PMID- 16775370 OWN - NLM STAT- MEDLINE DCOM- 20070315 LR - 20231213 IS - 1535-1084 (Print) IS - 1535-1084 (Linking) VI - 8 IP - 1-2 DP - 2006 TI - Molecular genetics of X-linked Charcot-Marie-Tooth disease. PG - 107-22 AB - The X-linked form of Charcot-Marie-Tooth disease (CMT1X) is the second most common molecularly designated form of hereditary motor and sensory neuropathy. The clinical phenotype is characterized by progressive distal muscle atrophy and weakness, areflexia, and variable sensory abnormalities. Affected males have moderate-to-severe symptoms, whereas heterozygous females are usually mildly affected or even asymptomatic. Several patients also have manifestations of central nervous system involvement or hearing impairment. Electrophysiological and pathological studies of peripheral nerves show evidence of demyelinating neuropathy with prominent axonal degeneration. A large number of mutations in the GJB1 gene encoding the gap junction (GJ) protein connexin32 (Cx32) cause CMT1X. Cx32 is expressed by Schwann cells and oligodendrocytes, as well as by other tissues, and the GJ formed by Cx32 play an important role in the homeostasis of myelinated axons. The reported CMT1X mutations are diverse and affect both the promoter region as well as the coding region of GJB1. Many Cx32 mutants fail to form functional GJ, or form GJ with abnormal biophysical properties. Furthermore, Cx32 mutants are often retained intracellularly either in the endoplasmic reticulum or Golgi in which they could potentially have additional dominant-negative effects. Animal models of CMT1X demonstrate that loss of Cx32 in myelinating Schwann cells causes a demyelinating neuropathy. No definite phenotype-genotype correlation has yet been established for CMT1X and effective molecular based therapeutics for this disease, remain to be developed. FAU - Kleopa, Kleopas A AU - Kleopa KA AD - Department of Clinical Neurosciences, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus. kleopa@cing.ac.cy FAU - Scherer, Steven S AU - Scherer SS LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Neuromolecular Med JT - Neuromolecular medicine JID - 101135365 RN - 0 (Connexins) SB - IM MH - Amino Acid Sequence MH - Animals MH - Base Sequence MH - Charcot-Marie-Tooth Disease/*genetics/pathology/physiopathology/therapy MH - Connexins/genetics/metabolism MH - Electrophysiology MH - Genetic Diseases, X-Linked/*genetics/pathology/physiopathology/therapy MH - Genotype MH - Humans MH - Molecular Biology MH - Molecular Sequence Data MH - Mutation MH - Myelin Sheath/metabolism MH - Peripheral Nerves/pathology/physiopathology MH - Phenotype MH - Protein Structure, Secondary MH - Schwann Cells/metabolism MH - Gap Junction beta-1 Protein RF - 120 EDAT- 2006/06/16 09:00 MHDA- 2007/03/16 09:00 CRDT- 2006/06/16 09:00 PHST- 2005/07/08 00:00 [received] PHST- 2005/11/10 00:00 [revised] PHST- 2005/11/17 00:00 [accepted] PHST- 2006/06/16 09:00 [pubmed] PHST- 2007/03/16 09:00 [medline] PHST- 2006/06/16 09:00 [entrez] AID - NMM:8:1:107 [pii] AID - 10.1385/nmm:8:1-2:107 [doi] PST - ppublish SO - Neuromolecular Med. 2006;8(1-2):107-22. doi: 10.1385/nmm:8:1-2:107.