Forskel mellem versioner af "Charcot–Marie–Tooths sygdom"

Fra Rygsygdom.dk
Spring til navigation Spring til søgning
(Oprettede siden med '=Synonymer= CMT, neuropati, Charcot–Marie–Tooth disease, Charcot–Marie–Tooth neuropathy, hereditary motor and sensory neuropathy (HMSN), peroneal muscular atrophy (PMA)…')
 
(Klassifikation)
Linje 72: Linje 72:
 
|}
 
|}
  
'''Genetic subtypes'''
 
{| class="wikitable" style="text-align: left;"
 
! Type
 
! Subtype
 
! [[OMIM]]
 
! [[Gene]]
 
! style="width:7em"|[[Locus (genetics)|Locus]]
 
! style="width:10em"|[[Heredity|Inheritance]]
 
! Notes
 
|-
 
| rowspan="6" | '''CMT1''' || CMT1A || {{OMIM2|118220}} || ''[[PMP22]]'' || 17p11.2 || [[Autosomal dominant]] || The most common form of the disease, 70–80% of Type 1 patients. Average [[Nerve conduction velocity|NCV]]: 20–25 [[Metre per second|m/s]]. Allelic with subtype CMT1E. When associated with subtype CMT1B (causing essential tremor and ataxia), it is called '''[[Roussy–Lévy syndrome]]'''.
 
|-
 
| CMT1B || {{OMIM2|118200}} || ''[[MPZ]]'' || 1q23.3 || [[Autosomal dominant]] || Responsible for 5–10% of Type 1 patients. Average [[Nerve conduction velocity|NCV]]: < 15 [[Metre per second|m/s]]
 
|-
 
| CMT1C || {{OMIM2|601098}} || ''[[LITAF]]'' || 16p13.13 || [[Autosomal dominant]] || Usually shows up in infancy. Average [[Nerve conduction velocity|NCV]]: 26–42 [[Metre per second|m/s]]. Symptoms are identical to CMT1A.
 
|-
 
| CMT1D || {{OMIM2|607678}} || ''[[EGR2]]'' || 10q21.3 || [[Autosomal dominant]] || Average [[Nerve conduction velocity|NCV]]: 15–20 [[m/s]]
 
|-
 
| CMT1E || {{OMIM2|118300}} || ''[[PMP22]]'' || 17p11.2 || [[Autosomal dominant]] || Characterised by [[demyelination]] and [[deafness|loss of hearing]]; allelic with subtype CMT1A
 
|-
 
| CMT1F || {{OMIM2|607734}} || ''[[NEFL]]'' || 8p21.2 || [[Autosomal dominant]] ||
 
|-
 
| rowspan="18" | '''CMT2''' || CMT2A1 || {{OMIM2|118210}} || ''[[KIF1B]]'' || 1p36.22 || [[Autosomal dominant]] ||
 
|-
 
| CMT2A2 || {{OMIM2|609260}} || ''[[MFN2]]'' || 1p36.22 || [[Autosomal dominant]] ||
 
|-
 
| CMT2B || {{OMIM2|600882}} || ''[[RAB7A]]''<br />''[[RAB7B]]'' || 3q21.3 || [[Autosomal dominant]] ||
 
|-
 
| CMT2B1 || {{OMIM2|605588}} || ''[[LMNA]]'' || 1q22 || [[Autosomal recessive]] || A [[laminopathy]]
 
|-
 
| CMT2B2 || {{OMIM2|605589}} || ''[[MED25]]'' || 19q13.33 || [[Autosomal dominant]] ||
 
|-
 
| CMT2C || {{OMIM2|606071}} || ''[[TRPV4]]'' || 12q24.11 || [[Autosomal dominant]] || May cause vocal cord, diaphragm, and distal weakness
 
|-
 
| CMT2D || {{OMIM2|601472}} || ''[[GARS]]''|| 7p14.3 || [[Autosomal dominant]] || Symptoms are more severe in the upper extremities (hands), which is atypical for CMT
 
