General Information of Disease (ID: DISE8W3A)

Disease Name Fragile X syndrome
Synonyms
primary ovarian insufficiency, fragile X-associated; fra(X) syndrome; X-linked mental retardation and macroorchidism; intellectual disability, X-linked, associated with Marxq28; fragile 10 syndrome; marker 10 syndrome; fragile 10 intellectual disability syndrome; X-linked intellectual disability and macroorchidism; fragile 10 premature ovarian failure; mental retardation, X-linked, associated with Marxq28; fragile 10 mental retardation syndrome; Martin-Bell syndrome; fragile X mental retardation syndrome; fragile X syndrome; FRAXA syndrome; FraX syndrome; fragile X intellectual disability syndrome; marker X syndrome; FXS; Fragile X syndrome, X-linked dominant
Disease Class LD55: Fragile X chromosome
Definition
A genetic syndrome caused by mutations in the FMR1 gene which is responsible for the expression of the fragile X mental retardation 1 protein. This protein participates in neural development. This syndrome is manifested with mental, emotional, behavioral, physical, and learning disabilities.
Disease Hierarchy
DIS6SVEE: Syndromic disease
DISYKSRF: Genetic disease
DISE8W3A: Fragile X syndrome
ICD Code
ICD-11
ICD-11: LD55
ICD-10
ICD-10: Q99.2
Expand ICD-11
'LD55
Expand ICD-10
'Q99.2
Expand ICD-9
332759.83
Disease Identifiers
MONDO ID
MONDO_0010383
MESH ID
D005600
UMLS CUI
C0016667
OMIM ID
300624
MedGen ID
8912
Orphanet ID
908
SNOMED CT ID
613003

Drug-Interaction Atlas (DIA) of This Disease

Drug-Interaction Atlas (DIA)
This Disease is Treated as An Indication in 2 Approved Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
Baclofen DM0QV1J Approved Small molecular drug [1]
Trofinetide DMPZ97S Approved Small molecular drug [2]
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This Disease is Treated as An Indication in 9 Clinical Trial Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
Arabaclofen DMZB9RI Phase 3 Small molecular drug [3]
Arbaclofen placarbil DMO628K Phase 3 Small molecular drug [4]
OV101 DMA6LR3 Phase 3 NA [5]
AFQ056 DMMHSLC Phase 2/3 Small molecular drug [6]
Lithium DMZ3OU6 Phase 2 Small molecular drug [7]
NNZ-2256 DM5K66F Phase 2 NA [8]
RG-7090 DMX8JYN Phase 2 Small molecular drug [9]
SSTarbaclofen DMRGTZ2 Phase 2 NA [10]
McN3377 DMTCADJ Phase 1/2 Small molecular drug [11]
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⏷ Show the Full List of 9 Drug(s)
This Disease is Treated as An Indication in 1 Investigative Drug(s)
Drug Name Drug ID Highest Status Drug Type REF
CTEP DMYRVZ8 Investigative Small molecular drug [12]
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Molecular Interaction Atlas (MIA) of This Disease

Molecular Interaction Atlas (MIA)
This Disease Is Related to 27 DTT Molecule(s)
Gene Name DTT ID Evidence Level Mode of Inheritance REF
F9 TTFEZ5Q Limited Biomarker [13]
PGD TTZ3IFB Limited Biomarker [14]
PTBP1 TTWMX0U Limited Altered Expression [15]
KCNQ2 TTPXI3S moderate Biomarker [16]
SCN2A TTLJTUF moderate Biomarker [16]
ADCY1 TTV1ZSQ Strong Biomarker [17]
ATXN3 TT6A17J Strong Biomarker [18]
BMPR2 TTGKF90 Strong Biomarker [19]
CFP TTLA0VS Strong Biomarker [20]
DLG4 TT9PB26 Strong Biomarker [21]
FOSL1 TTY8LZG Strong Genetic Variation [22]
