|Title||Genetic heterogeneity of motor neuropathies.|
|Publication Type||Journal Article|
|Year of Publication||2017|
|Authors||Bansagi, B, Griffin, H, Whittaker, RG, Antoniadi, T, Evangelista, T, Miller, J, Greenslade, M, Forester, N, Duff, J, Bradshaw, A, Kleinle, S, Boczonadi, V, Steele, H, Ramesh, V, Franko, E, Pyle, A, Lochmüller, H, Chinnery, PF, Horvath, R|
|Date Published||2017 Mar 28|
|Keywords||Adolescent, Adult, Aged, Analysis of Variance, Charcot-Marie-Tooth Disease, Cohort Studies, Connexins, DNA Mutational Analysis, Electromyography, England, Family Health, Female, Genetic Heterogeneity, GTP Phosphohydrolases, Hereditary Sensory and Motor Neuropathy, Humans, Male, Middle Aged, Mitochondrial Proteins, Mutation, Myelin Proteins, Neural Conduction, Young Adult|
OBJECTIVE: To study the prevalence, molecular cause, and clinical presentation of hereditary motor neuropathies in a large cohort of patients from the North of England.
METHODS: Detailed neurologic and electrophysiologic assessments and next-generation panel testing or whole exome sequencing were performed in 105 patients with clinical symptoms of distal hereditary motor neuropathy (dHMN, 64 patients), axonal motor neuropathy (motor Charcot-Marie-Tooth disease [CMT2], 16 patients), or complex neurologic disease predominantly affecting the motor nerves (hereditary motor neuropathy plus, 25 patients).
RESULTS: The prevalence of dHMN is 2.14 affected individuals per 100,000 inhabitants (95% confidence interval 1.62-2.66) in the North of England. Causative mutations were identified in 26 out of 73 index patients (35.6%). The diagnostic rate in the dHMN subgroup was 32.5%, which is higher than previously reported (20%). We detected a significant defect of neuromuscular transmission in 7 cases and identified potentially causative mutations in 4 patients with multifocal demyelinating motor neuropathy.
CONCLUSIONS: Many of the genes were shared between dHMN and motor CMT2, indicating identical disease mechanisms; therefore, we suggest changing the classification and including dHMN also as a subcategory of Charcot-Marie-Tooth disease. Abnormal neuromuscular transmission in some genetic forms provides a treatable target to develop therapies.
|PubMed Central ID||PMC5373778|
|Grant List||309548 / / European Research Council / International|