Published March 30, 2023 | Version v1
Journal Open

Rett Syndrome in India: demographics, clinical features, and genetic profile of 6 Rett Syndrome cases as part of "Genetics in Autism" research study

Description

Rett syndrome is a complex neurodevelopmental  disorder,  caused  by  mutations  in  MECP2  gene.  

At present, around 900 different variations, both  benign  and  pathogenic  of  the  gene  are  known.  

Different  mutations  can  lead  to  variable  levels  of  severity,  different  clinical  features  and  may  

be associated with variable demographic profile.  We present here a case study of 6 Rett Syndrome  

cases,  a  part  of  "Genetics  in  Autism"  research  study and their genotype-phenotype profile. The  

study  includes  two  novel  variants,  c.23_27del  in  exon1  and  c.538C>T  variant  (male  mosaic)  

known  in  females  but  not  in  males.  Although  it  is  a  small  sample  size,  the  study  highlights  

the  importance  of  genetic  tests  and  counselling  in  children  with  features  of  autism  spectrum  

disorder. 

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Additional details

Dates

Accepted
2022-10-19

References

  • 1. U.S. Department of Health and Human Services. (n.d.). What causes Rett Syndrome? Eunice Kennedy Shriver National Institute of Child Health and Human Development. Retrieved November 29, 2021, from https://www.nichd.nih.gov/health/topics/rett/ conditioninfo/causes. 2. Townend, Gillian S et al. "MECP2 variation in Rett syndrome-An overview of current coverage of genetic and phenotype data within existing databases." Human mutation vol. 39,7 (2018): 914-924. doi:10.1002/humu.23542 3. Kyle, Stephanie M et al. "Rett syndrome: a neurological disorder with metabolic components." Open biology vol. 8,2 (2018): 170216. doi:10.1098/rsob.170216 4. "Rett Syndrome." Mayo Clinic, Mayo Foundation for Medical Education and Research, 11 Oct. 2018, https://www.mayoclinic. org/diseases-conditions/rett-syndrome/symptoms-causes/syc-20377227. 5. "Rett Syndrome and the DSM V." Rett Syndrome News, Rett Syndrome Research Trust, 18 Dec. 2020, https://rettnews.org/ articles/rett-syndrome-dsm-v/. 6. Das, Dhanjit Kumar et al. "Spectrum of MECP2 gene mutations in a cohort of Indian patients with Rett syndrome: report of two novel mutations." Gene vol. 515,1 (2013): 78-83. doi:10.1016/j.gene.2012.11.024 7. Boys with Rett. International Rett Syndrome Foundation. (2021, May 13). Retrieved November 10, 2021, from https://www. rettsyndrome.org/about-rett-syndrome/boys-with-rett 8. Geetha, Bharathi et al. "Autism in India: a case-control study to understand the association between socio-economic and environmental risk factors." Acta neurologica Belgica vol. 119,3 (2019): 393-401. doi:10.1007/s13760-018-01057-4