Evidence map›Paper›PMID 16080119›Full record

ArticleAmerican journal of human genetics2005

Duplication of the MECP2 region is a frequent cause of severe mental retardation and progressive neurological symptoms in males.

Hilde Van Esch, Marijke Bauters, Jaakko Ignatius, Mieke Jansen, Martine Raynaud, Karen Hollanders, Dorien Lugtenberg, Thierry Bienvenu, Lars Riff Jensen, Jozef Gecz and 4 more

2 registry-linked trialsOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in American journal of human genetics, 2005. 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 282 papers.

0numbers the graph read from it
0cells of the map it votes in
282citing papers in PubMed
18.9field-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

282 citing papers in PubMed, 624 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. bioRxiv : the preprint server for biology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Chromatin modifiers in neurodevelopment.Frontiers in molecular neuroscience · 2025
    Review
  11. Article
  12. Diagnostics (Basel, Switzerland) · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Rett syndrome.Nature reviews. Disease primers · 2024
    Review
  17. Article
  18. Review
  19. RettDb: the Rett syndrome omics database to navigate the Rett syndrome genomic landscape.Database : the journal of biological databases and curation · 2024
    Article
  20. Rett syndrome: The Natural History Study journey.Annals of the Child Neurology Society · 2024
    Review

222 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

14 authors at 8 institutions in 7 countries.

Hilde Van EschCentre for Human Genetics, University Hospital Gasthuisberg, Leuven, Belgium. Hilde.VanEsch@med.kuleuven.ac.be
Marijke Bauters
Jaakko Ignatius
Mieke Jansen
Martine Raynaud
Karen Hollanders
Dorien Lugtenberg
Thierry Bienvenu
Lars Riff Jensen
Jozef Gecz
Claude Moraine
Peter Marynen
Jean-Pierre Fryns
Guy Froyen
Vlaams Instituut voor Biotechnologie · BECentre Hospitalier Universitaire de Tours · FRInserm · FRKU Leuven · BEMax Planck Society · DEOulu University Hospital · FIRadboud University Nijmegen · NLWomen's and Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loss-of-function mutations of the MECP2 gene at Xq28 are associated with Rett syndrome in females and with syndromic and nonsyndromic forms of mental retardation (MR) in males. By array comparative genomic hybridization (array-CGH), we identified a small duplication at Xq28 in a large family with a severe form of MR associated with progressive spasticity. Screening by real-time quantitation of 17 additional patients with MR who have similar phenotypes revealed three more duplications. The duplications in the four patients vary in size from 0.4 to 0.8 Mb and harbor several genes, which, for each duplication, include the MR-related L1CAM and MECP2 genes. The proximal breakpoints are located within a 250-kb region centromeric of L1CAM, whereas the distal breakpoints are located in a 300-kb interval telomeric of MECP2. The precise size and location of each duplication is different in the four patients. The duplications segregate with the disease in the families, and asymptomatic carrier females show complete skewing of X inactivation. Comparison of the clinical features in these patients and in a previously reported patient enables refinement of the genotype-phenotype correlation and strongly suggests that increased dosage of MECP2 results in the MR phenotype. Our findings demonstrate that, in humans, not only impaired or abolished gene function but also increased MeCP2 dosage causes a distinct phenotype. Moreover, duplication of the MECP2 region occurs frequently in male patients with a severe form of MR, which justifies quantitative screening of MECP2 in this group of patients.

Indexed as

Gene DuplicationChromosomes, Human, XDNA PrimersGene DosageGenetic Predisposition to DiseaseHumansIntellectual DisabilityMaleMethyl-CpG-Binding Protein 2Nucleic Acid HybridizationPedigreeDNA PrimersMECP2 protein, humanMethyl-CpG-Binding Protein 2

Identifiers

PMID16080119
PMCPMC1226209
OpenAlexW1964159332

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.