MECP2

protein-coding

methyl-CpG binding protein 2, the group of Methyl-CpG binding domain containing

Gene summary

DNA methylation is the major modification of eukaryotic genomes and plays an essential role in mammalian development. Human proteins MECP2, MBD1, MBD2, MBD3, and MBD4 comprise a family of nuclear proteins related by the presence in each of a methyl-CpG binding domain (MBD). Each of these proteins, with the exception of MBD3, is capable of binding specifically to methylated DNA. MECP2, MBD1 and MBD2 can also repress transcription from methylated gene promoters. In contrast to other MBD family members, MECP2 is X-linked and subject to X inactivation. MECP2 is dispensible in stem cells, but is essential for embryonic development. MECP2 gene mutations are the cause of most cases of Rett syndrome, a progressive neurologic developmental disorder and one of the most common causes of cognitive disability in females. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Oct 2015]

Previous symbols:
  • RTT
  • MRX16
  • MRX79

MANE transcript

NM_001110792.2

Inheritance

XL, AD

ClinVar variants

P:818U:430B:534

Top phenotype

Rett syndrome

gnomAD constraint

pLI —, LoF o/e 0.09

Max pathogenic AF

—

Genomic locus

chrX:154,021,573-154,137,103

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~115.5 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Rett syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010726

Submitter: G2P

severe neonatal-onset encephalopathy with microcephalyDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010397

Submitter: G2P

syndromic X-linked intellectual disability Lubs typeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010283

Submitter: G2P

Rett syndromeSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010726

Submitter: Labcorp Genetics (formerly Invitae)

atypical Rett syndromeSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0017746

Submitter: Orphanet

systemic lupus erythematosusSUPPORTIVE

Inheritance Pattern: Unknown

Disease ID:MONDO:0007915

Submitter: Orphanet

Rett syndromeSUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010726

Submitter: Orphanet

non-syndromic X-linked intellectual disabilitySUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0019181

Submitter: Orphanet

Rett syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010726

Submitter: ClinGen

MECP2 was discovered as the causative gene of Rett syndrome in 1999, and since then over 4,600 MECP2 variants have been identified (Wan et al. 1999, Bienvenu et al. 2000, Krishnaraj et al. 2017). MECP2-associated Rett syndrome is an X-linked dominant disease affecting primarily females. Rett syndrome is characterized by normal development during the first 6-18 months of life followed by a phase of rapid regression in language and motor skills followed by long-term stability. Other features include stereotypic hand movements, fits of screaming and crying, autistic features, panic-like attacks, bruxism, apnea, gait ataxia, tremors, seizures, and acquired microcephaly. The majority of MECP2 variants arise de novo, however some instances of maternal germline mosaicism have been described (Amir et al. 1999, Venancio et al. 2007). The majority of de novo variants are paternal in origin (Zhang 2012), and in such families only females would be affected. However, some males hemizygous for MECP2 variants are viable and have severe neonatal encephalopathy and intellectual disability. Many mouse models of MECP2-deficiency have phenotypic features consistent with Rett syndrome (Chen et al. 2001, Guy et al. 2001, Shahbazian et al. 2002, Guy et al. 2007, McGraw et al. 2011). In summary, MECP2 is definitively associated with Rett syndrome in an X-linked dominant manner. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. More information can be found at GeneReviews (https://www.ncbi.nlm.nih.gov/books/NBK1497/)

X-linked intellectual disability-psychosis-macroorchidism syndromeSUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010235

Submitter: Orphanet

Rett syndromeDEFINITIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010726

Submitter: Ambry Genetics

severe neonatal-onset encephalopathy with microcephalySUPPORTIVE

Inheritance Pattern: XL

Disease ID:MONDO:0010397

Submitter: Orphanet

Rett syndromeSTRONG

Inheritance Pattern: XL

Disease ID:MONDO:0010726

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Rett syndromeXL

Manifestation: Neurologic

Intervention: Neurologic

Rationale: Medical management (with trofinetide) has been shown to be beneficial related to neurological outcomes

Refs: 5300597; 8651288; 9377804; 9326329; 9637791; 10508514; 10232754; 10398236; 10577905; 10986043; 11106359; 12615169; 11071498; 11022934; 11768391; 11309367; 11402105; 11746022; 11913564; 11930274; 11807877; 11885030; 12325019; 12615169; 12770674; 14598336; 12615169; 12615169; 15034579; 16077729; 15689435; 16080119; 17172942; 16965328; 17088400; 16690727; 16832102; 17712354; 17351020; 18477000; 18989701; 19194883; 18985075; 19365833; 20035514; 20425814; 21154482; 21104896; 22415763; 22578097; 22581587; 28964591; 30918097Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to MECP2 variants in ClinVar

