Introduction
24
Fragile X Syndrome (FXS) is a neurodevelopmental disorder which results from a mutation 25
in a single gene, Fmr1 (Fragile X Messenger Ribonucleoprotein 1), on the X chromosome 26
(Hagerman et al., 2017; Salcedo -Arellano et al., 2023) . Mutation of this gene reduces the 27
expression of its protein product, Fragile X Messenger Ribonucleoprotein (FMRP) (Bagni et al., 28
2012; Mila et al., 2018) . Because FMRP is an RNA -binding protein, it affects a wide range of 29
biological processes, including gastrointestinal function, synaptic activity, and neural 30
development, among others. The diversity of these effects makes it difficult to catalog all 31
downstream consequences of Fmr1 disruption at the molecular level . Because all bio logical 32
systems (e.g., cell, tissue) are made up of approximately 20 chemical elements (depending on 33
structure, and process; Williams and Fraústo da Silva, 2003), the relative abundance of all elements 34
encompassing a system (i.e., the ionome) are appropriately conceptualized as a working unit 35
(Baxter, 2010; Salt et al., 2008). Thus, rather than tracing single molecular pathways or patterns in 36
molecular systems, like transcriptomic ( Ding et al., 2020; Donnard et al., 2022; Ebrahimiazar et 37
al., 2025) and proteomic analyses (Abbasi et al., 2024; Gao et al., 2023), responses of the ionome 38
to genetic perturbations are quantized and interpreted to advance understanding of various 39
phenotypes (Huang and Salt, 2016) including disease (Cabral et al., 2021; Dubey et al., 2020; 40
Sarafanov et al., 2011; Zhang et al., 2020; Zhang et al., 2023). 41
Fmr1 encodes an RNA -binding protein (FMRP), and its loss affects diverse aspects of 42
cellular physiology by disrupting post -transcriptional regulation of many target mRNAs. FMRP 43
associates with ribosomes and polyribosomes to control the translation of transcripts involved in 44
synaptic signaling, ion channel regulation, and metabolic processes (Darnell and Klann, 2013; 45
Ferron, 2016; Stefani et al., 2004; Zhou et al., 2025) . Consequently, Fmr1 disruption alters both 46
the synthesis and localization of proteins responsible for ion transport and storage (e.g., voltage -47
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gated channels, metalloregulatory enzymes; (Cheng et al., 2021; Deng and Klyachko, 2021; Napoli 48
et al., 2011) . Thus, FXS may secondarily influence elemental balance across tissues. These 49
alterations in translational efficiency and post translational modifications can cascade into 50
systemic changes in ionomic composition, potentially influencing neuronal function. 51
Individuals with FXS are often diagnosed with autism spectrum disorder (ASD), and 52
exhibit overlapping clinical features such as antisocial behavior, communication deficits, cognitive 53
impairments, and language delays (Kaufmann et al., 2017) . Several studies have identified 54
associations between ASD and specific elements: supplementation with zinc promotes restoration 55
of synaptic proteins such as Shank3 and Shank2 and helps restore excitatory –inhibitory balance 56
(Hagmeyer et al., 2018) . M agnesium, particularly in combination with vitamin B6, further 57
mitigates neurobehavioral disorders in ASD (Khan et al., 2021; M Mousain -Bosc et al., 2006) . 58
Moreover, recent research demonstrates that ASD -related symptoms extend beyond neural 59
dysfunction, including disruptions in balance across gut and peripheral tissues (iron - Lin et al., 60
2024, Talvio et al., 2021; zinc - Vela et al., 2015 ; various trace metals - Grabrucker, 2020) . 61
However, focusing on single elements or tissues, while informative, risks missing the broader 62
systemic interactions that emerge from the coordination of multiple elements. Without a 63
comprehensive ionomic perspective, the integrative patterns linking neural, gastrointestinal, and 64
metabolic functions may remain unresolved. 65
In this context, we conducted an experiment to examine how the multielemental 66
composition, the ionome, of neural and somatic tisssues differs in the context of FXS between 67
wild-type and knockout strains of mice. Because elemental concentrations are interdependent and 68
constrained to a constant sum, these data were analyzed within a compositional framework that 69
captures relative, rather than absolute, changes among elements. Using this approach, we explored 70
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the potential influence of Fmr1 loss on overall elemental balance among brain regions and somatic 71
tissues. We hypothesized that male mice lacking Fmr1 would exhibit distinct multielement 72
compositions relative to wild-type males. To test this hypothesis, we quantified and compared the 73
ionomic composition of gut, brain, and noninvasive tissues such as fur and feces between 74
genotypes. This compositional data analysis provides insight into systemic elemental 75
reorganization in FXS (Greenacre, 2021) and identifies tissues that may serve as noninvasive 76
proxies for elemental diagnostics in clinical contexts (Austin et al., 2022). 77
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Methodology 78
Experimental Animals and Design 79
In our study, we used an Fmr1 K O (stock # 003025, Fmr1 KO) mouse model which 80
recapitulates some core symptoms of FXS patients. We performed our experiments on C57BL/6J 81
(stock #000664, B6) wild -type background (control animals) , which were obtained from the 82
Jackson Laboratory and bred at Oklahoma State University (The Dutch -Belgian Fragile X 83
Consorthium et al., 1994). All animals we used in this study were male WT (n = 8) and KO (n = 84
6) mice between 99-156 days old. All mice were on a 12-hour light cycle (6 AM- 6 PM. Since FXS 85
