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Subclinical inflammatory status in Rett syndrome
Alessio Cortelazzo1, Claudio De Felice2, Roberto Guerranti3
1Child Neuropsychiatry Unit, University Hospital Azienda Ospedaliera Universitaria Senese (AOUS), Viale M. Bracci 16, 53100 Siena, Italy ; Department of Medical Biotechnologies, University of Siena, Via A. Moro 2, 53100 Siena, Italy.
Rett syndrome (RTT) patients show elevated erythrocyte sedimentation rates, indicating subclinical inflammation during the "pseudo-autistic" phase. This chronic inflammatory status correlates with the MECP2 gene mutation
Area of Science:
- Neuroscience
- Biochemistry
- Genetics
Background:
- Developmental cognitive impairment may stem from inflammation.
- Rett syndrome (RTT), a neurodevelopmental disorder, is primarily caused by MECP2 gene mutations.
Purpose of the Study:
- Investigate the acute phase response (APR) in stage II RTT patients.
- Analyze plasma APR in relation to different MECP2 mutation types.
Main Methods:
- Utilized routine hematology/clinical chemistry and proteomic 2-DE/MALDI-TOF analyses.
- Examined four major MECP2 gene mutation types: R306C, T158M, R168X, and large deletions.
Main Results:
- Elevated erythrocyte sedimentation rate (ESR) was observed in RTT patients (33.0 mm/h vs. 8.0 mm/h).
- C-reactive protein levels remained unchanged.
- Proteomic analysis identified 17 proteins with altered levels, primarily APR proteins, immune system proteins, and metabolic proteins.
- The extent of protein changes correlated with MECP2 mutation severity.
Conclusions:
- Revealed a subclinical chronic inflammatory status in the "pseudo-autistic" phase of RTT.
- This inflammation is linked to the severity of the MECP2 gene mutation.
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