Welcome to the MECP2 Variation Database (RettBASE)

Welcome to RettBASE, a Rett Syndrome variation database hosted by the Rett Syndrome Association of Australia. RettBASE provides a curated catalogue of genetic variants associated with Rett syndrome and related disorders, with a focus on the genes MECP2, CDKL5, and FOXG1.

Following a major curation initiative, variants within RettBASE have been systematically reviewed and reclassified using current ACMG/ClinGen standards to support accurate clinical interpretation. This work has improved diagnostic reliability and enabled integration of Rett-specific variant data into ClinVar, enhancing accessibility for clinicians, researchers, and the global genetics community.

RettBASE incorporates data from published literature and expert curation workflows, with all variant information reviewed for accuracy, nomenclature consistency, and clinical relevance prior to inclusion. The database serves as a resource to support research, genetic diagnosis, and improved understanding of genotype-phenotype relationships in Rett syndrome.

We welcome enquiries regarding variant interpretation and nomenclature for MECP2, CDKL5, and FOXG1 variants.

Please use https://rettbase.org as your bookmark.

Mutation databases

Please choose the gene and type of search required from the list below. Currently graphical displays of variants are available for MECP2 variants only.

Note regarding nomenclature of MECP2 variants: variants are traditionally called from the e2 isoform (translation starting in exon 2). Unless otherwise specified in the nomenclature, all variants in RettBASE are named according to this convention (reference sequence NM_004992). RettBASE has since updated the MECP2 database to include variants in e1 isoform (NM_001110792.1).Users can now change the transcript of interest in list of all variants to view variants in each transcript. The variant and proband pages has also been updated to reflect variant nomenclature in both transcripts. For information regarding reference sequence for MECP2, please visit our reference sequence page. Also please see our nomenclature section for general guidelines for mutation nomenclature.

Nomenclature of mutations in exon 3 and exon 4 will differ by 12 amino acids between the two isoforms (e.g. p.R306C or p.Arg306Cys in isoform e2 is equivalent to p.R318C or p.Arg318Cys in isoform e2). cDNA nomenclature will differ by 36 nucleotides.

MECP2 Database

Note regarding MECP2 mutation nomenclature: Historically, MECP2 variants were called based on the e2 isoform (i.e. transcript containing exons 1, 2, 3 & 4, with start codon in exon 2)and RettBASE displayed variants predominantly in e2 isoform. RettBASE has since updated the MECP2 database to include variants in e1 isoform (NM_001110792.1).

CDKL5 Database

You may browse or search for CDKL5 mutation and polymorphism data using the various links below. The CDKL5 database can be queried by one of two formats: variant or proband. The 'proband' style search is comparable with the existing MECP2 RettBASE search functions, and includes basic information (such as phenotype, familial/control screening results, X-inactivation results, etc). The 'variant' search allows users to view only the information pertaining to the variant, and may be useful for those interested in the pathogenicity classification or functional effects of a particular variant.

FOXG1 Database

You may browse or search for FOXG1 mutation and polymorphism data using the various links below. The FOXG1 database can be queried by one of two formats: variant or proband. The 'proband' style search is comparable with the existing MECP2 RettBASE search functions, and includes basic information (such as phenotype, familial/control screening results). The 'variant' search allows users to view only the information pertaining to the variant, and may be useful for those interested in the pathogenicity classification or functional effects of a particular variant.

General information

The most commonly-used reference sequences for MECP2CDKL5 and FOXG1 are listed on our reference sequence pageMeCP2 alignments are no longer available on RettBASE, but we encourage you to visit the links listed on the reference sequence page to find alignment information. Guidelines for mutation nomenclature can be found on the general resources.

If you're looking for some general background information on Rett syndrome or interested in joining a Rett community, please visit our general resources page for some suggested sites.

Keeping RettBASE alive!

Please help us by contributing to the content of RettBASE. We welcome any mutation data on MECP2CDKL5 or FOXG1. Submission forms can be found on our submissions page.

The people behind RettBASE

We thank our previous curators Gladys Ho, Andrew Grimm, as well as Dr Sarah Williamson, Dr Linda Weaving and A/Prof. Bruce Bennetts for their assistance in the curation process.

Prof. John Christodoulou

RettBASE supervisor

john.christodoulou@mcri.edu.au
Director of Western Sydney Genetics Program
Children's Hospital Westmead
Westmead NSW 2145
Australia

Disciplines of Paediatrics & Child Health and Genetic Medicine
University of Sydney
Sydney NSW 2006
Australia

Acknowledgements

We thank the Rettsyndrome.org (formerly the International Rett Syndrome Foundation or IRSF) for their generous financial support in the construction and maintenance of this database and website. We also thank the Children's Hospital Westmead for hosting this database and for their technical support.

We would also like to acknowledge the New South Wales Rett Syndrome Association and the Rett Syndrome Australian Research Fund for their generous support of the NSW Rett Syndrome Research Team at the Children's Hospital at Westmead. We are also indebted to our collaborators who have been generous in providing their unpublished data to RettBASE.

The RettBASE database and website were initially designed and constructed by BioLateral. We are very grateful to Professor Charles Scriver for very helpful advice and provision of the PAHdb shell, which was used as the initial template for the RettBASE database.