PMID- 10553995 OWN - NLM STAT- MEDLINE DCOM- 19991124 LR - 20191024 IS - 0364-5134 (Print) IS - 0364-5134 (Linking) VI - 46 IP - 5 DP - 1999 Nov TI - The Roussy-Levy family: from the original description to the gene. PG - 770-3 AB - In 1926, Roussy and Levy described a large family whose members manifested an early onset dominantly inherited gait ataxia, pes cavus, and areflexia, which was eventually associated with distal muscle atrophy, postural tremor, and minor sensory loss. Slow nerve conduction and demyelination of nerve fibers with onion bulb formations in nerve biopsy specimens led to the Roussy-Levy syndrome (RLS) being considered a variant of demyelinating Charcot-Marie-Tooth disease (CMT-1). In the present article, we report on the long-term follow-up, on nerve biopsy findings, and on the underlying molecular genetic defect in members of the original family studied by Roussy and Levy. All patients were able to walk during their seventh decade of life. Morphologically, a chronic demyelinating neuropathy with the remarkable aspects of a focally hypertrophic myelin sheath and major loss of myelinated fibers was observed in nerve biopsy specimens of 3 members of this family. Molecular genetic testing identified a previously unknown heterozygous missense point mutation which yielded an Asn131Lys substitution in the extracellular domain of the myelin protein zero (P0). These findings show that the Roussy-Levy family belongs to the CMT-1B subtype and has original morphological and genetic features. FAU - Plante-Bordeneuve, V AU - Plante-Bordeneuve V AD - Department of Neurology, Centre Hospitalier-Universitaire de Bicetre, Universite Paris Sud, Le Kremlin Bicetre, France. FAU - Guiochon-Mantel, A AU - Guiochon-Mantel A FAU - Lacroix, C AU - Lacroix C FAU - Lapresle, J AU - Lapresle J FAU - Said, G AU - Said G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Ann Neurol JT - Annals of neurology JID - 7707449 RN - 0 (Myelin P0 Protein) RN - 0 (Myelin Proteins) RN - 0 (PMP22 protein, human) SB - IM MH - Aged MH - Aged, 80 and over MH - Amino Acid Substitution MH - Charcot-Marie-Tooth Disease/*genetics/pathology MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 17 MH - Exons MH - Female MH - Follow-Up Studies MH - *Genetic Variation MH - Humans MH - Male MH - Middle Aged MH - Mutation, Missense MH - Myelin P0 Protein/genetics MH - Myelin Proteins/genetics MH - Nerve Fibers, Myelinated/*pathology MH - Pedigree MH - Sural Nerve/pathology MH - Time Factors EDAT- 1999/11/30 00:00 MHDA- 1999/11/30 00:01 CRDT- 1999/11/30 00:00 PHST- 1999/11/30 00:00 [pubmed] PHST- 1999/11/30 00:01 [medline] PHST- 1999/11/30 00:00 [entrez] AID - 10.1002/1531-8249(199911)46:5<770::aid-ana13>3.0.co;2-u [doi] PST - ppublish SO - Ann Neurol. 1999 Nov;46(5):770-3. doi: 10.1002/1531-8249(199911)46:5<770::aid-ana13>3.0.co;2-u.