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Mis-spliced FMR1 transcripts in human fragile X syndrome neural progenitors and neurons.

Overview

  1. Department of Medical Genetics, Centre for Molecular Medicine and Therapeutics, Djavad Mowafaghian Centre for Brain Health, Edwin S. H. Leong Centre for Healthy Aging, Faculty of Medicine, British Columbia Children’s Hospital Research Institute, University of British Columbia, 950 West 28th Avenue, Vancouver, BC V5Z 4H4 Canada
  2. Duke NUS Medical School, Singapore, Singapore
  3. Department of Physiology, Faculty of Medicine, University of Helsinki, Helsinki, Finland
Journal: Journal of neurodevelopmental disorders, volume 18, issue 1, article 26
Dates: received 22 September 2025; accepted 18 March 2026; published online 2 April 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1186/s11689-026-09686-0 · PMID 41923202 · PMCID PMC13169608 · OpenAlex W7147157421
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: genetics / omics (modality), human (organism), other condition (population), developmental (subfield)
Methods: Smoothing, state filtering, decompositions
Keywords: Fragile X syndrome, FMR1 mis-splicing, RNA splicing, FMR1 reactivation, 5AzadC, Human neurons, Patient derived iPSCs, RNA-sequencing
MeSH: Fragile X Messenger Ribonucleoprotein 1*, Fragile X Syndrome*, Neural Stem Cells*, Neurons*, RNA Splicing*, Humans, Male, RNA, Messenger, Trinucleotide Repeat Expansion (* major topic)
Topic: Genetics and Neurodevelopmental Disorders (Genetics, Biochemistry, Genetics and Molecular Biology), according to OpenAlex
Funding: Michael Smith Health Research BC; BC Children's Hospital; FRAXA Foundation
Citations: not cited yet (Europe PMC); 35 references in the paper

Abstract

Background: Fragile X syndrome (FXS) is a neurodevelopmental disorder caused by loss of fragile X messenger ribonucleoprotein (FMRP). In most cases, this results from a CGG expansion exceeding 200 repeats in the 5’ untranslated region of the fragile X messenger ribonucleoprotein 1 (FMR1) gene, known as the “full mutation”. While the trinucleotide expansion has long been thought to induce epigenetic silencing of this locus, studies have shown that many males with a full mutation still express FMR1 mRNA. However, these individuals produce little to no FMRP protein, due to mechanisms that remain unclear. Mis-splicing of FMR1 transcripts with an expanded CGG tract has recently been proposed as a potential mechanism underlying the absence of FMRP in FXS tissues despite the presence of gene transcripts.

Methods: We used human neural progenitors and neurons differentiated from FXS human pluripotent stem cells and RNA-seq to examine splicing patterns of expanded FMR1 transcripts. We analyzed transcript structure and protein expression to validate mis-splicing mechanisms.

Results: We demonstrate an enrichment in levels of mis-spliced transcripts in human neural progenitors and neurons differentiated from FXS human pluripotent stem cells. Our findings confirm that expanded transcripts undergo aberrant splicing, which may contribute to the absence of FMRP despite transcriptional activity. We further show that pharmacological reactivation of the FMR1 locus results in expression of mis-spliced transcripts and that FMRP loss alone, in the absence of an expanded CGG tract, causes only a modest increase in splicing defect.

Conclusions: These results suggest that mis-splicing may represent one of several mechanisms contributing to the absence of FMRP in FXS, specifically in cases where transcriptional silencing of the FMR1 locus is incomplete and expanded transcripts are still produced. In these cases, expanded FMR1 transcripts are produced but undergo aberrant processing that prevents functional protein production. These findings have important implications for understanding FXS pathogenesis and developing therapeutic strategies targeting the expanded locus.

Supplementary Information: The online version contains supplementary material available at 10.1186/s11689-026-09686-0.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability

All data generated or analyzed during this study have been deposited in the GEO (GSE117248 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE117248) and GSE307114). Any additional information related to the current study is available from the corresponding author on reasonable request.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 28 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 5 authors, 8 keywords, 9 MeSH terms, 3 funders, 35 references.

Cite

This paper

Hourani, S. M., Utami, K. H., Oh, S. L., Castrén, M. L., & Pouladi, M. A. (2026). Mis-spliced FMR1 transcripts in human fragile X syndrome neural progenitors and neurons. Journal of neurodevelopmental disorders, 18(1), 26. https://doi.org/10.1186/s11689-026-09686-0

BibTeX

@article{hourani2026mis,
author = {Hourani, Shaima M and Utami, Kagistia Hana and Oh, Sher Li and Castrén, Maija L and Pouladi, Mahmoud A},
title = {{Mis-spliced FMR1 transcripts in human fragile X syndrome neural progenitors and neurons}},
journal = {Journal of neurodevelopmental disorders},
year = {2026},
month = apr,
volume = {18},
number = {1},
pages = {26},
publisher = {BMC},
issn = {1866-1947},
doi = {10.1186/s11689-026-09686-0},
url = {https://doi.org/10.1186/s11689-026-09686-0},
pmid = {41923202},
pmcid = {PMC13169608}
}

RIS

TY - JOUR
AU - Hourani, Shaima M
AU - Utami, Kagistia Hana
AU - Oh, Sher Li
AU - Castrén, Maija L
AU - Pouladi, Mahmoud A
TI - Mis-spliced FMR1 transcripts in human fragile X syndrome neural progenitors and neurons
T2 - Journal of neurodevelopmental disorders
J2 - J Neurodev Disord
PY - 2026
DA - 2026/04/02
VL - 18
IS - 1
SP - 26
SN - 1866-1947
PB - BMC
DO - 10.1186/s11689-026-09686-0
UR - https://doi.org/10.1186/s11689-026-09686-0
LA - en
ER -

CSL-JSON

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