Periaxin mutation causes early-onset but slow-progressive Charcot-Marie-Tooth disease

Periaxin mutation causes early-onset but slow-progressive Charcot-Marie-Tooth disease
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DOI:
10.1007/s10038-004-0162-3
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发表时间:
2004-07-01
影响因子:
3.5
通讯作者:
Hayasaka, K
Hayasaka, K
中科院分区:
生物学3区
文献类型:
--
作者:
Kijima, K;Numakura, C;Hayasaka, K

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周蛋白(PRX)在周围神经的髓鞘形成中起着重要的作用。到目前为止,七个无义或移码PRX突变已报告在六个家系与Dejerine-Sottas神经病或严重Charcot-Marie-Tooth神经病(CMT)。我们在筛选66例日本脱髓鞘CMT患者中的3例患者中检测到PRX突变,这些患者的基因突变导致显性或X连锁脱髓鞘CMT。三个无关的患者是纯合子的一种新的R1070 X突变,并提出了早发性,但缓慢进行性远端运动和感觉神经病变。缺乏羧基末端酸性结构域的突变可能表现出功能丧失效应,并导致严重的脱髓鞘CMT。
Periaxin (PRX) plays a significant role in the myelination of the peripheral nerve. To date, seven non-sense or frameshift PRX mutations have been reported in six pedigrees with Dejerine-Sottas neuropathy or severe Charcot-Marie-Tooth neuropathy (CMT). We detected a PRX mutation in three patients in the screening of 66 Japanese demyelinating CMT patients who were negative for the gene mutation causing dominant or X-linked demyelinating CMT. Three unrelated patients were homozygous for a novel R1070X mutation and presented early-onset but slowly progressive distal motor and sensory neuropathies. Mutations lacking the carboxyl-terminal acidic domain may show loss-of-function effects and cause severe demyelinating CMT.