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Zoghbi, Huda

<p>Apr 13, 2014 03:36 PM</p>

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ZOGHBI, Huda, MeCP2 and Neuropsychiatry, Baylor, April 10, 2014

Lecture at Stanford in Berg Hall in LKS Center at noon.

this is the Eric Shooter&nbsp; lecture&nbsp; (founder of our neurosci dept)</p>

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intro by Prof. Ben Barras (Chair of Neurosci at Stfd)</p>

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her title is&nbsp; A Neural Tipping Point:&nbsp; MeCP2 and Neuropsychiatric Disorders</p>

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Huda is an HHMI investig;&nbsp; she is at Baylor College of Med and Texas Children's Hosp..</p>

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Eric Shooter: first to isolate&nbsp; NGF nerve growth factor;&nbsp; did neurotrophin research;</p>

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her bach.&nbsp; from American Univ in Beirut;</p>

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MD and PhD:&nbsp; has focused on Rett's Syndrome;</p>

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2000&nbsp; Instit of Med and&nbsp; NAS member;&nbsp; many top prizes:&nbsp;</p>

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&nbsp; she starts **</p>

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she studied pedi neurology...</p>

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1983&nbsp; at Texas Chidlren's Hospital&nbsp; Rett's Syndrome</p>

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shows video clip of a toddler with Rett's:&nbsp; cannot use hands;

&nbsp;she wrings her hands and has an abnl&nbsp; gait;

was born normal&nbsp; but gradually worsens...</p>

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1983&nbsp; Ann Neuro&nbsp; A progressive Syndrome of Autism,

Dementia, Ataxia and Loss of Puposeful Hand Use in Girls:&nbsp; Rett's Syndrome

by Hagberb...

she saw that&nbsp; report and thought that's what her pt had.</p>

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next saw another&nbsp; adult with Rett's:&nbsp; video clip;</p>

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she then did chart review and then had&nbsp; largest series of&nbsp; pts.</p>

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in 1985 she pub&nbsp; NEJM article:</p>

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reduction of biogenic amine levels in the Rett Syndrome</p>

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had 200 pts...&nbsp; time to go to the lab to study this...</p>

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challenge to gene ID:&nbsp; Rett synd is sporadic...</p>

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but&nbsp; rare familial cases provide a clue</p>

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must be on the X chromosome...</p>

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only one X active in every cell...</p>

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but&nbsp; X chromosome&nbsp; inactivation in one or two asymptomatic carriers.</p>

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then another family:&nbsp; half-cousins with Rett Syndrome</p>

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her hunch... this must be a genetic disorder..</p>

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but then&nbsp; 1995:&nbsp; study claimed&nbsp; that&nbsp; Rett was NOT a genetic disorder.</p>

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but then another study... got it down to 10 megabase region on X chromo...</p>

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Methyl Cytosine binding protein&nbsp; =&nbsp; MECP2.</p>

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Loss of MeCP2 function in females can causes any of the followingt:</p>

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typical Rett

atpic Rett

mild cog deficit

cog defic with seizures

cog def, anxiety and OCD

Autism...</p>

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shows video clips:&nbsp; spectrum of phenotypes

autism,&nbsp; bad dystonias, etc.</p>

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oss of MeCP2 function in males</p>

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neonatal enceph and eath within 1st year of lifeAutism, etc.</p>

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We (and others) created mouse model for Rett...</p>

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she vidoe clips:&nbsp; normal mouse&nbsp; and

Rett mouse&nbsp; (wringing its paws!!!)</p>

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gene causes loss of function...</p>

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also did a model&nbsp; in which&nbsp; they doubled level of protein&nbsp; (MECP2)</p>

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MECP2 is pronounced&nbsp; MEC P two.</p>

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she looked for and found&nbsp; male swith duplciated&nbsp; MECP2... video clip of 7 year old boy;</p>

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boy comes from a 3 generation family with MECP2 duplication...&nbsp; per Ramocki in Annals of Neuro.</p>

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summary:&nbsp; must have this protein at just the right amount:</p>

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get syndromes if&nbsp; too much or too little;&nbsp; v dosage sensitive;</p>

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she shows&nbsp; graph:&nbsp; need to have 100% of Mecp2 level&nbsp; if&nbsp; doubled:&nbsp; sever syndrome</p>

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and if&nbsp; zero,&nbsp; sever syndrome&nbsp; with&nbsp; everything in btwn.</p>

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Chao in Neuron in 2007;</p>

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MeCP2 modulates the # of glutamaergic synapses.</p>

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shows&nbsp; fluor of&nbsp; synapses:

2X&nbsp; mecp2:&nbsp; huge # of synapses

versus&nbsp; mecp2&nbsp; null:&nbsp; get syanpses but they are sparse&nbsp; compared to sild type mouse.</p>

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so,&nbsp; we needed to look at synapse&nbsp; regulation in relation to MECP2</p>

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(note:&nbsp; schedule conflict:&nbsp; I bike to SRI for&nbsp; Robo Madness qv)&nbsp; time is 12:30PM.

I was not able to hear end of this brilliant talk.)

L

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