title: Myelin protein zero mutation His39Pro: hereditary motor and sensory neuropathy with variable onset, hearing loss, restless legs and multiple sclerosis.
abstract: BACKGROUND
  Mutations of myelin protein zero (MPZ) may cause inherited neuropathy with variable expression.
  
  
  OBJECTIVE
  To report phenotypic variability in a large American kindred with MPZ mutation His39Pro.
  
  
  METHODS
  Genetic testing was performed on 77 family members and 200 controls. Clinical and electrophysiological field study assessments were available for review in 47 family members.
  
  
  RESULTS
  His39Pro was found in all 10 individuals prospectively identified with neuropathy. 200 normal controls were without mutation. Symptoms of neuropathy began in adulthood and were slowly progressive except for one acute-onset painful sensory neuropathy. Associated features included premature hearing loss (n = 7), nocturnal restless leg symptoms (n = 8) and multiple sclerosis in one.
  
  
  CONCLUSIONS
  MPZ mutation His39Pro may be associated with acute-onset neuropathy, early-onset hearing loss and restless legs. The relationship with multiple sclerosis in the proband remains uncertain.
authors.affiliation: Peripheral Nerve Group, Department of Neurology, Mayo Clinic, Genotyping Shared Resource Center of Advanced Genomic Technology Center, Rochester, Minnesota 55905, USA.
authors.forename: D H
authors.initials: DH
authors.lastname: Kilfoyle
authors.forename: P J
authors.initials: PJ
authors.lastname: Dyck
authors.forename: Y
authors.initials: Y
authors.lastname: Wu
authors.forename: W J
authors.initials: WJ
authors.lastname: Litchy
authors.forename: D M
authors.initials: DM
authors.lastname: Klein
authors.forename: P J B
authors.initials: PJ
authors.lastname: Dyck
authors.forename: N
authors.initials: N
authors.lastname: Kumar
authors.forename: J M
authors.initials: JM
authors.lastname: Cunningham
authors.forename: C J
authors.initials: CJ
authors.lastname: Klein
mesh_terms: D000328:Adult; D017668:Age of Onset; D002675:Child, Preschool; D004252:DNA Mutational Analysis; D005260:Female; D034381:Hearing Loss / Q000235:genetics*; D009477:Hereditary Sensory and Autonomic Neuropathies / Q000235:genetics; D006639:Histidine; D006801:Humans; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000235:genetics*; D018993:Myelin P0 Protein / Q000235:genetics*; D010375:Pedigree; D010641:Phenotype; D011392:Proline; D012148:Restless Legs Syndrome / Q000235:genetics
chemical_list: D018993:Myelin P0 Protein; D006639:Histidine; D011392:Proline