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lüll Charcot-Marie-Tooth disease type 1: molecular pathogenesis to gene therapy Kamholz J; Menichella D; Jani A; Garbern J; Lewis RA; Krajewski KM; Lilien J; Scherer SS; Shy MEBrain 2000[Feb]; 123 ( Pt 2) (ä): 222-33Charcot-Marie-Tooth disease type 1 (CMT1) is caused by mutations in the peripheral myelin protein, 22 kDa (PMP22) gene, protein zero (P0) gene, early growth response gene 2 (EGR-2) and connexin-32 gene, which are expressed in Schwann cells, the myelinating cells of the peripheral nervous system. Although the clinical and pathological phenotypes of the various forms of CMT1 are similar, including distal muscle weakness and sensory loss, their molecular pathogenesis is likely to be quite distinct. In addition, while demyelination is the hallmark of CMT1, the clinical signs and symptoms of the disease are probably produced by axonal degeneration, not demyelination itself. In this review we discuss the molecular pathogenesis of CMT1, as well as approaches to an effective gene therapy for this disease.|*DNA (Cytosine-5-)-Methyltransferases[MESH]|*Genetic Therapy[MESH]|Charcot-Marie-Tooth Disease/*genetics/physiopathology/therapy[MESH]|DNA Modification Methylases/genetics[MESH]|Humans[MESH]|Muscle Weakness[MESH]|Myelin Proteins/physiology[MESH]|Myelin Sheath/pathology/ultrastructure[MESH]|Nerve Degeneration[MESH]|Phenotype[MESH]|Phosphoproteins/physiology[MESH]|Ribosomal Proteins/physiology[MESH]|Schwann Cells/*pathology/ultrastructure[MESH] |