Haploinsufficiency

When one working copy is not enough

Haploinsufficiency is a loss-of-function mechanism in which a single functional copy of a gene does not make enough product for normal function, so losing or inactivating one copy is enough to cause disease. It marks a dosage-sensitive gene. In CMT, HNPP results from the loss of one PMP22 copy, the reciprocal of the CMT1A duplication.

The Dorsal Root

More From The Dorsal Root


A Name That Does Too Much Work

Jean-Martin Charcot's name appears throughout medicine, but nowhere does it create more confusion than in the foot. Learn why the CMT foot and Charcot neuroarthropathy, also known as Charcot foot, share a name yet differ in how they develop, appear, and are managed.


When Medicine Lost Its Compass

Evidence failed not because it was wrong, but because it was weaponized. I lived the downstream effects of that failure for more than a decade. This is what happens when medicine forgets that data always ends in a human being.


Error 404: Gene Not Found

CMT genetic testing often fails to identify the cause of the disease, even when comprehensive panels are used. Here, we discuss why this happens, what genetic tests can and cannot do, and why a negative result still matters.