Case Report

T118M Variant of PMP22 Gene Presents with Painful Peripheral Neuropathy and Varying Charcot-Marie-Tooth Features: A Case Series and Review of the Literature

Table 2

. Summary of clinical studies on T118M mutations of the PMP22 gene.

AuthorYearStudy designNumber of subjectsT118M genotypeFindingsSupported modality of disease

Roa et al. [2]1993Case series1 familyHeterozygoteOne patient heterozygous for T118M did not show symptoms. One patient hemizygous for both T118M and 1.5-Mb deletion had severe neuropathy.Benign polymorphism

Nelis et al. [12]1994Case series2 familiesHeterozygoteOne patient heterozygous for T118M showed CMT1 symptoms, but father showed no symptoms despite having the variant. Another patient with T118M variant in another CMT1 family showed no symptoms.Benign polymorphism

Mersiyanova et al. [13]2000Mutation screen of CMT and HNPP patients.174 unrelated CMT patients and 3 HNPP familiesHeterozygoteUnclear which patient(s) had the T118M variant.Unclear

Young et al. [11]2000Case control1018 healthy, 104 with HNPP, 187 with CMT1 with 1.5-Mb duplication, 22 with CMT1 phenotype without PMP22 mutations.HeterozygoteMinor allele frequency lower in general population (AF=0.007) compared to HNPP cases (AF= 0.01), CMT1 with 1.5Mb duplication (AF=0.016) and CMT1 without duplication (AF=0.05). T118M was associated with CMT1A without the 1.5-Mb duplication (P=0.0429), but not with HNPP or CMT1 due to the low allele frequency.Supports the association of T118M with CMT1A in the absence of the PMP22 duplication.

Marques et al. [9]2003Case series1 familyHeterozygoteThree patients with CMT1 were genotyped. Two had both the 17p11.2-p12 duplication and the T118M variant, while one had only the duplication. Phenotype only available in proband (T118M + duplication). Unclear whether T118M worsened phenotype.Unclear

Seeman et al. [10]2006Case series1 familyHeterozygoteTwo asymptomatic patients had T118M variant, one patient had both the T118M variant and the 17p11.2-12 duplication and had CMT1 phenotype.Benign polymorphism

Shy et al. [8]2006Case series5 unrelated kindreds3 with T118M/normal, 2 with T118/deletion, 1 with (T118+duplication)/normal, 2 1 with T118M/T118MT118M/deletion had severe demyelinating phenotype, T118M/T118M had severe axonal phenotype, T118M/normal had mild HNPP phenotype, (T118M + duplication)/normal had mild demyelinating phenotypePartial loss of function

Jerath et al. [14]2015Case report1 caseT118M/17p11.2-p12 deletionSevere sensorimotor polyneuropathyBenign polymorphism vs partial loss of function

This study2018Case series3 unrelated casesHeterozygoteAll three had painful polyneuropathy. 1 had moderate sensorimotor polyneuropathy with both axonal and demyelinating features, 2 had mildly decreased conduction velocity.Partial loss of function – can cause painful polyneuropathy