Charcot-Marie-Tooth disease type 1E

disease
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Also known as Charcot Marie Tooth disease type 1ECharcot-Marie-Tooth disease and deafnessCharcot-Marie-Tooth disease, type 1ECharcot-Marie-Tooth disease-deafness syndromeCMT 1ECMT1E

Summary

Charcot-Marie-Tooth disease type 1E (MONDO:0007311) is a disease caused by PMP22 (GenCC Strong), with 6 cohort genes and 1 clinical trial.

At a glance

  • Prevalence: Unknown (Worldwide) [Orphanet-validated]
  • Causal gene: PMP22 (GenCC Strong)
  • Cohort genes: 6
  • ClinVar variants: 29
  • Phenotypes (HPO): 40
  • Clinical trials: 1

Clinical features

Signs & symptoms

Clinical features (HPO)

40 HPO clinical features (Orphanet curated; top 40 by frequency):

HPO IDTermFrequency
HP:0000407Sensorineural hearing impairmentVery frequent (80-99%)
HP:0000762Decreased nerve conduction velocityVery frequent (80-99%)
HP:0002936Distal sensory impairmentVery frequent (80-99%)
HP:0007108Demyelinating peripheral neuropathyVery frequent (80-99%)
HP:0009053Distal lower limb muscle weaknessVery frequent (80-99%)
HP:0001288Gait disturbanceVery frequent (80-99%)
HP:0000615Abnormal pupil morphologyFrequent (30-79%)
HP:0001288Gait disturbanceFrequent (30-79%)
HP:0001761Pes cavusFrequent (30-79%)
HP:0002166Impaired vibration sensation in the lower limbsFrequent (30-79%)
HP:0002172Postural instabilityFrequent (30-79%)
HP:0002522Areflexia of lower limbsFrequent (30-79%)
HP:0002600Hyporeflexia of lower limbsFrequent (30-79%)
HP:0008944Distal lower limb amyotrophyFrequent (30-79%)
HP:0008962Calf muscle hypoplasiaFrequent (30-79%)
HP:0009027Foot dorsiflexor weaknessFrequent (30-79%)
HP:0009049Peroneal muscle atrophyFrequent (30-79%)
HP:0009130Hand muscle atrophyFrequent (30-79%)
HP:0010829Impaired temperature sensitionFrequent (30-79%)
HP:0010830Impaired tactile sensationFrequent (30-79%)
HP:0010832Abnormality of pain sensationFrequent (30-79%)
HP:0011727Peroneal muscle weaknessFrequent (30-79%)
HP:0012074Tonic pupilFrequent (30-79%)
HP:0012391Hyporeflexia of upper limbsFrequent (30-79%)
HP:0030211Slow pupillary light responseFrequent (30-79%)
HP:0030237Hand muscle weaknessFrequent (30-79%)
HP:0031006AcroparesthesiaFrequent (30-79%)
HP:0000360TinnitusOccasional (5-29%)
HP:0001171Split handOccasional (5-29%)
HP:0001263Global developmental delayOccasional (5-29%)
HP:0001765HammertoeOccasional (5-29%)
HP:0002141Gait imbalanceOccasional (5-29%)
HP:0002540Inability to walkOccasional (5-29%)
HP:0003376Steppage gaitOccasional (5-29%)
HP:0008110Equinovarus deformityOccasional (5-29%)
HP:0008124Talipes calcaneovarusOccasional (5-29%)
HP:0009473Joint contracture of the handOccasional (5-29%)
HP:0009916AnisocoriaOccasional (5-29%)
HP:0011476Profound sensorineural hearing impairmentOccasional (5-29%)
HP:0012735CoughOccasional (5-29%)

Identifiers

Disease identifiers

FieldValue
Canonical nameCharcot-Marie-Tooth disease type 1E
Mondo IDMONDO:0007311
MeSHC537986
OMIM118300
Orphanet90658
DOIDDOID:0110153
ICD-111924906594
UMLSC3495591
MedGen501212
GARD0009190
Is cancer (heuristic)no

Also known as: Charcot Marie Tooth disease type 1E · Charcot-Marie-Tooth disease and deafness · Charcot-Marie-Tooth disease, type 1E · Charcot-Marie-Tooth disease-deafness syndrome · CMT 1E · CMT1E

