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		<id>https://www.wikidoc.org/index.php?title=Peripheral_myelin_protein_22&amp;diff=1529119</id>
		<title>Peripheral myelin protein 22</title>
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		<updated>2018-07-20T02:00:44Z</updated>

		<summary type="html">&lt;p&gt;2601:14F:8002:11E4:E127:1AB9:5B51:8BDC: All patients with CMT-1A have a PMP22 duplication, and about 40% of the patients with CMT are diagnosed with PMP22 duplication = are diagnosed with CMT-1A.&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{Infobox_gene}}&lt;br /&gt;
&lt;br /&gt;
&#039;&#039;&#039;Growth arrest-specific protein 3&#039;&#039;&#039; (GAS-3), also called &#039;&#039;&#039;peripheral myelin protein 22&#039;&#039;&#039; (PMP22), is a [[protein]] which in [[human]]s is encoded by the &#039;&#039;PMP22&#039;&#039; [[gene]].&lt;br /&gt;
&lt;br /&gt;
PMP22 is a 22 [[kDa]] [[transmembrane]] [[glycoprotein]] made up of 160 [[amino acids]], and is mainly expressed in the [[Schwann cells]] of the [[peripheral nervous system]]. Schwann cells show high expression of PMP22, where it can constitute 2-5% of total protein content in compact [[myelin]]. Compact myelin is the bulk of the peripheral [[neuron|neuron&#039;s]] [[myelin sheath]], a protective fatty layer that provides electrical insulation for the neuronal [[axon]].&amp;lt;ref name= &amp;quot;Watila&amp;quot;&amp;gt;{{cite journal | vauthors = Watila MM, Balarabe SA | title = Molecular and clinical features of inherited neuropathies due to PMP22 duplication | journal = Journal of the Neurological Sciences | volume = 355 | issue = 1–2 | pages = 18–24 | year = 2015 | pmid = 26076881 | doi = 10.1016/j.jns.2015.05.037 }}&amp;lt;/ref&amp;gt; The level of PMP22 expression is relatively low in the [[central nervous system]] of adults.&amp;lt;ref name= &amp;quot;Structure&amp;quot;&amp;gt;{{cite journal | vauthors = Li J, Parker B, Martyn C, Natarajan C, Guo J | title = The PMP22 gene and its related diseases | journal = Molecular Neurobiology | volume = 47 | issue = 2 | pages = 673–98 | year = 2013 | pmid = 23224996 | pmc = 3594637 | doi = 10.1007/s12035-012-8370-x }}&amp;lt;/ref&amp;gt;&lt;br /&gt;
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Like other membrane proteins, newly translated PMP22 protein is temporarily sequestered to the [[endoplasmic reticulum]] (ER) and [[Golgi apparatus]] for post-translational modifications. PMP22 protein is [[Glycosylation|glycosylated]] with an [[N-linked glycosylation|N terminus-linked]] sugar and co-localized with the [[chaperone protein]] calnexin in the ER.&amp;lt;ref name=pmid12119418&amp;gt;{{cite journal | vauthors = Dickson KM, Bergeron JJ, Shames I, Colby J, Nguyen DT, Chevet E, Thomas DY, Snipes GJ | title = Association of calnexin with mutant peripheral myelin protein-22 ex vivo: a basis for “gain-of-function” ER diseases | journal = PNAS USA  | volume = 99 | issue = 15 | pages = 9852–857 | date = July 2002 | pmid = 12119418 | doi =  10.1073/pnas.152621799 | pmc=125041}}&amp;lt;/ref&amp;gt; .  After the protein is transported to the Golgi apparatus it can then become incorporated in the [[plasma membrane]] of the cell.&amp;lt;ref name= &amp;quot;Watila&amp;quot; /&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Structure and function ==&lt;br /&gt;
