dHMN1-UBE3C

UBE3C | 2023

What Is dHMN1-UBE3C?

dHMN1-UBE3C is a type of CMT caused by autosomal dominant mutations in the UBE3C gene. This gene provides instructions for making a protein that tags other proteins for regulated breakdown within nerve cells. Mutations in the UBE3C gene disrupt this function, leading to impaired nerve signal transmission.

dHMN1-UBE3C is autosomal dominant, meaning that just one of the gene’s two copies needs a mutation to cause this subtype.

Clinical Features

The age of symptom onset in dHMN1-UBE3C is variable, ranging from childhood to adulthood. As a motor neuropathy, dHMN1-UBE3C primarily affects the most distal points, with weakness and atrophy of the feet and hands, and little to no involvement of the sensory nerves. Nerve conduction studies usually show somewhat slowed conduction velocities and reduced amplitudes, consistent with an axonal form of CMT.

dHMN1-UBE3C symptoms may include:

  • Weakness and atrophy in the feet and lower legs
  • Foot drop
  • Reduced or absent reflexes
  • A steppage-style walking pattern
  • Foot deformities, including high arches, and hammertoes (clawed toes)
  • Progressive involvement of the hands
  • Difficulty with fine motor skills and manual dexterity
  • Additional symptoms not listed here

Disease Course

dHMN1-UBE3C shows wide variability in severity and progression. Some individuals are mildly affected, while others develop a more severe disease. Disease progression is generally slow, and life expectancy is not reduced.

Clinical Basics

Subtype
dHMN1-UBE3C

Classification
dHMN/HMN

Neuropathy Type
Axonal

Inheritance Pattern
autosomal dominant

Genetic Context

HGNC-Approved Gene Symbol
UBE3C

Gene Full Name
ubiquitin protein ligase E3C

HGNC Gene Alias(es)
KIAA0010

Chromosome
7q36.3

Zygosity of Responsible Variant
Heterozygous

Variant Mechanism

Unknown

Details

Mechanistic basis:
Unresolved

Confidence:
Low

Prediction:
The literature does not resolve a mechanism for dHMN1-UBE3C. Cutrupi et al. (2023) traced the disease to a genomic insertion creating a UBE3C-intergenic fusion transcript, which splices duplicated UBE3C exons 1 to 10 onto a pseudo-exon. The transcript escapes nonsense-mediated decay, its product stops short of the HECT catalytic domain, and full-length UBE3C is reduced in patient motor neurons, but ubiquitin ligase activity itself was never measured.

Rationale:
Three readings fit the same observation and predict different mechanisms: the truncated product acting on the normal protein, transcriptional interference in cis at the duplicated locus, or a toxicity belonging to the fusion product, which is what expressing it in neurons produces. What the evidence does settle is the negative case, since biallelic UBE3C loss causes a separate recessive neurodevelopmental disease and its heterozygous carriers have no neuropathy, ruling out a simple halved dose.

ClinVar Pathogenic Variants

View UBE3C ClinVar Variants

UBE3C OMIM Entry

UBE3C OMIM

More Info

dHMN1-UBE3C Research Opportunity

CMT Natural History Study

Original Discovery Publication

Publication Title

Novel Gene-Intergenic Fusion Involving Ubiquitin E3 Ligase UBE3C Causes Distal Hereditary Motor Neuropathy

Authors

Cutrupi, A.N., Narayanan, R.K., Perez-Siles, G., Grosz, B.R., Lai, K., Boyling, A., Ellis, M., Lin, R.C.Y., Neumann, B., Mao, D., Uesugi, M., Nicholson, G.A., Vucic, S., Saporta, M.A., & Kennerson, M.L.

Publication Date
March 1, 2023

Updated: July 18, 2026 | By: K. Raymond

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