GABRD TTGXH6N Strong Altered Expression [23]
GRIA2 TTWM461 Strong Genetic Variation [24]
GRIK1 TT0MYE2 Strong Biomarker [25]
GRM1 TTVBPDM Strong Biomarker [26]
IDS TTNY2AP Strong Genetic Variation [27]
KCNT1 TTGJFK1 Strong Biomarker [28]
LIMK1 TTWL9TY Strong Biomarker [19]
PCSK9 TTNIZ2B Strong Biomarker [29]
PDE2A TTJGW1Z Strong Biomarker [30]
PDE4D TTSKMI8 Strong Biomarker [31]
RGS4 TTGTKX9 Strong Biomarker [32]
RIC8A TTDFTJG Strong Biomarker [33]
SDC2 TT5H2F0 Strong Biomarker [34]
SLC36A1 TTUYIZW Strong Altered Expression [35]
ST14 TTPRO7W Strong Biomarker [36]
UBE3A TTUZX6V Strong Genetic Variation [37]
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⏷ Show the Full List of 27 DTT(s)
This Disease Is Related to 1 DME Molecule(s)
Gene Name DME ID Evidence Level Mode of Inheritance REF
FXN DEXVHDB Strong Biomarker [38]
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This Disease Is Related to 48 DOT Molecule(s)
Gene Name DOT ID Evidence Level Mode of Inheritance REF
AFF2 OTMF1PZW Limited Biomarker [16]
CPEB1 OTLCXC6H Limited Biomarker [39]
MAK16 OTD546E5 Limited Altered Expression [15]
PNO1 OT010GIS Limited Altered Expression [15]
RBMS3 OTFSC9MR Limited Altered Expression [15]
SRRM2 OTSIMMC9 Limited Altered Expression [15]
CAPRIN1 OTEJAMS3 moderate Biomarker [16]
CYFIP2 OTCAY35T moderate Biomarker [40]
MBD5 OTFHT4MO moderate Biomarker [41]
NRXN1 OTJN1JQA moderate Biomarker [16]
RAI1 OTKLQU00 moderate Genetic Variation [41]
ADARB1 OTGKSZEV Strong Altered Expression [42]
ARHGEF9 OTB1FLIW Strong Genetic Variation [43]
CHMP4A OTBCSG50 Strong Altered Expression [44]
CLSTN1 OTQN35G2 Strong Biomarker [45]
CYFIP1 OTOBEH24 Strong Biomarker [40]
DGKK OTHIMF7L Strong Biomarker [46]
DLG3 OTH591WK Strong Genetic Variation [47]
DSCAM OTL7PRMK Strong Biomarker [48]
DSTN OTMXO4YB Strong Biomarker [49]
FXR1 OTEMQ1SR Strong Biomarker [50]
FXR2 OTQX7ATF Strong Biomarker [50]
ICAM5 OTDGGAFH Strong Biomarker [45]
INPP5K OTQFLQKA Strong Genetic Variation [51]
LGALS4 OTKQCG0H Strong Genetic Variation [52]
MED18 OT6M6CQ8 Strong Genetic Variation [53]
NBEA OTYLY5TY Strong Biomarker [54]
NCS1 OT6JHAWM Strong Biomarker [33]
NFE2L1 OT1QHOS2 Strong Biomarker [55]
NNAT OTNRLO7G Strong Altered Expression [28]
NRF1 OTOXWNV8 Strong Biomarker [55]
PKP4 OTQHOF8L Strong Biomarker [56]
PPP2R5E OT8GPFT5 Strong Biomarker [57]
PTPN5 OT2H1KDK Strong Biomarker [58]
PVALB OTZW1WVQ Strong Biomarker [59]
RABEP2 OTO61X27 Strong Genetic Variation [22]
RANGAP1 OTZGD3LJ Strong Biomarker [60]
SHANK1 OTK8PV0S Strong Altered Expression [28]
SHC2 OTTWMRNQ Strong Genetic Variation [61]
SKI OT4KJ8F6 Strong Biomarker [62]
SNRPN OTQB1ID1 Strong Genetic Variation [63]
STATH OTQHBHM9 Strong Genetic Variation [64]
STXBP1 OTRYA8C3 Strong Biomarker [65]
SYN1 OTMNPWC1 Strong Altered Expression [66]
TDRD3 OTG83E2C Strong Genetic Variation [67]
TOP3B OTNFEUOO Strong Biomarker [68]
ARSD OTAHW9M8 Definitive Biomarker [69]
FMR1 OTWEV0T5 Definitive X-linked [70]
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⏷ Show the Full List of 48 DOT(s)

References

1 ClinicalTrials.gov (NCT01706523) Open Label Extension Study of STX209 (Arbaclofen) in Autism Spectrum Disorders. U.S. National Institutes of Health.
