MeCP2 MUTATIONS FOUND IN RETT PATIENTS

As there is a new MeCP2 mutation database available, we encourage you to submit mutation information to RettBASE (http://mecp2.chw.edu.au). We will continue to operate our database, focussing primarily on the collection of information regarding symptoms. If you have not already filled in one of our questionnaires but would like to contribute information, please contact Brian Hendrich (Brian.Hendrich@ed.ac.uk). Alternatively download questionnaire here (Adobe pdf file), fill it, save the file and e-mail it.

New MeCP2 mutations web site launched www.mecp2.org.uk !!! This web page will not be updated any more. Please submit symptoms and mutation data to the new page.

The mutations frequency graphic  UPDATED GRAPH.                            Structure of the Methyl-CpG Binding Domain ADDED MOVIE

Mutations localization within MeCP2  UPDATED GRAPH.                     Representation of symptom in average NEW ENTRIES + NEW GRAPH.

Table of disease causing mutations NEW ENTRIES                                 Representation of symptoms for each case NEW ENTRIES

Table of polymorphisms NEW ENTRIES

References

Data updated 31 September  2002
Page under development. Please report found mutations and polymorphisms: B.Hendrich or S.Kriaucionis.

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Frequency of Mutations

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Range of mutations found in Mecp2

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Listing of mutations found in Rett patients

 

