1 MECP2 Mutation Database - Data Entry Form (modified from the HUGO Mutation Database Initiative form at http://ariel.ucs.unimelb.edu.au:80/~cotton/entry.htm) Submitter Details Title: Family name: Given name: Address: Dept: Institution: Street Address: City: State: Postcode/Zipcode: Country: Email address: Fax number: Role: (eg clinician, lab scientist) Unpublished yes no (if published please provide citation) Citation : General Information Unique ID provided by database: Mutation associated with disease polymorphism not causing disease Tissue analysed: don't know (blood, muscle, etc.) Systematic name of variation (eg C473T): Base change type: base substitution duplication base(s) deletion unknown base(s) insertion complex Location: Exon intron 5' UTR 3' UTR Not within a known transcription unit Mutation Data Exon/intron no: For missense mutations original nucleotide For insertions or deletions First affected nucleotide (or starting nt): No. bases inserted or deleted: 25 or more nucleotides 5' of variation site: Reference subsequence: Variant subsequence: 25 or more nucleotides 3' of variation site: Detection method: mutated nucleotide Last affected nucleotide: MECP Mutation Entry Form Direct sequencing SSCP EMC DHPLC 2 PTT DGGE Heteroduplex analysis CCM other Detection conditions: 5’ primer: 3’ primer: PCR reagents (including buffer, MgCl2 concentration, dNTPs concentration, primer concentrations, amount of template used): PCR conditions: Electrophoresis conditions: Extent of DNA analyzed: (% coding seq., codon 2, 5'UTR, etc.): Effect on RNA Promoter activity Poly A addition splicing change no effect RNA stability unknown truncating deletion Effect on Protein Amino acid substitution truncating insertion no effect stop codon in-frame insertion unknown involves MBD more than one change In-frame deletion involves TRD Wild type amino acid(s): Mutated amino acid(s) (including new extension sequence(s)): First residue No. affected: Last residue No. affected: Position of any new termination codon: Quality Assurance Checklist for Mutation/Polymorphism Mutation/polymorphism found on repeat PCR sample (not an artifact) Yes No Not Checked Not Applicable Not Applicable Mutation segregates with trait (see clinical data checklist) Yes No Not Checked Parents, grandparents, siblings, or other family members checked for carrier status Yes No Not Checked Not Applicable Result if tested Other mutation found Yes on same allele (in cis) 50 (or other Yes No No ) normal chromosomes tested Not Checked Not known MECP Mutation Entry Form Yes No Result: not found in 3 Not Checked Not Applicable normal chromosomes X-inactivation studies performed Yes Result %/ % Source of DNA for testing blood No other X-inactivation studies performed in other relatives Yes Please give results Not known Not relevant please specify No Not known Information in other Databases Mutation in OMIM Yes Mutation in HGMD Yes Mutation in other database Yes No No No Accession No. Accession No. Accession No. Name of database Diagnostic Detection Methods (Has your group developed a diagnostic test for this mutation?) Yes No Diagnostic method technology (ASO, RFLP etc): Ability to perform tests for others: (list tests): Yes No Not Applicable Proband Clinical Data: Sex: male Phenotype occurrence: sporadic Phenotype classification: Rett syndrome Classical congenital onset atypical female familial not known not known “preserved speech variant” male variant Not Rett syndrome not known (Please elaborate) Other Comments: Thank you for completing this form. “forme fruste”