Metabolic neuropathy [24 genes]

Charcot-Marie-Tooth (CMT) disease, or sensorimotor neuropathy, is the most frequent hereditary neuromuscular disease, with a prevalence of 1/2,500 individuals (Suter and Sherer, 2003).

At the molecular level, CMT is a complex disorder, with at least 1,000 associated genetic variants in some 80 genes (Timmerman et al., 2014). In some wide described series, molecular alteration is identified in 60-70% of patients (80% of the demyelinating forms and 25% of the axonal forms) (Rossor et al., 2015). Approximately 90% of abnormalities are distributed in the PMP22, MPZ, GJB1, and MFN2 genes (DiVicenzo et al., 2015), although this value varies between populations, being particularly lower in regions with a high prevalence of recessive hereditary forms. Forty to fifty percent of CMT cases are demyelinating or type 1 (CMT1), of which 70-80% are caused by the duplication of a region of approximately 1,5 Mb which contains the PMP22 gene (CMT1A).

Hereditary motor neuropathy (HMN) comprises 10% of all hereditary neuropathies, with a diagnosis rate of 20-32% (Bansagi et al., 2017).

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Metabolic neuropathy

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Techniques: Exome, NGS capture panel

Turnaround time (TAT): 25 days

Ref. S-202008638

Metabolic neuropathy: View panel
  • AAAS
  • ABCD1
  • ABHD12
  • APTX
  • CYP27A1
  • DCAF8
  • FXN
  • GAN
  • GJB3
  • GLA
  • GM2A
  • GSN
  • HEXA
  • HEXB
  • L1CAM
  • MTTP
  • PEX7
  • PHYH
  • PLP1
  • PNKP
  • POLG
  • PRPS1
  • SOX10
  • TTR

Priority Genes : Genes where there is sufficient evidence (clinical and functional) to consider them associated with the disease; they are included in the clinical practice guidelines.
Secondary Genes: Genes related to the disease, but with a lower level of evidence or that constitute sporadic cases.
* Candidate Genes: Not enough evidence in humans, but potentially associated with the disease.

Related panels
Hereditary neuropathies [150 genes]

Phenotypes

  • AAAS: Triple A / Allgrove / Achalasia-addisonianism-alacrimia syndrome
  • ABCD1: Adrenoleukodystrophy
  • APTX, PNKP: Ataxia with oculomotor apraxia
  • CYP27A1: Cerebrotendinous xanthomatosis
  • HEXA, HEXB, GM2A<7em>: GM2 gangliosidosis
  • PHYH: Refsum disease
  • PLP1: Pelizaeus-Merzbacher disease
  • POLG: Neuropathy associated with POLG
  • SOX10: Demyelinating neuropathy, central demyelination, Waardenburg / Hirschsprung syndrome
  • TTR: Amyloid neuropathy

References

  • 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. Genetic heterogeneity of motor neuropathies. Neurology. 2017 Mar 28;88(13):1226-1234.
  • DiVincenzo C, Elzinga CD, Medeiros AC, Karbassi I, Jones JR, Evans MC, Braastad CD, Bishop CM, Jaremko M, Wang Z, Liaquat K, Hoffman CA, York MD,
  • Batish SD, Lupski JR, Higgins JJ. The allelic spectrum of Charcot-Marie-Tooth disease in over 17,000 individuals with neuropathy. Mol Genet Genomic Med. 2014 Nov;2(6):522-9.
  • Rossor AM, Evans MR, Reilly MM. A practical approach to the genetic neuropathies. Pract Neurol. 2015 Jun;15(3):187-98.
  • Suter U, Scherer SS. Disease mechanisms in inherited neuropathies. Nat Rev Neurosci. 2003 Sep;4(9):714-26.
  • Timmerman V, Strickland AV, Züchner S. Genetics of Charcot-Marie-Tooth (CMT) Disease within the Frame of the Human Genome Project Success. Genes (Basel). 2014 Jan 22;5(1):13-32.