Nucleotide Base Change A.A. Change Frequency Reference Reported as
 27-6 C27-6G 9F/S 1 26 Rett  
42 ins8 14 F/S 1 11 Rett
46 C46T Q16X 1 RSRF Rett
55 C55T Q19X 1 5 Rett
64 A64T K22X 1 11 Rett
76 ∆1 25F/S 1 27 Rett
100 ∆4 34F/S 1 36 Rett
167 2 55F/S 1 23 AS
201 1 68F/S 1 26 Rett
258 2 86F/S 1 4 Rett
289 G289T D97Y 1 19 Rett
291 C291A D97E 1 6 Rett
298 C298G L100V 1 RSRF Rett
301 C301A P101T 1 9 Rett
301 C301T P101S 1 11 Rett
302 C302A P101H 1 9 Rett
302 C302T P101L 1 9 Rett
302 C302G P101R 2 16,23 Rett,AS
310 T310C W104R 1 RSRF Rett
316 C316T R106W 36 1,2,4,6,11,15,16,18, 19,22,24,26,27,28,35, RSRF Rett
317 G317A R106Q 3 3,18 Rett
331 A331G R111G 1 26 Rett
345 ∆1 116F/S 1 37 Rett
358 T358G Y120D 1 25 Rett
372 G372C L124F 1 15 Rett
375 1 125F/S 1 15 Rett
377-2 C378-2G 125F/S 1 26 Rett
378-2 A378-2G 125F/S 5 2,4,18,19,RSRF Rett
380 C380T P127L 2 13,27 Rett
382 C382T Q128X 1 RSRF Rett
387 ∆2 130F/S 1 32 Rett
397 C397T R133C 42 1,2,4,6,11,15,18,19,25,26,27,28,31,32,35,36,46, RSRF Rett
398 G398T R133L 1 14 Rett
398 G398A R133H 2 19,38 Mild Rett
401 C401G S134C 5 4,9,11,15,RSRF Rett
403 A403G K135E 2 26 Rett
407 507 135F/S 1 9 Rett
410 A410G E137G 1 21 XMR
413 T413A L138X 1 10 Rett
419 C419T A140V 10 7,21,39,41,43 XMR,PPM-X
423 C423G Y141X 9 2,11,14,18,23,27,32,36 Rett,AS
430 A430T K144X 1 18 Rett
431 1 144F/S 1 14 Rett
451 ∆1 151F/S 1 36 Variant RTT
455 C455G P152R 20 2,4,9,11,15,18,19,26,32,35,RSRF Rett
463 T463A F155I 1 6 Rett
464 T464G F155C 1 BH Rett
464 T464C F155S 2 2,18 Rett
467 A467G D156G 1 26 Rett
468 C468R D156E 3 2,32,36 Rett
472 A472G T158A 1 11 Rett
473 C473T T158M 100 1,2,3,4,6,8,11,15,16,18,19,25,26,27,28,29,30,31,32,
35,36,46,RSRF
Rett, MRM
481 G481A G161R 1 RSRF Rett
488 ∆2 163F/S 2 47 Rett, MRM
499 C499T R167W 1 21 XMR
502 C502T R168X 93 2,3,4,6,8,11,14,15,16,18,19,22,25,26,27,28,32,35,45, RSRF Rett
508 C508T Q170X 4 2,18,26,28 Rett
529 A529T K177X 1 RSRF Rett
553 1 184F/S 1 18 Rett
563 1 188F/S 1 11 Rett
592 A592T R198X 1 3 Rett
611 C611G S204X 1 18 Rett
613 G613T E205X 1 26 Rett
620 insT 207F/S 1 2 Rett
622 C622T Q208X 1 11 Rett
629 A629T K210I 1 26 Rett
644 4 214F/S 1 25 Rett
651 ∆2 218F/S 1 BH Rett
654 4 218F/S 1 9 Rett
674 C674G P225R 7 2,9,14,28,36,46 Rett
677 insA 225F/S 1 3 Rett
682 insT 288F/S 1 RSRF Rett
695 1 231F/S 1 15 Rett
696 1 232F/S 1 15 Rett
704 insG 235F/S 1 19 Rett
704 ins8 235F/S 1 RSRF Rett
706 1 236F/S 2 2,18 Rett
710 1 237F/S 3 26 Rett
730 C730T Q244X 1 19 Rett
747 insC 249F/S 1 19 Rett
749 ins2 251F/S 1 18 Rett
750 1 251F/S 2 18,22 Rett
750 insC 252F/S 1 32 Rett
754 4 252F/S 1 15 Rett
763 C763T R255X 78 1,2,3,4,6,11,14,16,18,19,24,26,27,28,32,35,36,46, RSRF Rett
763 C763T&G1189A R255X&E397K 1 RSRF* Rett
766 A766T K256X 1 2 Rett
766 dup14 260F/S 1 27 Rett
784 C784T Q262X 1 RSRF Rett
796 A796C K266X 1 RSRF Rett
796 796∆T 266F/S 1 RSRF Rett
802 C802T R268W 2 32,35 Rett
803 1 268F/S 4 2,18,24 Rett
806 1 268F/S 6 10,11,14,46 Rett, MRM
807 1 269F/S 2 15,18 Rett