Data availability: 29 ClinVar variants · 4 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by body system or component › nervous system disorderperipheral nervous system disorderperipheral neuropathyhereditary peripheral neuropathyCharcot-Marie-Tooth diseaseCharcot-Marie-Tooth disease type 1Charcot-Marie-Tooth disease type 1E

Related subtypes (5): Charcot-Marie-Tooth disease type 1B, Charcot-Marie-Tooth disease type 1A, Charcot-Marie-Tooth disease type 1C, Charcot-Marie-Tooth disease type 1D, Charcot-Marie-Tooth disease type 1F

Genetics & variants

GWAS landscape

No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.

Variant details and genetic-evidence tiers

ClinVar germline variants

29 retrieved; paginated sample, class counts are floors:

10 uncertain significance, 6 likely pathogenic, 5 pathogenic, 3 pathogenic/likely pathogenic, 3 conflicting classifications of pathogenicity, 2 benign/likely benign

ClinVarVariant (HGVS)GeneClassificationReview
2580345GRCh37/hg19 17p12(chr17:14095256-15492591)x3CDRT15Pathogeniccriteria provided, single submitter
3899836Single alleleHS3ST3B1Pathogeniccriteria provided, single submitter
217238NM_000304.4(PMP22):c.434del (p.Leu145fs)PMP22Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
30158NM_000304.4(PMP22):c.281del (p.Gly94fs)PMP22Pathogeniccriteria provided, multiple submitters, no conflicts
433198NM_000304.4(PMP22):c.449G>T (p.Gly150Val)PMP22Pathogeniccriteria provided, multiple submitters, no conflicts
568922NM_000304.4(PMP22):c.261_262del (p.Phe88fs)PMP22Pathogeniccriteria provided, single submitter
8436NM_000304.4(PMP22):c.199G>C (p.Ala67Pro)PMP22Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
8444NM_000304.4(PMP22):c.469C>T (p.Arg157Trp)PMP22Pathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
3776801NC_000017.11:g.14301519_15331585delCDRT7Likely pathogeniccriteria provided, single submitter
2584815NM_000304.4(PMP22):c.257_267del (p.Gln86fs)PMP22Likely pathogeniccriteria provided, single submitter
3776239NM_000304.4(PMP22):c.96_102dup (p.Ala35fs)PMP22Likely pathogeniccriteria provided, single submitter
3896952NM_000304.4(PMP22):c.201del (p.Thr68fs)PMP22Likely pathogeniccriteria provided, single submitter
637842NM_000304.4(PMP22):c.418T>A (p.Trp140Arg)PMP22Likely pathogeniccriteria provided, multiple submitters, no conflicts
8440NM_000304.4(PMP22):c.82T>C (p.Trp28Arg)PMP22Likely pathogeniccriteria provided, multiple submitters, no conflicts
431943NM_000304.4(PMP22):c.233T>C (p.Leu78Pro)PMP22Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
8431NM_000304.4(PMP22):c.353C>T (p.Thr118Met)PMP22Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
8441NM_000304.4(PMP22):c.344_355del (p.Ala115_Thr118del)PMP22Conflicting classifications of pathogenicityno assertion criteria provided
3896951NM_002677.5(PMP2):c.354T>C (p.Cys118=)PMP2Uncertain significancecriteria provided, single submitter
188195NM_000304.4(PMP22):c.185T>G (p.Leu62Arg)PMP22Uncertain significancecriteria provided, multiple submitters, no conflicts
208243NM_000304.4(PMP22):c.117G>C (p.Trp39Cys)PMP22Uncertain significanceno assertion criteria provided
462781NM_000304.4(PMP22):c.478G>A (p.Glu160Lys)PMP22Uncertain significancecriteria provided, multiple submitters, no conflicts
4795129NM_000304.4(PMP22):c.83G>C (p.Trp28Ser)PMP22Uncertain significancecriteria provided, single submitter
531692NM_000304.4(PMP22):c.255C>G (p.Cys85Trp)PMP22Uncertain significancecriteria provided, multiple submitters, no conflicts
586345NM_000304.4(PMP22):c.362A>G (p.His121Arg)PMP22Uncertain significancecriteria provided, single submitter
637422NM_000304.4(PMP22):c.-134G>APMP22Uncertain significancecriteria provided, single submitter
872649NM_000304.4(PMP22):c.260T>C (p.Leu87Pro)PMP22Uncertain significancecriteria provided, multiple submitters, no conflicts
1346244NM_182961.4(SYNE1):c.13825C>A (p.Leu4609Ile)SYNE1Uncertain significancecriteria provided, multiple submitters, no conflicts
321862NM_000304.4(PMP22):c.79-6C>TPMP22Benign/Likely benigncriteria provided, multiple submitters, no conflicts
378379NM_000304.4(PMP22):c.396C>T (p.Tyr132=)PMP22Benign/Likely benigncriteria provided, multiple submitters, no conflicts

