2008
DOI: 10.1212/01.wnl.0000304086.75913.b2
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The p.Val66Met polymorphism in the BDNF gene protects against early seizures in Rett syndrome

Abstract: Early onset of seizures is linked to the combined MECP2 and BDNF genotypes. The BDNF Met66 allele may protect against seizures, whereas missense mutations in the MBD of MECP2 are more frequently associated with early seizures.

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Cited by 48 publications
(46 citation statements)
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“…The distribution of the BDNF polymorphism variant was found to be similar to what has been previously reported in the literature in Caucasian populations 12 including a cohort of patients with Rett syndrome. 31 Both the type of mutation and degree of skewing of X-chromosome inactivation have an effect on RTT severity, including pattern of seizure onset 32 and frequency. 33 There were some differences in the distribution of mutations between the two case sources, e.g., the p.R270X mutation was more common in the Australian cohort, and C-terminal deletions were more common in the Israeli cohort.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The distribution of the BDNF polymorphism variant was found to be similar to what has been previously reported in the literature in Caucasian populations 12 including a cohort of patients with Rett syndrome. 31 Both the type of mutation and degree of skewing of X-chromosome inactivation have an effect on RTT severity, including pattern of seizure onset 32 and frequency. 33 There were some differences in the distribution of mutations between the two case sources, e.g., the p.R270X mutation was more common in the Australian cohort, and C-terminal deletions were more common in the Israeli cohort.…”
Section: Resultsmentioning
confidence: 99%
“…In a recent publication, 31 the effect of the common BDNF functional polymorphism was investigated in a cohort of 81 girls with various mutations looking at both a general score (using the Kerr scor- ing system 38 ) and also on 14 different clinical features separately (combining all mutations together). Although the authors did not find a significant relationship with the overall severity score, they did find that the BDNF genotype distribution tended to be different in the areas of hand skills and age at seizure onset (defined simply as a categorical variable, with early onset described as before 2 years of age).…”
Section: Resultsmentioning
confidence: 99%
“…However, the correlation between onset and severity of epilepsy and MeCP2 genotype in Rett syndrome patients is controversial. Although some studies report such a correlation (Jian et al, 2006;Nectoux et al, 2008), others do not (Nissenkorn et al, 2010).…”
Section: Comorbidity With Autismmentioning
confidence: 97%
“…Status epilepticus does not occur more often than in severely mentally retarded children in general. Recent research reveals that the brain-derived neurotropic factor (BDNF) Met66 allele acts as a protective factor against seizures whereas missense mutations in the methyl-binding domain of MECP2 are more frequently associated with early seizures [Nectoux et al, 2008]. Brainstem events may be confused with seizures or are difficult to interpret as such by parents and caretakers.…”
Section: Features Common In Rttmentioning
confidence: 99%