Evidence map›Paper›PMID 40082422›Full record

ArticleNPJ genomic medicine2025

Unraveling MECP2 structural variants in previously elusive Rett syndrome cases through IGV interpretation.

Tomer Poleg, Noam Hadar, Gali Heimer, Vadim Dolgin, Ilana Aminov, Amit Safran, Nadav Agam, Matan M Jean, Ofek Freund, Simran Kaur and 3 more

Abstract read
In one paragraph

Article in NPJ genomic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Integrating Long-Read Nanopore Sequencing for Precision Resolution of Genomic Variants in Dystonia.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  4. Review
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.

Tomer PolegFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.ORCID http://orcid.org/0000-0003-2418-2972
Noam HadarFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.ORCID http://orcid.org/0000-0003-2483-2090
Gali HeimerEdmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, Israel.
Vadim DolginFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.ORCID http://orcid.org/0000-0001-8265-6588
Ilana AminovFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Amit SafranFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Nadav AgamFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Matan M JeanFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.ORCID http://orcid.org/0000-0003-0653-7573
Ofek FreundFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Simran KaurBrain and Mitochondrial Research Group, Murdoch Children's Research Institute, Melbourne, Australia.
John ChristodoulouBrain and Mitochondrial Research Group, Murdoch Children's Research Institute, Melbourne, Australia.ORCID http://orcid.org/0000-0002-8431-0641
Bruria Ben-ZeevEdmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, Israel.
Ohad S BirkFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel. obirk@bgu.ac.il.ORCID http://orcid.org/0000-0003-1430-1296

Funding

Israel Science Foundation (ISF) 2463/23
6 · The paper itself

Abstract

Rett syndrome (RTT) is a severe neurodevelopmental disorder, with MECP2 mutations accounting for 90-95% of classic and 50-70% of atypical cases. However, many clinically diagnosed RTT patients remain without molecular diagnoses. While point mutations and large rearrangements in MECP2 are well studied, the role of small-intermediate structural variants (SVs) remains mostly elusive. Using standard short-read whole genome sequencing, we identified novel de novo SVs in three out of three previously unresolved RTT cases: a complex SV with two deletions ( ~ 5Kbp and ~60Kbp) and a ~105Kbp inversion; a ~200Kbp translocation; and a ~3Kbp deletion. These findings suggest that such elusive SVs might be a common cause for "MECP2-negative" RTT. Incorporating SV detection into routine genetic testing through bioinformatic analysis of short-read sequencing or manual review using IGV could improve diagnostic rates and expand our understanding of RTT and similar disorders.

Identifiers

PMID40082422
PMCPMC11906642

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Registered trials

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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.