808 C808T R270X 69 2,3,4,9,11,14,15,16,18,19,24,25,26,27,28,32,35,36,
45,RSRF
Rett
808 1 270F/S 1 19 Rett
850 A850G K284E 1 21 XMR
855 4 285F/S 1 19 Rett
857 A857G K286R 1 48 Rett?
875 insA 285F/S 1 46 Rett
880 C880T R294X 60 2,3,4,6,9,11,14,15,16,18,19,22,26,27,28,35,36,46, RSRF Rett
881 ∆289,∆8 ∆295-396 1 36 Rett
895 ∆202 299F/S 1 37 Rett
904 C904G P302A 2 4,28 Rett
905 C905G P302R 3 3,26 Rett
905 C905T P302L 2 9,27 Rett
910 A910C K304Q 1 BH Rett
911 A911G K304R 1 48 Rett?
914 A914G K305R 1 19 Rett
916 C916T R306C 62 2,3,4,6,10,11,15,16,18,19,25,26,27,28,31,32,35,36,46, RSRF Rett
917 G917A R306H 5 9,18,32 Rett
953 A953C E318A 1 RSRF Rett
964 C964G P322A 1 3 Rett
965 C965T P322L 2 4,19 Rett
965 6 322-323 1 18* Rett
966 insA 322F/S 1 RSRF Rett
989 ins18,∆8 330F/S 1 37 Rett
996 ins2 332F/S 1 37 Rett
1011 191 337F/S 1 19 Rett
1026 insG 315F/S 1 18* Rett
1030 166ins2 344F/S 1 26 Rett
1038 82 346F/S 1 19 Rett
1043 131ins2 E348V,348-391 1 22 Rett
1053 ins10 351F/S 1 6 Rett
1079 C1079A S360X 1 18 Rett
1096 101 366F/S 1 6 Rett
1096 106 366F/S 1 26 Rett
1097 378 366F/S 1 26 Rett
1098 70 367F/S 1 6 Rett
1116 86 371F/S 2 11,32 Rett
1116 84 372F/S 1 2 Rett
1118 183/ins61 373F/S 1 18 Rett
1120 69 374-396 1 6 Rett
1124 ∆53 376F/S 2 36,37 Variant Rett
1132 71 378F/S 1 26 Rett
1134 7 378F/S 1 8 Rett
1138 71&∆322-323 379F/S&315F/S 1 18* Rett
1141 55 381F/S 1 6 Rett
1144 50 381F/S 1 27 Rett
748 C748T R250C 1 48 Rett?
1147 170 382F/S 1 2 Rett
1148 ∆47 383F/S 1 32 Rett
1151 ∆41 384F/S 1 RSRF Rett
1152 44 384F/S 3 9,11,46 Rett
1152 41 385F/S 2 2,11 Rett
1154 32 384F/S 1 19 MRM
1155 ∆32 386F/S 1 31 Rett(PSV)
1156 17 385F/S 1 3 Rett
1156 44 385F/S 2 23,27 Rett, AS
1156 52 386F/S 1 23 AS
1157 41 385F/S 7 9,14,18,22,26 Rett
1157 44 385F/S 2 4,11 Rett
1158 ∆10 386F/S 1 3 Rett
1158 ∆10&∆1171-1186 386F/S 1 46* Rett
1158 ∆29 386F/S 1 31 Rett(PSV)
1159 41 386F/S 1 14 Rett
1159 43 386F/S 1 6 Rett
1159 44 386F/S 1 14 Rett
1160 26 386F/S 3 19 Mild Rett
1161 1161∆6&1180∆26 ∆361-362&393F/S 1 18* Rett
1161 ∆240 ∆388-467 1 42 XMR
1163 1163∆11&1174∆18 388F/S&∆392-397 1 18& Rett
1163 ∆17 388F/S 1 32 Rett
1163 26 387F/S 5 3,11,18,27,31 Rett
1163 35 387F/S 3 4,32 Rett
1163 43 388F/S 1 19 Rett
1163 ∆44 388F/S 3 18,46,RSRF Rett
1163 45 388-402 1 26 Rett
1163 338 389F/S 1 26 Rett
1165 ∆26 388F/S 2 3,40 Rett
1165 ∆69ins21 389F/S 1 14 Rett
1171 ∆16&∆1158-1167 391F/S 1 46* Rett
1174 18&1163∆11 392-397&388F/S 1 18& Rett
1177 26&1161∆6 393F/S&∆361-362 1 18§ Rett
1180 ∆26 393F/S 1 RSRF* Rett
1182 7 394F/S 1 6 Rett
1189 insA 397F/S 1 36 Rett
1189 G1189A&C763T E397K&R255X 1 RSRF Rett
1193 insT 397F/S 1 2 Rett
1194 insT 398F/S 1 3 Rett
1216 C1216T Q406X 1 17 XMR
1308 ∆2 436F/S 1 18 Rett
1324 ∆44 441F/S 1 BH Rett
1357 C1357T R453X 1 32 Rett(PSV)
1358 G1358A R453Q 1 21 XMR
1364 insC 454F/S 1 4 Rett
1411 ∆2 432F/S 1 49 XMR
1454 4 486F/S 1 19 Rett
1459 T1459C X487R 1 35 Rett
1461 A1461C X487C 1 3 Rett
1461 A1461G X487W 2 RSRF Rett


