Entry - #118300 - CHARCOT-MARIE-TOOTH DISEASE AND DEAFNESS - OMIM
# 118300

CHARCOT-MARIE-TOOTH DISEASE AND DEAFNESS


Alternative titles; symbols

CHARCOT-MARIE-TOOTH NEUROPATHY AND DEAFNESS, AUTOSOMAL DOMINANT
CHARCOT-MARIE-TOOTH DISEASE, DEMYELINATING, TYPE 1E; CMT1E


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
17p12 Charcot-Marie-Tooth disease, type 1E 118300 AD 3 PMP22 601097
Clinical Synopsis
 
Phenotypic Series
 

INHERITANCE
- Autosomal dominant
HEAD & NECK
Ears
- Sensorineural hearing loss
SKELETAL
Hands
- Claw hand deformities
Feet
- Pes calcaneovarus
- Pes cavus
- Hammertoes
- Foot deformities
NEUROLOGIC
Peripheral Nervous System
- Distal limb muscle weakness due to peripheral neuropathy
- Distal limb muscle atrophy due to peripheral neuropathy
- 'Steppage' gait
- Foot drop
- Poor balance
- Distal sensory impairment
- Hyporeflexia
- Areflexia
- Decreased motor nerve conduction velocity (NCV)
MISCELLANEOUS
- Childhood onset
- Usually begins in feet and legs (peroneal distribution)
- Upper limb involvement usually occurs later
- Allelic disorders with overlapping phenotypes include CMT1A (118220), hereditary neuropathy with liability to pressure palsies (HNPP, 162500), and Dejerine-Sottas syndrome (DSS, 145900)
MOLECULAR BASIS
- Caused by mutation in the peripheral myelin protein-22 gene (PMP22, 601097.0010)
Charcot-Marie-Tooth disease - PS118220 - 81 Entries
Location Phenotype Inheritance Phenotype
mapping key
Phenotype
MIM number
Gene/Locus Gene/Locus
MIM number
1p36.31 Charcot-Marie-Tooth disease, recessive intermediate C AR 3 615376 PLEKHG5 611101
1p36.22 Charcot-Marie-Tooth disease, type 2A1 AD 3 118210 KIF1B 605995
1p36.22 Hereditary motor and sensory neuropathy VIA AD 3 601152 MFN2 608507
1p36.22 Charcot-Marie-Tooth disease, axonal, type 2A2B AR 3 617087 MFN2 608507
1p36.22 Charcot-Marie-Tooth disease, axonal, type 2A2A AD 3 609260 MFN2 608507
1p35.1 Charcot-Marie-Tooth disease, dominant intermediate C AD 3 608323 YARS1 603623
1p13.1 Charcot-Marie-Tooth disease, axonal, type 2DD AD 3 618036 ATP1A1 182310
1q22 Charcot-Marie-Tooth disease, type 2B1 AR 3 605588 LMNA 150330
1q23.2 Charcot-Marie-Tooth disease, axonal, type 2FF AD 3 619519 CADM3 609743
1q23.3 Charcot-Marie-Tooth disease, type 2I AD 3 607677 MPZ 159440
1q23.3 Charcot-Marie-Tooth disease, type 1B AD 3 118200 MPZ 159440
1q23.3 Charcot-Marie-Tooth disease, dominant intermediate D AD 3 607791 MPZ 159440
1q23.3 Charcot-Marie-Tooth disease, type 2J AD 3 607736 MPZ 159440
1q23.3 Dejerine-Sottas disease AD, AR 3 145900 MPZ 159440
