PMID- 10071056 OWN - NLM STAT- MEDLINE DCOM- 19990318 LR - 20190513 IS - 0006-8950 (Print) IS - 0006-8950 (Linking) VI - 122 ( Pt 2) DP - 1999 Feb TI - The Thr124Met mutation in the peripheral myelin protein zero (MPZ) gene is associated with a clinically distinct Charcot-Marie-Tooth phenotype. PG - 281-90 AB - We observed a missense mutation in the peripheral myelin protein zero gene (MPZ, Thr124Met) in seven Charcot-Marie-Tooth (CMT) families and in two isolated CMT patients of Belgian ancestry. Allele-sharing analysis of markers flanking the MPZ gene indicated that all patients with the Thr124Met mutation have one common ancestor. The mutation is associated with a clinically distinct phenotype characterized by late onset, marked sensory abnormalities and, in some families, deafness and pupillary abnormalities. Nerve conduction velocities of the motor median nerve vary from <38 m/s to normal values in these patients. Clusters of remyelinating axons in a sural nerve biopsy demonstrate an axonal involvement, with axonal regeneration. Phenotype-genotype correlations in 30 patients with the Thr124Met MPZ mutation indicate that, based on nerve conduction velocity criteria, these patients are difficult to classify as CMT1 or CMT2. We therefore conclude that CMT patients with slightly reduced or nearly normal nerve conduction velocity should be screened for MPZ mutations, particularly when additional clinical features such as marked sensory disturbances, pupillary abnormalities or deafness are also present. FAU - De Jonghe, P AU - De Jonghe P AD - Department of Biochemistry, Flanders Interuniversity Institute for Biotechnology (VIB), University of Antwerp (UIA), University Hospital Antwerpen (UZA), Belgium. dejonghe@uia.ua.ac.be FAU - Timmerman, V AU - Timmerman V FAU - Ceuterick, C AU - Ceuterick C FAU - Nelis, E AU - Nelis E FAU - De Vriendt, E AU - De Vriendt E FAU - Lofgren, A AU - Lofgren A FAU - Vercruyssen, A AU - Vercruyssen A FAU - Verellen, C AU - Verellen C FAU - Van Maldergem, L AU - Van Maldergem L FAU - Martin, J J AU - Martin JJ FAU - Van Broeckhoven, C AU - Van Broeckhoven C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Brain JT - Brain : a journal of neurology JID - 0372537 RN - 0 (Myelin P0 Protein) RN - 2ZD004190S (Threonine) RN - AE28F7PNPL (Methionine) SB - IM MH - Aged MH - Biopsy MH - Charcot-Marie-Tooth Disease/diagnosis/*genetics MH - DNA Mutational Analysis MH - Electromyography MH - Family Health MH - Female MH - Haplotypes MH - Humans MH - Male MH - Median Nerve/physiology MH - Methionine MH - Motor Neurons/pathology/physiology MH - Myelin P0 Protein/*genetics MH - Neurons, Afferent/pathology/physiology MH - Pedigree MH - Phenotype MH - *Point Mutation MH - Polymorphism, Single-Stranded Conformational MH - Sural Nerve/pathology MH - Threonine MH - Ulnar Nerve/physiology EDAT- 1999/03/10 00:00 MHDA- 1999/03/10 00:01 CRDT- 1999/03/10 00:00 PHST- 1999/03/10 00:00 [pubmed] PHST- 1999/03/10 00:01 [medline] PHST- 1999/03/10 00:00 [entrez] AID - 10.1093/brain/122.2.281 [doi] PST - ppublish SO - Brain. 1999 Feb;122 ( Pt 2):281-90. doi: 10.1093/brain/122.2.281.