PRX (Periaxin) Gene: Structure, Function, and Clinical Significance

Comprehensive guide to the PRX gene, encoding periaxin, a key protein in peripheral nerve myelination, with implications for Charcot-Marie-Tooth disease and Dejerine-Sottas syndrome.

Gene Information Card

Symbol PRX
Full Name periaxin
Gene Type protein coding
Chromosomal Location 19q13.2
NCBI Gene ID 57716 ncbi.nlm.nih.gov/gene/57716
Ensembl ID ENSG00000105227
UniProt ID Q9BXM0
OMIM ID 605725
HGNC ID 13797
Aliases CMT4F, DSN, FLJ16402, KIAA1620

Description

The PRX gene encodes periaxin, a protein essential for the maintenance of peripheral nerve myelination. Periaxin is a PDZ domain-containing protein expressed in Schwann cells, where it plays a critical role in stabilizing the myelin sheath and maintaining the integrity of the Schwann cell-axon unit. Mutations in PRX are associated with autosomal recessive demyelinating Charcot-Marie-Tooth disease type 4F (CMT4F) and Dejerine-Sottas syndrome (DSN). The protein is involved in the formation of the periaxonal membrane and the regulation of myelin compaction.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Charcot-Marie-Tooth disease type 4F (CMT4F) Loss-of-function mutations in PRX lead to defective periaxin protein, causing impaired myelin sheath maintenance and demyelination. ClinVar, OMIM
Dejerine-Sottas syndrome (DSN) Biallelic mutations in PRX result in severe hypomyelination and peripheral neuropathy, often presenting in infancy. ClinVar, OMIM
Charcot-Marie-Tooth disease (general) PRX mutations are a rare cause of CMT, with autosomal recessive inheritance. OMIM, NCBI

Expression Profile

Tissue Expression
Tissue nTPM level
Peripheral nerve High High
Brain Low Low
Spinal cord Low Low
Testis Low Low
Cell Line Expression
Cell Line nTPM Notes
Schwann cells High Primary site of expression
Fibroblasts Low Minimal expression
Lymphocytes Low Minimal expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.828C>A (p.Cys276Ter) Nonsense Rare Loss of function, leading to truncated protein
c.1364_1365del (p.Glu455GlyfsTer3) Frameshift Rare Loss of function, premature termination
c.2485C>T (p.Arg829Ter) Nonsense Rare Loss of function, truncated protein
c.3226C>T (p.Arg1076Cys) Missense Rare Potential dominant-negative effect, disrupts protein function
Mutation functional classification

Loss of Function (LOF)

Most PRX mutations are loss-of-function, leading to reduced or absent periaxin protein, causing demyelination.

Gain of Function (GOF)

No evidence of gain-of-function mutations in PRX.

Dominant Negative (DN)

Some missense mutations may exert a dominant-negative effect, but inheritance is typically autosomal recessive.

Gene Ontology (GO)

• protein binding • PDZ domain binding
• cytoskeletal protein binding • cell adhesion molecule binding
• myelin sheath • Schwann cell differentiation
• peripheral nervous system development • axon ensheathment

Pathways

• Myelination pathway
• Schwann cell differentiation
• Cell junction organization

Protein Summary

Periaxin is a 1461-amino acid protein with a PDZ domain at the N-terminus, which mediates protein-protein interactions. It is localized to the periaxonal membrane of Schwann cells, where it links the myelin sheath to the cytoskeleton. Periaxin is essential for the maintenance of myelin stability and the proper formation of the Cajal bands, which are cytoplasmic channels in myelinating Schwann cells. Defects in periaxin lead to demyelinating neuropathies.

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