2p23.3 Charcot-Marie-Tooth disease, axonal, type 2EE AR 3 618400 MPV17 137960
3q21.3 Charcot-Marie-Tooth disease, type 2B AD 3 600882 RAB7 602298
3q25.2 Charcot-Marie-Tooth disease, axonal, type 2T AD, AR 3 617017 MME 120520
3q26.33 Charcot-Marie-Tooth disease, dominant intermediate F AD 3 615185 GNB4 610863
4q31.3 Charcot-Marie-Tooth disease, type 2R AR 3 615490 TRIM2 614141
5q31.3 Charcot-Marie-Tooth disease, axonal, type 2W AD 3 616625 HARS1 142810
5q32 Charcot-Marie-Tooth disease, type 4C AR 3 601596 SH3TC2 608206
6p21.31 Charcot-Marie-Tooth disease, demyelinating, type 1J AD 3 620111 ITPR3 147267
6q21 Charcot-Marie-Tooth disease, type 4J AR 3 611228 FIG4 609390
7p14.3 Charcot-Marie-Tooth disease, type 2D AD 3 601472 GARS1 600287
7q11.23 Charcot-Marie-Tooth disease, axonal, type 2F AD 3 606595 HSPB1 602195
8p21.2 Charcot-Marie-Tooth disease, dominant intermediate G AD 3 617882 NEFL 162280
8p21.2 Charcot-Marie-Tooth disease, type 2E AD 3 607684 NEFL 162280
8p21.2 Charcot-Marie-Tooth disease, type 1F AD, AR 3 607734 NEFL 162280
8q13-q23 Charcot-Marie-Tooth disease, axonal, type 2H AR 2 607731 CMT2H 607731
8q21.11 ?Charcot-Marie-Tooth disease, axonal, autosomal dominant, type 2K AD, AR 3 607831 JPH1 605266
8q21.11 Charcot-Marie-Tooth disease, type 4A AR 3 214400 GDAP1 606598
8q21.11 Charcot-Marie-Tooth disease, recessive intermediate, A AR 3 608340 GDAP1 606598
8q21.11 Charcot-Marie-Tooth disease, axonal, with vocal cord paresis AR 3 607706 GDAP1 606598
8q21.11 Charcot-Marie-Tooth disease, axonal, type 2K AD, AR 3 607831 GDAP1 606598
8q21.13 Charcot-Marie-Tooth disease, demyelinating, type 1G AD 3 618279 PMP2 170715
8q24.22 Charcot-Marie-Tooth disease, type 4D AR 3 601455 NDRG1 605262
9p13.3 Charcot-Marie-Tooth disease, type 2Y AD 3 616687 VCP 601023
9q33.3-q34.11 Charcot-Marie-Tooth disease, axonal, type 2P AD, AR 3 614436 LRSAM1 610933
9q34.2 Charcot-Marie-Tooth disease, type 4K AR 3 616684 SURF1 185620
10p14 ?Charcot-Marie-Tooth disease, axonal, type 2Q AD 3 615025 DHTKD1 614984
10q21.3 Charcot-Marie-Tooth disease, type 1D AD 3 607678 EGR2 129010
10q21.3 Dejerine-Sottas disease AD, AR 3 145900 EGR2 129010
10q21.3 Hypomyelinating neuropathy, congenital, 1 AD, AR 3 605253 EGR2 129010
10q22.1 Neuropathy, hereditary motor and sensory, Russe type AR 3 605285 HK1 142600
10q24.32 Charcot-Marie-Tooth disease, axonal, type 2GG AD 3 606483 GBF1 603698
11p15.4 Charcot-Marie-Tooth disease, type 4B2 AR 3 604563 SBF2 607697
11q13.3 Charcot-Marie-Tooth disease, axonal, type 2S AR 3 616155 IGHMBP2 600502
11q21 Charcot-Marie-Tooth disease, type 4B1 AR 3 601382 MTMR2 603557
