2010
DOI: 10.1523/jneurosci.4264-09.2010
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Conduction Block in PMP22 Deficiency

Abstract: Patients with PMP22 deficiency present with focal sensory and motor deficits when peripheral nerves are stressed by mechanical force. It has been hypothesized that these focal deficits are due to mechanically induced conduction block (CB). To test this hypothesis, we induced 60-70% CB (defined by electrophysiological criteria) by nerve compression in an authentic mouse model of HNPP with an inactivation of one of the two pmp22 alleles (pmp22+/−). Induction time for the CB was significantly shorter in pmp22+/− … Show more

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Cited by 57 publications
(112 citation statements)
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“…We also envisage that hampered biomechanical communication between neurites and the ECM is involved in pathogenesis of the inherited neurological disorders Charcot-Marie-Tooth 1A (CMT1A) and hereditary neuropathy with liability to pressure pulse (HNPP). CMT1A and HNPP are closely associated with biomechanical vulnerability entailing nerves which become prone to action potential conduction block and motoric disorders [16-18]. Growth cone-ECM interactions are important for force generation, axonal growth and guidance during nervous system development [2].…”
Section: Discussionmentioning
confidence: 99%
“…We also envisage that hampered biomechanical communication between neurites and the ECM is involved in pathogenesis of the inherited neurological disorders Charcot-Marie-Tooth 1A (CMT1A) and hereditary neuropathy with liability to pressure pulse (HNPP). CMT1A and HNPP are closely associated with biomechanical vulnerability entailing nerves which become prone to action potential conduction block and motoric disorders [16-18]. Growth cone-ECM interactions are important for force generation, axonal growth and guidance during nervous system development [2].…”
Section: Discussionmentioning
confidence: 99%
“…Demyelination of the AN is also reported in sensorineural deafness (42) and has been suggested to play a role in auditory neuropathy (50), a hearing disorder characterized by absent auditory brainstem responses with preserved outer hair cell function. Myelin disruption results in increased membrane time constants, decreased conduction velocity (51), and decreased membrane resistance (52,53), all of which could lead to conduction block (54). Conduction block could result in failure of transmitter release at the pathologically unmyelinated AN terminals, and this could explain why FC maximal firing could not be achieved even when stimulating at amplitudes allowing maximal AN fiber recruitment.…”
Section: Discussionmentioning
confidence: 99%
“…These results show that clinically unaffected nerves in the upper and lower limbs also displayed the generalized slowing of motor and sensory nerve conduction velocities and delayed distal motor latencies, consistent with the previous literatures [5,16] (table 1). The mechanism of slowing nerve conduction velocity might be involved in two aspects: (1) The lowered ratio of axon diameter to external diameter could rapidly raise axial resistance to action potential propagation [18,19]. Furthermore, when the nerve is compressed, the axons are even further stretching and thinning [19].…”
Section: Discussionmentioning
confidence: 99%
“…The mechanism of slowing nerve conduction velocity might be involved in two aspects: (1) The lowered ratio of axon diameter to external diameter could rapidly raise axial resistance to action potential propagation [18,19]. Furthermore, when the nerve is compressed, the axons are even further stretching and thinning [19]. (2) The multiple defects in the myelin sheath might indicate a pre-existing damage that produced increased leakage and slowing in conduction [18].…”
Section: Discussionmentioning
confidence: 99%
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