How to Cite this Article: Sanmann JN, Bishay DL, Starr LJ, Bell CA, Pickering DL, Stevens JM, Kahler SG, Olney AH, Schaefer GB, Sanger WG. 2012. Characterization of six patients with MECP2 duplications due to unbalanced rearrangements of the X chromosome. Am J Med Genet Part A. 158A:1285–1291.
Characterization of six novel patients with MECP2 duplications due to unbalanced rearrangements of the X chromosome†
Article first published online: 11 MAY 2012
Copyright © 2012 Wiley Periodicals, Inc.
American Journal of Medical Genetics Part A
Volume 158A, Issue 6, pages 1285–1291, June 2012
How to Cite
Sanmann, J. N., Bishay, D. L., Starr, L. J., Bell, C. A., Pickering, D. L., Stevens, J. M., Kahler, S. G., Olney, A. H., Schaefer, G. B. and Sanger, W. G. (2012), Characterization of six novel patients with MECP2 duplications due to unbalanced rearrangements of the X chromosome. Am. J. Med. Genet., 158A: 1285–1291. doi: 10.1002/ajmg.a.35347
- Issue published online: 17 MAY 2012
- Article first published online: 11 MAY 2012
- Manuscript Accepted: 25 JAN 2012
- Manuscript Received: 22 AUG 2011
- methyl CpG-binding protein 2 (MECP2);
- X chromosome;
Males with duplication of the Xq28 region, including methyl CpG-binding protein 2 (MECP2), exhibit a characteristic phenotype, including developmental delay, intellectual disability, limited or absent speech, limited or absent ambulation, and recurrent respiratory infections. We report six males with MECP2 duplications identified using array comparative genomic hybridization. The minimal sizes of these duplications range from ∼0.08 to 14.13 Mb, which, to the best of our knowledge, are respectively the smallest and largest minimal size duplications molecularly characterized to date. Adjunct metaphase fluorescence in situ hybridization analysis further classified these duplications as tandem or as products of complex chromosomal rearrangements. Specifically, one complex rearrangement was described as a der(12)t(X;12)(q28;q24.33), which is the first report of a translocation involving MECP2 on Xq and chromosome 12. The other complex rearrangement was described as a rec(X)dup(Xq)inv(X)(p22.32q28)mat. Synthesis of the dysmorphic features identified in individuals with rec(X) chromosomes, including deletions in the pseudoautosomal region 1 (PAR1) at Xp22.33/Yp11.3 and duplications of the distal Xq region including MECP2, revealed a high prevalence of undescended testes (7/8) and micropenis (3/8) in this cohort. Given that micropenis is rare in the general population, but present in 38% of individuals in this cohort, a dosage anomaly at one or both loci may be a significant risk factor for this condition. Therefore, we recommend microarray testing for patients with unexplained micropenis, particularly when accompanied by other phenotypic anomalies. © 2012 Wiley Periodicals, Inc.