Publications
Neuromuscular disorders : NMDOct 2020 |
30
(
12
),
986-990
DOI:
10.1016/j.nmd.2020.10.003

CLINICAL AND MOLECULAR EVIDENCE OF POSSIBLE TRUE DIGENIC INHERITANCE FOR MFN2/GDAP1 GENES IN CHARCOT-MARIE-TOOTH DISEASE

Barreda Fierro, Renée; Herrera Mora, Patricia; Zenteno, Juan Carlos; Villarroel Cortés, Camilo E
Product Used
NGS
Abstract
Charcot Marie Tooth disease (CMT) is a progressive motor and sensory polyneuropathy, it is characterized by a very heterogeneous molecular basis and phenotype. MFN2 and GDAP1 participate in mitochondrial energy metabolism and the rare coinheritance of its pathogenic variants has been associated with a cumulative effect in the observed phenotype. We describe a patient with a severe axonal CMT and inherited heterozygous MFN2 (p.Leu741Val) and GDAP1 (p.Gln163*) variants. In accordance with a possible true digenic inheritance, none of the heterozygous carriers in his family were symptomatic or exhibited electrophysiological abnormalities. We also review all of the previously reported patients with coinheritance of variants in these two genes; similar to our patient, all exhibit a predominantly axonal severe CMT phenotype. Our findings expand the genotypic spectrum of CMT and further support that digenic inheritance should be considered for analyzing and counseling CMT patients.
Product Used
NGS

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