|-
 
| CMT2E || {{OMIM2|607684}} || ''[[NEFL]]'' || 8p21.2 || [[Autosomal dominant]] ||
 
|-
 
| CMT2F || {{OMIM2|606595}} || ''[[HSPB1]]'' || 7q11.23 || [[Autosomal dominant]] ||
 
|-
 
| CMT2G || {{OMIM2|608591}} || ? || 12q12–q13.3 || [[Autosomal dominant]] ||
 
|-
 
| CMT2H || {{OMIM2|607731}} || ''[[GDAP1]]'' || 8q21.11 || [[Autosomal dominant]] || Allelic with subtype CMT2K
 
|-
 
| CMT2I || {{OMIM2|607677}} || ''[[MPZ]]'' || 1q23.3 || [[Autosomal dominant]] || Allelic with subtype CMT2J and forms of CMT3
 
|-
 
| CMT2J || {{OMIM2|607736}} || ''[[MPZ]]'' || 1q23.3 || [[Autosomal dominant]] || Allelic with subtype CMT2I and forms of CMT3
 
|-
 
| CMT2K || {{OMIM2|607831}} || ''[[GDAP1]]'' || 8q21.11 || [[Autosomal dominant]] || Allelic with subtype CMT2H
 
|-
 
| CMT2L || {{OMIM2|608673}} || ''[[HSPB8]]'' || 12q24.23 || [[Autosomal dominant]] ||
 
|-
 
| CMT2M || {{OMIM2|606482}} || ''[[DNM2]]'' || 19p13.2 || [[Autosomal dominant]] || Full name: ''CMT2M, included''; more commonly classified as subtype CMTDIB
 
|-
 
| CMT2O || {{OMIM2|614228}} || ''[[DYNC1H1]]'' || 14q32.31 || [[Autosomal dominant]] || Allelic with [[spinal muscular atrophy with lower extremity predominance]]
 
|-
 
| CMT2P || {{OMIM2|614436}} || ''[[LRSAM1]]'' || 9q33.3 || [[Autosomal dominant]]<br />[[Autosomal recessive]] || Juvenile or adult onset, slowly progressive
 
|-
 
| '''CMT3''' || CMT3 || {{OMIM2|145900}} || ''[[MPZ]]''<br />''[[EGR2]]''<br />''[[PMP22]]''<br />''[[PRX (gene)|PRX]]'' || 1q23.3<br />10q21.3<br />17p12<br />19q13.2 || [[Autosomal dominant]]<br />[[Autosomal recessive]] || More commonly known as '''[[Dejerine–Sottas disease]]'''; subtype CMT4F sometimes included here
 
|-
 
| rowspan="11" | '''CMT4''' || CMT4A || {{OMIM2|214400}} || ''[[GDAP1]]'' || 8q21.11 || [[Autosomal recessive]] || Allelic with subtype CMTRIA
 
|-
 
| CMT4B1 || {{OMIM2|601382}} || ''[[MTMR2]]'' || 11q21 || [[Autosomal recessive]] ||
 
|-
 
| CMT4B2 || {{OMIM2|604563}} || ''[[SBF2]]'' || 11p15.4 || [[Autosomal recessive]] ||
 
|-
 
| CMT4B3 || {{OMIM2|615284}} || ''[[SBF1]]'' || 22q13.33 || [[Autosomal recessive]] ||
 
|-
 
| CMT4C || {{OMIM2|601596}} || ''[[SH3TC2]]'' || 5q32 || [[Autosomal recessive]] || May lead to respiratory compromise
 
|-
 
| CMT4D || {{OMIM2|601455}} || ''[[NDRG1]]'' || 8q24.3 || [[Autosomal recessive]] || Characterised by [[demyelination]] and [[deafness|loss of hearing]]
 