12p11.21 Charcot-Marie-Tooth disease, type 4H AR 3 609311 FGD4 611104
12q13.3 Charcot-Marie-Tooth disease, axonal, type 2U AD 3 616280 MARS1 156560
12q23.3 Charcot-Marie-Tooth disease, demyelinating, type 1I AD 3 619742 POLR3B 614366
12q24.11 Hereditary motor and sensory neuropathy, type IIc AD 3 606071 TRPV4 605427
12q24.23 Charcot-Marie-Tooth disease, axonal, type 2L AD 3 608673 HSPB8 608014
12q24.31 Charcot-Marie-Tooth disease, recessive intermediate D AR 3 616039 COX6A1 602072
14q32.12 Charcot-Marie-Tooth disease, demyelinating, type 1H AD 3 619764 FBLN5 604580
14q32.31 Charcot-Marie-Tooth disease, axonal, type 2O AD 3 614228 DYNC1H1 600112
14q32.33 Charcot-Marie-Tooth disease, dominant intermediate E AD 3 614455 INF2 610982
15q14 Charcot-Marie-Tooth disease, axonal, type 2II AD 3 620068 SLC12A6 604878
15q21.1 Charcot-Marie-Tooth disease, axonal, type 2X AR 3 616668 SPG11 610844
16p13.13 Charcot-Marie-Tooth disease, type 1C AD 3 601098 LITAF 603795
16q22.1 Charcot-Marie-Tooth disease, axonal, type 2N AD 3 613287 AARS1 601065
16q23.1 ?Charcot-Marie-Tooth disease, recessive intermediate, B AR 3 613641 KARS1 601421
17p12 Dejerine-Sottas disease AD, AR 3 145900 PMP22 601097
17p12 Charcot-Marie-Tooth disease, type 1E AD 3 118300 PMP22 601097
17p12 Charcot-Marie-Tooth disease, type 1A AD 3 118220 PMP22 601097
17q21.2 ?Charcot-Marie-Tooth disease, axonal, type 2V AD 3 616491 NAGLU 609701
19p13.2 Charcot-Marie-Tooth disease, dominant intermediate B AD 3 606482 DNM2 602378
19p13.2 Charcot-Marie-Tooth disease, axonal type 2M AD 3 606482 DNM2 602378
19q13.2 Charcot-Marie-Tooth disease, type 4F AR 3 614895 PRX 605725
19q13.2 Dejerine-Sottas disease AD, AR 3 145900 PRX 605725
19q13.33 ?Charcot-Marie-Tooth disease, type 2B2 AR 3 605589 PNKP 605610
20p12.2 Charcot-Marie-Tooth disease, axonal, type 2HH AD 3 619574 JAG1 601920
22q12.2 Charcot-Marie-Tooth disease, axonal, type 2CC AD 3 616924 NEFH 162230
22q12.2 Charcot-Marie-Tooth disease, axonal, type 2Z AD 3 616688 MORC2 616661
22q13.33 Charcot-Marie-Tooth disease, type 4B3 AR 3 615284 SBF1 603560
Xp22.2 Charcot-Marie-Tooth neuropathy, X-linked recessive, 2 XLR 2 302801 CMTX2 302801
Xp22.11 ?Charcot-Marie-Tooth disease, X-linked dominant, 6 XLD 3 300905 PDK3 300906
Xq13.1 Charcot-Marie-Tooth neuropathy, X-linked dominant, 1 XLD 3 302800 GJB1 304040
Xq22.3 Charcot-Marie-Tooth disease, X-linked recessive, 5 XLR 3 311070 PRPS1 311850
Xq26 Charcot-Marie-Tooth neuropathy, X-linked recessive, 3 XLR 4 302802 CMTX3 302802
Xq26.1 Cowchock syndrome XLR 3 310490 AIFM1 300169

