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<p>Supplementary Figures S1-2 and Tables S1-6. Supplementary Figure S1. Expression changes measured by qRT-PCR of genes undergoing DNA methylation shifts in canine epithelial-to-mesenchymal transition. Supplementary Figure S2. Translation of the DNA methylation changes observed in the canine epithelial-to-mesenchymal transition model to human breast cancer. Supplementary Table S1. List of all DMRs (87,296) identified between MDCK-U and MDCK-T. Supplementary Table S2. List of differentially expressed genes between MDCK-U and MDCK-T. Supplementary Table S3. Genes undergoing differential expression between MDCK-U and MDCK-T in association with an intragenic DMR. Supplementary Table S4. Gene ontology analysis of DNA methylation associated transcriptional changes in the MDCK-EMT model. Supplementary Table S5. Gene promoters with consistent DNA methylation variation in canine and human EMT. Supplementary Table S6. Gene ontology analysis with the gene-expression changes observed for conserved DMRs.</p>
Classical Rett syndrome (RTT) is a neurodevelopmental disorder where most of cases carry MECP2 mutations. Atypical RTT variants involve mutations in CDKL5 and FOXG1. However, a subset of RTT patients remains that do not carry any mutation in the described genes. Whole exome sequencing was carried out in a cohort of 21 female probands with clinical features overlapping with those of RTT, but without mutations in the customarily studied genes. Candidates were functionally validated by assessing the appearance of a neurological phenotype in Caenorhabditis elegans upon disruption of the corresponding ortholog gene. We detected pathogenic variants that accounted for the RTT-like phenotype in 14 (66.6 %) patients. Five patients were carriers of mutations in genes already known to be associated with other syndromic neurodevelopmental disorders. We determined that the other patients harbored mutations in genes that have not previously been linked to RTT or other neurodevelopmental syndromes, such as the ankyrin repeat containing protein ANKRD31 or the neuronal acetylcholine receptor subunit alpha-5 (CHRNA5). Furthermore, worm assays demonstrated that mutations in the studied candidate genes caused locomotion defects. Our findings indicate that mutations in a variety of genes contribute to the development of RTT-like phenotypes.