|-
 
| CMT4E || {{OMIM2|605253}} || ''[[MPZ]]''<br />''[[EGR2]]'' || 1q23.3<br />10q21.3 || [[Autosomal recessive]] || Also known as '''congenital hypomyelinating neuropathy'''; phenotype largely overlapping with subtype CMT4F
 
|-
 
| CMT4F || {{OMIM2|145900}} || ''[[PRX (gene)|PRX]]'' || 19q13.2 || [[Autosomal recessive]] || Phenotype largely overlapping with subtype CMT4E; may be the same as CMT3
 
|-
 
| CMT4G || {{OMIM2|605285}} || ''[[HK1]]'' || 10q22.1 || [[Autosomal recessive]] || Also known as '''Russe-type hereditary motor and sensory neuropathy''' (HMSNR); second most common cause of CMT in the Spanish [[Romani people|Roma]] population
 
|-
 
| CMT4H || {{OMIM2|609311}} || ''[[FGD4]]'' || 12p11.21 || [[Autosomal recessive]] ||
 
|-
 
| CMT4J || {{OMIM2|611228}} || ''[[FIG4]]'' || 6q21 || [[Autosomal recessive]] || Allelic to [[amyotrophic lateral sclerosis|amyotrophic lateral sclerosis type 11]]
 
|-
 
| '''CMT5''' || CMT5 || {{OMIM2|600361}} || ? || 4q34.3–q35.2 || [[Autosomal dominant]] || Also known as '''CMT with pyramidal features'''; onset in 2nd decade of life with [[distal]] muscle wasting, particularly in legs
 
|-
 
| '''CMT6''' || CMT6 || {{OMIM2|601152}} || ''[[MFN2]]'' || 1p36.22 || [[Autosomal dominant]] || Characterised by [[optic atrophy]], hence known also as '''CMT with optic atrophy'''
 
|-
 
| rowspan="5" | '''CMTDI''' || CMTDIA || {{OMIM2|606483}} || ? || 10q24.1–q25.1 || [[Autosomal dominant]] ||
 
|-
 
| CMTDIB || {{OMIM2|606482}} || ''[[DNM2]]'' || 19p13.2 || [[Autosomal dominant]] || Also classified as subtype CMT2M
 
|-
 
| CMTDIC || {{OMIM2|608323}} || ''[[YARS]]'' || 1p35.1 || [[Autosomal dominant]] ||
 
|-
 
| CMTDID || {{OMIM2|607791}} || ''[[MPZ]]'' || 1q23.3 || [[Autosomal dominant]] ||
 
|-
 
| CMTDIE || {{OMIM2|614455}} || ''[[INF2]]'' || 14q32.33 || [[Autosomal dominant]] ||
 
|-
 
| rowspan="2" | '''CMTRI''' || CMTRIA || {{OMIM2|608340}} || ''[[GDAP1]]'' || 8q21.11 || [[Autosomal recessive]] || Allelic with subtype CMT4A
 
|-
 
| CMTRIB || {{OMIM2|613641}} || ''[[KARS (gene)|KARS]]'' || 16q23.1 || [[Autosomal recessive]] ||
 
