MPZ Gene - Myelin Protein Zero

Key gene in peripheral nervous system myelination and Charcot-Marie-Tooth disease

Gene Information Card

Symbol MPZ
Full Name Myelin Protein Zero
Gene Type Protein coding
Chromosomal Location 1q23.3
NCBI Gene ID 4359 ncbi.nlm.nih.gov/gene/4359
Ensembl ID ENSG00000158887
UniProt ID P25189
OMIM ID 159440
HGNC ID 7225
Aliases P0, CHN, CMT1B, CMT2I, CMT2J, DSS, MPP, HMSNIB

Description

The MPZ gene encodes myelin protein zero (P0), a transmembrane glycoprotein that constitutes approximately 50% of total peripheral myelin protein. P0 is essential for the formation and maintenance of compact myelin in the peripheral nervous system. It functions as a homophilic adhesion molecule, mediating the compaction of myelin lamellae. Mutations in MPZ are associated with several peripheral neuropathies, including Charcot-Marie-Tooth disease type 1B (CMT1B), Dejerine-Sottas syndrome (DSS), and congenital hypomyelinating neuropathy (CHN).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Charcot-Marie-Tooth disease type 1B (CMT1B) Loss of P0 adhesive function disrupts myelin compaction, leading to demyelinating neuropathy ClinVar, OMIM
Dejerine-Sottas syndrome (DSS) Severe loss-of-function or dominant-negative mutations cause profound hypomyelination ClinVar, OMIM
Congenital hypomyelinating neuropathy (CHN) Null or severe missense mutations prevent normal myelination from birth ClinVar, OMIM
Charcot-Marie-Tooth disease type 2I (CMT2I) Specific missense mutations cause axonal degeneration without prominent demyelination ClinVar, OMIM
Charcot-Marie-Tooth disease type 2J (CMT2J) Missense mutations in the cytoplasmic domain lead to axonal neuropathy with hearing loss ClinVar, OMIM

Expression Profile

Tissue Expression
Tissue nTPM level
Peripheral nerve High High
Sciatic nerve High High
Spinal cord Low Low
Brain Not detected Not detected
Liver Not detected Not detected
Cell Line Expression
Cell Line nTPM Notes
Schwann cells (primary) High Major site of expression
SHSY5Y (neuroblastoma) Low Neuronal lineage
HEK293 Not detected Non-neural
HeLa Not detected Non-neural
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.293G>A (p.Arg98His) Missense Common in CMT1B Disrupts adhesive function
c.407G>A (p.Arg136Trp) Missense Associated with CMT2I Axonal degeneration
c.499C>T (p.Arg167Cys) Missense Found in DSS Severe loss of adhesion
c.1A>G (p.Met1Val) Start loss Rare Complete loss of protein
c.698T>C (p.Leu233Pro) Missense Associated with CMT2J Cytoplasmic domain defect
Mutation functional classification

Loss of Function (LOF)

Null alleles (e.g., start loss, frameshift) cause congenital hypomyelinating neuropathy due to absence of P0.

Gain of Function (GOF)

Not typically described; most mutations are loss-of-function or dominant-negative.

Dominant Negative (DN)

Many missense mutations (e.g., Arg98His) act as dominant-negative by interfering with wild-type P0 adhesion, leading to CMT1B.

Pathways

• Myelination pathway (Reactome: R-HSA-9616222)
• Cell adhesion molecules (CAMs) (KEGG: hsa04514)

Protein Summary

Myelin protein zero (P0) is a 248-amino-acid transmembrane glycoprotein with a single extracellular immunoglobulin-like domain, a transmembrane segment, and a cytoplasmic tail. It forms homotetramers that mediate adhesion between adjacent myelin lamellae, essential for compact myelin formation. P0 is exclusively expressed in Schwann cells of the peripheral nervous system. Its extracellular domain mediates homophilic adhesion, while the cytoplasmic domain interacts with the cytoskeleton. Mutations in MPZ disrupt these interactions, leading to a spectrum of peripheral neuropathies.

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