Clues point to toxic protein in Fragile X mystery

U. MICHIGAN (US) — A twist on the usual way proteins are made may explain mysterious symptoms in the grandparents of some children with mental disabilities.

Researchers say the discovery may lead to better treatments for older adults with a recently discovered genetic condition that causes shakiness and balance problems and is often misdiagnosed as Parkinson’s disease.

Grandchildren of people with the disease, called Fragile X-associated Tremor Ataxia Syndrome (FXTAS), have a separate disorder called Fragile X syndrome, caused by problems in the same gene. The new discovery may also help shine light on that disease, though indirectly.

Published in the journal Neuron, the findings present evidence that a toxic protein scientists have named FMRpolyG contributes to the death of nerve cells in FXTAS—and that it is made in a very unusual way.

Normally, DNA is transcribed into RNA, and then a part of the RNA is translated into a protein that performs its function in cells.  Where this translation process starts on the RNA is usually determined by a specific sequence called a start codon.

The gene mutation that causes FXTAS is a repeated DNA sequence that is made into RNA but normally is not made into protein because it lacks a start codon.

However, the investigators discovered that when this repeat expands, it can trigger protein production by a new mechanism known as RAN translation.

This unusual translation process appears to stem from a long chain of repeated DNA letters found in the genes of both grandparents and kids with Fragile X mutations, says corresponding author Peter Todd, professor of neurology at the University of Michigan.

“Essentially, we’ve found that a sequence of DNA which shouldn’t be made into protein is being made into protein—and that this causes a toxicity in nerve cells. We believe that the protein forms aggregates, and that this is a major contributor to toxicity and symptoms in FXTAS.”

The researchers went on to show how this RAN translation occurs in FXTAS and demonstrated that blocking it prevents the repeat mutation from being toxic, suggesting a new target for future treatments.

Fragile X tremor/ataxia syndrome or FXTAS was only discovered a decade ago. It may affect as many as one in every 3,000 men and one in 20,000 women, who have a repeat mutation in the gene known as FMR1.

However, these patients don’t usually develop symptoms until late middle age, allowing them to pass the mutation on to their daughters, who can then have children where the DNA repeat that has grown much longer.

In those children, especially in boys, it can cause severe intellectual disability and autism-like symptoms as the FMR1 gene shuts down and none of the normal protein is produced.

In fact, it’s often only after a child is diagnosed with Fragile X syndrome through genetic testing that their grandfather or grandmother finds out that their own symptoms stem from FXTAS.

“We have some treatments for the symptoms that FXTAS patients have, but we do not yet have a cure,” says Todd.  “Better treatments are needed, and this new discovery might help lead to novel strategies for clearing away or preventing the buildup of this toxic protein.”

In addition, he says, the discovery that Fragile X ataxia results in part from RAN translation could have significance both for other diseases like amyotrophic lateral sclerosis (ALS, also called Lou Gehrig’s disease) and certain forms of dementia that are caused by DNA repeats. It can also aid understanding of basic biology.

“This may represent a new way in which translational initiation events occur, and may have importance beyond this one disease,” he notes. Further research on how RAN translation occurs, and why, is needed.

The idea that proteins can be created without a “start site” flies in the face of what most students of biology have learned in the last century, Todd says. “In biology, we’re finding that the rules we once thought were hard and fast have some wiggle room.”

Researchers from Columbia University contributed to the study, which was funded by the National Institutes of Health and the Michigan Alzheimer’s Disease Center.

Source: University of Michigan

chat4 Comments


  1. Kara Gavin

    Thanks Futurity for featuring this.

    For any families in the Michigan/Ohio area that would like to have specialized testing done for Fragile X-associated conditions in any generation of the family, please visit the Univ. of Michigan Neurogenetics Clinic website at

  2. Lyn Elmer

    Interesting, thank you for explaining it more. My grandson has been recently been diagosed with Fragile X and my brother was diagosed with Parkinson disease.Luckly my grandson appears to be high functioning and has a repeat count of 400.
    Is it likely the syptom will become worse as he becomes older?
    Do you see a potental treatment in the near future?
    Again Thank you , Lyn.

  3. Kara Gavin

    Lyn –
    Thanks for your message. The best sources of information about Fragile X symptoms and expectations for kids with Fragile X are the foundations that focus on this condition, and doctors who specialize in it. Try and and also your grandson’s doctor. One of those foundations also has a website just for Fragile X-associated tremor/ataxia syndrome, which is often misdiagnosed as Parkinson’s. Visit .

    As for the potential for this discovery to impact treatment for either Fragile X or FXTAS, that remains to be seen and may take years. But this discovery is an important step!

    U-M Health System

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