Few studies have been conducted comparing the FMR1 mutation in multiple tis
sues of individuals affected with fragile X syndrome, We report a postmorte
m study of the FMR1 mutation in multiple tissues from a high-functioning ma
le with fragile X syndrome, This man was not mentally retarded and had only
a few manifestations of the disorder such as learning disabilities and mil
d attention problems, Southern blot analysis of leukocytes demonstrated an
unmethylated mutation with a wide span of sizes extending from the premutat
ion to full mutation range, A similar pattern was seen in most regions of t
he brain, In contrast, a methylated full mutation of a single size was seen
in the parietal lobe and in most non-brain tissues studied, Therefore, the
re were striking differences in both FMR1 mutation size and methylation sta
tus between tissues, Lack of mental retardation in this individual may have
been due to sufficient expression of FMR1 protein (FMRP) in most areas of
the brain, Immunocytochemistry showed FMRP expression in regions of the bra
in with the unmethylated mutation (superior temporal cortex, frontal cortex
, and hippocampus) and no expression in the region with the methylated full
mutation (parietal), Neuroanatomical studies showed no dendritic spine pat
hology in any regions of the brain analyzed. (C) 1999 Wiley-Liss, Inc.