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Non-Pathogenic Variants

 

Nucleotide Base Change A.A. Change Frequency Reference
26-17 ∆T   1 35
276 A276G   1 48
378-18 ∆A   1 32
426 C426T   1 19
582 C582T   2 27,32
590 C590T T197M 1 19
602 C602T A201V 3 25,32
629 A629C K210T 83%/17% BH (EST aligment)
720 C720G   1 32
748 C748T R250C 1 48
750 C750T   1 35
774 G774A   89%/11% BH (EST aligments)
777 C777T   70%/30% dbSNP rs1042870
819 G819T   1 32
834 C834T   2 19,32
840 C840T   1 35
849 C849G   1 21
897 C897T   1 21
984 C984T   1 32
1035 A1035G   1 21
1075 T1075C S359P 1 44
1126 C1126T P376S 1 50
1141 C1141G P381A 1 46
1160 C1160T P387 1 21
1161 ∆6 ∆388-389 2 18,32
1180 C1180T E394K 1 44
1189 G1189A E397K 5 2,48,RSRF
1196 C1196T P399L 2 21, 50
1197 C1197T   1 32
1202 G1202A S401N 1 32
1282 G1282A G428S 2 24,50
1330 G1330A A444T 1 32
1449 G1449C E483D 1 35(allelic to R255X and was not found in parents)
1156 C1156T   73%/27% dbSNP rs1042873
1968 G1968C   1 19
21830 G21830A   1 46(3'UTR AF030876)

 


 


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References

 