In humans, the PMP22 gene is located on [[chromosome 17]]p11.2 and spans approximately 40kb. The gene contains six [[exons]] conserved in both humans and rodents, two of which are [[Five prime untranslated region|5’ untranslated]] exons (1a and 1b) and result in two different [[RNA| RNA transcripts]] with identical [[coding region|coding sequences]]. The two transcripts differ in their 5&#039; untranslated regions and have their own [[Promoter (genetics)|promoter]] regulating expression. The remaining exons (2 to 5) include the coding region of the PMP22 gene, and are joined together after [[post-transcriptional modification]] (i.e. [[alternative splicing]]).&amp;lt;ref name= &amp;quot;Structure&amp;quot;/&amp;gt; The PMP22 protein is characterized by four [[transmembrane domains]], two extracellular loops (ECL1 and ECL2), and one intracellular loop.&amp;lt;ref name= &amp;quot;Hello&amp;quot;&amp;gt;{{cite journal | vauthors = Nelis E, Haites N, Van Broeckhoven C | title = Mutations in the peripheral myelin genes and associated genes in inherited peripheral neuropathies | journal = Human Mutation | volume = 13 | issue = 1 | pages = 11–28 | year = 1999 | pmid = 9888385 | doi = 10.1002/(SICI)1098-1004(1999)13:1&amp;lt;11::AID-HUMU2&amp;gt;3.0.CO;2-A | url = }}&amp;lt;/ref&amp;gt; ECL1 has been suggested to mediate a homophilic interaction between two PMP22 proteins, whereas ECL2 has been shown to mediate a heterophilic interaction between PMP22 protein and [[Myelin protein zero]] (MPZ).&amp;lt;ref name= &amp;quot;Structure&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
Although the PMP22 mechanism of action in myelinating Schwann cells is not fully known, it plays an essential role in the formation and maintenance of compact myelin.&amp;lt;ref name= &amp;quot;Watila&amp;quot; /&amp;gt; When Schwann cells come into contact with a neuronal axon, expression of PMP22 is significantly [[Downregulation and upregulation|up-regulated]],&amp;lt;ref name= &amp;quot;Structure&amp;quot;/&amp;gt; whereas PMP22 is [[Downregulation and upregulation|down-regulated]] during  axonal degeneration or transection.&amp;lt;ref name= &amp;quot;Watila&amp;quot; /&amp;gt; PMP22 has shown association with [[Tight junction protein 1|zonula-occludens 1]] and [[occludin]], proteins that are involved in adhesion with other cells and the extracellular matrix, and also support functioning of myelin.&amp;lt;ref name= &amp;quot;Watila&amp;quot; /&amp;gt; Along with cell adhesion function, PMP22 is also up-regulated during Schwann [[cell proliferation]], suggesting a role in [[cell-cycle regulation]]. PMP22 is detectable in non-neural tissues, where its expression has been shown to serve as growth-arrest-specific (gas-3) function.&amp;lt;ref name= &amp;quot;Watila&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
== Gene-dosage ==&lt;br /&gt;
Improper [[gene dosage]] of the PMP22 gene can cause aberrant protein synthesis and function of myelin sheath. Since the components of myelin are [[stoichiometry|stoichiometrically]] set, any irregular expression of a component can cause destabilization of myelin and neuropathic disorders.&amp;lt;ref name= &amp;quot;Watila&amp;quot;/&amp;gt; Alterations of PMP22 gene expression are associated with a variety of neuropathies, such as [[Charcot–Marie–Tooth disease|Charcot–Marie–Tooth type 1A]] (CMT1A), [[Dejerine–Sottas disease]], and [[Hereditary neuropathy with liability to pressure palsy|Hereditary Neuropathy with Liability to Pressure Palsy]] (HNPP). Too much PMP22 (e.g. caused by [[gene duplication]]) results in CMT1A, and too little PMP22 (e.g. caused by [[gene deletion]]) results in HNPP.