Fragile X syndrome is the result of the unstable expansion of a trinuc
leotide repeat in the 5'-untranslated region of the FMR1 gene. Fibrobl
ast subclones from a mildly affected patient, each containing stable F
MR1 alleles with 57 to 285 CGG repeats, were shown to exhibit normal s
teady-state levels of FMR1 messenger RNA. However, FMR protein was mar
kedly diminished from transcript with more than 200 repeats. Such tran
scripts were associated with stalled 40S ribosomal subunits. These res
ults suggest that a structural RNA transition beyond 200 repeats imped
es the linear 40S migration along the 5'-untranslated region. This res
ults in translational inhibition by trinucleotide repeat expansion.