1 Amir,R.E., Van,d.V., I, Wan,M., Tran,C.Q., Francke,U., and Zoghbi,H.Y. (1999). Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl- CpG-binding protein 2. Nat. Genet. 23, 185-188.
2 Amir,R. and Zoghbi,H. (2000). Rett syndrome: Methyl-CpG-binding protein 2 mutations and phenotype- genotype correlations. Am. J. Med. Genet. 97, 147-152.
3 Bienvenu,T., Carrie,A., de Roux,N., Vinet,M.C., Jonveaux,P., Couvert,P., Villard,L., Arzimanoglou,A., Beldjord,C., Fontes,M., Tardieu,M., and Chelly,J. (2000). MECP2 mutations account for most cases of typical forms of Rett syndrome. Hum. Mol. Genet. 9, 1377-1384.
4 Huppke,P., Laccone,F., Kramer,N., Engel,W., and Hanefeld,F. (2000). Rett syndrome: analysis of MECP2 and clinical characterization of 31 patients. Hum. Mol. Genet. 9, 1369-1375.
5 Kim,S.J. and Cook,E.H., Jr. (2000). Novel de novo nonsense mutation of MECP2 in a patient with Rett syndrome. Hum. Mutat. 15 , 382-383.
6 Xiang,F., Buervenich,S., Nicolao,P., Bailey,M.E., Zhang,Z., and Anvret,M. (2000). Mutation screening in Rett syndrome patients. J. Med. Genet. 37, 250-255.
7 Orrico,A., Lam,C., Galli,L., Dotti,M.T., Hayek,G., Tong,S.F., Poon,P.M., Zappella,M., Federico,A., and Sorrentino,V. (2000). MECP2 mutation in male patients with non-specific X-linked mental retardation. FEBS Lett. 481, 285-288.
8 Bird laboratory unpublished observations
9 Cheadle,J.P., Gill,H., Fleming,N., Maynard,J., Kerr,A., Leonard,H., Krawczak,M., Cooper,D.N., Lynch,S., Thomas,N., Hughes,H., Hulten,M., Ravine,D., Sampson,J.R., and Clarke,A. (2000). Long-read sequence analysis of the MECP2 gene in Rett syndrome patients: correlation of disease severity with mutation type and location. Hum. Mol. Genet. 9, 1119-1129.
10 Wan,M., Lee,S.S., Zhang,X., Houwink-Manville,I., Song,H.R., Amir,R.E., Budden,S., Naidu,S., Pereira,J.L., Lo,I.F., Zoghbi,H.Y., Schanen,N.C., and Francke,U. (1999). Rett syndrome and beyond: recurrent spontaneous and familial MECP2 mutations at CpG hotspots. Am. J. Hum. Genet. 65, 1520-1529.
11 Vacca,M., Filippini,F., Budillon,A., Rossi,V., Mercadante,G., Manzati,E., Gualandi,F., Bigoni,S., Trabanelli,C., Pini,G., Calzolari,E., Ferlini,A., Meloni,I., Hayek,G., Zappella,M., Renieri,A., D'Urso,M., d'Esposito,M., MacDonald,F., Kerr,A., Dhanjal,S., and Hulten,M. (2001). Mutation analysis of the MECP2 gene in British and Italian Rett syndrome females. J. Mol. Med. 78, 648-655.
13 Patrick MacLeod, Personal Communication
14 De Bona,C., Zappella,M., Hayek,G., Meloni,I., Vitelli,F., Bruttini,M., Cusano,R., Loffredo,P., Longo,I., and Renieri,A. (2000). Preserved speech variant is allelic of classic Rett syndrome. Eur. J. Hum. Genet. 8, 325-330.
15 Obata,K., Matsuishi,T., Yamashita,Y., Fukuda,T., Kuwajima,K., Horiuchi,I., Nagamitsu,S., Iwanaga,R., Kimura,A., Omori,I., Endo,S., Mori,K., and Kondo,I. (2000). Mutation analysis of the methyl-CpG binding protein 2 gene (MECP2) in patients with Rett syndrome. J. Med. Genet. 37, 608-610.
16 Hampson,K., Woods,C.G., Latif,F., and Webb,T. (2000). Mutations in the MECP2 gene in a cohort of girls with Rett syndrome. J. Med. Genet. 37, 610-612.
17 Meloni,I., Bruttini,M., Longo,I., Mari,F., Rizzolio,F., D'Adamo,P., Denvriendt,K., Fryns,J.P., Toniolo,D., and Renieri,A. (2000). A mutation in the rett syndrome gene, MECP2, causes X-linked mental retardation and progressive spasticity in males. Am. J. Hum. Genet. 67, 982-985.
