PMID- 19447823 OWN - NLM STAT- MEDLINE DCOM- 20090909 LR - 20211020 IS - 1460-2156 (Electronic) IS - 0006-8950 (Print) IS - 0006-8950 (Linking) VI - 132 IP - Pt 7 DP - 2009 Jul TI - PMP22 expression in dermal nerve myelin from patients with CMT1A. PG - 1734-40 LID - 10.1093/brain/awp113 [doi] AB - Charcot-Marie-Tooth disease type 1A (CMT1A) is caused by a 1.4 Mb duplication on chromosome 17p11.2, which contains the peripheral myelin protein-22 (PMP22) gene. Increased levels of PMP22 in compact myelin of peripheral nerves have been demonstrated and presumed to cause the phenotype of CMT1A. The objective of the present study was to determine whether an extra copy of the PMP22 gene in CMT1A disrupts the normally coordinated expression of PMP22 protein in peripheral nerve myelin and to evaluate PMP22 over-expression in patients with CMT1A and determine whether levels of PMP22 are molecular markers of disease severity. PMP22 expression was measured by taking skin biopsies from patients with CMT1A (n = 20) and both healthy controls (n = 7) and patients with Hereditary Neuropathy with liability to Pressure Palsies (HNPP) (n = 6), in which patients have only a single copy of PMP22. Immunological electron microscopy was performed on the skin biopsies to quantify PMP22 expression in compact myelin. Similar biopsies were analysed by real time PCR to measure PMP22 mRNA levels. Results were also correlated with impairment in CMT1A, as measured by the validated CMT Neuropathy Score. Most, but not all patients with CMT1A, had elevated PMP22 levels in myelin compared with the controls. The levels of PMP22 in CMT1A were highly variable, but not in HNPP or the controls. However, there was no correlation between neurological disabilities and the level of over-expression of PMP22 protein or mRNA in patients with CMT1A. The extra copy of PMP22 in CMT1A results in disruption of the tightly regulated expression of PMP22. Thus, variability of PMP22 levels, rather than absolute level of PMP22, may play an important role in the pathogenesis of CMT1A. FAU - Katona, Istvan AU - Katona I AD - Department of Neurology, Wayne State University School of Medicine, Detroit, MI 48201, USA. FAU - Wu, Xingyao AU - Wu X FAU - Feely, Shawna M E AU - Feely SM FAU - Sottile, Stephanie AU - Sottile S FAU - Siskind, Carly E AU - Siskind CE FAU - Miller, Lindsey J AU - Miller LJ FAU - Shy, Michael E AU - Shy ME FAU - Li, Jun AU - Li J LA - eng GR - K08 NS048204/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090515 PL - England TA - Brain JT - Brain : a journal of neurology JID - 0372537 RN - 0 (Biomarkers) RN - 0 (Myelin Proteins) RN - 0 (PMP22 protein, human) RN - 0 (RNA, Messenger) SB - IM MH - Biomarkers/metabolism MH - Charcot-Marie-Tooth Disease/*metabolism/pathology MH - Hereditary Sensory and Motor Neuropathy/metabolism MH - Humans MH - Microscopy, Immunoelectron MH - Myelin Proteins/genetics/*metabolism MH - Myelin Sheath/*metabolism MH - Prospective Studies MH - RNA, Messenger/genetics MH - Schwann Cells/metabolism MH - Severity of Illness Index MH - Skin/*metabolism/ultrastructure PMC - PMC2724915 EDAT- 2009/05/19 09:00 MHDA- 2009/09/10 06:00 PMCR- 2010/07/01 CRDT- 2009/05/19 09:00 PHST- 2009/05/19 09:00 [entrez] PHST- 2009/05/19 09:00 [pubmed] PHST- 2009/09/10 06:00 [medline] PHST- 2010/07/01 00:00 [pmc-release] AID - awp113 [pii] AID - 10.1093/brain/awp113 [doi] PST - ppublish SO - Brain. 2009 Jul;132(Pt 7):1734-40. doi: 10.1093/brain/awp113. Epub 2009 May 15.