PMID- 20976668 OWN - NLM STAT- MEDLINE DCOM- 20110421 LR - 20160526 IS - 1098-8947 (Electronic) IS - 0743-684X (Linking) VI - 27 IP - 1 DP - 2011 Jan TI - Clinical implications of peripheral myelin protein 22 for nerve compression and neural regeneration: a review. PG - 67-74 LID - 10.1055/s-0030-1267832 [doi] AB - Peripheral myelin protein 22 (PMP22) is a major component of the peripheral myelin sheath. The PMP22 gene is located on chromosome 17p11.2, and defects in PMP22 gene have been implicated in several common inherited peripheral neuropathies. Hereditary neuropathy with liability to pressure palsies (HNPP), Charcot-Marie Tooth disease type 1A (CMT1A), Dejerine-Sottas syndrome, and congenital hypomyelinating neuropathy are all associated with defects in PMP22 gene. The disease phenotypes mirror the range of expression of PMP22 due to the corresponding genetic defect. HNPP, characterized by a milder recurrent episodic focal demyelinating neuropathy, is attributed to a deletion leading to PMP22 underexpression. On the other end of the spectrum, CMT1A leads to a more uniform demyelination and axonal loss, resulting in severe progressive distal weakness and paresthesias; it is due to a duplication at 17p11.2 leading to PMP22 overexpression. Additional point mutations result in varying phenotypes due to dysfunction of the resultant PMP22 protein. All inherited neuropathies are diagnosed with a combination of physical findings on examination, electromyography, sural nerve biopsies, and genetic testing. Treatment and management of these disorders differ depending on the underlying genetic defect, nerves involved, and resulting functional impairments. A review of current literature elucidates clinical, microsurgical implications, and management of patients with PMP22-related neuropathy. CI - (c) Thieme Medical Publishers. FAU - Hui-Chou, Helen G AU - Hui-Chou HG AD - Division of Plastic and Reconstructive Surgery, Johns Hopkins/University of Maryland Plastic Surgery Program, Baltimore, USA. FAU - Hashemi, Sharyhar S AU - Hashemi SS FAU - Hoke, Ahmet AU - Hoke A FAU - Dellon, A Lee AU - Dellon AL LA - eng PT - Journal Article PT - Review DEP - 20101025 PL - United States TA - J Reconstr Microsurg JT - Journal of reconstructive microsurgery JID - 8502670 RN - 0 (Myelin Proteins) RN - 0 (PMP22 protein, human) RN - Charcot-Marie-Tooth disease, Type 4E RN - Tomaculous neuropathy SB - IM MH - Arthrogryposis/genetics/surgery MH - Charcot-Marie-Tooth Disease/*genetics/surgery MH - Disease Progression MH - Electromyography MH - Gene Expression MH - Hereditary Sensory and Motor Neuropathy/*genetics/surgery MH - Humans MH - Microsurgery MH - Myelin Proteins/*genetics/metabolism MH - Phenotype MH - Point Mutation EDAT- 2010/10/27 06:00 MHDA- 2011/04/22 06:00 CRDT- 2010/10/27 06:00 PHST- 2010/10/27 06:00 [entrez] PHST- 2010/10/27 06:00 [pubmed] PHST- 2011/04/22 06:00 [medline] AID - 10.1055/s-0030-1267832 [doi] PST - ppublish SO - J Reconstr Microsurg. 2011 Jan;27(1):67-74. doi: 10.1055/s-0030-1267832. Epub 2010 Oct 25.