Fragile X syndrome is characterized at the molecular level by amplific
ation of a (CGG)n repeat and hypermethylation of a CpG island preceedi
ng the open reading frame of the fragile X gene (FMR-1) located in Xq2
7.3. Anticipation in this syndrome is associated with progressive ampl
ification of the (CGG)n repeat from a premutation to a full mutation t
hrough consecutive generations. Remarkably, expansion of the premutati
on to the full mutation is strictly maternal. To clarify this parental
influence we studied FMR-1 in sperm of four male fragile X patients.
This showed that only the premutation was present in their sperm, alth
ough they had a full mutation in peripheral lymphocytes. This might su
ggest that expansion of the premutation to the full mutation in FMR-1
does not occur in meiosis but in a postzygotic stage.