Symbol
| RTTM
|
Location
| Xq28
|
Name
|
MECP2-related disorders in males |
Other name(s)
|
MECP2-related encephalopathy neonatal severe
mental retardation, X-linked, with progressive spasticity |
Corresponding gene
|
MECP2
|
Main clinical features
|
three main categories:
severe neonatal encephalopathy, and infantile death,
symptoms similar to classical RTT in XXY or mosaic patients,
less severe neurological and/or psychiatric manifestations |
Genetic determination
| sex linked |
Prevalence
| between 1.3 and 1.7 percent in mentally retarded male patients
|
Related entries
| RTT, DUPXQ28
|
Function/system disorder
| neuromuscular |
| mental retardation |
Type
| MCA/MR
|
Gene mutation | Chromosome rearrangement | Effect | Comments |
|
---|
various types
|  
|  
| among which A140V, in the MBD domain , in group 3, not described in classic RTT girls
| various types
|  
|  
| R133H in the MBD domain or R270X in the TRD domain and others in Rett-like syndrome (group 2)
| various types
|  
|  
| G269fs,T158M and others in severe congenital encephalopthy (group 1)
| duplication
|  
|  
| of MECP2 and variable adjacent region
| |
Genotype/Phenotype correlations
|
changes in the WW domain only affecting the males, with mild to severe mental retardation
changes in the TRD or MBD domain in Rett-like or in severe encephalopathy
MECP2 null mutation display a phenotype of severe neonatal-onset encephalopathy with central hypoxia and reduced neuronal dendritic structure |