PMID- 22771394 OWN - NLM STAT- MEDLINE DCOM- 20130423 LR - 20231213 IS - 1872-6240 (Electronic) IS - 0006-8993 (Print) IS - 0006-8993 (Linking) VI - 1487 DP - 2012 Dec 3 TI - How do mutations in GJB1 cause X-linked Charcot-Marie-Tooth disease? PG - 198-205 LID - S0006-8993(12)01120-1 [pii] LID - 10.1016/j.brainres.2012.03.068 [doi] AB - The X-linked form of Charcot-Marie-Tooth disease (CMT1X) is the second most common form of hereditary motor and sensory neuropathy. The clinical phenotype is characterized by progressive weakness, atrophy, and sensory abnormalities that are most pronounced in the distal extremities. Some patients have CNS manifestations. Affected males have moderate to severe symptoms, whereas heterozygous females are usually less affected. Neurophysiology shows intermediate slowing of conduction and length-dependent axonal loss. Nerve biopsies show more prominent axonal degeneration than de/remyelination. Mutations in GJB1, the gene that encodes the gap junction (GJ) protein connexin32 (Cx32) cause CMT1X; more than 400 different mutations have been described. Many Cx32 mutants fail to form functional GJs, or form GJs with abnormal biophysical properties. Schwann cells and oligodendrocytes express Cx32, and the GJs formed by Cx32 play an important role in the homeostasis of myelinated axons. Animal models of CMT1X demonstrate that loss of Cx32 in myelinating Schwann cells causes a demyelinating neuropathy. Effective therapies remain to be developed. This article is part of a Special Issue entitled Electrical Synapses. CI - Copyright (c) 2012 Elsevier B.V. All rights reserved. FAU - Kleopa, Kleopas A AU - Kleopa KA AD - Neurology Clinics and Neuroscience Laboratory, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus. FAU - Abrams, Charles K AU - Abrams CK FAU - Scherer, Steven S AU - Scherer SS LA - eng GR - GTB12001/TI_/Telethon/Italy GR - R01 NS055284/NS/NINDS NIH HHS/United States GR - U54 NS065712/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120706 PL - Netherlands TA - Brain Res JT - Brain research JID - 0045503 RN - 0 (Connexins) SB - IM MH - Animals MH - Charcot-Marie-Tooth Disease/*genetics MH - Connexins/biosynthesis/*genetics MH - Disease Models, Animal MH - Humans MH - Mice MH - Mice, Knockout MH - Mutation/*genetics/*physiology MH - Myelin Sheath/metabolism/pathology MH - Schwann Cells/metabolism/pathology MH - Gap Junction beta-1 Protein PMC - PMC3488165 MID - NIHMS392667 EDAT- 2012/07/10 06:00 MHDA- 2013/04/24 06:00 PMCR- 2013/12/03 CRDT- 2012/07/10 06:00 PHST- 2011/11/02 00:00 [received] PHST- 2012/03/24 00:00 [accepted] PHST- 2012/07/10 06:00 [entrez] PHST- 2012/07/10 06:00 [pubmed] PHST- 2013/04/24 06:00 [medline] PHST- 2013/12/03 00:00 [pmc-release] AID - S0006-8993(12)01120-1 [pii] AID - 10.1016/j.brainres.2012.03.068 [doi] PST - ppublish SO - Brain Res. 2012 Dec 3;1487:198-205. doi: 10.1016/j.brainres.2012.03.068. Epub 2012 Jul 6.