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Hereditary neuropathy with liability to pressure palsies with a small deletion interrupting the PMP22 gene
R A C van de Wetering1, A A W M Gabreëls-Festen, V Timmerman
1Institute of Neurology, University Medical Centre Nijmegen, Nijmegen, The Netherlands
Abstract:
Hereditary neuropathy with liability to pressure palsies is associated with a deficiency in the Peripheral Myelin Protein 22 (PMP22). Most hereditary neuropathy with liability to pressure palsies cases are caused by a deletion of a 1.5 Mb region on chromosome 17p11.2-12 encompassing the PMP22 gene. We describe a hereditary neuropathy with liability to pressure palsies family that lacks the common deletion, but carries a small deletion spanning the 3' region of the PMP22 gene, causing only a partial deletion of one copy of the gene.
Insights
Hereditary neuropathy with liability to pressure palsies (HNPP) can result from a partial deletion of the PMP22 gene. This study identifies a novel small deletion in the PMP22 gene in an HNPP family, differing from the common large deletion.
Area of Science:
- Genetics
- Neurology
- Molecular Biology
Background:
- Hereditary neuropathy with liability to pressure palsies (HNPP) is a genetic disorder affecting peripheral nerves.
- It is typically caused by a large deletion on chromosome 17p11.2-12, which includes the Peripheral Myelin Protein 22 (PMP22) gene.
- PMP22 is crucial for the formation and maintenance of myelin sheaths in peripheral nerves.
Observation:
- A family with HNPP was identified who did not possess the common 1.5 Mb deletion on chromosome 17p11.2-12.
- Genetic analysis revealed a distinct, smaller deletion within this family.
- This novel deletion specifically targets the 3' region of the PMP22 gene.
Findings:
- The identified deletion results in a partial deletion of one copy of the PMP22 gene.
- This partial deletion leads to a deficiency in PMP22, consistent with the PMP22 deficiency observed in typical HNPP cases.
- This finding expands the known genetic mechanisms underlying HNPP.
Implications:
- This discovery broadens the understanding of genetic mutations causing HNPP.
- It highlights the importance of PMP22 gene dosage in peripheral nerve health.
- This may lead to improved genetic diagnostics and counseling for families affected by HNPP.