Locus FRA2A AFF3

Disease ID
FRA2A
Gene ID
AFF3
Updated
Jun 24, 2026
v2.23.0
Other gene loci
–
Suggest Edit

Disease

–
Name Intellectual disability associated with fragile site FRA2A
Inheritance
Description
These expansions are associated with intellectual disability and clinical phenotypes such as delayed motor development or delays in speech/language .
Prevalence
1/862 (1/654-1266) population prevalence of methylated AFF3 expansions (mild cognitive disability) . Disease cases observed in South Australia .
Age of Onset Age of OnsetYears1  7
Early childhood (small sample size) .
HPO Terms
–
Association
MendelianRisk

Locus

Details
Allele ranges established in study of 3 families; intermediate alleles likely premutations . Pathogenic threshold may be higher than 300 as this was the largest allele that could be accurately sized by the assay.
Mechanism
LoF/methylation
Silencing of the FMR2 gene as a consequence of a CCG expansion located upstream of this gene .
Detection
Standard PCR has detected small alleles, while RP-PCR and Southern blotting have detected large expansions. Short-read sequencing may underestimate the size of large expansions and exact sizing usually uses long-read sequencing, .
Year
2014
Location in Gene
Intron 3
Gene Strand

Alleles

Ref. Motif
CCG
Ranges BenignPathogenicUnits3  20300  300
Benign (ref.)
–
Benign (gene)
–
Pathogenic (ref.)
CCG
Pathogen. (gene)
CGG
Unknown (ref.)
–
Unknown (gene)
–
Interruption (ref.)
–
Interrup. (gene)
–

References

Direct supporting references for info on this page.

1
FRA2A is a CGG repeat expansion associated with silencing of AFF3.
Sofie,Metsu, Liesbeth,Rooms, Jacqueline,Rainger, Martin S,Taylor, Hemant,Bengani, David I,Wilson, Chandra Sekhar Reddy,Chilamakuri, Harris,Morrison, Geert,Vandeweyer, Edwin,Reyniers, Evelyn,Douglas, Geoffrey,Thompson, Eric,Haan, Jozef,Gecz, David R,Fitzpatrick, R Frank,Kooy
PLoS genetics · 2014-04-24
pmid:24763282
2
A phenome-wide association study of methylated GC-rich repeats identifies a GCC repeat expansion in AFF3 associated with intellectual disability.
Bharati,Jadhav, Paras,Garg, Joke J F A,van Vugt, Kristina,Ibanez, Delia,Gagliardi, William,Lee, Mariya,Shadrina, Tom,Mokveld, Egor,Dolzhenko, Alejandro,Martin-Trujillo, Scott J,Gies, Gabrielle,Altman, Clarissa,Rocca, Mafalda,Barbosa, Miten,Jain, Nayana,Lahiri, Katherine,Lachlan, Henry,Houlden, Benedict,Paten, Jan,Veldink, Arianna,Tucci, Andrew J,Sharp
Nature genetics · 2024-09-23
pmid:39313615

Additional Literature

Additional literature related to this locus.

Raw PubMed search results
(All PubMed results returned by searching for this gene, tandem repeats, and disease, in medline format)

A genome-wide approach for the discovery of novel repeat expansion disorders in the Undiagnosed Diseases Network cohort.
Sarah,Fazal, Harriet,Dashnow, Maike F,Dohrn, Jacquelyn,Raposo, Laurel,Hiatt, Matt C,Danzi, Isaac R L,Xu, Camilo,Toro, David R,Adams, Karen,Usdin, Bruce,Hayward, Shilpa Nadimpalli,Kobren, Shamil R,Sunyaev, Rebecca C,Spillmann, Vandana,Shashi, Adriana,Rebelo, Guney,Bademci, Mustafa,Tekin, Aaron R,Quinlan, Stephan,Zuchner
Genetics in medicine : official journal of the American College of Medical Genetics · 2025-05-22
pmid:40417743
A phenome-wide association study of methylated GC-rich repeats identifies a GCC repeat expansion in
Bharati,Jadhav, Paras,Garg, Joke J F A,van Vugt, Kristina,Ibanez, Delia,Gagliardi, William,Lee, Mariya,Shadrina, Tom,Mokveld, Egor,Dolzhenko, Alejandro,Martin-Trujillo, Scott L,Gies, Clarissa,Rocca, Mafalda,Barbosa, Miten,Jain, Nayana,Lahiri, Katherine,Lachlan, Henry,Houlden, Benedict,Paten, Jan,Veldink, Arianna,Tucci, Andrew J,Sharp
medRxiv : the preprint server for health sciences · 2023-12-12
pmid:37205357