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    ​In which one of the following human disorders, parents or grandparents are said to carry premutations?​
    Question

    In which one of the following human disorders, parents or grandparents are said to carry premutations?

    A.

    Down syndrome

    B.

    Fragile X syndrome

    C.

    Klinefelter syndrome

    D.

    Alkaptonuria

    Correct option is B

    Explanation-

    A premutation is a genetic alteration not sufficient to cause disease, but it can expand in the next generation and result in a full mutation that causes disease. Premutations are unstable and can increase in repeat number during meiosis, especially when transmitted by the mother.\

    Fragile X syndrome is a genetic disorder caused by the expansion of CGG trinucleotide repeats in the FMR1 gene on the X chromosome. Parents (especially mothers) or grandparents may carry the premutation. When passed on, it may expand to a full mutation in the child → Fragile X syndrome.
    It is the most common inherited cause of intellectual disability, especially in males.

    Incorrect options-

    Option A - Down Syndrome
    This is caused by trisomy 21 (an extra copy of chromosome 21), mostly due to non-disjunction. It is not associated with premutations.
    Option C - Klinefelter Syndrome
    This represents a genetic condition in males with an extra X chromosome (XXY). It is caused by meiotic nondisjunction, not a premutation.
    Option D - Alkaptonuria
    A rare autosomal recessive metabolic disorder due to mutation in the HGD gene. It is a single-gene mutation, no premutation stage involved.

    So, the correct answer is option B - Fragile X syndrome.

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