PMID- 23279425 OWN - NLM STAT- MEDLINE DCOM- 20130919 LR - 20231213 IS - 1529-8027 (Electronic) IS - 1085-9489 (Print) IS - 1085-9489 (Linking) VI - 17 Suppl 3 IP - 0 3 DP - 2012 Dec TI - X-linked Charcot-Marie-Tooth disease. PG - 9-13 LID - 10.1111/j.1529-8027.2012.00424.x [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 muscle atrophy and weakness, areflexia, and variable sensory abnormalities; central nervous system manifestations occur, too. Affected males have moderate to severe symptoms, whereas heterozygous females are usually less affected. Neurophysiology shows intermediate slowing of conduction and distal axonal loss. Nerve biopsies show more prominent axonal degeneration than de/remyelination. More than 400 different mutations in GJB1, the gene that encodes the gap junction (GJ) protein connexin32 (Cx32), cause CMT1X. 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. An effective therapy remains to be developed. CI - (c) 2012 Peripheral Nerve Society. FAU - Scherer, Steven S AU - Scherer SS AD - Department of Neurology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. sscherer@mail.med.upenn.edu FAU - Kleopa, Kleopas A AU - Kleopa KA LA - eng GR - R01 NS055284/NS/NINDS NIH HHS/United States GR - U54 NS065712/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - J Peripher Nerv Syst JT - Journal of the peripheral nervous system : JPNS JID - 9704532 RN - 0 (Connexins) SB - IM MH - Animals MH - Charcot-Marie-Tooth Disease/*genetics/*pathology/*physiopathology MH - Connexins/genetics MH - Disease Models, Animal MH - Genes, X-Linked/genetics MH - Humans MH - Gap Junction beta-1 Protein PMC - PMC3779456 MID - NIHMS511092 EDAT- 2013/01/04 06:00 MHDA- 2013/09/21 06:00 PMCR- 2013/09/21 CRDT- 2013/01/03 06:00 PHST- 2013/01/03 06:00 [entrez] PHST- 2013/01/04 06:00 [pubmed] PHST- 2013/09/21 06:00 [medline] PHST- 2013/09/21 00:00 [pmc-release] AID - 10.1111/j.1529-8027.2012.00424.x [doi] PST - ppublish SO - J Peripher Nerv Syst. 2012 Dec;17 Suppl 3(0 3):9-13. doi: 10.1111/j.1529-8027.2012.00424.x.