Evidence map›Paper›PMID 10577905›Full record

ArticleAmerican journal of human genetics1999

Rett syndrome and beyond: recurrent spontaneous and familial MECP2 mutations at CpG hotspots.

M Wan, S S Lee, X Zhang, I Houwink-Manville, H R Song, R E Amir, S Budden, S Naidu, J L Pereira, I F Lo and 3 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in American journal of human genetics, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 142 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 2 pooled it
25.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02705677 completednot on this mapstarted 2017, after this paper: background citation

Biobanking of Rett Syndrome and Related Disorders Protocol

TypeobservationalSponsorUniversity of Alabama at BirminghamRan2017 to 2021Enrolled752ConditionsRett Syndrome, MECP2 Duplication, CDKL5, FOXG1 Disorders
NCT02738281 completednot on this mapstarted 2015, after this paper: background citation

Rett Syndrome, MECP2 Duplication Disorder, and Rett- Related Disorders Natural History Protocol

TypeobservationalSponsorUniversity of Alabama at BirminghamRan2015 to 2021Enrolled1,044ConditionsRett Syndrome, MECP2 Duplication dIsorder, CDKL5 Disorder, FOXG1 Syndrome
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 2 syntheses or guidelines pooled it, 515 citations in OpenAlex.

  1. Pooled it
  2. Brief report: systematic review of Rett syndrome in males.Journal of autism and developmental disorders · 2015
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Sleep Disorders in Children with Rett Syndrome.Children (Basel, Switzerland) · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Broadening the Phenotype Spectrum of MECP2 Variants in Men.Molecular genetics & genomic medicine · 2025
    Article
  18. Review
  19. Article
  20. Article

82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 3 countries.

M WanDepartment of Genetics, Stanford University Medical Center, Stanford, CA 94305-5323, USA.
S S Lee
X Zhang
I Houwink-Manville
H R Song
R E Amir
S Budden
S Naidu
J L Pereira
I F Lo
H Y Zoghbi
N C Schanen
U Francke
Howard Hughes Medical Institute · USUniversity of California, Los Angeles · USStanford University · USBaylor College of Medicine · USDepartment of Health · CNKennedy Krieger Institute · USOregon Health & Science University · USUniversidade Federal do Paraná · BR

Funding

ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI BELCHER, HAROLYN MILLICENT EDITH · 1985 to 2007
$37.3M
RETT SYNDROME:GENETICS, PATHOGENESIS &SEARCH FOR MARKERP01HD024448 · NICHD · KENNEDY KRIEGER CHILDRENS HOSPITAL · PI NAIDU, SAKKUBAI R · 1987 to 2010
$10.0M
UCLA Child Health Research Career Development AwardK12HD034610 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DEVASKAR, SHERIN U · 2002 to 2017
$6.6M
NCRR NIH HHS M01 RR000052NCRR NIH HHS RR00052NICHD NIH HHS HD24234NICHD NIH HHS HD24448NICHD NIH HHS K12 HD034610NICHD NIH HHS P01 HD024448
6 · The paper itself

Abstract

Rett syndrome (RTT) is a neurodevelopmental disorder characterized by loss of acquired skills after a period of normal development in infant girls. The responsible gene, encoding methyl-CpG binding protein 2 (MeCP2), was recently discovered. Here we explore the spectrum of phenotypes resulting from MECP2 mutations. Both nonsense (R168X and R255X) and missense (R106W and R306C) mutations have been found, with multiple recurrences. R168X mutations were identified in six unrelated sporadic cases, as well as in two affected sisters and their normal mother. The missense mutations were de novo and affect conserved domains of MeCP2. All of the nucleotide substitutions involve C-->T transitions at CpG hotspots. A single nucleotide deletion, at codon 137, that creates a L138X stop codon within the methyl-binding domain was found in an individual with features of RTT and incontinentia pigmenti. An 806delG deletion causing a V288X stop in the transcription-repression domain was identified in a woman with motor-coordination problems, mild learning disability, and skewed X inactivation; in her sister and daughter, who were affected with classic RTT; and in her hemizygous son, who died from congenital encephalopathy. Thus, some males with RTT-causing MECP2 mutations may survive to birth, and female heterozygotes with favorably skewed X-inactivation patterns may have little or no involvement. Therefore, MECP2 mutations are not limited to RTT and may be implicated in a much broader phenotypic spectrum.

Indexed as

Chromosomal Proteins, Non-HistoneRepressor ProteinsAllelesAmino Acid SubstitutionCodon, TerminatorConserved SequenceCpG IslandsDNA-Binding ProteinsDNA MethylationDosage Compensation, GeneticFemaleGenetic VariationGerm-Line MutationHumansIncontinentia PigmentiMaleChromosomal Proteins, Non-HistoneCodon, TerminatorDNA-Binding ProteinsMECP2 protein, humanMethyl-CpG-Binding Protein 2Repressor Proteins

Identifiers

PMID10577905
PMCPMC1288362
OpenAlexW2032474463

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.