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Rett Syndrome

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Atlas of Genetic Diagnosis and Counseling

Abstract

Rett syndrome (RTT), a neurodevelopmental disorder affecting girls almost exclusively, was first described by Rett (1966) in 1966. The disorder now bears his name and became widely known after a report of 35 cases by Hagberg et al. (1983). The prevalence is estimated to be 1/10,000–1/15,000 female births (Hagberg 1985); over 95 % of cases arise de novo due to the fact that most females with Rett syndrome do not reproduce. Rett syndrome is considered to be one of the most common genetic causes of mental retardation in girls, second only to Down syndrome.

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References

  • Amir, R. E., & Zoghbi, H. Y. (2000). Rett syndrome: Methyl-CpG-binding protein 2 mutations and phenotype-genotype correlations. American Journal of Medical Genetics, 97(2), 147–152.

    Article  CAS  PubMed  Google Scholar 

  • Amir, R. E., Van den Veyver, I. B., Wan, M., et al. (1999). Rett syndrome is caused by mutations in X-linked MECP2, encoding methyl-CpG-binding protein 2. Nature Genetics, 23, 185–188.

    Article  CAS  PubMed  Google Scholar 

  • Amir, R. E., Van den Veyver, I. B., Schultz, R., et al. (2000). Influence of mutation type and X chromosome inactivation on Rett syndrome phenotypes. Annals of Neurology, 47, 670–679.

    Article  CAS  PubMed  Google Scholar 

  • Anderson, A., Wong, K., Jacoby, P., et al. (2014). Twenty years of surveillance in Rett syndrome: What does this tell us? Orphanet Journal of Rare Diseases, 9, 1–9.

    Article  Google Scholar 

  • Ariani, F., Hayek, G., Rondinella, D., et al. (2008). FOXG1 is responsible for the congenital variant of Rett syndrome. American Journal of Human Genetics, 83, 89–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Auranen, M., Vanhala, R., Vosman, M., et al. (2001). MECP2 gene analysis in classical Rett syndrome and in patients with Rett-like features. Neurology, 56, 611–617.

    Article  CAS  PubMed  Google Scholar 

  • Bahi-Buisson, N., Nectoux, J., Girard, B., et al. (2010). Revisiting the phenotype associated with FOXG1 mutations: Two novel cases of congenital Rett variant. Neurogenetics, 11, 241–249.

    Article  CAS  PubMed  Google Scholar 

  • Bienvenu, T., Carrie, A., de Roux, N., et al. (2000). MECP2 mutations account for most cases of typical forms of Rett syndrome. Human Molecular Genetics, 9, 1377–1384.

    Article  CAS  PubMed  Google Scholar 

  • Briggs, A. (2013). Primary care of a child with Rett syndrome. Journal of American Association of Nurse Practitioners, 26, 471–480.

    Article  Google Scholar 

  • Budden, S. S. (1997). Rett syndrome: Habilitation and management reviewed. European Child & Adolescent Psychiatry, 6(Suppl 1), 103–107.

    Google Scholar 

  • Buyse, I. M., Fang, P., Hoon, K. T., et al. (2000). Diagnostic testing for Rett syndrome by DHPLC and direct sequencing analysis of the MeCP2 gene: Identification of several novel mutations and polymorphisms. American Journal of Human Genetics, 67, 1428–1436.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chahrour, M., & Zoghbi, H. Y. (2007). The story of Rett syndrome: From clinic to neurobiology. Neuron, 56, 422–437.

    Article  CAS  PubMed  Google Scholar 

  • Christodoulou, J., & Ho, G. (2012). MECP2-related disorders. GeneReviews. Updated 28 June 2012. Available at: http://www.ncbi.nlm.nih.gov/books/NBK1497/

  • Clarke, A. (1996). Rett syndrome. Journal of Medical Genetics, 33, 693–699.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Clayton-Smith, J., Watson, P., Ramsden, S., et al. (2000). Somatic mutation in MECP2 as a non-fatal neurodevelopmental disorder in males. Lancet, 356, 830–832.