2 Clinical pipeline report, company report or official report of the Pharmaceutical Research and Manufacturers of America (PhRMA)
3 ClinicalTrials.gov (NCT01555333) An Open Label Extension Study in Subjects With Fragile X Syndrome (209FX303). U.S. National Institutes of Health.
4 ClinicalTrials.gov (NCT01325220) Efficacy and Safety Study of STX209 (Arbaclofen) for the Treatment of Social Withdrawal in Children With Fragile X Syndrome. U.S. National Institutes of Health.
5 ClinicalTrials.gov (NCT03697161) A Phase 2, Randomized, Double-Blind, Parallel-Group Study Evaluating the Safety, Tolerability, and Efficacy of OV101 in Fragile X Syndrome. U.S.National Institutes of Health.
6 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 7586).
7 Open-label treatment trial of lithium to target the underlying defect in fragile X syndrome. J Dev Behav Pediatr. 2008 Aug;29(4):293-302.
8 ClinicalTrials.gov (NCT01894958 ) A Safety Study of NNZ-2566 in Patients With Fragile X Syndrome. U.S. National Institutes of Health.
9 ClinicalTrials.gov (NCT01750957) A Study of RO4917523 in Pediatric Patients With Fragile X Syndrome. U.S. National Institutes of Health.
10 ClinicalTrials.gov (NCT01288716) Study of Arbaclofen for the Treatment of Social Withdrawal in Subjects With Autism Spectrum Disorders. U.S. National Institutes of Health.
11 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 1434).
12 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 6409).
13 Evidence against close linkage of the loci for fraXq of Martin-Bell syndrome and for factor IX.Hum Genet. 1985;71(2):122-6. doi: 10.1007/BF00283366.
14 PGD for fragile X syndrome: ovarian function is the main determinant of success.Hum Reprod. 2010 Oct;25(10):2629-36. doi: 10.1093/humrep/deq203. Epub 2010 Aug 16.
15 Fragile X Syndrome: from molecular pathology to therapy.Neurosci Biobehav Rev. 2014 Oct;46 Pt 2:242-55. doi: 10.1016/j.neubiorev.2014.01.006. Epub 2014 Jan 22.
16 Detection of clinically relevant genetic variants in autism spectrum disorder by whole-genome sequencing.Am J Hum Genet. 2013 Aug 8;93(2):249-63. doi: 10.1016/j.ajhg.2013.06.012. Epub 2013 Jul 11.
17 Enhanced expression of ADCY1 underlies aberrant neuronal signalling and behaviour in a syndromic autism model.Nat Commun. 2017 Feb 20;8:14359. doi: 10.1038/ncomms14359.
18 Is the 31 CAG repeat allele of the spinocerebellar ataxia 1 (SCA1) gene locus non-specifically associated with trinucleotide expansion diseases?.Psychiatr Genet. 2001 Dec;11(4):201-5. doi: 10.1097/00041444-200112000-00004.
19 Hyperactive locomotion in a Drosophila model is a functional readout for the synaptic abnormalities underlying fragile X syndrome.Sci Signal. 2017 May 2;10(477):eaai8133. doi: 10.1126/scisignal.aai8133.
20 Prefrontal Cortex Dysfunction in Fragile X Mice Depends on the Continued Absence of Fragile X Mental Retardation Protein in the Adult Brain.J Neurosci. 2017 Aug 2;37(31):7305-7317. doi: 10.1523/JNEUROSCI.0571-17.2017. Epub 2017 Jun 26.
21 FMRP-dependent Mdm2 dephosphorylation is required for MEF2-induced synapse elimination.Hum Mol Genet. 2017 Jan 15;26(2):293-304. doi: 10.1093/hmg/ddw386.
22 Variation at the fragile X locus does not influence susceptibility to bipolar disorder.Am J Med Genet. 1994 Jun 15;54(2):141-3. doi: 10.1002/ajmg.1320540209.
