Ontology highlight
ABSTRACT: Introduction
Congenital hypomyelinating neuropathy (CHN) is a rare congenital neuropathy that presents in the neonatal period and has been linked previously to mutations in several genes associated with myelination. A recent study has linked 4 homozygous frameshift mutations in the contactin-associated protein 1 (CNTNAP1) gene with this condition.Methods
We report a neonate with CHN who was found to have absent sensory nerve and compound muscle action potentials and hypomyelination on nerve biopsy.Results
On whole exome sequencing, we identified a novel CNTNAP1 homozygous missense mutation (p.Arg388Pro) in the proband, and both parents were carriers. Molecular modeling suggests that this variant disrupts a β-strand to cause an unstable structure and likely significant changes in protein function.Conclusions
This report links a missense CNTNAP1 variant to the disease phenotype previously associated only with frameshift mutations. Muscle Nerve 55: 761-765, 2017.
SUBMITTER: Mehta P
PROVIDER: S-EPMC5366284 | biostudies-literature | 2017 May
REPOSITORIES: biostudies-literature

Mehta Paulomi P Küspert Melanie M Bale Tejus T Brownstein Catherine A CA Towne Meghan C MC De Girolami Umberto U Shi Jiahai J Beggs Alan H AH Darras Basil T BT Wegner Michael M Piao Xianhua X Agrawal Pankaj B PB
Muscle & nerve 20170203 5
<h4>Introduction</h4>Congenital hypomyelinating neuropathy (CHN) is a rare congenital neuropathy that presents in the neonatal period and has been linked previously to mutations in several genes associated with myelination. A recent study has linked 4 homozygous frameshift mutations in the contactin-associated protein 1 (CNTNAP1) gene with this condition.<h4>Methods</h4>We report a neonate with CHN who was found to have absent sensory nerve and compound muscle action potentials and hypomyelinati ...[more]