title: A novel p.Val244Leu mutation in MFN2 leads to Charcot-Marie-Tooth disease type 2.
abstract: BACKGROUND
  Charcot-Marie-Tooth (CMT) disease is one of the most common hereditary peripheral neuropathy. The major clinical features of CMT are progressive muscle weakness of distal extremities and sensory loss. MFN2 encodes a GTPase dynamin-like protein mitofusin 2 and plays an essential role in mitochondrial functions. In previous studies, MFN2 mutations have been linked to neurological disorders including CMT type 2 (CMT2). Here, we report a novel mutation in MFN2 which leads to CMT 2.
  
  
  METHODS
  We report a 4-year-old Chinese boy with CMT symptoms including foot-drop gait, running difficulties, frequent falls, slowly progressive atrophy of lower legs with a mildly foot deformity. Nerve conduction velocity study (NCVS) found that no compound motor action potential (CMAP) was elicited in the nervi suralis and tibial nerve. Moreover, the sensory nerve action potential (SNAP) of the nervi suralis was not elicited, which means the peripheral nerves of his lower limbs were damaged. Targeted next-generation sequencing identified a novel heterozygous mutation c.730G > C (p.Val244Leu) in MFN2 in the patient but not in his parents, suggesting that this mutation likely occurred de novo. c.730G > C (p.Val244Leu) in MFN2 is a likely pathogenic mutation for CMT2.
  
  
  CONCLUSIONS
  The c.730G > C (p.Val244Leu) mutation in MFN2 is a likely pathogenic mutation for CMT2.
authors.affiliation: Clinical Class 2, Grade 2012 in Soochow University, Suzhou, 215006, China. yangyuan1297@outlook.com.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Pediatric Neurology in Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, China. linglidoctor@163.com.
authors.forename: Ling
authors.initials: L
authors.lastname: Li
mesh_terms: D002607:Charcot-Marie-Tooth Disease / Q000235:genetics*; D002675:Child, Preschool; D002681:China; D020558:GTP Phosphohydrolases / Q000235:genetics*; D006801:Humans; D008297:Male; D024101:Mitochondrial Proteins / Q000235:genetics*; D009154:Mutation
chemical_list: D024101:Mitochondrial Proteins; D020558:GTP Phosphohydrolases; C470018:MFN2 protein, human