23 Decreased expression of the GABAA receptor in fragile X syndrome.Brain Res. 2006 Nov 22;1121(1):238-45. doi: 10.1016/j.brainres.2006.08.115. Epub 2006 Oct 16.
24 Functional changes of AMPA responses in human induced pluripotent stem cell-derived neural progenitors in fragile X syndrome.Sci Signal. 2018 Jan 16;11(513):eaan8784. doi: 10.1126/scisignal.aan8784.
25 Metabotropic glutamate receptor 5 responses dictate differentiation of neural progenitors to NMDA-responsive cells in fragile X syndrome.Dev Neurobiol. 2017 Apr;77(4):438-453. doi: 10.1002/dneu.22419. Epub 2016 Jul 28.
26 Astroglial FMRP-dependent translational down-regulation of mGluR5 underlies glutamate transporter GLT1 dysregulation in the fragile X mouse.Hum Mol Genet. 2013 May 15;22(10):2041-54. doi: 10.1093/hmg/ddt055. Epub 2013 Feb 7.
27 Deletion Xq27.3q28 in female patient with global developmental delays and skewed X-inactivation.BMC Med Genet. 2013 May 1;14:49. doi: 10.1186/1471-2350-14-49.
28 Integrated transcriptome analysis of human iPS cells derived from a fragile X syndrome patient during neuronal differentiation.Sci China Life Sci. 2016 Nov;59(11):1093-1105. doi: 10.1007/s11427-016-0194-6. Epub 2016 Oct 11.
29 Ser-Phosphorylation of PCSK9 (Proprotein Convertase Subtilisin-Kexin 9) by Fam20C (Family With Sequence Similarity 20, Member C) Kinase Enhances Its Ability to Degrade the LDLR (Low-Density Lipoprotein Receptor).Arterioscler Thromb Vasc Biol. 2019 Oct;39(10):1996-2013. doi: 10.1161/ATVBAHA.119.313247. Epub 2019 Sep 5.
30 Involvement of Phosphodiesterase 2A Activity in the Pathophysiology of Fragile X Syndrome.Cereb Cortex. 2019 Jul 22;29(8):3241-3252. doi: 10.1093/cercor/bhy192.
31 Design and Synthesis of Selective Phosphodiesterase 4D (PDE4D) Allosteric Inhibitors for the Treatment of Fragile X Syndrome and Other Brain Disorders.J Med Chem. 2019 May 23;62(10):4884-4901. doi: 10.1021/acs.jmedchem.9b00193. Epub 2019 Apr 23.
32 Genetic deletion of regulator of G-protein signaling 4 (RGS4) rescues a subset of fragile X related phenotypes in the FMR1 knockout mouse.Mol Cell Neurosci. 2011 Mar;46(3):563-72. doi: 10.1016/j.mcn.2010.12.005. Epub 2011 Jan 6.
33 Deciphering the Inhibition of the Neuronal Calcium Sensor 1 and the Guanine Exchange Factor Ric8a with a Small Phenothiazine Molecule for the Rational Generation of Therapeutic Synapse Function Regulators.J Med Chem. 2018 Jul 26;61(14):5910-5921. doi: 10.1021/acs.jmedchem.8b00088. Epub 2018 Jul 17.
34 Fragile X Mental Retardation Protein Regulates Activity-Dependent Membrane Trafficking and Trans-Synaptic Signaling Mediating Synaptic Remodeling.Front Mol Neurosci. 2018 Jan 12;10:440. doi: 10.3389/fnmol.2017.00440. eCollection 2017.
35 SLC36A1-mTORC1 signaling drives acquired resistance to CDK4/6 inhibitors.Sci Adv. 2019 Sep 18;5(9):eaax6352. doi: 10.1126/sciadv.aax6352. eCollection 2019 Sep.
36 DNA linkage analysis of 26 families with fragile X syndrome.Am J Med Genet. 1991 Feb-Mar;38(2-3):311-8. doi: 10.1002/ajmg.1320380229.
