MECP2
protein-codingmethyl-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]
- RTT
- MRX16
- MRX79
MANE transcript
Inheritance
ClinVar variants
Top phenotype
gnomAD constraint
Max pathogenic AF
Genomic locus
External References & Databases
Transcript & Mutation Effects
hg38 • Region Span ~115.5 kbGenCC Phenotypes & Disease Associations
Curated gene-disease validity assertions and inheritance patterns
Inheritance Pattern: XL
Disease ID:MONDO:0010726
Submitter: G2P
Inheritance Pattern: XL
Disease ID:MONDO:0010397
Submitter: G2P
Inheritance Pattern: XL
Disease ID:MONDO:0010283
Submitter: G2P
Inheritance Pattern: XL
Disease ID:MONDO:0010726
Submitter: Labcorp Genetics (formerly Invitae)
Inheritance Pattern: AD
Disease ID:MONDO:0017746
Submitter: Orphanet
Inheritance Pattern: Unknown
Disease ID:MONDO:0007915
Submitter: Orphanet
Inheritance Pattern: XL
Disease ID:MONDO:0010726
Submitter: Orphanet
Inheritance Pattern: XL
Disease ID:MONDO:0019181
Submitter: Orphanet
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/)
Inheritance Pattern: XL
Disease ID:MONDO:0010235
Submitter: Orphanet
Inheritance Pattern: XL
Disease ID:MONDO:0010726
Submitter: Ambry Genetics
Inheritance Pattern: XL
Disease ID:MONDO:0010397
Submitter: Orphanet
Inheritance Pattern: XL
Disease ID:MONDO:0010726
Submitter: PanelApp Australia
Clinical Genomic Database (CGD)
Manifestation: Neurologic
Intervention: Neurologic
Rationale: Medical management (with trofinetide) has been shown to be beneficial related to neurological outcomes
ClinVar Associated Diseases & Phenotypes
Reported disease conditions connected to MECP2 variants in ClinVar
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.
| Effect | PathogenicP | Likely pathogenicLP | VUS | Likely benignLB | BenignB | Sum |
|---|---|---|---|---|---|---|
| synonymous | 6 | 1 | 19 | 287 | 32 | 345 |
| missense | 65 | 113 | 376 | 138 | 76 | 768 |
| nonsense | 61 | 20 | 3 | 84 | ||
| start loss | 2 | 3 | 1 | 6 | ||
| frameshift | 347 | 185 | 27 | 1 | 560 | |
| splice donor/acceptor (+/-2bp) | 11 | 4 | 4 | 19 | ||
| Total | 492 | 326 | 430 | 426 | 108 | 1782 |
Highest pathogenic variant AF is 0.00003985139
Transcript Catalog
Annotated transcript isoforms across RefSeq and Ensembl databases
| Transcript ID | Source | Protein ID | Coding Exons | MANE Status |
|---|---|---|---|---|
| RefSeq | NP_001104262.1 | 3 | MANE Select | |
| Ensembl | ENSP00000395535.2 | 3 | MANE Select | |
| RefSeq | NP_001303266.1 | 2 | Standard | |
| RefSeq | NP_001356320.1 | 2 | Standard |
Model Organisms & Knockout Phenotypes
Observed phenotypic effects in mouse and zebrafish models
| Gene / Model | Organism | Observed Phenotype |
|---|---|---|
| mecp2 | Danio 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:
- 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-Score | Observed | Expected | Observed/Expected | Mutation Rate | Total Possible | |
|---|---|---|---|---|---|---|
| Missense | -1.21 | 281 | 229 | 1.23 | 0.0000208 | 3187 |
| Missense (PolyPhen) | 43 | 80.097 | 0.53685 | 1003 | ||
| Synonymous | -7.95 | 196 | 96.6 | 2.03 | 0.00000908 | 1067 |
| Loss of Function | 2.89 | 1 | 11.7 | 0.0858 | 0.00000111 | 209 |
Population LoF Frequency
| Population | CAF | p-value | Status |
|---|---|---|---|
| African | 0.000085 | 0.000062 | rare |
| Latino/Admixed American | 0.000073 | 0.000058 | rare |
| Ashkenazi Jewish | 0 | 0.0 | absent |
| East Asian | 0.000074 | 0.000054 | rare |
| Finnish | 0 | 0.0 | absent |
| European (Non-Finnish) | 0.000064 | 0.000035 | rare |
| South Asian | 0 | 0.0 | absent |
| Other | 0.00023 | 0.00016 | rare |
dbNSFP Gene Annotations
Source:
- 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
| All | Recessive | Dominant | |
|---|---|---|---|
| Mendelian | Medium | Medium | Medium |
| Primary Immunodeficiency | Medium | Medium | Medium |
| Cancer | Medium | Medium | Medium |