69 Conditions Cataloged
Severe neonatal-onset encephalopathy with microcephalyTotal: 1043
Rett syndromeTotal: 977
not providedTotal: 670
MECP2-related disorderTotal: 253
not specifiedTotal: 248
Inborn genetic diseasesTotal: 197
X-linked intellectual disability-psychosis-macroorchidism syndromeTotal: 105
Autism, susceptibility to, X-linked 3Total: 67

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001110792.2. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
6
clinvar
1
clinvar
19
clinvar
287
clinvar
32
clinvar
345
missense
65
clinvar
113
clinvar
376
clinvar
138
clinvar
76
clinvar
768
nonsense
61
clinvar
20
clinvar
3
clinvar
84
start loss
2
clinvar
3
clinvar
1
clinvar
6
frameshift
347
clinvar
185
clinvar
27
clinvar
1
clinvar
560
splice donor/acceptor (+/-2bp)
11
clinvar
4
clinvar
4
clinvar
19
Total4923264304261081782

Highest pathogenic variant AF is 0.00003985139

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 36 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001110792.2RefSeqNP_001104262.13MANE Select
ENST00000453960.7EnsemblENSP00000395535.23MANE Select
NM_001316337.2RefSeqNP_001303266.12Standard
NM_001369391.2RefSeqNP_001356320.12Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
mecp2Danio rerio

Structure: neutrophil

Quality: increased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Ectoderm Differentiation
  • MECP2 and Associated Rett Syndrome
  • Lung fibrosis
  • HDAC6 interactions
  • Sudden Infant Death Syndrome (SIDS) Susceptibility Pathways

Biological Process

  • negative regulation of transcription by RNA polymerase II
  • behavioral fear response
  • response to hypoxia
  • startle response
  • neurological system process involved in regulation of systemic arterial blood pressure

Molecular Function

  • DNA-binding transcription repressor activity, RNA polymerase II-specific
  • DNA binding
  • transcription corepressor activity
  • RNA binding
  • mRNA binding

Cellular Component

  • chromatin
  • heterochromatin
  • extracellular space
  • nucleus
  • nucleoplasm

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000453960
Coding exons
3
Length
76189
Individuals with no LoFs
125098
Homozygous LoFs
3
Heterozygous LoFs
6
Defined
125107
p
0.0000360
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-1.212812291.230.00002083187
Missense (PolyPhen)4380.0970.536851003
Synonymous-7.9519696.62.030.000009081067
Loss of Function2.89111.70.08580.00000111209