18 Buyse,I.M., Fang,P., Hoon,K.T., Amir,R.E., Zoghbi,H.Y., and Roa,B.B. (2000). Diagnostic testing for Rett syndrome by DHPLC and direct sequencing analysis of the MECP2 gene: identification of several novel mutations and polymorphisms. Am. J. Hum. Genet. 67, 1428-1436.
19 Hoffbuhr,K., Devaney,J.M., LaFleur,B., Sirianni,N., Scacheri,C., Giron,J., Schuette,J., Innis,J., Marino,M., Philippart,M., Narayanan,V., Umansky,R., Kronn,D., Hoffman,E.P., and Naidu,S. (2001). MeCP2 mutations in children with and without the phenotype of Rett syndrome. Neurology 56 , 1486-1495.
21 Couvert,P., Bienvenu,T., Aquaviva,C., Poirier,K., Moraine,C., Gendrot,C., Verloes,A., Andres,C., Le Fevre,A.C., Souville,I., Steffann,J., des,P., V, Ropers,H.H., Yntema,H.G., Fryns,J.P., Briault,S., Chelly,J., and Cherif,B. (2001). MECP2 is highly mutated in X-linked mental retardation. Hum. Mol. Genet. 10, 941-946.
22 Lam,C.W., Yeung,W.L., Ko,C.H., Poon,P.M., Tong,S.F., Chan,K.Y., Lo,I.F., Chan,L.Y., Hui,J., Wong,V., Pang,C.P., Lo,Y.M., and Fok,T.F. (2000). Spectrum of mutations in the MECP2 gene in patients with infantile autism and Rett syndrome. J. Med. Genet. 37, E41.
23 Watson,P., Black,G., Ramsden,S., Barrow,M., Super,M., Kerr,B., and Clayton-Smith,J. (2001). Angelman syndrome phenotype associated with mutations in MECP2, a gene encoding a methyl CpG binding protein. J. Med. Genet. 38, 224-228.
24 Imessaoudene,B., Bonnefont,J.P., Royer,G., Cormier-Daire,V., Lyonnet,S., Lyon,G., Munnich,A., and Amiel,J. (2001). MECP2 mutation in non-fatal, non-progressive encephalopathy in a male. J. Med. Genet. 38, 171-174.
25 Inui,K., Akagi,M., Ono,J., Tsukamoto,H., Shimono,K., Mano,T., Imai,K., Yamada,M., Muramatsu,T., Sakai,N., and Okada,S. (2001). Mutational analysis of MECP2 in Japanese patients with atypical Rett syndrome. Brain Dev. 23, 212-215.
26 Laccone,F., Huppke,P., Hanefeld,F., and Meins,M. (2001). Mutation spectrum in patients with Rett syndrome in the German population: Evidence of hot spot regions. Hum. Mutat. 17, 183-190.
27 Nielsen,J.B., Henriksen,K.F., Hansen,C., Silahtaroglu,A., Schwartz,M., and Tommerup,N. (2001). MECP2 mutations in Danish patients with Rett syndrome: High frequency of mutations but no consistent correlations with clinical severity or with the X chromosome inactivation pattern. Eur. J. Hum. Genet. 9, 178-184.
28 Auranen,M., Vanhala,R., Vosman,M., Levander,M., Varilo,T., Hietala,M., Riikonen,R., Peltonen,L., and Jarvela,I. (2001). MECP2 gene analysis in classical Rett syndrome and in patients with Rett-like features. Neurology 56, 611-617.
29 Villard,L., Kpebe,A., Cardoso,C., Chelly,P.J., Tardieu,P.M., and Fontes,M. (2000). Two affected boys in a Rett syndrome family: clinical and molecular findings. Neurology 55, 1188-1193.
30 Leonard,H., Silberstein,J., Falk,R., Houwink-Manville,I., Ellaway,C., Raffaele,L.S., Engerstrom,I.W., and Schanen,C. (2001). Occurrence of Rett syndrome in boys. J. Child Neurol. 16, 333-338.
31 Zappella,M., Meloni,I., Longo,I., Hayek,G., Renieri,A.(2001). Preserved speech variants of the Rett syndrome: Molecular and clinical analysis. Am J Med Genet. 104(1), 14-22.
32 Alessandra Renieri, Personal Communication
33

