Passage Edith, Norreel Jean Chrétien, Noack-Fraissignes Pauline, Sanguedolce Véronique, Pizant Josette, Thirion Xavier, Robaglia-Schlupp Andrée, Pellissier Jean François, Fontés Michel
Institut National de la Santé et de la Recherche Médicale UMR491, IPHM, Faculté de Médecine de la Timone, 27 Bd. J. Moulin, 13385 Marseille Cedex 5, France.
Nat Med. 2004 Apr;10(4):396-401. doi: 10.1038/nm1023. Epub 2004 Mar 21.
Charcot-Marie-Tooth disease (CMT) is the most common hereditary peripheral neuropathy, affecting 1 in 2,500 people. The only treatment currently available is rehabilitation or corrective surgery. The most frequent form of the disease, CMT-1A, involves abnormal myelination of the peripheral nerves. Here we used a mouse model of CMT-1A to test the ability of ascorbic acid, a known promoter of myelination, to correct the CMT-1A phenotype. Ascorbic acid treatment resulted in substantial amelioration of the CMT-1A phenotype, and reduced the expression of PMP22 to a level below what is necessary to induce the disease phenotype. As ascorbic acid has already been approved by the FDA for other clinical indications, it offers an immediate therapeutic possibility for patients with the disease.
夏科-马里-图斯病(CMT)是最常见的遗传性周围神经病,每2500人中就有1人患病。目前唯一可用的治疗方法是康复治疗或矫正手术。该疾病最常见的类型CMT-1A,涉及周围神经髓鞘形成异常。在此,我们使用CMT-1A小鼠模型来测试抗坏血酸(一种已知的髓鞘形成促进剂)纠正CMT-1A表型的能力。抗坏血酸治疗使CMT-1A表型得到显著改善,并将外周髓鞘蛋白22(PMP22)的表达降低到诱发疾病表型所需水平以下。由于抗坏血酸已被美国食品药品监督管理局(FDA)批准用于其他临床适应症,它为该疾病患者提供了直接的治疗可能性。