{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:01:09Z","timestamp":1782165669010,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:00:00Z","timestamp":1700524800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J of Med Genetics Pt A"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>FMR1<\/jats:italic> premutation female carriers are at risk of developing premature\/primary ovarian insufficiency (POI) with an incomplete penetrance. In this study, we determined the CGG repeat size among 1095 women with diminished ovarian reserve (DOR) \/ POI and characterized the CGG\/AGG substructure in 44 women carrying an abnormal <jats:italic>FMR1<\/jats:italic> repeat expansion number, compared to a group of 25 pregnant women carrying an abnormal <jats:italic>FMR1<\/jats:italic> CGG repeat size. Allelic complexity scores of the <jats:italic>FMR1<\/jats:italic> gene were calculated and compared between the two groups. In the DOR\/POI cohort, 2.1% of women presented with an intermediate repeat size and 1.9% with a premutation. Our results suggest that the risk of POI is highest in the mid\u2010range of CGG repeats. We observed that the <jats:italic>allelic score<\/jats:italic> is significantly higher in POI women compared to the pregnant women group (<jats:italic>p<\/jats:italic>\u2010value\u2009=\u20090.02). We suggest that a high <jats:italic>allelic score<\/jats:italic> due to more than 2 AGG interspersions in the context of an intermediate number of repetitions could favor POI. Larger studies are still needed to evaluate the relevance of this new tool for the determination of the individual risk of developing POI in women with abnormal number of CGG repeats.<\/jats:p>","DOI":"10.1002\/ajmg.a.63479","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T18:56:05Z","timestamp":1700679365000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Stratification of the risk of ovarian dysfunction by studying the complexity of intermediate and premutation alleles of the <scp><i>FMR1<\/i><\/scp> gene"],"prefix":"10.1002","volume":"194","author":[{"given":"Juliette","family":"Quilichini","sequence":"first","affiliation":[{"name":"Service de M\u00e9decine G\u00e9nomique des maladies de syst\u00e8me et d'organe APHP. 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