    Article  CAS  PubMed  Google Scholar 

  • De Bona, C., Zappella, M., Hayek, G., et al. (2000). Preserved speech variant is allelic of classic Rett syndrome. European Journal of Human Genetics, 8, 325–330.

    Article  PubMed  Google Scholar 

  • De Felice, C., Leoncini, S., Signorini, C., et al. (2016). Rett syndrome: An autoimmune disease? Autoimmunity Reviews, 15, 411–416.

    Article  PubMed  Google Scholar 

  • Dotti, M. T., Orrico, A., De Stefano, N., et al. (2002). A Rett syndrome MECP2 mutation that causes mental retardation in men. Neurology, 58, 226–230.

    Article  CAS  PubMed  Google Scholar 

  • Ellaway, C., & Christodoulou, J. (1999). Rett syndrome: Clinical update and review of recent genetic advances. Journal of Paediatrics and Child Health, 35, 419–426.

    Article  CAS  PubMed  Google Scholar 

  • Feldman, D., Banerjee, A., & Sur, M. (2016). Developmental dynamics of Rett syndrome. Neural Plasticity, 2016, 1–9.

    Article  Google Scholar 

  • Hagberg, B. (1985). Rett’s syndrome: Prevalence and impact on progressive severe mental retardation in girls. Acta Paediatrica Scandinavica, 74, 405–408.

    Article  CAS  PubMed  Google Scholar 

  • Hagberg, B. (1995). Clinical delineation of Rett syndrome variants. Neuropediatrics, 26, 62.

    Article  CAS  PubMed  Google Scholar 

  • Hagberg, B. A., & Skjeldal, O. H. (1994). Rett variants: A suggested model for inclusion criteria. Pediatric Neurology, 11, 5–11.

    Article  CAS  PubMed  Google Scholar 

  • Hagberg, B., Aicardi, J., Dias, K., et al. (1983). A progressive syndrome of autism, dementia, ataxia, and loss of purposeful hand use in girls: Rett’s syndrome: Report of 35 cases. Annals of Neurology, 14, 471–479.

    Article  CAS  PubMed  Google Scholar 

  • Hagberg, B., Hanefeld, F., Percy, A., et al. (2002). An update on clinically applicable diagnostic criteria in Rett syndrome. Comments to Rett syndrome clinical criteria consensus panel satellite to European Paediatric Neurology Society meeting, Baden, Germany, 11 September 2001. European Journal of Paediatric Neurology, 6, 293–297.

    Article  PubMed  Google Scholar 

  • Hampson, K., Woods, C. G., Latif, F., et al. (2000). Mutations in the MeCP2 gene in a cohort of girls with Rett syndrome. Journal of Medical Genetics, 37, 610–612.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Heilstedt, H. A., Shahbazian, M. D., & Lee, B. (2002). Infantile hypotonia as a presentation of Rett syndrome. American Journal of Medical Genetics, 111, 238–242.

    Article  PubMed  Google Scholar 

  • Hoffbuhr, K., Devaney, J. M., LaFleur, B., et al. (2001). MeCP2 mutations in children with and without the phenotype of Rett syndrome. Neurology, 56, 1486–1495.

    Article  CAS  PubMed  Google Scholar 

  • Huppke, P., Laccone, F., Kramer, N., et al. (2000). Rett syndrome: Analysis of MECP2 and clinical characterization of 31 patients. Human Molecular Genetics, 9, 1369–1375.

    Article  CAS  PubMed  Google Scholar 

  • Imessaoudene, B., Bonnefont, J. P., Royer, G., et al. (2001). MECP2 mutation in non-fatal, non-progressive encephalopathy in a male. Journal of Medical Genetics, 38, 171–174.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Jacob, F. D., Ramaswamy, V., Andersen, J., et al. (2009). Atypical Rett syndrome with selective FOXG1 deletion detected by comparative genomic hybridization: Case report and review of literature. European Journal of Human Genetics, 17, 1577–1581.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jan, M. M., Dooley, J. M., & Gordon, K. E. (1999). Male Rett syndrome variant: Application of diagnostic criteria. Pediatric Neurology, 20, 238–240.