Schwartzman,J.S., Bernardino,A., Nishimura,A., Gomes,R.R., and Zatz,M. (2001). Rett syndrome in a boy with a 47,XXY karyotype confirmed by a rare mutation in the MECP2 gene. Neuropediatrics 32, 162-164.

35

Erlandson,A., Hallberg,B., Hagberg,B., Wahlstrom,J., and Martinsson,T. (2001). MECP2 mutation screening in Swedish classical Rett syndrome females. Eur. Child Adolesc. Psychiatry 10, 117-121.

36

Yamada,Y., Miura,K., Kumagai,T., Hayakawa,C., Miyazaki,S., Matsumoto,A., Kurosawa,K., Nomura,N., Taniguchi,H., Sonta,S.I., Yamanaka,T., and Wakamatsu,N. (2001). Molecular analysis of Japanese patients with Rett syndrome: Identification of five novel mutations and genotype-phenotype correlation. Hum. Mutat. 18, 253.

37

Bienvenu,T., Souville,I., Poirier,K., Aquaviva,C., Burglen,L., Amiel,J., Heron,B., Kaminska,A., Couvert,P., Beldjord,C., and Chelly,J. (2001). Five novel frameshift mutations in exon 3 and 4 of the MECP2 gene identified in Rett patients: Consequences for the molecular diagnosis strategy. Hum. Mutat. 18, 251-252.

38

Armstrong,J., Pineda,M., Aibar,E., Gean,E., and Monros,E. (2001). Classic Rett syndrome in a boy as a result of somatic mosaicism for a MECP2 mutation. Ann. Neurol. 50, 692.

39

Cohen,D., Lazar,G., Couvert,P., Desportes,V., Lippe,D., Mazet,P., and Heron,D. (2002). MECP2 Mutation in a Boy With Language Disorder and Schizophrenia. Am. J. Psychiatry 159, 148-149.

40

Bourdon,V., Philippe,C., Bienvenu,T., Koenig,B., Tardieu,M., Chelly,J., and Jonveaux,P. (2001). Evidence of somatic mosaicism for a MECP2 mutation in females with Rett syndrome: diagnostic implications. J. Med. Genet. 38, 867-871.

41

Dotti,M.T., Orrico,A., De Stefano,N., Battisti,C., Sicurelli,F., Severi,S., Lam,C.W., Galli,L., Sorrentino,V., and Federico,A. (2002). A Rett syndrome MECP2 mutation that causes mental retardation in men. Neurology 58, 226-230.

42

Yntema,H.G., Oudakker,A.R., Kleefstra,T., Hamel,B.C., van Bokhoven,H., Chelly,J., Kalscheuer,V.M., Fryns,J.P., Raynaud,M., Moizard,M.P., and Moraine,C. (2002). In-frame deletion in MECP2 causes mild nonspecific mental retardation. Am. J. Med. Genet. 107, 81-83.

43

Klauck,S.M., Lindsay,S., Beyer,K.S., Splitt,M., Burn,J., and Poustka,A. (2002). A mutation hot spot for nonspecific X-linked mental retardation in the MECP2 gene causes the PPM-X syndrome. Am. J. Hum. Genet. 70, 1034-1037.

44

Moncla,A., Kpebe,A., Missirian,C., Mancini,J., and Villard,L. (2002). Polymorphisms in the C-terminal domain of MECP2 in mentally handicapped boys: implications for genetic counselling. Eur. J. Hum. Genet. 10, 86-89.

45

Topcu,M., Akyerli,C., Sayi,A., Toruner,G.A., Kocoglu,S.R., Cimbis,M., and Ozcelik,T. (2002). Somatic mosaicism for a MECP2 mutation associated with classic Rett syndrome in a boy. Eur. J. Hum. Genet. 10, 77-81.

46 Yanping Wang, Personal Communication
47

Geerdink,N., Rotteveel,J.J., Lammens,M., Sistermans,E.A., Heikens,G.T., Gabreels,F.J., Mullaart,R.A., and Hamel,B.C. (2002). MECP2 Mutation in a Boy with Severe Neonatal Encephalopathy: Clinical, Neuropathological and Molecular Findings. Neuropediatrics 33, 33-36.

48 Soma Das, Personal Communication
49 Kleefstra,T., Yntema,H.G., Oudakker,A.R., Romein,T., Sistermans,E., Nillessen,W., van Bokhoven,H., de Vries,B.B., and Hamel,B.C. (2002). De novo MECP2 frameshift mutation in a boy with moderate mental retardation, obesity and gynaecomastia. Clin. Genet. 61, 359-362.
50 Laccone,F., Zoll,B., Huppke,P., Hanefeld,F., Pepinski,W., and Trappe,R. (2002). MECP2 gene nucleotide changes and their pathogenicity in males: proceed with caution. J. Med. Genet. 39, 586-588.