RT info:eu-repo/semantics/article T1 X chromosome inactivation does not necessarily determine the severity of the phenotype in Rett syndrome patients A1 Xiol, Clara A1 Vidal, Silvia A1 Pascual-Alonso, Ainhoa A1 Blasco, Laura A1 Brandi, Núria A1 Pacheco, Paola A1 Gerotina, Edgar A1 O’Callaghan, Mar A1 Pineda, Mercè A1 Armstrong, Judith A1 Aguirre, Francisco Javier A1 Aleu, Montserrat A1 Alonso, Xènia A1 Alsius, Mercè A1 Amorós, Maria Inmaculada A1 Antiñolo, Guillermo A1 Aquino, Lourdes A1 Arellano, Carmen A1 Arriola, Gema A1 Arteaga, Rosa A1 Baena, Neus A1 Barcos, Montserrat A1 Belzunces, Nuria A1 Boronat, Susana A1 Camacho, Tomás A1 Campistol, Jaume A1 Campo, Miguel del A1 Campo, Andrea A1 Candau, Ramon A1 Canós, Ignacio A1 Carrascosa, María del Carmen A1 Carratalá-Marco, Francisco A1 Casano, Jovaní A1 Castro, Pedro A1 Cobo, Ana A1 Colomer, Jaime A1 Conejo, David A1 Corrales, Maria José A1 Cortés, Rocío A1 Cruz, Gabriel A1 Csányi, Gábor A1 Santos, María Teresa de A1 Toledo, María de A1 Campo, Miguel Del A1 Toro, Mireia Del A1 Domingo, Rosario A1 Duat, Anna A1 Duque, Rosario A1 Esparza, Ana María A1 Fernández, Rosa A1 Fons, Maria Carme A1 Fontalba, Ana A1 Galán, Enrique A1 Gallano, Pia A1 Gamundi, María José A1 García, Pedro Luis A1 García, María del Mar A1 García-Barcina, María A1 Garcia-Catalan, María Jesús A1 García Cazorla, Àngels A1 García-Miñaur, Sixto A1 Garcia-Peñas, Juan Jose A1 García-Silva, María Teresa A1 Gassio, Rosa A1 Geán, Esther A1 Gil, Belén A1 Gökben, Sarenur A1 Gonzalez, Luis A1 Gonzalez, Veronica A1 Gonzalez, Julieta A1 González, Gloria A1 Guillén, Encarna A1 Guitart, Miriam A1 Guitet, Montserrat A1 Gutierrez, Juan Manuel A1 Gutiérrez, Eva A1 Herranz, Jose Luís A1 Iglesias, Gemma A1 Karacic, Iva A1 Lahoz, Carlos H. A1 Lao, José Ignacio A1 Lapunzina, Pablo A1 Lautre-Ecenarro, María Jesús A1 Lluch, María Dolores A1 López, Laura A1 López-Ariztegui, Asunción A1 Macaya, Alfons A1 Marín, Rosario A1 Marquez, Charles M. Lourenço A1 Martín, Elena A1 Martínez, Beatriz A1 Martínez-Salcedo, Eduardo A1 Mas, María José A1 Mateo, Gonzalo A1 Mendez, Pilar A1 Jimenez, Amparo Morant A1 Moreno, Sira A1 Mulas, Fernando A1 Narbona, Juan A1 Nascimento, Andrés A1 Nieto, Manuel A1 Nunes, Tania Fabiola A1 Núñez, Núria A1 Obón, María A1 Onsurbe, Ignacio A1 Ortez, Carlos Ignacio A1 Orts, Emilio A1 Martinez, Francisco A1 Parrilla, Rafael A1 Pascual, Samuel Ignacio A1 Patiño, Ana A1 Pérez-Poyato, Maria A1 Pérez-Dueñas, Belén A1 Póo, Pilar A1 Puche, Eliodoro A1 Ramos, Feliciano A1 Raspall, Miquel A1 Roche, Ana A1 Roldan, Susana A1 Rosell, Jordi A1 Ruiz, Cesar A1 Ruiz-Falcó, María Luz A1 Russi, Maria Eugenia A1 Samarra, Jordi A1 Antonio, Victoria San A1 Sanchez, Ivan A1 Sanmartin, Xavier A1 Sans, Ana A1 Santacana, Alfredo A1 Scholl-Bürgi, Sabine A1 Serrano, Nuria A1 Serrano, Mercedes A1 Martin-Tamayo, Pilar A1 Tendero, Adrián A1 Torrents, Jaime A1 Tortosa, Diego A1 Triviño, Emma A1 Troncoso, Ledia A1 Turón, Eulàlia A1 Vázquez, Pilar A1 Vázquez, Carlos A1 Velázquez, Ramón A1 Ventura, Clara A1 Verdú, Alfonso A1 Vernet, Anna A1 Vila, M. Tomás A1 Villar, Cristina AB Rett syndrome (RTT) is a severe neurological disorder usually caused by mutations in the MECP2 gene. Since the MECP2 gene is located on the X chromosome, X chromosome inactivation (XCI) could play a role in the wide range of phenotypic variation of RTT patients; however, classical methylation-based protocols to evaluate XCI could not determine whether the preferentially inactivated X chromosome carried the mutant or the wild-type allele. Therefore, we developed an allele-specifc methylation-based assay to evaluate methylation at the loci of several recurrent MECP2 mutations. We analyzed the XCIpatterns in the blood of 174 RTT patients, but we did not fnd a clear correlation between XCI and the clinical presentation. We also compared XCI in blood and brain cortex samples of two patients and found diferences between XCI patterns in these tissues. However, RTT mainly being a neurological disease complicates the establishment of a correlation between the XCI in blood and the clinical presentation of the patients. Furthermore, we analyzed MECP2 transcript levels and found diferences from the expected levels according to XCI. Many factors other than XCI could afect the RTT phenotype, which in combination could infuence the clinical presentation of RTT patients to a greater extent than slight variations in the XCI pattern PB Nature YR 2019 FD 2019 LK https://uvadoc.uva.es/handle/10324/64713 UL https://uvadoc.uva.es/handle/10324/64713 LA spa NO Scientific Reports. 2019; 19;9 (1):11983 NO Producción Científica DS UVaDOC RD 26-oct-2025