Gene
MECP2
methyl-CpG binding protein 2
- HGNC 6990↗(opens in a new tab)
- Ensembl gene ENSG00000169057↗(opens in a new tab)
- NCBI Gene 4204↗(opens in a new tab)
Summary
- Cytogenetic location
- Xq28
- Coordinates
- Chromosome X: 154,021,573–154,097,717 (GRCh38)
- Exons
- 3 exons across 76.1 kb
- Protein
- 498 amino acids
- Inheritance
- X-linked dominant X-linked recessive
- Previous symbols
- RTT, MRX16, MRX79
- MANE Select transcript
- ENST00000453960.7NM_001110792.2
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Get my Genome TestCurated reports relevant to this gene
Rett Syndrome and MECP2-Related Disorders
- Rett SyndromeX-linked dominant
A neurodevelopmental disorder caused by MECP2 variants, usually new (de novo), with regression of language and hand skills, stereotyped hand movements, breathing irregularities and seizures.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Multidisciplinary care including seizure, breathing, scoliosis and nutrition management; trofinetide is FDA-approved for Rett syndrome.
- MECP2 Duplication Syndrome (Lubs Type X-Linked Intellectual Disability)X-linked recessive
An X-linked disorder mainly affecting boys, caused by duplication of MECP2, with intellectual disability, low muscle tone, seizures and recurrent infections.
- 1 GenCC submitter rates it definitive or strong
What knowing changes
Seizure and infection management and genetic counselling for mothers, who are often unaffected carriers.
- Severe Neonatal-Onset Encephalopathy with Microcephaly (MECP2)
A severe early-onset encephalopathy in boys caused by MECP2 variants, with small head size, breathing problems and seizures.
- 1 GenCC submitter rates it definitive or strong
Broader groupings
Epilepsy (Full Panel)
- Epilepsy
One of 171 genes linked to it
A brain disorder characterized by episodes of abnormally increased neuronal discharge resulting in transient episodes of sensory or motor neurological dysfunction, or psychic dysfunction. These episodes may or may not be associated with loss of consciousness or convulsions.
- 1 GenCC submitter rates it definitive or strong
Intellectual Disability
One of 233 genes linked to it
- 1 GenCC submitter rates it definitive or strong
Inheritance
- X-linked dominant
- The change is on the X chromosome, and one copy is enough. A mother who has it passes it on to each child with a one-in-two chance; a father, to all of his daughters and none of his sons.
- X-linked recessive
- The change is on the X chromosome, so one copy affects males, who have one X, while females with one are usually carriers. A carrier mother passes it on to each child with a one-in-two chance.
How MECP2 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
- Variants with a page
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 10.3 kb of the gene's 76.1 kb; 1,497 of those bases code for the protein.
How a genome test reads MECP2
460
positions in MECP2 where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 76.1 kb of MECP2, introns included, not only the 10.3 kb of exons.
Variants with a page (45)
The MECP2 variants with a page here, most review stars first. Each page describes ClinVar's public record of the variant, never a result.
| Variant | HGVS c. | Exon or intron | Position (GRCh38) | ClinVar classification | Review status |
|---|---|---|---|---|---|
| A143D | c.428C>A | Exon 3 | 154,031,436 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| A291V | c.872C>T | Exon 3 | 154,030,992 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| c.1A>T | Exon 1 | 154,097,665 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.62+1G>A | Intron 1 | 154,097,603 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.62+2T>G | Intron 1 | 154,097,602 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.408G>T | Exon 2 | 154,032,212 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| c.414-3C>G | Intron 2 | 154,031,453 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel | |
| D163G | c.488A>G | Exon 3 | 154,031,376 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| D168G | c.503A>G | Exon 3 | 154,031,361 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| F169I | c.505T>A | Exon 3 | 154,031,359 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
Genes linked to the same conditions
- ARHGEF9Cdc42 guanine nucleotide exchange factor 9Shares 2 conditions
- ATP6AP2ATPase H+ transporting accessory protein 2Shares 2 conditions
- FGF13fibroblast growth factor 13Shares 2 conditions
- GRIN1glutamate ionotropic receptor NMDA type subunit 1Shares 2 conditions
- GRIN2Bglutamate ionotropic receptor NMDA type subunit 2BShares 2 conditions
- NACC1nucleus accumbens associated 1Shares 2 conditions
- NUS1NUS1 dehydrodolichyl diphosphate synthase subunitShares 2 conditions
- OTUD6BOTU deubiquitinase 6BShares 2 conditions
- PCDH19protocadherin 19Shares 2 conditions
- SCN2Asodium voltage-gated channel alpha subunit 2Shares 2 conditions
- SEMA6Bsemaphorin 6BShares 2 conditions
- ST3GAL3ST3 beta-galactoside alpha-2,3-sialyltransferase 3Shares 2 conditions
Traits linked to MECP2
The Human Phenotype Ontology lists these as features of the rare conditions MECP2 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Absent speech development
- Apraxia
- Brief seizures with staring spells
- Delayed ability to roll over
