X-linked Charcot-Marie-Tooth disease (CMTX) is a form of hereditary ne
uropathy with demyelination. Recently, this disorder was mapped to chr
omosome Xq13.1. The gene for the gap junction protein connexin32 is lo
cated in the same chromosomal segment, which led to its consideration
as a candidate gene for CMTX. With the use of Northern (RNA) blot and
immunohistochemistry technique, it was found that connexin32 is normal
ly expressed in myelinated peripheral nerve. Direct sequencing of the
connexin32 gene showed seven different mutations in affected persons f
rom eight CMTX families. These findings, a demonstration of inherited
defects in a gap junction protein, suggest that connexin32 plays an im
portant role in peripheral nerve.