Genotype and phenotype spectrum of Charcot-Marie-Tooth disease due to mutations in SORD - Summary - MDSpire

Genotype and phenotype spectrum of Charcot-Marie-Tooth disease due to mutations in SORD

  • By

  • Andrea Cortese

  • Maike F Dohrn

  • Riccardo Curro

  • Sara Negri

  • Petra Lassuthova

  • Chiara Pisciotta

  • Stefano Tozza

  • Abdullah Al-Ajmi

  • Changyong Feng

  • Pedro J Tomaselli

  • Gorka Fernandez-Eulate

  • Saif Haddad

  • Matilde Laurà

  • Alexander M Rossor

  • Elisa Vegezzi

  • Stefano Facchini

  • James N Sleigh

  • Adriana Rebelo

  • Danique Beijer

  • Jacquelyn Raposo

  • Mario Saporta

  • Barbora Lauerova

  • Helena F Pernice

  • Pascal Achenbach

  • Ulrike Schöne

  • Tayir Alon

  • Marcus Deschauer

  • Isabell Cordts

  • Carolin D Obermaier

  • Natalie Winter

  • Peter D Creigh

  • Janet E Sowden

  • Tyler Rehbein

  • Stefania Magri

  • Alessandro Bertini

  • Paola Saveri

  • Paolo Ripellino

  • Jingyu Huang

  • Aleksandra Nadaj-Pakleza

  • Alison Ross

  • James K L Holt

  • Kathryn M Brennan

  • Rivka Sukenik-Halevy

  • Varoona Bizaoui

  • Yesim Parman

  • Esra Battaloglu

  • Arman Cakar

  • Hadil Alrohaif

  • Simon Hammans

  • Kishore R Kumar

  • Marina L Kennerson

  • Hülya Kayserili

  • Defne A Amado

  • Katrin Hahn

  • Paola Valentino

  • Francesca Cavalcanti

  • Carlo Gaetano

  • Franco Taroni

  • Geir J Braathen

  • Henry Houlden

  • Tanya Stojkovic

  • Stojan Peric

  • Alessandra Bolino

  • Stefano C Previtali

  • Lee Yi-Chung

  • Ayşe N Başak

  • Sherifa A Hamed

  • Ricardo Rojas-Garcia

  • Kristl G Claeys

  • Wilson Marques

  • Teresa Sevilla

  • Beate Schlotter-Weigel

  • Fiore Manganelli

  • Ruxu Zhang

  • David N Herrmann

  • Steven S Scherer

  • Pavel Seeman

  • Davide Pareyson

  • Mary M Reilly

  • Michael E Shy

  • The Inherited Neuropathy Consortium

  • Stephan Züchner

  • February 13, 2025

  • 0 min

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Objective:

To define the genotype-phenotype spectrum and progression of Charcot-Marie-Tooth disease associated with SORD mutations, highlighting its implications for future therapies.

Key Findings:
  • c.757delG (p.Ala253GlnfsTer27) is the most common pathogenic allele, confirming previous studies.
  • Average serum sorbitol levels were significantly higher in CMT-SORD patients, supporting its role as a biomarker.
  • Two-thirds of cases were diagnosed with CMT2, one-third with distal hereditary motor neuropathy, indicating a need for tailored management.
  • Foot dorsiflexion was the most affected muscle group, with similar weakness in plantar flexion, highlighting the clinical presentation.
  • Nerve conduction studies indicated motor predominant axonal neuropathy, consistent with the disease's pathology.
Interpretation:

CMT-SORD is a prevalent form of axonal, motor predominant CMT characterized by significant foot muscle involvement and elevated serum sorbitol as a reliable biomarker, with implications for diagnosis and treatment.

Limitations:
  • Cross-sectional design limits understanding of disease progression and long-term outcomes.
  • Potential variability in genetic testing methodologies across centers may affect the consistency of results.
Conclusion:

CMT-SORD is a common recessive form of CMT with distinct clinical features and a reliable biomarker for diagnosis and assessment, paving the way for future research and therapeutic strategies.

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