&amp;lt;ref name= &amp;quot; Brennan&amp;quot;&amp;gt;{{cite journal | vauthors = Brennan KM, Bai Y, Shy ME | title = Demyelinating CMT--what&#039;s known, what&#039;s new and what&#039;s in store? | journal = Neuroscience Letters | volume = 596 | issue = | pages = 14–26 | year = 2015 | pmid = 25625223 | doi = 10.1016/j.neulet.2015.01.059 }}&amp;lt;/ref&amp;gt; Gene duplication of PMP22 is the most common genetic cause of CMT&amp;lt;ref name=&amp;quot;CMT1A&amp;quot;&amp;gt;{{cite journal | vauthors = Al-Thihli K, Rudkin T, Carson N, Poulin C, Melançon S, Der Kaloustian VM | title = Compound heterozygous deletions of PMP22 causing severe Charcot-Marie-Tooth disease of the Dejerine-Sottas disease phenotype | journal = American Journal of Medical Genetics Part A | volume = 146A | issue = 18 | pages = 2412–6 | year = 2008 | pmid = 18698610 | doi = 10.1002/ajmg.a.32456 }}&amp;lt;/ref&amp;gt;&amp;lt;ref name=&amp;quot;CMT1A2&amp;quot;&amp;gt;{{cite journal | vauthors = Berger P, Young P, Suter U | title = Molecular cell biology of Charcot-Marie-Tooth disease | journal = Neurogenetics | volume = 4 | issue = 1 | pages = 1–15 | year = 2002 | pmid = 12030326 | doi = 10.1007/s10048-002-0130-z }}&amp;lt;/ref&amp;gt; where the overproduction of PMP22 results in defects in multiple signalling pathways and dysfunction of [[transcription factor|transcriptional factors]] like KNOX20, [[SOX10]] and [[EGR2]].&amp;lt;ref name= &amp;quot;Watila&amp;quot; /&amp;gt;&lt;br /&gt;
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== Interactions ==&lt;br /&gt;
&lt;br /&gt;
Peripheral myelin protein 22 has been shown to [[Protein–protein interaction|interact]] with [[myelin protein zero]].&amp;lt;ref name=pmid10212299&amp;gt;{{cite journal | vauthors = D&#039;Urso D, Ehrhardt P, Müller HW | title = Peripheral myelin protein 22 and protein zero: a novel association in peripheral nervous system myelin | journal = The Journal of Neuroscience | volume = 19 | issue = 9 | pages = 3396–403 | date = May 1999 | pmid = 10212299 | url = http://www.jneurosci.org/content/19/9/3396.full.pdf | publisher = Society for Neuroscience }}&amp;lt;/ref&amp;gt;&lt;br /&gt;
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== References ==&lt;br /&gt;
{{reflist|33em}}&lt;br /&gt;
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== Further reading ==&lt;br /&gt;
{{refbegin|33em}}&lt;br /&gt;
* {{cite journal | vauthors = Patel PI, Lupski JR | title = Charcot-Marie-Tooth disease: a new paradigm for the mechanism of inherited disease | journal = Trends in Genetics | volume = 10 | issue = 4 | pages = 128–33 | date = Apr 1994 | pmid = 7518101 | doi = 10.1016/0168-9525(94)90214-3 }}&lt;br /&gt;
* {{cite journal | vauthors = Roa BB, Lupski JR | title = Molecular genetics of Charcot-Marie-Tooth neuropathy | journal = Advances in Human Genetics | volume = 22 | issue =  | pages = 117–52 | year = 1995 | pmid = 7762451 | doi = 10.1007/978-1-4757-9062-7_3 }}&lt;br /&gt;
* {{cite journal | vauthors = Nelis E, Haites N, Van Broeckhoven C | title = Mutations in the peripheral myelin genes and associated genes in inherited peripheral neuropathies | journal = Human Mutation | volume = 13 | issue = 1 | pages = 11–28 | year = 1999 | pmid = 9888385 | doi = 10.1002/(SICI)1098-1004(1999)13:1&amp;lt;11::AID-HUMU2&amp;gt;3.0.CO;2-A }}&lt;br /&gt;
* {{cite journal | vauthors = Jetten AM, Suter U | title = The peripheral myelin protein 22 and epithelial membrane protein family | journal = Progress in Nucleic Acid Research and Molecular Biology | volume = 64 | issue =  | pages = 97–129 | year = 2000 | pmid = 10697408 | doi = 10.1016/S0079-6603(00)64003-5 }}&lt;br /&gt;
{{refend}}&lt;br /&gt;
&lt;br /&gt;
== External links ==&lt;br /&gt;
* [https://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&amp;amp;part=cmt1 GeneReviews/NCBI/NIH/UW entry on Charcot-Marie-Tooth Neuropathy Type 1]&lt;/div&gt;</summary>
		<author><name>2601:14F:8002:11E4:E127:1AB9:5B51:8BDC</name></author>
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