|-
 
| rowspan="5" | '''CMTX''' || CMTX1 || {{OMIM2|302800}} || ''[[GJB1]]'' || Xq13.1 || [[X-linked dominant]] || Responsible for approximately 90% of CMTX patients; some studies put this number significantly higher.<ref>{{cite journal |pages=38–42 |doi=10.1159/000117403 |title=New Mutations in the X-Linked Form of Charcot-Marie-Tooth Disease |year=1997 |last1=Latour |first1=Philippe |last2=Fabreguette |first2=Anne |last3=Ressot |first3=Catherine |last4=Blanquet-Grossard |first4=Fran&Ccedil;Oise |last5=Antoine |first5=Jean-Christophe |last6=Calvas |first6=Patrick |last7=Chapon |first7=Fran&Ccedil;Oise |last8=Corbillon |first8=Emmanuel |last9=Ollagnor |first9=Elisabeth |journal=European Neurology |volume=37 |pmid=9018031 |issue=1}}</ref><ref>{{cite book |first1=Charles K. |last1=Abrams |first2=John E. |last2=Rash |chapter=Connexins in the Nervous System |chapterurl=http://www.springerlink.com/content/978-1-59745-489-6#section=129548&page=1&locus=0 |editor1-last=Harris |editor1-first=Andrew |editor2-last=Locke |editor2-first=Darren |title=Connexins |publisher=Springer |year=2009 |location=New York |pages=323–57 |url=http://www.springer.com/978-1-934115-46-6 |doi=10.1007/978-1-59745-489-6_15 |isbn=978-1-934115-46-6}}</ref>
 
|-
 
| CMTX2 || {{OMIM2|302801}} || ''[[CMTX2]]'' || Xq22.2 || [[X-linked recessive]] ||
 
|-
 
| CMTX3 || {{OMIM2|302802}} || ''[[CMTX3]]'' || Xq26 || [[X-linked recessive]] ||
 
|-
 
| CMTX4 || {{OMIM2|310490}} || ''[[NAMSD]]'' || Xq24–q26.1 || [[X-linked recessive]] || Also known as '''Cowchock syndrome'''
 
|-
 
| CMTX5 || {{OMIM2|311070}} || ''[[PRPS1]]'' || Xq22.3 || [[X-linked recessive]] || Also known as '''Rosenberg–Chutorian syndrome'''; signs include [[optic atrophy]], [[polyneuropathy]] and [[deafness]]
 
|-
 
! Type
 
! Subtype
 
! [[OMIM]]
 
! [[Gene]]
 
! [[Locus (genetics)|Locus]]
 
! [[Heredity|Inheritance]]
 
! Notes
 
|}
 
 
It has to be kept in mind that sometimes a particular patient diagnosed with CMT can exhibit a combination of any of the above gene mutations; thus, in these cases precise classification can be a little arbitrary.
 
  
  
 
[[Kategori:Dropfod]]
 
[[Kategori:Dropfod]]

Versionen fra 8. sep 2013, 15:11

Synonymer

CMT, neuropati, Charcot–Marie–Tooth disease, Charcot–Marie–Tooth neuropathy, hereditary motor and sensory neuropathy (HMSN), peroneal muscular atrophy (PMA)

Beskrivelse

Arvelig lidelse der rammer PNS med progressivt tab af muskelvæv og følesans

Forekomst

1:2500

Symptomer

Begynder som regel i den tidlige voksenalder men kan vente til 30-40 års alderen. Første symptom er som regel dropfod.

Årsag

Duplikation af en stor region på den korte arm af kromosom 17 (75% af CMT) som indeholder genet PMP22.

Klassifikation

CMT is a result of genetic mutations in a number of genes. Based on the affected gene, CMT can be categorized into types and subtypes.<ref name="Lupski2010" />

Clinical categories

Type Name Incidence Notes
CMT1 Demyelinating type Affects approximately 30% of CMT patients Causes severe demyelination, thereby impairing nerve conduction velocity.
CMT2 Axonal type Affects approximately 20–40% of CMT patients Mainly affects axons. Tends to affect lower extremities more than upper extremities. Clinical symptoms are often less severe than in CMT1. As it is an axonopathy, average nerve conduction velocity is usually not affected (sometimes slightly below normal but mostly above 38 m/s).
CMT3 Dejerine-Sottas disease Very rare Does not impair nerve conduction velocity.
CMT4 Spinal type
CMT5 Pyramidal type
CMT6
CMTDI Dominant intermediate type
CMTRI Recessive intermediate type
CMTX X-linked type Affects approximately 10–20% of CMT patients This type encompasses all CMT forms that are inherited in an X-linked manner. Average NCV: 25–40 m/s.