Evidence map›Paper›PMID 30239779›Full record

ArticleHuman molecular genetics2019

A nonsense mutation in myelin protein zero causes congenital hypomyelination neuropathy through altered P0 membrane targeting and gain of abnormal function.

Pietro Fratta, Francesca Ornaghi, Gabriele Dati, Desirée Zambroni, Paola Saveri, Sophie Belin, Patrizia D'Adamo, Michael Shy, Angelo Quattrini, M Laura Feltri and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.9field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Charcot-Marie-Tooth disease and related neuropathies.Nature reviews. Disease primers · 2026
    Review
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  13. Mechanisms and Treatments in Demyelinating CMT.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2021
    Review
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  15. Therapeutic Development in Charcot Marie Tooth Type 1 Disease.International journal of molecular sciences · 2021
    Review
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Pietro FrattaUCL Institute of Neurology, Queen Square, London WC1N, UK.
Francesca OrnaghiIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Gabriele DatiIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Desirée ZambroniIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Paola SaveriIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Sophie BelinDepartment of Neuroscience and Experimental Therapeutics, Albany Medical College Department of Neuroscience and Experimental Therapeutics, Albany, NY, USA.
Patrizia D'AdamoIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Michael ShyDepartment of Neurology, University of Iowa, Iowa City, IA, USA.
Angelo QuattriniIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
M Laura FeltriIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Lawrence WrabetzIRCCS San Raffaele Scientific Institute, DIBIT, Milan, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleVita-Salute San Raffaele University · ITThe San Raffaele Telethon Institute for Gene Therapy · ITUniversity at Buffalo, State University of New York · USUniversity of Iowa · US

Funding

Pathogenesis of Myelin Protein Zero Neuropathies in Transgenic MiceR01NS055256 · NINDS · ISTITUTO SCIENTIFICO SAN RAFFAELE · PI WRABETZ, LAWRENCE · 2006 to 2010
$1.2M
Pathogenesis of Myelin Protein Zero Neuropathies in Transgenic MiceR56NS096104 · NINDS · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI WRABETZ, LAWRENCE · 2016 to 2016
$396k
Medical Research Council MR/M008606/1Medical Research Council MR/S006508/1Motor Neurone Disease Association FRATTA/JAN15/946-795NINDS NIH HHS R01 NS055256NINDS NIH HHS R56 NS096104
6 · The paper itself

Abstract

Protein zero (P0) is the major structural protein in peripheral myelin, and mutations in the Myelin Protein Zero (Mpz) gene produce wide-ranging hereditary neuropathy phenotypes. To gain insight in the mechanisms underlying a particularly severe form, congenital hypomyelination (CH), we targeted mouse Mpz to encode P0Q215X, a nonsense mutation associated with the disease, that we show escapes nonsense mediated decay and is expressed in CH patient nerves. The knock-in mice express low levels of the resulting truncated protein, producing a milder phenotype when compared to patients, allowing to dissect the subtle pathogenic mechanisms occurring in otherwise very compromised peripheral myelin. We find that P0Q215X does not elicit an unfolded protein response, which is a key mechanism for other pathogenic MPZ mutations, but is instead in part aberrantly trafficked to non-myelin plasma membranes and induces defects in radial sorting of axons by Schwann cells. We show that the loss of the C-terminal Tyr-Ala-Met-Leu motif is responsible for P0 mislocalization, as its addition is able to restore correct P0Q215X trafficking in vitro. Lastly, we show that P0Q215X acts through dose-dependent gain of abnormal function, as wild-type P0 is unable to rescue the hypomyelination phenotype. Collectively, these data indicate that alterations at the premyelinating stage, linked to altered targeting of P0, may be responsible for CH, and that different types of gain of abnormal function produce the diverse neuropathy phenotypes associated with MPZ, supporting future allele-specific therapeutic silencing strategies.

Indexed as

AnimalsAxonsCell MembraneCharcot-Marie-Tooth DiseaseCodon, NonsenseDemyelinating DiseasesFemaleGene Knock-In TechniquesHumansMaleMice, Inbred BALB CMutationMyelin P0 ProteinPhenotypeProtein TransportSchwann CellsCodon, NonsenseMpz protein, mouseMyelin P0 Protein

Identifiers

PMID30239779
PMCPMC6298235
OpenAlexW2952121136

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.