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 21 · Orphanet: 10 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

GeneClassificationInheritanceDiseaseRecords
PMP22DefinitiveAutosomal dominantCharcot-Marie-Tooth disease type 1A21

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
PMP22Orphanet:101081Charcot-Marie-Tooth disease type 1A
PMP22Orphanet:3115Roussy-Lévy syndrome
PMP22Orphanet:640Hereditary neuropathy with liability to pressure palsies
PMP22Orphanet:64748Dejerine-Sottas syndrome
PMP22Orphanet:90658Charcot-Marie-Tooth disease type 1E
PMP22Orphanet:98916Acute inflammatory demyelinating polyradiculoneuropathy
SYNE1Orphanet:319332Autosomal recessive myogenic arthrogryposis multiplex congenita
SYNE1Orphanet:88644Autosomal recessive ataxia, Beauce type
SYNE1Orphanet:98853Autosomal dominant Emery-Dreifuss muscular dystrophy
PMP2Orphanet:476394PMP2-related Charcot-Marie-Tooth disease type 1

Cohort genes → proteins

6 cohort genes, 5 distinct canonical proteins.

Evidence partition

SubsetGenes
multi_evidence6

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
PMP22HGNC:9118ENSG00000109099Q01453Peripheral myelin protein 22gencc,clinvar
CDRT7HGNC:14386ENSG00000259944CMT1A duplicated region transcript 7clinvar
CDRT15HGNC:14395ENSG00000223510Q96T59CMT1A duplicated region transcript 15 proteinclinvar
SYNE1HGNC:17089ENSG00000131018Q8NF91Nesprin-1clinvar
HS3ST3B1HGNC:5198ENSG00000125430Q9Y662Heparan sulfate glucosamine 3-O-sulfotransferase 3B1clinvar
PMP2HGNC:9117ENSG00000147588P02689Myelin P2 proteinclinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
PMP22Peripheral myelin protein 22Might be involved in growth regulation, and in myelinization in the peripheral nervous system.
SYNE1Nesprin-1Multi-isomeric modular protein which forms a linking network between organelles and the actin cytoskeleton to maintain the subcellular spatial organization.
HS3ST3B1Heparan sulfate glucosamine 3-O-sulfotransferase 3B1Sulfotransferase that utilizes 3’-phospho-5’-adenylyl sulfate (PAPS) to catalyze the transfer of a sulfo group to an N-unsubstituted glucosamine linked to a 2-O-sulfo iduronic acid unit on heparan sulfate.
PMP2Myelin P2 proteinMay play a role in lipid transport protein in Schwann cells.

Protein-family classification

Druggable: 1 · Difficult: 0 · Unknown: 5 · Druggable fraction: 0.17

Family distribution

Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.

FamilyGenesFoldFDR
Other/Unknown51.5×0.348
Enzyme (other)12.0×0.407

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
PMP22Other/UnknownnoPMP22, PMP22/EMP/MP20/Claudin, PMP22_EMP_MP20
CDRT7Other/Unknownno
CDRT15Other/Unknownno
SYNE1Other/UnknownnoActinin_actin-bd_CS, CH_dom, Spectrin_repeat
HS3ST3B1Enzyme (other)yes2.8.2.30Sulfotransferase_dom, P-loop_NTPase, NST/OST
PMP2Other/UnknownnoFatty_acid-bd, Lipocln_cytosolic_FA-bd_dom, Calycin

Expression context

Cohort genes with no expression data: 0.

