PMID- 11239949 OWN - NLM STAT- MEDLINE DCOM- 20010607 LR - 20190724 IS - 0022-510X (Print) IS - 0022-510X (Linking) VI - 184 IP - 2 DP - 2001 Mar 1 TI - A novel missense mutation in the early growth response 2 gene associated with late-onset Charcot--Marie--Tooth disease type 1. PG - 149-53 AB - A novel mutation (Arg381Cys) in the second zinc-finger domain of early growth response 2 (EGR2) was identified in a late-onset Charcot--Marie--Tooth disease type 1 (CMT1) patient. This patient had initial symptoms of numbness and weakness in the leg at age 59, and a median nerve motor conduction velocity of 27 m/s. A sural nerve biopsy showed a severe loss of myelinated fibers with numerous onion bulbs. This is the first report of the EGR2 mutation presenting a late onset of CMT1 phenotype. Its mutation was a different amino acid substitution at codon 381 (Arg381His) which demonstrated congenital hypomyelinating neuropathy or early-onset CMT1. This report suggests that the EGR2 mutation represents divergent phenotypes at codon 381, which may be a mutation hotspot. FAU - Yoshihara, T AU - Yoshihara T AD - Department of Neurology, Nagoya University School of Medicine, Nagoya 466, Japan. FAU - Kanda, F AU - Kanda F FAU - Yamamoto, M AU - Yamamoto M FAU - Ishihara, H AU - Ishihara H FAU - Misu, K AU - Misu K FAU - Hattori, N AU - Hattori N FAU - Chihara, K AU - Chihara K FAU - Sobue, G AU - Sobue G LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 RN - 0 (DNA-Binding Proteins) RN - 0 (EGR2 protein, human) RN - 0 (Early Growth Response Protein 2) RN - 0 (Transcription Factors) SB - IM MH - Aged MH - Biopsy MH - Charcot-Marie-Tooth Disease/*genetics MH - DNA-Binding Proteins/*genetics MH - Early Growth Response Protein 2 MH - Humans MH - Male MH - Mutation, Missense/*genetics MH - Phenotype MH - Sural Nerve/pathology MH - Transcription Factors/*genetics EDAT- 2001/03/10 10:00 MHDA- 2001/06/19 10:01 CRDT- 2001/03/10 10:00 PHST- 2001/03/10 10:00 [pubmed] PHST- 2001/06/19 10:01 [medline] PHST- 2001/03/10 10:00 [entrez] AID - S0022510X00005049 [pii] AID - 10.1016/s0022-510x(00)00504-9 [doi] PST - ppublish SO - J Neurol Sci. 2001 Mar 1;184(2):149-53. doi: 10.1016/s0022-510x(00)00504-9.