PMID- 9933299 OWN - NLM STAT- MEDLINE DCOM- 20000407 LR - 20191102 IS - 1364-6745 (Print) IS - 1364-6745 (Linking) VI - 2 IP - 1 DP - 1998 Dec TI - Charcot-Marie-Tooth disease type 1A and hereditary neuropathy with liability to pressure palsies: a SacI polymorphism in the proximal CMT1A-REP elements may lead to genetic misdiagnosis. PG - 43-6 AB - A male patient with clinical signs and symptoms of a demyelinating neuropathy was shown to have a duplication of the 1.5-Mb region on chromosome 17p11.2 by means of two-color fluorescence in situ hybridization (FISH). This duplication is typical for the vast majority of Charcot-Marie-Tooth type 1A (CMT1A) cases. Analysis of DNA extracted from peripheral blood used to detect an EcoRI/SacI 3. 2-kb junction fragment with probe pLR7.8 confirmed the CMT1A duplication, but also revealed a 7.8-kb fragment usually observed in patients with a hereditary neuropathy with liability to pressure palsies (HNPP). Both fragments observed in one patient canot result from one unequal crossover. In EcoRI/SacI Southern hybridization experiments with probe pLR7.8 DNA of his healthy parents also revealed a 7.8-kB restriction fragment. A subsequent two-color FISH analysis, however, indicated a normal status for interphase nuclei of the parents. Hence we hypothesize that the 7.8-kb fragment observed in our patient and his parents is not the product of unequal crossover during meiosis but due to a polymorphism of the SacI site in a proximal CMT1A-REP element. FAU - Fuchs, C AU - Fuchs C AD - Institute of Human Genetics, Schwabachanlage 10, D-91054 Erlangen, Germany. FAU - Liehr, T AU - Liehr T FAU - Ozbey, S AU - Ozbey S FAU - Ekici, A AU - Ekici A FAU - Grehl, H AU - Grehl H FAU - Rautenstrauss, B AU - Rautenstrauss B LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neurogenetics JT - Neurogenetics JID - 9709714 RN - 9007-49-2 (DNA) RN - EC 3.1.21.- (Deoxyribonuclease EcoRI) RN - EC 3.1.21.- (endodeoxyribonuclease SacI) RN - EC 3.1.21.4 (Deoxyribonucleases, Type II Site-Specific) SB - IM MH - Adult MH - Charcot-Marie-Tooth Disease/*diagnosis/*genetics MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 17 MH - DNA/blood MH - Deoxyribonuclease EcoRI MH - Deoxyribonucleases, Type II Site-Specific MH - Diagnostic Errors MH - Female MH - Gene Duplication MH - *Genetic Predisposition to Disease MH - Humans MH - Male MH - Nuclear Family MH - Pedigree MH - *Polymorphism, Restriction Fragment Length EDAT- 1999/05/18 05:15 MHDA- 2001/07/04 10:01 CRDT- 1999/05/18 05:15 PHST- 1999/05/18 05:15 [pubmed] PHST- 2001/07/04 10:01 [medline] PHST- 1999/05/18 05:15 [entrez] AID - 9800050 [pii] AID - 10.1007/s100480050050 [doi] PST - ppublish SO - Neurogenetics. 1998 Dec;2(1):43-6. doi: 10.1007/s100480050050.