Liu Lei, Zhang Ruxu
Department of Neurology, the Third Xiangya Hospital, Central South University, Changsha, 410013, China.
Neurosci Bull. 2014 Dec;30(6):999-1009. doi: 10.1007/s12264-014-1475-7. Epub 2014 Oct 17.
Charcot-Marie-Tooth (CMT) disease is a common neurogenetic disorder and its heterogeneity is a challenge for genetic diagnostics. The genetic diagnostic procedures for a CMT patient can be explored according to the electrophysiological criteria: very slow motor nerve conduction velocity (MNCV) (<15 m/s), slow MNCV (15-25 m/s), intermediate MNCV (25-45 m/s), and normal MNCV (>45 m/s). Based on the inheritance pattern, intermediate CMT can be divided into dominant (DI-CMT) and recessive types (RI-CMT). GJB1 is currently considered to be associated with X-linked DI-CMT, and MPZ, INF2, DNM2, YARS, GNB4, NEFL, and MFN2 are associated with autosomal DI-CMT. Moreover, GDAP1, KARS, and PLEKHG5 are associated with RI-CMT. Identification of these genes is not only important for patients and families but also provides new information about pathogenesis. It is hoped that this review will lead to a better understanding of intermediate CMT and provide a detailed diagnostic procedure for intermediate CMT.
夏科-马里-图斯(CMT)病是一种常见的神经遗传性疾病,其异质性对基因诊断构成挑战。可根据电生理标准探索CMT患者的基因诊断程序:运动神经传导速度(MNCV)极慢(<15米/秒)、MNCV慢(15 - 25米/秒)、MNCV中等(25 - 45米/秒)和MNCV正常(>45米/秒)。根据遗传模式,中间型CMT可分为显性(DI-CMT)和隐性类型(RI-CMT)。目前认为GJB1与X连锁显性CMT相关,而MPZ、INF2、DNM2、YARS、GNB4、NEFL和MFN2与常染色体显性CMT相关。此外,GDAP1、KARS和PLEKHG5与隐性CMT相关。这些基因的鉴定不仅对患者及其家庭很重要,还为发病机制提供了新信息。希望本综述能增进对中间型CMT的理解,并为中间型CMT提供详细的诊断程序。