    Article  CAS  PubMed  Google Scholar 

  • Jedele, K. B. (2007). The overlapping spectrum of Rett and Angelman syndromes: A clinical review. Seminars in Pediatric Neurology, 14, 108–117.

    Article  PubMed  Google Scholar 

  • Johnston, M., Blue, M. E., & Naidu, S. (2015). Recent advances in understanding synaptic abnormalities in Rett syndrome. F1000Research, 2015, 1–7.

    Google Scholar 

  • Julu, P. O., Witt Engerström, I., Hansen, S., et al. (2008). Clinical update addressing the cardiorespiratory challenges in medicine posed by Rett syndrome: The Frösö Declaration. Lancet, 371, 1981–1983.

    Article  PubMed  Google Scholar 

  • Killian, W. (1986). On the genetics of Rett syndrome: Analysis of family and pedigree data. American Journal of Medical Genetics. Supplement, 1, 369–376.

    Article  CAS  PubMed  Google Scholar 

  • Knight, V. M., Horn, P. S., gilbert, D. L., et al. (2016). The clinical predictors that facilitate a clinician’s decision to order genetic testing for Rett syndrome. Pediatric Neurology, 63, 66–70.

    Google Scholar 

  • Laccone, F., Zoll, B., Huppke, P., et al. (2002). MECP2 gene nucleotide changes and their pathogenicity in males: Proceed with caution. Journal of Medical Genetics, 39, 586–588.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lombroso, P. J. (2000). Genetics of childhood disorders: XIV. A gene for Rett syndrome: New flash. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 671–674.

    Article  CAS  PubMed  Google Scholar 

  • Mari, F., Caselli, R., Russo, S., et al. (2005). Germline mosaicism in Rett syndrome identified by prenatal diagnosis. Clinical Genetics, 67, 258–260.

    Article  CAS  PubMed  Google Scholar 

  • Meloni, I., Bruttini, M., Longo, I., et al. (2000). A mutation in the Rett syndrome gene, MECP2, causes X-linked mental retardation and progressive spasticity in males. American Journal of Human Genetics, 67, 982–985.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mencarelli, M. A., Spanhol-Rosseto, A., Artuso, R., et al. (2010). Novel FOXG1 mutations associated with the congenital variant of Rett syndrome. Journal of Medical Genetics, 47, 49–53.

    Article  CAS  PubMed  Google Scholar 

  • Moretti, P., & Zoghbi, H. Y. (2006). MeCP2 dysfunction in Rett syndrome and related disorders. Current Opinion in Genetics and Development, 16, 276–281.

    Article  PubMed  Google Scholar 

  • Naidu, S. (1997). Rett syndrome: A disorder affecting early brain growth. Annals of Neurology, 42, 3–10.

    Article  CAS  PubMed  Google Scholar 

  • Obata, K., Matsuishi, T., Yamashita, Y., et al. (2000). Mutation analysis of methyl-CpG binding protein 2 gene (MeCP2) in patients with Rett syndrome. Journal of Medical Genetics, 37, 608–610.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Orrico, A., Lam, C., Galli, L., et al. (2000). MECP2 mutation in male patients with non-specific mental retardation. FEBS Letters, 481, 285–288.

    Article  CAS  PubMed  Google Scholar 

  • Papa, F. T., Mencarelli, M. A., Caselli, R., et al. (2008). A 3 Mb deletion in 14q12 causes severe mental retardation, mild facial dysmorphisms and Rett-like features. American Journal of Medical Genetics A, 146A, 1994–1998.

    Article  CAS  Google Scholar 

  • Pecorelli, A., Cervellati, C., Hayek, J., et al. (2016). OxInflammation in Rett syndrome. International Journal of Biochemistry & Cell Biology, 14 July 2016 [Epub ahead of print].

    Google Scholar 

  • Percy, A. K. (1995). Rett syndrome. Current Opinion in Neurology, 8, 156–160.