37 Neuronal PAS Domain Proteins 1 and 3 Are Master Regulators of Neuropsychiatric Risk Genes.Biol Psychiatry. 2017 Aug 1;82(3):213-223. doi: 10.1016/j.biopsych.2017.03.021. Epub 2017 Apr 6.
38 Senataxin: Genome Guardian at the Interface of Transcription and Neurodegeneration.J Mol Biol. 2017 Oct 27;429(21):3181-3195. doi: 10.1016/j.jmb.2016.10.021. Epub 2016 Oct 19.
39 Anxiolytic effect of CPEB1 knockdown on the amygdala of a mouse model of inflammatory pain.Brain Res Bull. 2018 Mar;137:156-165. doi: 10.1016/j.brainresbull.2017.12.002. Epub 2017 Dec 11.
40 Neuronal function and dysfunction of CYFIP2: from actin dynamics to early infantile epileptic encephalopathy.BMB Rep. 2019 May;52(5):304-311. doi: 10.5483/BMBRep.2019.52.5.097.
41 MBD5 haploinsufficiency is associated with sleep disturbance and disrupts circadian pathways common to Smith-Magenis and fragile X syndromes.Eur J Hum Genet. 2015 Jun;23(6):781-9. doi: 10.1038/ejhg.2014.200. Epub 2014 Oct 1.
42 ADAR RNA editing in human disease; more to it than meets the I.Hum Genet. 2017 Sep;136(9):1265-1278. doi: 10.1007/s00439-017-1837-0. Epub 2017 Sep 14.
43 ARHGEF9 disruption in a female patient is associated with X linked mental retardation and sensory hyperarousal.J Med Genet. 2008 Feb;45(2):100-5. doi: 10.1136/jmg.2007.052324. Epub 2007 Sep 24.
44 ESCRT-III Membrane Trafficking Misregulation Contributes To Fragile X Syndrome Synaptic Defects.Sci Rep. 2017 Aug 17;7(1):8683. doi: 10.1038/s41598-017-09103-6.
45 Calsyntenin-1 Negatively Regulates ICAM5 Accumulation in Postsynaptic Membrane and Influences Dendritic Spine Maturation in a Mouse Model of Fragile X Syndrome.Front Neurosci. 2019 Oct 18;13:1098. doi: 10.3389/fnins.2019.01098. eCollection 2019.
46 Fragile X Mental Retardation Protein (FMRP) controls diacylglycerol kinase activity in neurons.Proc Natl Acad Sci U S A. 2016 Jun 28;113(26):E3619-28. doi: 10.1073/pnas.1522631113. Epub 2016 May 27.
47 Central nervous system neoplasm in a young man with Martin-Bell syndrome--fra(X)-XLMR.Am J Med Genet. 1987 Jan;26(1):7-12. doi: 10.1002/ajmg.1320260103.
48 Dysregulated Dscam levels act through Abelson tyrosine kinase to enlarge presynaptic arbors.Elife. 2015 May 19;4:e05196. doi: 10.7554/eLife.05196.
49 Aberrant Rac1-cofilin signaling mediates defects in dendritic spines, synaptic function, and sensory perception in fragile X syndrome.Sci Signal. 2017 Nov 7;10(504):eaan0852. doi: 10.1126/scisignal.aan0852.
50 Comparative Behavioral Phenotypes of Fmr1 KO, Fxr2 Het, and Fmr1 KO/Fxr2 Het Mice.Brain Sci. 2019 Jan 16;9(1):13. doi: 10.3390/brainsci9010013.
51 Signs indicating dementia in Down, Williams and Fragile X syndromes.Mol Genet Genomic Med. 2018 Sep;6(5):855-860. doi: 10.1002/mgg3.430. Epub 2018 Jul 3.
52 Application of Drosophila Model Toward Understanding the Molecular Basis of Fragile X Syndrome.Methods Mol Biol. 2019;1942:141-153. doi: 10.1007/978-1-4939-9080-1_12.
53 Identification of microsatellite markers <1Mb from the FMR1 CGG repeat and development of a single-tube tetradecaplex PCR panel of highly polymorphic markers for preimplantation genetic diagnosis of fragile X syndrome.Genet Med. 2016 Sep;18(9):869-75. doi: 10.1038/gim.2015.185. Epub 2016 Jan 7.
