Expanding phenotype of p.Ala140Val mutation in MECP2 in a 4 generation family with X-linked intellectual disability and spasticity

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• 作者：Sophie Lambert^a ; ^b ; Isabelle Maystadt^b ; ^c ; Sé ; bastien Boulanger^b ; Pascal Vrielynck^d ; Anne Destré ; e^b ; Damien Lederer^b ; Sté ; phanie Moortgat^b ; ^{stephanie.moortgat@ipg.be" class="auth_mail" title="E-mail the corresponding author}
• 关键词：X-linked intellectual disability ; MECP2 gene ; Rett syndrome ; Angelman-like phenotype ; PPM-X syndrome
• 刊名：European Journal of Medical Genetics
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：59
• 期：10
• 页码：522-525
• 全文大小：746 K

文摘

Mutations in MECP2 (MIM #312750), located on Xq28 and encoding a methyl CpG binding protein, are classically associated with Rett syndrome in female patients, with a lethal effect in hemizygous males. However, MECP2 mutations have already been reported in surviving males with severe neonatal-onset encephalopathy, or with X-linked intellectual disability associated with psychosis, pyramidal signs, parkinsonian features and macro-orchidism (PPM-X syndrome; MIM3 #300055).

Here we report on the identification of the p.Ala140Val mutation in the MECP2 gene in 4 males and 3 females of a large Caucasian family affected with X-linked intellectual disability. Females present with mild cognitive impairment and speech difficulties. Males have moderate intellectual disability, impaired language development, friendly behavior, slowly progressive spastic paraparesis and dystonic movements of the hands. Two of them show microcephaly.

The p.Ala140Val mutation is recurrent, as it was already described in 4 families with X-linked mental retardation and in three sporadic male patients with intellectual disability. We further delineate the phenotype associated with the p.Ala140Val mutation, illustrating a variable expressivity even within a given family, and we compare our patients with previous reported cases in the literature.