Premutation carriers are individuals who have a genetic alteration in the form of an increased number of CGG repeats in the FMR1 gene, which can lead to various health issues. While they do not exhibit the full mutation associated with Fragile X syndrome, they may experience related conditions such as Fragile X-associated tremor/ataxia syndrome (FXTAS) or primary ovarian insufficiency (FXPOI).
The FMR1 gene is crucial for normal cognitive development and is associated with Fragile X syndrome, a leading cause of inherited intellectual disability. Mutations in this gene, particularly CGG trinucleotide repeat expansions, lead to the silencing of the gene and subsequent loss of the fragile X mental retardation protein (FMRP), which is essential for synaptic function and plasticity.