Evidence map›Paper›PMID 18985075›Full record

ArticleEuropean journal of human genetics : EJHG2009

Structural variation in Xq28: MECP2 duplications in 1% of patients with unexplained XLMR and in 2% of male patients with severe encephalopathy.

Dorien Lugtenberg, Tjitske Kleefstra, Astrid R Oudakker, Willy M Nillesen, Helger G Yntema, Andreas Tzschach, Martine Raynaud, Dietz Rating, Hubert Journel, Jamel Chelly and 14 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
7.1field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 148 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Diagnostics (Basel, Switzerland) · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. MeCP2 regulateseLife · 2023
    Article
  11. Article
  12. Medical Comorbidities inChildren (Basel, Switzerland) · 2022
    Article
  13. Review
  14. Rett Syndrome andNeuropsychiatric disease and treatment · 2022
    Review
  15. International journal of molecular sciences · 2021
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. MECP2 duplication syndrome in a patient from Cameroon.American journal of medical genetics. Part A · 2020
    Article

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

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

24 authors at 15 institutions in 7 countries.

Dorien LugtenbergDepartment of Human Genetics, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Tjitske Kleefstra
Astrid R Oudakker
Willy M Nillesen
Helger G Yntema
Andreas Tzschach
Martine Raynaud
Dietz Rating
Hubert Journel
Jamel Chelly
Cyril Goizet
Didier Lacombe
Jean-Michel Pedespan
Bernard Echenne
Gholamali Tariverdian
Declan O'Rourke
Mary D King
Andrew Green
Margriet van Kogelenberg
Hilde Van Esch
Jozef Gecz
Ben C J Hamel
Hans van Bokhoven
Arjan P M de Brouwer
Radboud University Medical Center · NLTemple Street Children's University Hospital · IEHôpital Pellegrin · FRRadboud University Nijmegen · NLCentre hospitalier Bretagne Atlantique · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Tours · FRHeidelberg University · DEHôpital Saint Eloi · FRInstitut Cochin · FRKU Leuven · BEMax Planck Society · DEUniversity Hospital Heidelberg · DEUniversity of Adelaide · AUUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Duplications in Xq28 involving MECP2 have been described in patients with severe mental retardation, infantile hypotonia, progressive spasticity, and recurrent infections. However, it is not yet clear to what extent these and accompanying symptoms may vary. In addition, the frequency of Xq28 duplications including MECP2 has yet to be determined in patients with unexplained X-linked mental retardation and (fe)males with severe encephalopathy. In this study, we used multiplex ligation-dependent probe amplification to screen Xq28 including MECP2 for deletions and duplications in these patient cohorts. In the group of 283 patients with X-linked mental retardation, we identified three Xq28 duplications including MECP2, which suggests that approximately 1% of unexplained X-linked mental retardation may be caused by MECP2 duplications. In addition, we found three additional MECP2 duplications in 134 male patients with mental retardation and severe, mostly progressive, neurological symptoms, indicating that the mutation frequency could be as high as 2% in this group of patients. In 329 female patients, no Xq28 duplications were detected. In total, we assessed 13 male patients with a MECP2 duplication from six unrelated families. Moderate to severe mental retardation and childhood hypotonia was noted in all patients. The majority of the patients also presented with absent speech, seizures, and progressive spasticity as well as ataxia or an ataxic gait and cerebral atrophy, two previously unreported symptoms. We propose to implement DNA copy number testing for MECP2 in the current diagnostic testing in all males with moderate to severe mental retardation accompanied by (progressive) neurological symptoms.

Indexed as

Gene DuplicationAdolescentBrain DiseasesChildChromosomes, Human, XCohort StudiesFamilyFemaleGenetic VariationHumansMaleMethyl-CpG-Binding Protein 2X-Linked Intellectual DisabilityYoung AdultMECP2 protein, humanMethyl-CpG-Binding Protein 2

Identifiers

PMID18985075
PMCPMC2986218
OpenAlexW2024159278

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.