Charcot‐Marie‐Tooth disease and related neuropathies: Mutation distribution and genotype‐phenotype correlation
doi: 10.1002/ana.10089
pmid: 11835375
Charcot‐Marie‐Tooth disease and related neuropathies: Mutation distribution and genotype‐phenotype correlation
AbstractCharcot‐Marie‐Tooth disease (CMT) is a genetically heterogeneous disorder that has been associated with alterations of several proteins: peripheral myelin protein 22, myelin protein zero, connexin 32, early growth response factor 2, periaxin, myotubularin related protein 2, N‐myc downstream regulated gene 1 product, neurofilament light chain, and kinesin 1B. To determine the frequency of mutations in these genes among patients with CMT or a related peripheral neuropathy, we identified 153 unrelated patients who enrolled prior to the availability of clinical testing, 79 had a 17p12 duplication (CMT1A duplication), 11 a connexin 32 mutation, 5 a myelin protein zero mutation, 5 a peripheral myelin protein 22 mutation, 1 an early growth response factor 2 mutation, 1 a periaxin mutation, 0 a myotubularin related protein 2 mutation, 1 a neurofilament light chain mutation, and 50 had no identifiable mutation; the N‐myc downstream regulated gene 1 and the kinesin 1B gene were not screened for mutations. In the process of screening the above cohort of patients as well as other patients for CMT‐causative mutations, we identified several previously unreported mutant alleles: two for connexin 32, three for myelin protein zero, and two for peripheral myelin protein 22. The peripheral myelin protein 22 mutation W28R was associated with CMT1 and profound deafness. One patient with a CMT2 clinical phenotype had three myelin protein zero mutations (I89N+V92M+I162M). Because one‐third of the mutations we report arose de novo and thereby caused chronic sporadic neuropathy, we conclude that molecular diagnosis is a necessary adjunct for clinical diagnosis and management of inherited and sporadic neuropathy.
- Boston Children's Hospital United States
- The University of Texas System United States
- University of California, San Francisco United States
- Baylor College of Medicine United States
- Shodair Children's Hospital United States
Adult, Family Health, Male, Adolescent, Genotype, DNA Mutational Analysis, Deafness, Middle Aged, Connexins, Pedigree, Cohort Studies, DNA-Binding Proteins, Charcot-Marie-Tooth Disease, Humans, Female, Child, Myelin P0 Protein, Early Growth Response Protein 2, Myelin Proteins, DNA Primers
Adult, Family Health, Male, Adolescent, Genotype, DNA Mutational Analysis, Deafness, Middle Aged, Connexins, Pedigree, Cohort Studies, DNA-Binding Proteins, Charcot-Marie-Tooth Disease, Humans, Female, Child, Myelin P0 Protein, Early Growth Response Protein 2, Myelin Proteins, DNA Primers
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