In vertebrates, the biological consequences of DNA methylation are often me
diated by protein factors containing conserved methyl-CpG binding domains (
MBDs). Mutations in the MBD protein MeCP2 cause the neurodevelopmental dise
ase Rett syndrome. We report here the solution structure of the MBD of the
human methylation-dependent transcriptional regulator MBD1 bound to methyla
ted BRA. DNA binding causes a loop in MBD1 to fold into a major and novel D
NA binding interface. Recognition of the methyl groups and CG sequence at t
he methylation site is due to five highly conserved residues that form a hy
drophobic patch. The structure indicates how MBD may access nucleosomal DNA
without encountering steric interference from core histones, and provides
a basis to interpret mutations linked to Rett syndrome in MeCP2.