54 Fragile X Mental Retardation Protein positively regulates PKA anchor Rugose and PKA activity to control actin assembly in learning/memory circuitry.Neurobiol Dis. 2019 Jul;127:53-64. doi: 10.1016/j.nbd.2019.02.004. Epub 2019 Feb 13.
55 Interaction of the transcription factors USF1, USF2, and alpha -Pal/Nrf-1 with the FMR1 promoter. Implications for Fragile X mental retardation syndrome.J Biol Chem. 2001 Feb 9;276(6):4357-64. doi: 10.1074/jbc.M009629200. Epub 2000 Oct 31.
56 FMRP regulates actin filament organization via the armadillo protein p0071.RNA. 2013 Nov;19(11):1483-96. doi: 10.1261/rna.037945.112. Epub 2013 Sep 23.
57 High expression of miR-510 was associated with CGG expansion located at upstream of FMR1 into full mutation.J Cell Biochem. 2019 Feb;120(2):1916-1923. doi: 10.1002/jcb.27505. Epub 2018 Aug 30.
58 STEP inhibition reverses behavioral, electrophysiologic, and synaptic abnormalities in Fmr1 KO mice.Neuropharmacology. 2018 Jan;128:43-53. doi: 10.1016/j.neuropharm.2017.09.026. Epub 2017 Sep 21.
59 Beneficial effects of sound exposure on auditory cortex development in a mouse model of Fragile X Syndrome.Neurobiol Dis. 2020 Feb;134:104622. doi: 10.1016/j.nbd.2019.104622. Epub 2019 Nov 5.
60 Investigation of the segregation of the fragile X mutation in daughters of obligate carrier women.Am J Med Genet. 1988 May-Jun;30(1-2):633-9. doi: 10.1002/ajmg.1320300164.
61 Finiteness marking in boys with fragile X syndrome.J Speech Lang Hear Res. 2012 Dec;55(6):1704-15. doi: 10.1044/1092-4388(2012/10-0106). Epub 2012 May 4.
62 Impact on GABA systems in monogenetic developmental CNS disorders: Clues to symptomatic treatment.Neuropharmacology. 2018 Jul 1;136(Pt A):46-55. doi: 10.1016/j.neuropharm.2017.07.030. Epub 2017 Jul 29.
63 A ligation assay for multiplex analysis of CpG methylation using bisulfite-treated DNA.Nucleic Acids Res. 2007;35(21):e144. doi: 10.1093/nar/gkm984. Epub 2007 Nov 12.
64 Chromosome fragility at FRAXA in human cleavage stage embryos at risk for fragile X syndrome.Am J Med Genet A. 2015 Oct;167A(10):2306-13. doi: 10.1002/ajmg.a.37149. Epub 2015 May 7.
65 Fragile X mental retardation protein regulates accumulation of the active zone protein Munc18-1 in presynapses via local translation in axons during synaptogenesis.Neurosci Res. 2019 Sep;146:36-47. doi: 10.1016/j.neures.2018.09.013. Epub 2018 Sep 19.
66 Blocking elevated VEGF-A attenuates non-vasculature Fragile X syndrome abnormalities.Dev Neurobiol. 2017 Jan;77(1):14-25. doi: 10.1002/dneu.22404. Epub 2016 Jun 10.
67 Tdrd3 is a novel stress granule-associated protein interacting with the Fragile-X syndrome protein FMRP.Hum Mol Genet. 2008 Oct 15;17(20):3236-46. doi: 10.1093/hmg/ddn219. Epub 2008 Jul 28.
68 Deletion of TOP3B Is Associated with Cognitive Impairment and Facial Dysmorphism.Cytogenet Genome Res. 2016;150(2):106-111. doi: 10.1159/000452815. Epub 2016 Nov 24.
69 Language Performance in Preschool-Aged Boys with Nonsyndromic Autism Spectrum Disorder or Fragile X Syndrome.J Autism Dev Disord. 2020 May;50(5):1621-1638. doi: 10.1007/s10803-019-03919-z.
70 Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). Genet Med. 2020 Feb;22(2):245-257. doi: 10.1038/s41436-019-0686-8. Epub 2019 Nov 6.