4 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)1
broad (>20)5
unknown0

Top tissues across cohort

TissueCohort genes
olfactory bulb2
trigeminal ganglion2
male germ line stem cell (sensu Vertebrata) in testis2
dorsal root ganglion1
Brodmann (1909) area 91
liver1
left testis1
right testis1
calcaneal tendon1
cerebellar hemisphere1
right hemisphere of cerebellum1
epithelium of nasopharynx1
parotid gland1
tibia1
superior vestibular nucleus1

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
PMP22294ubiquitousmarkerolfactory bulb, trigeminal ganglion, dorsal root ganglion
CDRT716yesmale germ line stem cell (sensu Vertebrata) in testis, Brodmann (1909) area 9, liver
CDRT15127yesright testis, male germ line stem cell (sensu Vertebrata) in testis, left testis
SYNE1275ubiquitousmarkercerebellar hemisphere, right hemisphere of cerebellum, calcaneal tendon
HS3ST3B1206ubiquitousmarkertibia, parotid gland, epithelium of nasopharynx
PMP2209tissue_specificmarkerolfactory bulb, superior vestibular nucleus, trigeminal ganglion

Protein interactions among cohort

Intra-cohort edges: 1.

Hub genes (top 10 by interactor count)

SymbolInteractor count
SYNE12,886
PMP21,374
PMP22647
HS3ST3B1459
CDRT15137
CDRT70

Intra-cohort edges

ABSources
CDRT15HS3ST3B1string_interaction

Structural data

PDB: 2 · AlphaFold-only: 3 · No structure: 1

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
PMP2P0268930
SYNE1Q8NF913

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
PMP22Q0145389.87
HS3ST3B1Q9Y66283.45
CDRT15Q96T5952.21

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 6. Enrichment computed across 6 evidence-associated genes (3 with Reactome annotation).

Pathways by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 3 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
EGR2 and SOX10-mediated initiation of Schwann cell myelination1122.8×0.021PMP22
HS-GAG biosynthesis1115.3×0.021HS3ST3B1
Meiosis195.2×0.021SYNE1
Reproduction163.4×0.024SYNE1
Meiotic synapsis147.0×0.025SYNE1
Cell Cycle112.0×0.081SYNE1

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
nuclear matrix anchoring at nuclear membrane11404.3×0.013SYNE1
myelin assembly1468.1×0.014PMP22
bleb assembly1383.0×0.014PMP22
glycosaminoglycan biosynthetic process1210.7×0.014HS3ST3B1
muscle cell differentiation1210.7×0.014SYNE1
fatty acid transport1156.0×0.014PMP2
peripheral nervous system development1145.3×0.014PMP22
nucleus organization1140.4×0.014SYNE1
heparan sulfate proteoglycan biosynthetic process1140.4×0.014HS3ST3B1
membrane organization1127.7×0.014PMP2
branching involved in ureteric bud morphogenesis191.6×0.018HS3ST3B1
negative regulation of neuron projection development159.3×0.025PMP22
Golgi organization133.4×0.041SYNE1
chemical synaptic transmission119.3×0.065PMP22
negative regulation of cell population proliferation110.5×0.110PMP22
spermatogenesis18.8×0.123SYNE1
cell differentiation17.3×0.132PMP22
apoptotic process17.2×0.132PMP22

Therapeutics

Drug target analysis

Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 5

Druggability breadth: 2 of 6 evidence-associated genes (33%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Genes with an approved drug

The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.

