Genetics of Charcot Marie Tooth Disease (CMT) - Modifiers of CMT1A, New Causes of CMT
This project includes two projects. One is looking for new genes that cause Charcot Marie Tooth disease (CMT). The other is looking for genes that do not cause CMT, but may modify the symptoms a person has.
⁃ All patients must agree to take part in the study and sign a consent form. A teenager (age 13-17 years) considering enrolling must agree to take part in the study and sign an assent form (depending on local ethics committee requirements).
⁃ Additional inclusion criteria are described below.
⁃ Patients must have at least one of the following:
• Patient has a documented PMP22 duplication. AND/OR
• Patient has a first or second degree relative (parent, child, sibling, half- sibling, aunt, uncle, grandparent, grandchild, niece, or nephew) with a documented PMP22 duplication AND a clear link between that family member and the affected patient AND a phenotype consistent with CMT1A.
⁃ i. A clear link is necessary for a second-degree relative. For example, if a grandparent is affected and has a PMP22 duplication, and the parent does not have any signs, symptoms, or electrophysiology consistent with CMT1A, there is no clear link.
⁃ ii. In cases where clear links are not available, genetic testing is required for the patient or the first degree family member who is not clearly affected.
⁃ a. Patient has demonstrated neuropathy on nerve conduction studies or clinically diagnosed genetic neuropathy, in the opinion of the investigator or genetic counsellor.
• Person is a family member of a CMT patient who is enrolled in the CMT Exome Project.
• AND one of the following:
• Person does not have a peripheral neuropathy, in the opinion of the investigator or genetic counsellor.
• OR
• Person is suspected to have a peripheral neuropathy, but has not been examined at an INC site.