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A Novel Asp121Asn Mutation of Myelin Protein Zero Is Associated with Late-Onset Axonal Charcot-Marie-Tooth Disease, Hearing Loss and Pupil Abnormalities

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单位: [1]Department of Neurology, Peking University Third Hospital, Beijing, China, [2]Department of Neurology, China-Japan Friendship Hospital, Beijing, China, [3]Department of Radio-Diagnosis, China-Japan Friendship Hospital, Beijing, China
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关键词: Charcot-Marie-Tooth disease hearing loss myelin protein zero novel mutation pupil abnormalities

摘要:
Myelin protein zero (MPZ) is a major component of compact myelin in peripheral nerves. Mutations in MPZ have been associated with different Charcot-Marie-Tooth disease (CMT) phenotypes (CMT1B, CMT2I/J, CMTDI), Dejerine-Sottas syndrome, and congenital hypomyelination neuropathy. Here, we report phenotypic variability in a four generation Chinese family with the MPZ mutation Asp121Asn. Genetic testing was performed on nine family members and 200 controls. Clinical, electrophysiological and skeletal muscle MRI assessments were available for review in six family members. A novel heterozygous missense mutation, Asp121Asn, was observed in five affected members of the family. Unaffected relatives and 200 normal controls were without the mutation. Four of the affected members of the family displayed late-onset, predominantly axonal sensory and motor neuropathy, pupil abnormalities, and progressive sensorineural hearing loss. One young affected member presented with Argyll Robertson pupils and diminished deep tendon reflexes in the lower limbs. The MPZ mutation Asp121Asn may be associated with late-onset axonal neuropathy, early onset hearing loss and pupil abnormalities. Our report expands the number and phenotypic spectrum of MPZ mutations.

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出版当年[2015]版:
大类 | 2 区 医学
小类 | 2 区 老年医学 3 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 老年医学 3 区 神经科学
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出版当年[2014]版:
Q1 GERIATRICS & GERONTOLOGY Q2 NEUROSCIENCES
最新[2023]版:
Q2 GERIATRICS & GERONTOLOGY Q2 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2014版] 出版当年五年平均[2010-2014] 出版前一年[2013版] 出版后一年[2015版]

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第一作者单位: [1]Department of Neurology, Peking University Third Hospital, Beijing, China, [2]Department of Neurology, China-Japan Friendship Hospital, Beijing, China,
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