Neurologic aspects of MECP2 gene duplication in male patients.

Abstract

Duplications in Xq28 involving the methyl CpG binding protein 2 gene (MECP2) have been described in male patients with severe mental disability, delayed milestones, absence of language, hypotonia replaced by spasticity and retractions, and recurrent and often severe infections. In a study involving five patients in two families, multiplex ligation-dependent probe amplification was used to screen the Xq28 region that includes MECP2, focusing on the presence of gene duplications. Some manifestations of the disease observed in these patients may occur less regularly than the classical abnormalities. Epilepsy with frequent seizures of the myoclonic-astatic type was observed in these patients and was associated with a slowing of the background electroencephalographic activity, rather than the generalized spike-waves or polyspike-waves usually observed in this type of seizure. In addition, cerebral abnormalities were observed with magnetic resonance imaging that were inconstant and nonspecific but that could nonetheless assist in diagnosis of this genetic pathology.

• Authors: Bernard Echenne, Agathe Roubertie, Dorien Lugtenberg, Titske Kleefstra, Ben C J Hamel, Hans Van Bokhoven, Didier Lacombe, Christophe Philippe, Philippe Jonveaux, Arjan P M de Brouwer
• Journal: Pediatric neurology (Pediatr Neurol) Vol. 41 Issue 3 Pg. 187-91 (Sep 2009) ISSN: 1873-5150 [Electronic] United States
• PMID: 19664534 (Publication Type: Case Reports, Journal Article)

Chemical References

• MECP2 protein, human
• Methyl-CpG-Binding Protein 2

Topics

• Adolescent
• Adult
• Brain (abnormalities, pathology, physiopathology)
• Child
• Epilepsy (genetics, pathology, physiopathology)
• Family
• Gene Duplication
• Humans
• Magnetic Resonance Imaging
• Male
• Methyl-CpG-Binding Protein 2 (genetics)
• Nucleic Acid Amplification Techniques
• Seizures (genetics, pathology, physiopathology)
• Young Adult