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Letter
Nature Genetics  36, 602 - 606 (2004)
Published online: 2 May 2004; | doi:10.1038/ng1354

Mutant small heat-shock protein 27 causes axonal Charcot-Marie-Tooth disease and distal hereditary motor neuropathy

Oleg V Evgrafov1, Irena Mersiyanova2, Joy Irobi3, Ludo Van Den Bosch4, Ines Dierick3, Conrad L Leung5, Olga Schagina2, Nathalie Verpoorten3, Katrien Van Impe6, Valeriy Fedotov7, Elena Dadali2, Michaela Auer-Grumbach8, Christian Windpassinger8, Klaus Wagner8, Zoran Mitrovic9, David Hilton-Jones10, Kevin Talbot11, Jean-Jacques Martin12, Natalia Vasserman2, Svetlana Tverskaya2, Alexander Polyakov2, Ronald K H Liem5, Jan Gettemans6, Wim Robberecht4, Peter De Jonghe3, 13 & Vincent Timmerman3

1  Department of Psychiatry, New York State Psychiatric Institute/Research Foundation for Mental Hygiene, Unit 28, 1051 Riverside Drive, New York, New York 10032, USA.

2  DNA-Diagnostics Laboratory, Research Center For Medical Genetics, Moscow, Russia.

3  Department of Molecular Genetics, Flanders Interuniversity Institute for Biotechnology, University of Antwerp, Antwerpen, Belgium.

4  Laboratory for Neurobiology, Department of Experimental Neurology, University of Leuven, Leuven, Belgium.

5  Department of Pathology, Columbia University, College of Physicians and Surgeons, New York, USA.

6  Department of Medical Protein Research, Flanders Interuniversity Institute for Biotechnology, Ghent University, Ghent, Belgium.

7  Genetic Counseling Department, Diagnostic Center, Voronezh, Russia.

8  Institute of Medical Biology and Human Genetics, Medical University Graz, Austria.

9  Centre for Neuromuscular Diseases, Department of Neurology, Clinical Hospital Centre Zagreb, University School of Medicine, Zagreb, Croatia.

10  Department of Clinical Neurology, Radcliffe Infirmary, Oxford, UK.

11  Department of Human Anatomy and Genetics, University of Oxford, UK.

12  Born-Bunge Foundation, University of Antwerp, Antwerpen, Belgium.

13  Division of Neurology, University Hospital Antwerpen, Antwerpen, Belgium.

Correspondence should be addressed to Oleg V Evgrafov Evgrafo@pi.cpmc.columbia.edu
Charcot-Marie-Tooth disease (CMT) is the most common inherited neuromuscular disease and is characterized by considerable clinical and genetic heterogeneity1. We previously reported a Russian family with autosomal dominant axonal CMT and assigned the locus underlying the disease (CMT2F; OMIM 606595) to chromosome 7q11−q21 (ref. 2). Here we report a missense mutation in the gene encoding 27-kDa small heat-shock protein B1 (HSPB1, also called HSP27) that segregates in the family with CMT2F. Screening for mutations in HSPB1 in 301 individuals with CMT and 115 individuals with distal hereditary motor neuropathies (distal HMNs) confirmed the previously observed mutation and identified four additional missense mutations. We observed the additional HSPB1 mutations in four families with distal HMN and in one individual with CMT neuropathy. Four mutations are located in the Hsp20−alpha-crystallin domain, and one mutation is in the C-terminal part of the HSP27 protein. Neuronal cells transfected with mutated HSPB1 were less viable than cells expressing the wild-type protein. Cotransfection of neurofilament light chain (NEFL) and mutant HSPB1 resulted in altered neurofilament assembly in cells devoid of cytoplasmic intermediate filaments.


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Nature Genetics
ISSN: 1061-4036
EISSN: 1546-1718
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