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pmid7887418      Am+J+Hum+Genet 1995 ; 56 (3): 647-53
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  • Studies of X inactivation and isodisomy in twins provide further evidence that the X chromosome is not involved in Rett syndrome #MMPMID7887418
  • Migeon BR; Dunn MA; Thomas G; Schmeckpeper BJ; Naidu S
  • Am J Hum Genet 1995[Mar]; 56 (3): 647-53 PMID7887418show ga
  • Rett syndrome (RS), a progressive encephalopathy with onset in infancy, has been attributed to an X-linked mutation, mainly on the basis of its occurrence almost exclusively in females and its concordance in female MZ twins. The underlying mechanisms proposed are an X-linked dominant mutation with male lethality, uniparental disomy of the X chromosome, and/or some disturbance in the process of X inactivation leading to unequal distributions of cells expressing maternal or paternal alleles (referred to as a "nonrandom" or "skewed" pattern of X inactivation). To determine if the X chromosome is in fact involved in RS, we studied a group of affected females including three pairs of MZ twins, two concordant for RS and one uniquely discordant for RS. Analysis of X-inactivation patterns confirms the frequent nonrandom X inactivation previously observed in MZ twins but indicates that this is independent of RS. Analysis of 29 RS females reveals not one instance of uniparental X disomy, extending the observations previously reported. Therefore, our findings contribute no support for the hypothesis that RS is an X-linked disorder. Furthermore, the concordant phenotype in most MZ female twins with RS, which has not been observed in female twins with known X-linked mutations, argues against an X mutation.
  • |*Chromosome Aberrations[MESH]
  • |*Dosage Compensation, Genetic[MESH]
  • |*X Chromosome[MESH]
  • |Child[MESH]
  • |Diseases in Twins/*genetics[MESH]
  • |Female[MESH]
  • |Genetic Linkage[MESH]
  • |Genotype[MESH]
  • |Humans[MESH]
  • |Pedigree[MESH]
  • |Rett Syndrome/*genetics[MESH]


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