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X inactivation in females with X-linked Charcot-Marie-Tooth disease
Journal article   Open access   Peer reviewed

X inactivation in females with X-linked Charcot-Marie-Tooth disease

Sinéad M Murphy, Richard Ovens, James Polke, Carly E Siskind, Matilde Laurà, Karen Bull, Gita Ramdharry, Henry Houlden, Raymond P J Murphy, Michael E Shy, …
Neuromuscular disorders : NMD, Vol.22(7), pp.617-621
07/2012
DOI: 10.1016/j.nmd.2012.02.009
PMCID: PMC3657177
PMID: 22483671
url
https://doi.org/10.1016/j.nmd.2012.02.009View
Published (Version of record) Open Access

Abstract

X-linked Charcot-Marie-Tooth disease (CMT1X) is the second most common inherited neuropathy, caused by mutations in gap junction beta-1 (GJB1). Males have a uniformly moderately severe phenotype while females have a variable phenotype, suggested to be due to X inactivation. We aimed to assess X inactivation pattern in females with CMT1X and correlate this with phenotype using the CMT examination score to determine whether the X inactivation pattern accounted for the variable phenotype in females with CMT1X. We determined X inactivation pattern in 67 females with CMT1X and 24 controls using the androgen receptor assay. We were able to determine which X chromosome carried the GJB1 mutation in 30 females. There was no difference in X inactivation pattern between patients and controls. In addition, there was no correlation between X inactivation pattern in blood and phenotype. A possible explanation for these findings is that the X inactivation pattern in Schwann cells rather than in blood may explain the variable phenotype in females with CMT1X.
X Chromosome Inactivation - genetics Gene Frequency Humans Middle Aged Family Health Male Mutation - genetics Charcot-Marie-Tooth Disease - genetics Chromosomes, Human, X Young Adult Adolescent Adult Female Genetic Diseases, X-Linked - genetics Aged

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