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Updated: May 30, 2026

Modeling Charcot-Marie-Tooth Disease In Vitro by Transfecting Mouse Primary Motoneurons
Published on: January 7, 2019
Structural basis for the Trembler-J phenotype of Charcot-Marie-Tooth disease
Masayoshi Sakakura1, Arina Hadziselimovic, Zhen Wang
1Department of Biochemistry, Center for Structural Biology, Vanderbilt University School of Medicine, Nashville, TN 37232-8725, USA.
Abstract:
Mutations in peripheral myelin protein 22 (PMP22) can result in the common peripheral neuropathy Charcot-Marie-Tooth disease (CMTD). The Leu16Pro mutation in PMP22 results in misassembly of the protein, which causes the Trembler-J (TrJ) disease phenotype. Here we elucidate the structural defects present in a partially folded state of TrJ PMP22 that are decisive in promoting CMTD-causing misfolding. In this state, transmembrane helices 2-4 (TM2-4) form a molten globular bundle, while transmembrane helix 1 (TM1) is dissociated from this bundle. The TrJ mutation was seen to profoundly disrupt the TM1 helix, resulting in increased backbone dynamics and changes in the tertiary interactions of TM1 with the PMP22 TM2-4 core in the folded state. Consequently, TM1 undergoes enhanced dissociation from the other transmembrane segments in TrJ PMP22, becoming available for recognition and sequestration by protein-folding quality control, which leads to loss of function and toxic accumulation of aggregates that result in CMTD.
Insights
The Leu16Pro mutation in peripheral myelin protein 22 (PMP22) causes Trembler-J disease by disrupting protein structure. This structural defect leads to misfolding, loss of function, and toxic aggregate accumulation, resulting in Charcot-Marie-Tooth disease.
Area of Science:
- Biochemistry
- Molecular Biology
- Neuroscience
Background:
- Mutations in peripheral myelin protein 22 (PMP22) are a common cause of Charcot-Marie-Tooth disease (CMTD).
- The Leu16Pro mutation in PMP22 leads to the Trembler-J (TrJ) disease phenotype due to protein misassembly.
Purpose of the Study:
- To elucidate the structural defects in partially folded TrJ PMP22 that promote Charcot-Marie-Tooth disease (CMTD)-causing misfolding.
- To understand how the Leu16Pro mutation impacts PMP22 structure and function.
Main Methods:
- Analysis of the structural defects in a partially folded state of TrJ PMP22.
- Investigating the dynamics and tertiary interactions of transmembrane helix 1 (TM1) in the mutated protein.
Main Results:
- Transmembrane helices 2-4 (TM2-4) form a molten globular bundle, while TM1 is dissociated in the partially folded state.
- The TrJ mutation significantly disrupts TM1, increasing its dynamics and altering interactions with the TM2-4 core.
- Mutated TM1 shows enhanced dissociation, leading to recognition by protein-folding quality control.
Conclusions:
- The Leu16Pro mutation in PMP22 causes Charcot-Marie-Tooth disease by inducing structural defects that lead to protein misfolding.
- Disruption of TM1 and its subsequent sequestration by quality control mechanisms result in PMP22 loss of function and toxic aggregate formation.
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