SymbolExample approved molecule
PMP22PROGESTERONE

Top cohort targets by molecule count

SymbolMoleculesMax phase
PMP222134
CDRT700
CDRT1500
SYNE100
HS3ST3B100
PMP200

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
PROGESTERONE4PMP22
CLOTRIMAZOLE4PMP22
OXAPROZIN4PMP22
SALMETEROL XINAFOATE4PMP22
AMIODARONE HYDROCHLORIDE4PMP22
TRIHEXYPHENIDYL HYDROCHLORIDE4PMP22
AMOXAPINE4PMP22
RALOXIFENE HYDROCHLORIDE4PMP22
IDARUBICIN4PMP22
OXYBUTYNIN CHLORIDE4PMP22
PINACIDIL ANHYDROUS4PMP22
NICARDIPINE HYDROCHLORIDE4PMP22
PILOCARPINE HYDROCHLORIDE4PMP22
PROTRIPTYLINE HYDROCHLORIDE4PMP22
BENZTROPINE MESYLATE4PMP22
BUSPIRONE HYDROCHLORIDE4PMP22
DOBUTAMINE HYDROCHLORIDE4PMP22
PROMAZINE HYDROCHLORIDE4PMP22
DICYCLOMINE HYDROCHLORIDE4PMP22
GUANFACINE HYDROCHLORIDE4PMP22
HYDROCORTISONE SODIUM SUCCINATE4PMP22
BROMOCRIPTINE MESYLATE4PMP22
DIHYDROERGOTAMINE MESYLATE4PMP22
DOXAZOSIN MESYLATE4PMP22
CYCLOBENZAPRINE HYDROCHLORIDE4PMP22
DEXBROMPHENIRAMINE MALEATE4PMP22
CLOMIPRAMINE HYDROCHLORIDE4PMP22
CHLORMEZANONE4PMP22
PROMETHAZINE HYDROCHLORIDE4PMP22
CITALOPRAM HYDROBROMIDE4PMP22

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 1.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
PMP221Functional:1
PMP21Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
HS3ST3B12.8.2.30[heparan sulfate]-glucosamine 3-sulfotransferase 3

Pharmacogenomics

Cohort genes with a PharmGKB record: 6; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Chemical tractability of cohort targets

30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.

CompoundMax phaseCohort target (bioactivity)
PROGESTERONE4PMP22
CLOTRIMAZOLE4PMP22
OXAPROZIN4PMP22
SALMETEROL XINAFOATE4PMP22
AMIODARONE HYDROCHLORIDE4PMP22
TRIHEXYPHENIDYL HYDROCHLORIDE4PMP22
AMOXAPINE4PMP22
RALOXIFENE HYDROCHLORIDE4PMP22
IDARUBICIN4PMP22
OXYBUTYNIN CHLORIDE4PMP22
PINACIDIL ANHYDROUS4PMP22
NICARDIPINE HYDROCHLORIDE4PMP22
PILOCARPINE HYDROCHLORIDE4PMP22
PROTRIPTYLINE HYDROCHLORIDE4PMP22
BENZTROPINE MESYLATE4PMP22
BUSPIRONE HYDROCHLORIDE4PMP22
DOBUTAMINE HYDROCHLORIDE4PMP22
PROMAZINE HYDROCHLORIDE4PMP22
DICYCLOMINE HYDROCHLORIDE4PMP22
GUANFACINE HYDROCHLORIDE4PMP22
HYDROCORTISONE SODIUM SUCCINATE4PMP22
BROMOCRIPTINE MESYLATE4PMP22
DIHYDROERGOTAMINE MESYLATE4PMP22
DOXAZOSIN MESYLATE4PMP22
CYCLOBENZAPRINE HYDROCHLORIDE4PMP22
DEXBROMPHENIRAMINE MALEATE4PMP22
CLOMIPRAMINE HYDROCHLORIDE4PMP22
CHLORMEZANONE4PMP22
PROMETHAZINE HYDROCHLORIDE4PMP22
CITALOPRAM HYDROBROMIDE4PMP22

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)1PMP22
BPhased (≥1) drug, not yet approved0
CDruggable family + PDB, no drug0
DDruggable family + AlphaFold only, no drug1HS3ST3B1
EDifficult family or no structure, no drug4CDRT7, CDRT15, SYNE1, PMP2

Undrugged target profiles

5 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
CDRT70
CDRT150
SYNE10
HS3ST3B10
PMP21

Clinical trials & evidence

Clinical trials

Clinical trials: 1.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified1

Top trials by phase / activity

NCTPhaseStatusTitle
NCT05902351Not specifiedRECRUITINGNatural History Study for Charcot Marie Tooth Disease