PMID- 10716658 OWN - NLM STAT- MEDLINE DCOM- 20000330 LR - 20101118 IS - 0271-8235 (Print) IS - 0271-8235 (Linking) VI - 19 IP - 4 DP - 1999 TI - Inherited peripheral neuropathy. PG - 353-62 AB - Hereditary disorders of the peripheral nerves constitute a group of frequently encountered neurological diseases. Charcot-Marie-Tooth neuropathy type 1 (CMT1) is genetically heterogeneous and characterized by demyelination with moderately to severely reduced nerve conduction velocities, absent muscle stretch reflexes and onion bulb formation. Genetic loci for CMT1 map to chromosome 17 (CMT1A), chromosome 1 (CMT1B), and another unknown autosome (CMT1C). CMT1A is most often associated with a tandem 1.5-megabase (Mb) duplication in chromosome 17p11.2-12, or in rare patients may result from a point mutation in the peripheral myelin protein-22 (PMP22) gene. CMT1 B result from point mutations in the myelin protein zero (Po or MPZ) gene. The molecular defect in CMT1 C is unknown. Mutations in the early growth response 2 gene (EGR2) are also associated with demyelinating neuropathy. Other rare forms of demyelinating peripheral neuropathies map to chromosome 8q, 10q, and 11q. X-linked Charcot-Marie-Tooth neuropathy (CMTX), which has clinical features similar to CMT1, is associated with mutations in the connexin32 gene. Charcot-Marie-Tooth neuropathy type 2 (CMT2) is characterized by normal or mildly reduced nerve conduction velocity with decreased amplitude and axonal loss without hypertrophic features. One form of CMT2 maps to chromosome 1 p36 (CMT2A), another to chromosome 3p (CMT2B) and another to 7p (CMT2D). Dejerine-Sottas disease (DSD), also called hereditary motor and sensory neuropathy type III (HMSNIII), is a severe, infantile-onset demyelinating polyneuropathy that may be associated with point mutations in either the PMP22 gene or the Po gene and shares considerable clinical and pathological features with CMT1. Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal dominant disorder that results in a recurrent, episodic demyelinating neuropathy. HNPP is associated with a 1.5-Mb deletion in chromosome 17p11.2-12 and results from reduced expression of the PMP22 gene. CMT1A and HNPP are reciprocal duplication/deletion syndromes originating from unequal crossover during germ cell meiosis. FAU - Keller, M P AU - Keller MP AD - Department of Pediatrics, University of Washington School of Medicine, Seattle 98195-6320, USA. FAU - Chance, P F AU - Chance PF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - United States TA - Semin Neurol JT - Seminars in neurology JID - 8111343 SB - IM MH - Charcot-Marie-Tooth Disease/genetics MH - Demyelinating Diseases/genetics MH - Genetic Linkage/genetics MH - Hereditary Sensory and Autonomic Neuropathies/genetics MH - Humans MH - Peripheral Nervous System Diseases/*genetics MH - X Chromosome/genetics RF - 110 EDAT- 2000/03/15 09:00 MHDA- 2000/04/01 09:00 CRDT- 2000/03/15 09:00 PHST- 2000/03/15 09:00 [pubmed] PHST- 2000/04/01 09:00 [medline] PHST- 2000/03/15 09:00 [entrez] AID - 10.1055/s-2008-1040850 [doi] PST - ppublish SO - Semin Neurol. 1999;19(4):353-62. doi: 10.1055/s-2008-1040850.