TEXT

A number sign (#) is used with this entry because this syndrome, at least in some cases, is caused by mutation in the peripheral myelin protein-22 gene (PMP22; 601097). In these cases, inheritance is autosomal dominant.

Mild deafness is sometimes coupled with the X-linked form of CMT (302800). See 214370 for a possibly autosomal recessive form of CMT-deafness syndrome and 311070 for an X-linked disorder that includes optic atrophy also.

For a phenotypic description and a discussion of genetic heterogeneity of autosomal dominant demyelinating CMT, see CMT1B (118200).


Clinical Features

Pyeritz (1979) examined 3 affected members of 2 generations of a western Maryland kindred, and Gummerson (1981) examined several members of a southern Pennsylvania kindred. In both pedigrees, classic CMT was always associated with sensorineural deafness. No instance of renal disease occurred in either pedigree. A common surname suggested that the kindreds were distantly related.

Kousseff et al. (1982) and Kousseff (1982) described a family in which 82 persons in 7 generations appeared to have had this disorder. Male-to-male transmission was observed 13 times. Onset occurred in childhood with weakness of peroneal muscles, followed by atrophy, pes calcaneovarus, steppage gait, poor balance, and diminished sensation in the legs. Other distal muscles of the arms and legs became involved, resulting in claw hands, pes cavus, hammertoes, and absent deep tendon reflexes. Neuropathy was demonstrated by electromyography. Sensorineural hearing loss, which became apparent in the second decade, was severe to profound in most affected persons after the third decade.

Hamiel et al. (1993) described as a 'new variant' a 3-generation family in which hereditary motor-sensory neuropathy with sensorineural deafness became apparent in early childhood and infancy. Linkage to Duffy blood group on chromosome 1, where CMT1B maps, was excluded. Duplication of the PMP22 gene (601097) found in CMT1A (118220) was also excluded. Male-to-male transmission was observed.


Inheritance

The transmission pattern of Charcot-Marie-Tooth disease and deafness in the family reported by Kousseff et al. (1982) was consistent with autosomal dominant inheritance.


Molecular Genetics

In the family originally reported by Kousseff et al. (1982), Kovach et al. (1999) identified an ala67-to-pro mutation in the PMP22 gene (601097.0010).

Deafness appears to be a rare association with CMT in those cases in which mutation in the PMP22 gene is responsible. Boerkoel et al. (2002) noted that only 2 mutations in the PMP22 gene had been identified as the cause of CMT and deafness: A67P (601097.0010) and W28R (601097.0014).

In 3 affected members of a family with autosomal dominant CMT with deafness, Sambuughin et al. (2003) identified a 12-bp deletion in exon 4 of the PMP22 gene (601097.0015).


Nomenclature

In keeping with the most common designations used in the medical community, 'CMT1' referring to autosomal dominant demyelinating CMT and 'CMT2' referring to axonal CMT, we have chosen to designate this form of demyelinating CMT with hearing loss as 'CMT1E.'


REFERENCES

  1. Boerkoel, C. F., Takashima, H., Garcia, C. A., Olney, R. K., Johnson, J., Berry, K., Russo, P., Kennedy, S., Teebi, A. S., Scavina, M., Williams, L. L., Mancias, P., Butler, I. J., Krajewski, K., Shy, M., Lupski, J. R. Charcot-Marie-Tooth disease and related neuropathies: mutation distribution and genotype-phenotype correlation. Ann. Neurol. 51: 190-201, 2002. [PubMed: 11835375, related citations] [Full Text]

  2. Gummerson, K. S. Personal Communication. Baltimore, Md. 1981.

  3. Hamiel, O. P., Raas-Rothschild, A., Upadhyaya, M., Frydman, M., Sarova-Pinhas, I., Brand, N., Passwell, J. H. Hereditary motor-sensory neuropathy (Charcot-Marie-Tooth disease) with nerve deafness: a new variant. J. Pediat. 123: 431-434, 1993. [PubMed: 8355122, related citations] [Full Text]

  4. Kousseff, B. G., Hadro, T. A., Treiber, D. L., Wollner, T., Morris, C. Charcot-Marie-Tooth disease with sensorineural hearing loss--an autosomal dominant trait. Birth Defects Orig. Art. Ser. 18: 223-228, 1982. [PubMed: 7139106, related citations]

  5. Kousseff, B. G. Inheritance of Charcot-Marie-Tooth disease with sensorineural hearing loss. (Abstract) Clin. Res. 30: 292A, 1982.

  6. Kovach, M. J., Lin, J.-P., Boyadjiev, S., Campbell, K., Mazzeo, L., Herman, K., Rimer, L. A., Frank, W., Llewellyn, B., Jabs, E. W., Gelber, D., Kimonis, V. E. A unique point mutation in the PMP22 gene is associated with Charcot-Marie-Tooth disease and deafness. Am. J. Hum. Genet. 64: 1580-1593, 1999. [PubMed: 10330345, related citations] [Full Text]

  7. Pyeritz, R. E. Personal Communication. Baltimore, Md. 1979.

  8. Sambuughin, N., de Bantel, A., McWilliams, S., Sivakumar, K. Deafness and CMT disease associated with a novel four amino acid deletion in the PMP22 gene. Neurology 60: 506-508, 2003. [PubMed: 12578939, related citations] [Full Text]


