Lee Samuel M, Chin Lih-Shen, Li Lian
Department of Neurology, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Department of Pharmacology and Center for Neurodegenerative Disease, Emory University School of Medicine, Atlanta, GA, 30322, USA.
Mol Neurobiol. 2017 Jan;54(1):87-100. doi: 10.1007/s12035-015-9668-2. Epub 2016 Jan 5.
Charcot-Marie-Tooth (CMT) disease is the most common inherited peripheral neuropathy with the majority of cases involving demyelination of peripheral nerves. The pathogenic mechanisms of demyelinating CMT remain unclear, and no effective therapy currently exists for this disease. The discovery that mutations in different genes can cause a similar phenotype of demyelinating peripheral neuropathy raises the possibility that there may be convergent mechanisms leading to demyelinating CMT pathogenesis. Increasing evidence indicates that ErbB receptor-mediated signaling plays a major role in the control of Schwann cell-axon communication and myelination in the peripheral nervous system. Recent studies reveal that several demyelinating CMT-linked proteins are novel regulators of endocytic trafficking and/or phosphoinositide metabolism that may affect ErbB receptor signaling. Emerging data have begun to suggest that dysregulation of ErbB receptor trafficking and signaling in Schwann cells may represent a common pathogenic mechanism in multiple subtypes of demyelinating CMT. In this review, we focus on the roles of ErbB receptor trafficking and signaling in regulation of peripheral nerve myelination and discuss the emerging evidence supporting the potential involvement of altered ErbB receptor trafficking and signaling in demyelinating CMT pathogenesis and the possibility of modulating these trafficking and signaling processes for treating demyelinating peripheral neuropathy.
夏科-马里-图思(CMT)病是最常见的遗传性周围神经病,大多数病例涉及周围神经脱髓鞘。脱髓鞘型CMT的致病机制尚不清楚,目前尚无针对该病的有效治疗方法。不同基因的突变可导致类似的脱髓鞘周围神经病表型,这一发现提示可能存在导致脱髓鞘型CMT发病的共同机制。越来越多的证据表明,表皮生长因子受体(ErbB)介导的信号传导在周围神经系统中雪旺细胞-轴突通讯及髓鞘形成的调控中起主要作用。最近的研究表明,几种与脱髓鞘型CMT相关的蛋白是内吞运输和/或磷酸肌醇代谢的新型调节因子,可能影响ErbB受体信号传导。新出现的数据已开始提示,雪旺细胞中ErbB受体运输和信号传导的失调可能是脱髓鞘型CMT多种亚型的共同致病机制。在本综述中,我们重点关注ErbB受体运输和信号传导在周围神经髓鞘形成调控中的作用,并讨论支持ErbB受体运输和信号传导改变可能参与脱髓鞘型CMT发病机制的新证据,以及调节这些运输和信号传导过程以治疗脱髓鞘周围神经病的可能性。