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Chunk #48 — Discussion

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Decitabine alters the expression of Mecp2 isoforms via dynamic DNA methylation at the Mecp2 regulatory elements in neural stem cells.
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In the brain, precisely controlled MECP2/MeCP2 transcript and protein expression levels are critical, as even slightly altered expression is associated with severe neurological symptoms [2,16,57-60]. However, so far little is known about how MeCP2 expression is regulated in the developing brain. MeCP2 is a major epigenetic regulator in brain, and its reduced expression in the autistic brain is associated with MECP2 promoter hypermethylation [2]. Surprisingly, the role of DNA methylation in MeCP2 expression during brain development is unclear. Currently, most diseases that are associated with aberrant MeCP2 function or expression deficits, including autism and Rett syndrome, have no cure or effective treatment. This underscores an urgent need for investigating how MeCP2 expression is regulated in the brain. Such knowledge for addressing this gap is essential for designing possible future therapeutic strategies. DNA methylation is a reversible epigenetic modification [22], which can be targeted by existing Food and Drug Administration (FDA)-approved drugs, including decitabine, which is suggested for use in autism [61,62]. Therefore, investigating the effect of such epigenetic drugs on MeCP2 expression is important. Therapeutic approaches such as gene therapy