Cassandra L. Kniffin - updated : 4/28/2003
Cassandra L. Kniffin - updated : 4/25/2003
Victor A. McKusick - updated : 4/16/2002
Victor A. McKusick - updated : 5/28/1999
Creation Date:
Victor A. McKusick : 6/4/1986
carol : 12/18/2022
alopez : 12/15/2022
ckniffin : 01/30/2012
terry : 2/3/2006
wwang : 11/14/2005
ckniffin : 5/15/2003
carol : 5/12/2003
ckniffin : 5/2/2003
carol : 4/28/2003
ckniffin : 4/28/2003
carol : 4/25/2003
ckniffin : 4/24/2003
terry : 4/16/2002
mgross : 6/14/1999
mgross : 6/3/1999
terry : 5/28/1999
mark : 3/5/1996
mimadm : 6/25/1994
carol : 1/24/1994
supermim : 3/16/1992
supermim : 3/20/1990
ddp : 10/26/1989
marie : 3/25/1988

# 118300

CHARCOT-MARIE-TOOTH DISEASE AND DEAFNESS


Alternative titles; symbols

CHARCOT-MARIE-TOOTH NEUROPATHY AND DEAFNESS, AUTOSOMAL DOMINANT
CHARCOT-MARIE-TOOTH DISEASE, DEMYELINATING, TYPE 1E; CMT1E


ORPHA: 90658;   DO: 0110153;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
17p12 Charcot-Marie-Tooth disease, type 1E 118300 Autosomal dominant 3 PMP22 601097

TEXT

A number sign (#) is used with this entry because this syndrome, at least in some cases, is caused by mutation in the peripheral myelin protein-22 gene (PMP22; 601097). In these cases, inheritance is autosomal dominant.

Mild deafness is sometimes coupled with the X-linked form of CMT (302800). See 214370 for a possibly autosomal recessive form of CMT-deafness syndrome and 311070 for an X-linked disorder that includes optic atrophy also.

For a phenotypic description and a discussion of genetic heterogeneity of autosomal dominant demyelinating CMT, see CMT1B (118200).


Clinical Features

Pyeritz (1979) examined 3 affected members of 2 generations of a western Maryland kindred, and Gummerson (1981) examined several members of a southern Pennsylvania kindred. In both pedigrees, classic CMT was always associated with sensorineural deafness. No instance of renal disease occurred in either pedigree. A common surname suggested that the kindreds were distantly related.

Kousseff et al. (1982) and Kousseff (1982) described a family in which 82 persons in 7 generations appeared to have had this disorder. Male-to-male transmission was observed 13 times. Onset occurred in childhood with weakness of peroneal muscles, followed by atrophy, pes calcaneovarus, steppage gait, poor balance, and diminished sensation in the legs. Other distal muscles of the arms and legs became involved, resulting in claw hands, pes cavus, hammertoes, and absent deep tendon reflexes. Neuropathy was demonstrated by electromyography. Sensorineural hearing loss, which became apparent in the second decade, was severe to profound in most affected persons after the third decade.

Hamiel et al. (1993) described as a 'new variant' a 3-generation family in which hereditary motor-sensory neuropathy with sensorineural deafness became apparent in early childhood and infancy. Linkage to Duffy blood group on chromosome 1, where CMT1B maps, was excluded. Duplication of the PMP22 gene (601097) found in CMT1A (118220) was also excluded. Male-to-male transmission was observed.


Inheritance

The transmission pattern of Charcot-Marie-Tooth disease and deafness in the family reported by Kousseff et al. (1982) was consistent with autosomal dominant inheritance.


Molecular Genetics

In the family originally reported by Kousseff et al. (1982), Kovach et al. (1999) identified an ala67-to-pro mutation in the PMP22 gene (601097.0010).

Deafness appears to be a rare association with CMT in those cases in which mutation in the PMP22 gene is responsible. Boerkoel et al. (2002) noted that only 2 mutations in the PMP22 gene had been identified as the cause of CMT and deafness: A67P (601097.0010) and W28R (601097.0014).

