The goal of this observational study is to identify candidate biomarkers in individuals with Rett Syndrome (RTT). The main questions it aims to answer are: * Do these biomarkers change during clinical changes in individuals with RTT? * Are biomarkers stable over time in clinically stable individuals? * Do these biomarkers correlate with severity of RTT? Participants will be asked to undergo an electroencephalogram (EEG) with measurements of Evoked Potentials (EP) to measure electrical activity in the brain. Researchers will compare findings in individuals with RTT to those in typically developing individuals to see if there are differences between the two groups.
The main goal of the project is to identify potential biomarkers that can become measures for intervention and other translational studies and, at the same time, provide insight into abnormal synaptic activity and pathogenesis of RTT. Therefore, the proposed assessments will be performed with females with RTT and age matched typically developing females. These electrophysiological assessments will be compared to established clinical outcome measures from previous work in the NIH funded Rett and Rett related disorders natural history study. The neurophysiological parameters for RTT will be correlated with each other and also to disease staging, overall clinical severity scores and through exploratory analyses with specific clinical features. The investigators will also be testing procedures to perform the recordings, electrode types and placement, and ways to reduce movement and artifact within the data to establish best practices.
Study Type
OBSERVATIONAL
Enrollment
202
Through up to eight standardized sessions, participants will undergo AEP and VEP, as well as resting state EEG.
Established clinical measures for RTT will be collected for RTT participants
Children's Hospital of Los Angeles
Los Angeles, California, United States
RECRUITINGChildren's Hospital Colorado
Aurora, Colorado, United States
RECRUITINGBoston Children's Hospital
Brookline, Massachusetts, United States
RECRUITINGChildren's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
RECRUITINGVanderbilt University Medical Center
Nashville, Tennessee, United States
RECRUITINGTexas Children's Hospital
Houston, Texas, United States
RECRUITINGAuditory Evoked Potential (AEP) latency (ms)
Calculated N1, P1 latencies in Cz and other electrodes \[posterior temporal region (T5/P3/T3) electrodes\], will be used for analysis.
Time frame: 5 years
Auditory Evoked Potential (AEP) amplitude
Amplitude of P1, P2 and N1 peaks (uV)
Time frame: 5 years
Visual Evoked Potential (VEP) latencies (ms)
The latencies of the N1, P1, and N2 components will be identified primarily at occipital electrodes with Oz will be the primary electrode of analysis. N1-P1 time will be analyzed.
Time frame: 5 years
Visual Evoked Potential (VEP) amplitude
N1-P1 amplitude at Oz and other occipital electrodes will be calculated.
Time frame: 5 years
EEG Analysis
EEG Root mean square (RMS) amplitude, Amplitude variability, 1/f constant, power bands in typical bands (Delta, theta, alpha, Beta, gamma) and ratios will be calculated.
Time frame: 5 years
AEP spectral analysis, dipole determination and spatial distribution
spectral analysis of the individual waveforms, dipole determination of N1 and P1 peaks and spatial distribution of peak values.
Time frame: 5 years
VEP spectral analysis, dipole determination and spatial distribution
spectral analysis of the individual waveforms, dipole determination of N1 and P1 peaks and spatial distribution of peak values.
Time frame: 5 years
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