    Article  CAS  PubMed  Google Scholar 

  • Ravin, K., Roende, G., Duno, M., et al. (2011). Two new Rett syndrome families and review of the literature: expanding the knowledge of MECP2 frameshift mutations. Orphanet Journal of Rare Diseases, 6, 1–8.

    Article  Google Scholar 

  • Rett, A. (1966). Über ein zerebral-atrophisches Syndrome bei Hyperammonemie. Vienna: Bruder Hollinek.

    Google Scholar 

  • Schwartzman, J. S., De Souza, A. M., Faiwichow, G., et al. (1998). Rett phenotype in patient with XXY karyotype: Case report. Arquivos de Neuro-Psiquiatria, 56, 824–828.

    Article  CAS  PubMed  Google Scholar 

  • Shahbazian, M. D., & Zoghbi, H. Y. (2001). Molecular genetics of Rett syndrome and clinical spectrum of MECP2 mutations. Current Opinion in Neurology, 14(2), 171–176.

    Article  CAS  PubMed  Google Scholar 

  • Singer, H. S., & Naidu, S. (2001). Rett syndrome “We’ll keep the genes on for you”. Neurology, 56, 582–584.

    Article  CAS  PubMed  Google Scholar 

  • Sirianni, N., Naidu, S., Pereira, J., et al. (1998). Rett syndrome: Confirmation of X-linked dominant inheritance, and localization of the gene to Xq28. American Journal of Human Genetics, 63, 1552–1558.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Smeets, E. E. J., Pelc, K., & Dan, B. (2011). Rett syndrome. Molecular Syndromology, 2, 113–127.

    Article  Google Scholar 

  • Strati, F., Cavalieri, D., Albanese, D., et al. (2016). Altered gut microbiota in Rett syndrome. Microbiome, 4, 1–15.

    Article  Google Scholar 

  • Takahashi, S., Ohinata, J., Makita, Y., et al. (2008). Skewed X chromosome inactivation failed to explain the normal phenotype of a carrier female with MECP2 mutation resulting in Rett syndrome. Clinical Genetics, 73, 257–261.

    Article  CAS  PubMed  Google Scholar 

  • The Rett Syndrome Diagnostic Criteria Work Group. (1988). Diagnostic criteria for Rett syndrome. Annals of Neurology, 23, 425–428.

    Article  Google Scholar 

  • Trappe, R., Laccone, F., Cobilanschi, J., et al. (2001). MECP2 mutations in sporadic cases of Rett syndrome are almost exclusively of paternal origin. American Journal of Human Genetics, 68, 1093–1101.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Villard, L. (2007). MECP2 mutations in males [Review]. Journal of Medical Genetics, 4, 417–423.

    Article  Google Scholar 

  • Villard, L., Kpebe, A., Cardoso, C., et al. (2000). Two affected boys in a Rett syndrome family. Neurology, 55, 1188–1193.

    Article  CAS  PubMed  Google Scholar 

  • Wan, M., Lee, S. S., Zhang, X., et al. (1999). Rett syndrome and beyond: Recurrent spontaneous and familial MECP2 mutations at CpG hotspots. American Journal of Human Genetics, 65, 1520–1529.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Webb, T., & Latif, F. (2001). Rett syndrome and the MECP2 gene. Journal of Medical Genetics, 38, 217–223.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Webb, T., Clarke, A., Hanefeld, F., et al. (1998). Linkage analysis in Rett syndrome families suggests that there may be a critical region at Xq28. Journal of Medical Genetics, 35, 997–1003.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Williamson, S. L., & Christodoulou, J. (2006). Rett syndrome: New clinical and molecular insights. European Journal of Human Genetics, 14, 896–903.

    Article  CAS  PubMed  Google Scholar 

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Chen, H. (2016). Rett Syndrome. In: Atlas of Genetic Diagnosis and Counseling. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6430-3_202-2

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  • DOI: https://doi.org/10.1007/978-1-4614-6430-3_202-2

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