In 3 affected members of a family with autosomal dominant CMT with deafness, Sambuughin et al. (2003) identified a 12-bp deletion in exon 4 of the PMP22 gene (601097.0015).


Nomenclature

In keeping with the most common designations used in the medical community, 'CMT1' referring to autosomal dominant demyelinating CMT and 'CMT2' referring to axonal CMT, we have chosen to designate this form of demyelinating CMT with hearing loss as 'CMT1E.'


REFERENCES

  1. Boerkoel, C. F., Takashima, H., Garcia, C. A., Olney, R. K., Johnson, J., Berry, K., Russo, P., Kennedy, S., Teebi, A. S., Scavina, M., Williams, L. L., Mancias, P., Butler, I. J., Krajewski, K., Shy, M., Lupski, J. R. Charcot-Marie-Tooth disease and related neuropathies: mutation distribution and genotype-phenotype correlation. Ann. Neurol. 51: 190-201, 2002. [PubMed: 11835375] [Full Text: https://doi.org/10.1002/ana.10089]

  2. Gummerson, K. S. Personal Communication. Baltimore, Md. 1981.

  3. Hamiel, O. P., Raas-Rothschild, A., Upadhyaya, M., Frydman, M., Sarova-Pinhas, I., Brand, N., Passwell, J. H. Hereditary motor-sensory neuropathy (Charcot-Marie-Tooth disease) with nerve deafness: a new variant. J. Pediat. 123: 431-434, 1993. [PubMed: 8355122] [Full Text: https://doi.org/10.1016/s0022-3476(05)81752-4]

  4. Kousseff, B. G., Hadro, T. A., Treiber, D. L., Wollner, T., Morris, C. Charcot-Marie-Tooth disease with sensorineural hearing loss--an autosomal dominant trait. Birth Defects Orig. Art. Ser. 18: 223-228, 1982. [PubMed: 7139106]

  5. Kousseff, B. G. Inheritance of Charcot-Marie-Tooth disease with sensorineural hearing loss. (Abstract) Clin. Res. 30: 292A, 1982.

  6. Kovach, M. J., Lin, J.-P., Boyadjiev, S., Campbell, K., Mazzeo, L., Herman, K., Rimer, L. A., Frank, W., Llewellyn, B., Jabs, E. W., Gelber, D., Kimonis, V. E. A unique point mutation in the PMP22 gene is associated with Charcot-Marie-Tooth disease and deafness. Am. J. Hum. Genet. 64: 1580-1593, 1999. [PubMed: 10330345] [Full Text: https://doi.org/10.1086/302420]

  7. Pyeritz, R. E. Personal Communication. Baltimore, Md. 1979.

  8. Sambuughin, N., de Bantel, A., McWilliams, S., Sivakumar, K. Deafness and CMT disease associated with a novel four amino acid deletion in the PMP22 gene. Neurology 60: 506-508, 2003. [PubMed: 12578939] [Full Text: https://doi.org/10.1212/01.wnl.0000044048.27971.fc]


Contributors:
Cassandra L. Kniffin - updated : 4/28/2003
Cassandra L. Kniffin - updated : 4/25/2003
Victor A. McKusick - updated : 4/16/2002
Victor A. McKusick - updated : 5/28/1999

Creation Date:
Victor A. McKusick : 6/4/1986

Edit History:
carol : 12/18/2022
alopez : 12/15/2022
ckniffin : 01/30/2012
terry : 2/3/2006
wwang : 11/14/2005
ckniffin : 5/15/2003
carol : 5/12/2003
ckniffin : 5/2/2003
carol : 4/28/2003
ckniffin : 4/28/2003
carol : 4/25/2003
ckniffin : 4/24/2003
terry : 4/16/2002
mgross : 6/14/1999
mgross : 6/3/1999
terry : 5/28/1999
mark : 3/5/1996
mimadm : 6/25/1994
carol : 1/24/1994
supermim : 3/16/1992
supermim : 3/20/1990
ddp : 10/26/1989
marie : 3/25/1988