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Updated: Jul 4, 2026

In Vivo Electrophysiological Measurement of Compound Muscle Action Potential from the Forelimbs in Mouse Models of Motor Neuron Degeneration
Published on: June 15, 2018
Mutation of FIG4 causes a rapidly progressive, asymmetric neuronal degeneration
Xuebao Zhang1, Clement Y Chow, Zarife Sahenk
1Department of Neurology, Wayne State University School of Medicine, Detroit, MI 48201, USA.
Abstract:
Recessive Charcot-Marie-Tooth disease type-4J (CMT4J) and its animal model, the pale tremor mouse (plt), are caused by mutations of the FIG4 gene encoding a PI(3,5)P(2) 5-phosphatase. We describe the 9-year clinical course of CMT4J, including asymmetric, rapidly progressive paralysis, in two siblings. Sensory symptoms were absent despite reduced numbers of sensory axons. Thus, the phenotypic presentation of CMT4J clinically resembles motor neuron disease. Time-lapse imaging of fibroblasts from CMT4J patients demonstrates impaired trafficking of intracellular organelles because of obstruction by vacuoles. Further characterization of plt mice identified axonal degeneration in motor and sensory neurons, limited segmental demyelination, lack of TUNEL staining and lack of accumulation of ubiquitinated protein in vacuoles of motor and sensory neurons. This study represents the first documentation of the natural history of CMT4J. Physical obstruction of organelle trafficking by vacuoles is a potential novel cellular mechanism of neurodegeneration.
Insights
Charcot-Marie-Tooth disease type-4J (CMT4J), caused by FIG4 gene mutations, presents as motor neuron disease with progressive paralysis. Vacuoles obstruct organelle trafficking, potentially causing neurodegeneration.
Area of Science:
- Neuroscience
- Genetics
- Cell Biology
Background:
- Recessive Charcot-Marie-Tooth disease type-4J (CMT4J) and its pale tremor (plt) mouse model result from mutations in the FIG4 gene.
- The FIG4 gene encodes a PI(3,5)P(2) 5-phosphatase crucial for cellular processes.
Observation:
- The 9-year clinical course of two CMT4J siblings revealed asymmetric, rapidly progressive paralysis with absent sensory symptoms.
- Fibroblast imaging showed impaired intracellular organelle trafficking due to vacuole obstruction in CMT4J patients.
- Characterization of plt mice revealed axonal degeneration in motor and sensory neurons.
Findings:
- CMT4J clinically mimics motor neuron disease despite sensory axon reduction.
- Vacuoles physically obstruct organelle trafficking, a novel mechanism in neurodegeneration.
- plt mice exhibited limited demyelination and no TUNEL staining or ubiquitinated protein accumulation.
Implications:
- This study provides the first natural history documentation of CMT4J.
- Physical obstruction of organelle trafficking by vacuoles represents a potential novel cellular mechanism driving neurodegeneration.
- Understanding this mechanism may offer new therapeutic targets for CMT4J and related neurodegenerative disorders.
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