PT - JOURNAL ARTICLE AU - Robert H. Baloh AU - Amy Strickland AU - Elizabeth Ryu AU - Nam Le AU - Timothy Fahrner AU - Mao Yang AU - Rakesh Nagarajan AU - Jeffrey Milbrandt TI - Congenital Hypomyelinating Neuropathy with Lethal Conduction Failure in Mice Carrying the Egr2 I268N Mutation AID - 10.1523/JNEUROSCI.2168-08.2009 DP - 2009 Feb 25 TA - The Journal of Neuroscience PG - 2312--2321 VI - 29 IP - 8 4099 - http://www.jneurosci.org/content/29/8/2312.short 4100 - http://www.jneurosci.org/content/29/8/2312.full SO - J. Neurosci.2009 Feb 25; 29 AB - Mouse models of human disease are helpful for understanding the pathogenesis of the disorder and ultimately for testing potential therapeutic agents. Here, we describe the engineering and characterization of a mouse carrying the I268N mutation in Egr2, observed in patients with recessively inherited Charcot–Marie–Tooth (CMT) disease type 4E, which is predicted to alter the ability of Egr2 to interact with the Nab transcriptional coregulatory proteins. Mice homozygous for Egr2I268N develop a congenital hypomyelinating neuropathy similar to their human counterparts. Egr2I268N is expressed at normal levels in developing nerve but is unable to interact with Nab proteins or to properly activate transcription of target genes critical for proper peripheral myelin development. Interestingly, Egr2I268N/I268N mutant mice maintain normal weight and have only mild tremor until 2 weeks after birth, at which point they rapidly develop worsening weakness and uniformly die within several days. Nerve electrophysiology revealed conduction block, and neuromuscular junctions showed marked terminal sprouting similar to that seen in animals with pharmacologically induced blockade of action potentials or neuromuscular transmission. These studies describe a unique animal model of CMT, whereby weakness is due to conduction block or neuromuscular junction failure rather than secondary axon loss and demonstrate that the Egr2–Nab complex is critical for proper peripheral nerve myelination.