- Delayed ability to sit
- Delayed ability to walk
- Delayed speech and language development
- Dystonia
Show 95 more traits
- Encephalopathy
- Epilepsy
- Global developmental delay
- Intellectual disability
- Intellectual disability, mild
- Intellectual disability, severe
- IQ less than 20
- Loss of developmental milestones
- Persistent head lag
- Poor eye contact
- Progressive degeneration of movement
- Repeated seizures without recovery between them
- Repetitive compulsive behavior
- Resting tremor
- Restlessness
- Severe global developmental delay
- Slow movements
- Stereotypical hand wringing
- Tonic seizure
- Abnormal gait
- Abnormal speech pattern
- Abnormality of movement
- Agitation
- Autism spectrum disorder
- Chorea
- Difficulty sleeping
- EEG abnormality
- Hyperactive deep tendon reflexes
- Involuntary movements
- Irritability
- Loss of acquired spoken language
- Loss of speech
- More active than typical
- Progressive language deterioration
- Recurrent hand flapping
- Repetitive movements
- Aggressive behavior
- Anxiety
- Bipolar disorder
- Choreoathetosis
- EEG with focal slow activity
- EEG with generalized slow activity
- Focal EEG discharges with secondary generalization
- Grand mal seizures
- Hand apraxia
- Inability to coordinate movements when walking
- Inability to speak
- Inability to walk
- IQ between 34 and 49
- Limb apraxia
- Limb myoclonus
- Loss of ability to walk
- Loss of acquired purposeful hand skills
- Neonatal seizure
- Overactive lower leg reflex
- Pain insensitivity
- Poor social interactions
- Restrictive behavior
- Teeth grinding
- Tongue thrusting
- Tremor
- Abnormal autonomic nervous system physiology
- Abnormal fear-induced behavior
- Can't control feelings
- Degeneration of cerebrum
- Delayed motor skills
- Depression
- Developmental stagnation
- Generalized myoclonic seizure
- Impaired pain sensation
- Inappropriate crying
- Inappropriate laughter
- Infantile spasms
- More grooves in brain
- Multifocal epileptiform discharges
- Panic attack
- Parkinsonism
- Pill-rolling tremor
- Psychosis
- Shuffled walk
- Stooped posture
- Wide based walk
- Ataxia
- Autism
- Babinski sign
- Boiling mad
- Decrease in size of the outer layer of the brain due to loss of brain cells
- Gait apraxia
- Impaired use of nonverbal behaviors
- Increased reflexes
- Inflexible adherence to routines
- Instability or lack of coordination of central trunk muscles
- Jerking
- Lack of peer relationships
- Lack of spontaneous play
Abnormality of head or neck
- Abnormally small head
- Decreased facial muscle tone
- Drooling
- Zygomatic flattening
- Drooping lower lip
- Eye folds
- Narrow opening between the eyelids
- Progressively abnormally small cranium
Show 23 more traits
- Tented mouth
- Development of small head that was not present at birth
- Midface retrusion
- Abnormal color of the oral mucosa
- Abnormality of salivation
- Big calvaria
- Broad head shape
- High palate
- Inflammation of the lips
- Mouth sore
- Nasal tip, upturned
- Prominent nasal bridge
- Upward slanting of the opening between the eyelids
- Wide nasal bridge
- Widely spaced teeth
- Small head present at birth
- Abnormal dentition
- Depressed nasal bridge
- Disturbance of facial expression
- Excessive salivation
- Little lower jaw
- Narrow mouth
- Short neck
Abnormality of the musculoskeletal system
- Decreased muscle tone in infant
- Flexed joint that cannot be straightened
- Low muscle tone
- Low muscle tone in trunk
- Scoliosis
- Spastic paraplegia
- Spastic tetraplegia
- Delayed bone maturation
Show 16 more traits
- Functional motor deficit
- Lower limb spasticity
- Abnormal muscle tone
- Arthritis
- Funnel chest
- Generalized low muscle tone in neonate
- Involuntary muscle stiffness, contraction, or spasm
- Muscle degeneration
- Polyarticular arthritis
- Hunched back
- Joint stiffness
- Kyphoscoliosis
- Low muscle tone, in neonatal onset
- Progressive spasticity
- Rigidity
- Spastic walk
Abnormality of the immune system
- Severe infection
- Antinuclear antibody positivity
- Anti-complement component C1q antibody positivity
- Anti-ribosome Po antibody positivity
- Anti-titin antibody positivity
- Antineutrophil antibody positivity
- Decreased circulating complement C3 concentration
- Decreased circulating complement C4 concentration
Show 12 more traits
- Malar rash
- Recurrent infections
- Recurrent respiratory infections
- Anti-dsDNA antibody positivity
- Anti-La/SS-B antibody positivity
- Anti-nucleoporin 62 antibody positivity
- Anti-phosphatidic acid antibody positivity
- Anti-Ro52/TRIM21 antibody positivity
- Anti-Sm antibody positivity
- Anti-U1 ribonucleoprotein antibody positivity
- Discoid lupus rash
- Serositis
Laboratory abnormality
- Fever
- High urine protein levels
- Blood in urine
- High urine neutrophil count
- Abnormal CSF pyruvate family amino acid concentration
- High blood ammonia levels
- Higher than normal levels of lactate in blood
- Increased circulating pyruvate concentration
Show 1 more trait
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). MECP2 gene: methyl-CpG binding protein 2. Retrieved 17 October 2026, from https://dantelabs.com/genes/mecp2
Dante Labs. MECP2 gene: methyl-CpG binding protein 2 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/mecp2
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