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Contents Abbreviations ................................................................................. 9 Chapter 1 Introduction and Outline of the thesis ................................. 11 Chapter 2.1 Functional characterization of missense variants in the creatine transporter gene (SLC6A8): improved diagnostic application. ..... 25 Human Mutation, 2007 Chapter 2.2 Detection of variants in SLC6A8 and functional analysis of unclassified missense variants. .......................................... 35 Molecular Genetics and Metabolism, 2012 Chapter 2.3 Characterization of novel SLC6A8 variants with the use of splice-site analysis tools and implementation of a newly developed LOVD database. ............................................... 47 European Journal of Human Genetics, 2011 Chapter 3 Detection of low-level somatic and germline mosaicism by denaturing high-performance liquid chromatography in a EURO-MRX family with SLC6A8 deficiency. ............................ 57 Neurogenetics, 2008 Chapter 4 Phenotype and genotype in 101 males with X-linked creatine transporter deficiency. ................................................... 67 Journal of Medical Genetics, 2013 Chapter 5 Summary and Discussion .................................................. 83 Chapter 6 Future perspectives ....................................................... 93 Nederlandse samenvatting .................................................................. 99 Dankwoord ....................................................................................103 Curriculum vitae .............................................................................105