Population LoF Frequency

PopulationCAFp-valueStatus
African0.0000850.000062rare
Latino/Admixed American0.0000730.000058rare
Ashkenazi Jewish00.0absent
East Asian0.0000740.000054rare
Finnish00.0absent
European (Non-Finnish)0.0000640.000035rare
South Asian00.0absent
Other0.000230.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Chromosomal protein that binds to methylated DNA. It can bind specifically to a single methyl-CpG pair. It is not influenced by sequences flanking the methyl-CpGs. Mediates transcriptional repression through interaction with histone deacetylase and the corepressor SIN3A. Binds both 5-methylcytosine (5mC) and 5-hydroxymethylcytosine (5hmC)-containing DNA, with a preference for 5-methylcytosine (5mC). {ECO:0000250|UniProtKB:Q9Z2D6}.;
Disease
DISEASE: Angelman syndrome (AS) [MIM:105830]: A neurodevelopmental disorder characterized by severe motor and intellectual retardation, ataxia, frequent jerky limb movements and flapping of the arms and hands, hypotonia, seizures, absence of speech, frequent smiling and episodes of paroxysmal laughter, open-mouthed expression revealing the tongue. {ECO:0000269|PubMed:11283202}. Note=The disease may be caused by mutations affecting the gene represented in this entry.; DISEASE: Mental retardation, X-linked, syndromic, 13 (MRXS13) [MIM:300055]: A disorder characterized by significantly below average general intellectual functioning associated with impairments in adaptive behavior and manifested during the developmental period. MRXS13 patients manifest mental retardation associated with other variable features such as spasticity, episodes of manic depressive psychosis, increased tone and macroorchidism. {ECO:0000269|PubMed:10986043, ECO:0000269|PubMed:11007980, ECO:0000269|PubMed:11309367, ECO:0000269|PubMed:11805248, ECO:0000269|PubMed:11885030, ECO:0000269|PubMed:12161600, ECO:0000269|PubMed:12325019, ECO:0000269|PubMed:12615169, ECO:0000269|PubMed:16966553, ECO:0000269|PubMed:17296936}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Rett syndrome (RTT) [MIM:312750]: An X-linked dominant neurodevelopmental disorder, and one of the most common causes of mental retardation in females. Patients appear to develop normally until 6 to 18 months of age, then gradually lose speech and purposeful hand movements, and develop microcephaly, seizures, autism, ataxia, mental retardation and stereotypic hand movements. After initial regression, the condition stabilizes and patients usually survive into adulthood. {ECO:0000269|PubMed:10508514, ECO:0000269|PubMed:10577905, ECO:0000269|PubMed:10745042, ECO:0000269|PubMed:10767337, ECO:0000269|PubMed:10814719, ECO:0000269|PubMed:10944854, ECO:0000269|PubMed:10991688, ECO:0000269|PubMed:10991689, ECO:0000269|PubMed:11055898, ECO:0000269|PubMed:11241840, ECO:0000269|PubMed:11269512, ECO:0000269|PubMed:11283202, ECO:0000269|PubMed:11376998, ECO:0000269|PubMed:11402105, ECO:0000269|PubMed:11706982, ECO:0000269|PubMed:11738883, ECO:0000269|PubMed:12161600, ECO:0000269|PubMed:12567420, ECO:0000269|PubMed:12966522, ECO:0000269|PubMed:12966523, ECO:0000269|PubMed:15034579, ECO:0000269|PubMed:15057977, ECO:0000269|PubMed:17296936, ECO:0000269|PubMed:23662938, ECO:0000269|PubMed:25818041, ECO:0000269|PubMed:26993267, ECO:0000269|PubMed:27864847, ECO:0000269|PubMed:28348241}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Autism, X-linked 3 (AUTSX3) [MIM:300496]: A complex multifactorial, pervasive developmental disorder characterized by impairments in reciprocal social interaction and communication, restricted and stereotyped patterns of interests and activities, and the presence of developmental abnormalities by 3 years of age. Most individuals with autism also manifest moderate mental retardation. {ECO:0000269|PubMed:12770674}. Note=The disease may be caused by mutations affecting the gene represented in this entry.; DISEASE: Encephalopathy, neonatal severe, due to MECP2 mutations (ENS-MECP2) [MIM:300673]: A neurodevelopmental disorder characterized by severe neonatal encephalopathy, developmental delay, mental retardation, microcephaly, seizures. Additional features include respiratory insufficiency and central hypoventilation, gastroesophageal reflux, axial hypotonia, hyperreflexia and dyskinetic movements. {ECO:0000269|PubMed:11238684}. Note=The disease is caused by mutations affecting the gene represented in this entry. The MECP2 gene is mutated in Rett syndrome, a severe neurodevelopmental disorder that almost always occurs in females. Although it was first thought that MECP2 mutations causing Rett syndrome were lethal in males, later reports identified a severe neonatal encephalopathy in surviving male sibs of patients with Rett syndrome. Additional reports have confirmed a severe phenotype in males with Rett syndrome-associated MECP2 mutations.; DISEASE: Mental retardation, X-linked, syndromic, Lubs type (MRXSL) [MIM:300260]: A disorder characterized by significantly below average general intellectual functioning associated with impairments in adaptive behavior and manifested during the developmental period. MRXSL patients manifest mental retardation associated with variable features. They include swallowing dysfunction and gastroesophageal reflux with secondary recurrent respiratory infections, hypotonia, mild myopathy and characteristic facies such as downslanting palpebral fissures, hypertelorism and a short nose with a low nasal bridge. {ECO:0000269|PubMed:16080119}. Note=The disease is caused by mutations affecting the gene represented in this entry. Increased dosage of MECP2 due to gene duplication appears to be responsible for the mental retardation phenotype.;

Recessive Scores

pRec
0.694

Intolerance Scores

LoFtool
0.00365
RVIS EVS
-0.89
RVIS percentile EVS
10.46

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.801

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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