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Updated: Jun 7, 2025

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Modeling Charcot-Marie-Tooth Disease In Vitro by Transfecting Mouse Primary Motoneurons
Published on: January 7, 2019
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Phenotype-genotype correlation in X-linked Charcot-Marie-Tooth disease: A French cohort study
Luce Barbat du Closel1, Nathalie Bonello-Palot2, Emilien Delmont1
1Reference Center for Neuromuscular Disorders and ALS, APHM, CHU La Timone, Filnemus, ERN Neuro-NMD, Marseille, France.
European Journal of Neurology
|November 21, 2024
Summary
Genetic variants in transmembrane domains of X-linked Charcot-Marie-Tooth disease type 1 (CMTX1) are linked to more severe neuropathy. Understanding these genotype-phenotype correlations is crucial for future clinical trials in CMTX1 patients.
Area of Science:
- Neurology
- Genetics
- Hereditary Neuropathies
Background:
- X-linked Charcot-Marie-Tooth disease type 1 (CMTX1) is a common inherited neuropathy with no cure.
- Preclinical research suggests potential for future clinical trials.
Purpose of the Study:
- To investigate genotype-phenotype correlations in CMTX1.
- To aid in forming balanced patient groups for upcoming clinical trials.
Main Methods:
- Retrospective analysis of 275 CMTX1 patients from 13 French reference centers.
- Systematic data collection on genetics, clinical presentation, and nerve conduction studies.
Main Results:
- 87 distinct variants were identified across 162 families.
- Variants in transmembrane domains correlated with increased disease severity (CMT-ES 10.5 vs. 7.1-8.7).
- Transmembrane domain variants showed earlier onset, slower nerve conduction, and greater motor amplitude loss.
Conclusions:
- A significant correlation exists between the mutated protein domain and clinical phenotype in CMTX1.
- Variants in transmembrane domains predict a more severe clinical and electrophysiological profile.
- Genotype may serve as a prognostic indicator for CMTX1, essential for clinical trial stratification.
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