is an X-linked trait and therefore more common in males, we limited the study to male animals. 86
All experimental procedures were conducted under appropriate laws and NIH guidelines and our 87
study principles received approval from the Oklahoma State University Institutional Animal Care 88
and Use Committee. 89
Tissue Collection and Preparation 90
Firstly, we euthanized mice by exposing them to isoflurane overdose. After confirming 91
death of the mice by lack of respiration and toe pinch reflex , we decapitated them and harvested 92
their brains. Then we placed brains in a Petri dish and dissected the whole brains into specific brain 93
regions including cerebellum, cortex, midbrain, olfactory bulb, brainstem, and striatum. After 94
removing the above-mentioned dissected brain regions, we labeled all leftover brain regions (pons, 95
medulla, hippocampus, thalamus, hypothalamus) as brain PMHTH (Figure S1). We then 96
transferred all dissected brain regions into a 2 mL Eppendorf tube for subsequent processing. 97
Additionally, we collected samples from the gut tissues like cecum, feces and also included fur for 98
each individual mouse. To collect the cecum, we opened the abdominal cavity with a midline 99
incision from the lower abdomen to the sternum , which exteriorized the intestine to expose the 100
cecum—a large, pouch-like structure located at the junction between the ileum and the colon. We 101
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immediately transferred the cecum to a sterile, 2 mL Eppendorf tube. Later, to separate the cecal 102
contents from the cecum tissue, we opened the cecum longitudinally on a sterile Pedri dish, then 103
collected cecal contents and discarded the cecal tissue. To collect feces, we gently h eld the mice 104
by the base of their tails and waited around 5 minutes until they defecate d. After defecation, we 105
used forceps to collect fresh fecal pellets, and immediately placed those pellets into pre -labeled 106
sterile tubes. For fur samples, we used clean, sterile scissors to trim the fur from the abdomen. 107
Then, we transferred the clipped fur into a pre -weighed and labeled Eppendorf tube using sterile 108
tweezers. 109
Ionomics and compositional data analysis: 110
Once tissues were collected and stored , we dried them at room temperature in an oven at 111
55 °C for 72 hours. Then, we homogenized dried tissues using a mortar and pestle and weighed 4 112
– 12 mg for each sample. We digested homogenized samples using 100% trace metal grade HNO3 113
and 100% trace metal grade H2O2 in a 2:1 ratio; allow ing them at least 24 hours for complete 114
digestion before performing elemental analysis using inductively coupled plasma optical emission 115
spectroscopy ( ICP-OES, iCAP7400; ThermoScientific, Waltham, MA). We measured the 116
concentrations of 10 biologically relevant elements in brain tissue using ICP-OES: Calcium (Ca), 117
Copper (Cu), Iron (Fe), Potassium (K), Magnesium (Mg), Manganese (Mn), sodium (Na), 118
Phosphorus (P), Sulfur (S), and Zinc (Zn). We retained wavelengths with 90% of measured 119
samples within the limits of detection established by standard curves and replaced values over and 120
under limits of detection with upper and lower limits. Then, we averaged emittance of multiple 121
wavelengths when more than one wavelength quantified an individual element. 122
Of the 84 total samples analyzed for 10 elements (840 readings), 4 readings of sulfur, and 123
7 readings of zinc were missing values. To account for this, we imputed missing values "impCoda" 124
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function from the "robCompositions" R package, which is specifically designed for compositional 125
data (Templ et al., 2011). A few missing values are common in ICP-based elemental analyses due 126
to matrix effects and instrument detection limits (Reimann et al., 2008) .Tissue elemental 127
concentrations represent compositional data and were transformed to account for their inherent 128
constraints. Concentrations of each element (µg/ mg) were converted into percentages. We 129
calculated the fill value (Fv) as the remaining unmeasured percentage of samples (i.e., 100 – sum 130
of all measured elements ). For each element, we then calculated its proportion of the total 131
remaining unmeasured mass (Element/Fv) to standardize comparisons across samples in log space 132
(i.e., additive log ratios ; ALRs). These proportional values (Element/Fv) represent the relative 133
abundances of each element within the measured elemental pools that are suitable for robust 134
statistical analysis and inference (Greenacre, 2021). 135
Additive log ratios (ALRs) were visualized in multi -dimensional space using a principle 136
components analysis (PCA) to test ionomic differences due to Fmr1 knockout (WT vs KO) and 137
tissue (i.e., feces, striatum, cecum, olfactory bulb, fur, and PMHTH). The contribution of each 138
element in explaining variance due to these factors was evaluated using a multivariate analysis of 139
variance (MANOV A), followed by element-specific ANOV As testing the global effects of tissue, 140
genotype, and interaction . Then, we used Welch’s t -test to evaluate differences in the ALR -141
transformed ratios of individual elements in single tissues (Welch, 1938) . Further, we used 142
Levene’s test for homogeneity of variance to evaluate differences in variance between genotypes 143
(WT vs KO) in individual elements within each tissue (Levene, 1960). All statistical analyses were 144
performed in statistical language R ver 4.5.2 (R Core Team, 2025) 145
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