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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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