Charcot-Marie-Tooth Neuropathy X: genes and variants
Charcot-Marie-Tooth Neuropathy X is linked to 1 analyzed protein (GJB1). 90 DNA variants are known to cause it; 182 more are uncertain, and 1 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Charcot-Marie-Tooth Neuropathy X
GJB1: Gap junction beta-1 protein
It forms connexin 32 channels that support metabolic and signaling communication across layers of peripheral myelin produced by Schwann cells. Pathogenic variants cause X-linked Charcot-Marie-Tooth disease type 1, often with transient central nervous system manifestations in some individuals.
90 disease-causing and 182 uncertain variants in GJB1 are linked to Charcot-Marie-Tooth Neuropathy X.
Where Charcot-Marie-Tooth Neuropathy X variants cluster
- GJB1 Cytoplasmic (positions 1–22): 14 of 90 disease-causing changes, 2.0× more than its size predicts.
- GJB1 Extracellular (positions 154–191): 20 of 90 disease-causing changes, 1.6× more than its size predicts.
- GJB1 Transmembrane (positions 23–45): 12 of 90 disease-causing changes, 1.6× more than its size predicts.
Known disease-causing variants in Charcot-Marie-Tooth Neuropathy X
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| GJB1 R15Q | 15 | Cytoplasmic | Disease-causing (★★) |
| GJB1 C60Y | 60 | Extracellular | Disease-causing (★★) |
| GJB1 R142W | 142 | Transmembrane | Disease-causing (★★) |
| GJB1 R164Q | 164 | Extracellular | Disease-causing (★★) |
| GJB1 R164W | 164 | Extracellular | Disease-causing (★★) |
| GJB1 R183C | 183 | Extracellular | Disease-causing (★★) |
| GJB1 R183H | 183 | Extracellular | Disease-causing (★★) |
| GJB1 R183S | 183 | Extracellular | Disease-causing (★★) |
| GJB1 V139M | 139 | Transmembrane | Disease-causing (★★) |
| GJB1 M1V | 1 | Cytoplasmic | Disease-causing (★★) |
| GJB1 G12S | 12 | Cytoplasmic | Disease-causing (★★) |
| GJB1 R15L | 15 | Cytoplasmic | Disease-causing (★★) |
| GJB1 R15W | 15 | Cytoplasmic | Disease-causing (★★) |
| GJB1 R22Q | 22 | Cytoplasmic | Disease-causing (★★) |
| GJB1 M34T | 34 | Transmembrane | Disease-causing (★★) |
| GJB1 M34V | 34 | Transmembrane | Disease-causing (★★) |
| GJB1 V38M | 38 | Transmembrane | Disease-causing (★★) |
| GJB1 A39V | 39 | Transmembrane | Disease-causing (★★) |
| GJB1 C60R | 60 | Extracellular | Disease-causing (★★) |
| GJB1 L89P | 89 | Transmembrane | Disease-causing (★★) |
| GJB1 L89V | 89 | Transmembrane | Disease-causing (★★) |
| GJB1 H94Q | 94 | Transmembrane | Disease-causing (★★) |
| GJB1 A96G | 96 | Cytoplasmic | Disease-causing (★★) |
| GJB1 K103E | 103 | Cytoplasmic | Disease-causing (★★) |
| GJB1 R142G | 142 | Transmembrane | Disease-causing (★★) |
| GJB1 R142Q | 142 | Transmembrane | Disease-causing (★★) |
| GJB1 Y160C | 160 | Extracellular | Disease-causing (★★) |
| GJB1 Y160H | 160 | Extracellular | Disease-causing (★★) |
| GJB1 R164G | 164 | Extracellular | Disease-causing (★★) |
| GJB1 R164L | 164 | Extracellular | Disease-causing (★★) |
| GJB1 P172A | 172 | Extracellular | Disease-causing (★★) |
| GJB1 P172S | 172 | Extracellular | Disease-causing (★★) |
| GJB1 F180L | 180 | Extracellular | Disease-causing (★★) |
| GJB1 V181E | 181 | Extracellular | Disease-causing (★★) |
| GJB1 V181M | 181 | Extracellular | Disease-causing (★★) |
| GJB1 R183P | 183 | Extracellular | Disease-causing (★★) |
| GJB1 C201Y | 201 | Transmembrane | Disease-causing (★★) |
| GJB1 E208K | 208 | Transmembrane | Disease-causing (★★) |
| GJB1 R107W | 107 | Cytoplasmic | Disease-causing (★★) |
| GJB1 N14K | 14 | Cytoplasmic | Disease-causing (★★) |
| GJB1 T18S | 18 | Cytoplasmic | Disease-causing (★★) |
| GJB1 W24C | 24 | Transmembrane | Disease-causing (★★) |
| GJB1 S62R | 62 | Extracellular | Disease-causing (★★) |
| GJB1 G159S | 159 | Extracellular | Disease-causing (★★) |
| GJB1 V177M | 177 | Extracellular | Disease-causing (★★) |
| GJB1 D178N | 178 | Extracellular | Disease-causing (★★) |
| GJB1 V189G | 189 | Extracellular | Disease-causing (★★) |
| GJB1 R215P | 215 | Cytoplasmic | Disease-causing (★★) |
| GJB1 R215W | 215 | Cytoplasmic | Disease-causing (★★) |
| GJB1 W44C | 44 | Transmembrane | Disease-causing (★★) |
| GJB1 F51L | 51 | Extracellular | Disease-causing (★★) |
| GJB1 K124N | 124 | Cytoplasmic | Disease-causing (★★) |
| GJB1 L131P | 131 | Transmembrane | Disease-causing (★★) |
| GJB1 L204V | 204 | Transmembrane | Disease-causing (★★) |
| GJB1 Y211H | 211 | Transmembrane | Disease-causing (★) |
| GJB1 M1I | 1 | Cytoplasmic | Disease-causing (★) |
| GJB1 M1K | 1 | Cytoplasmic | Disease-causing (★) |
| GJB1 M1T | 1 | Cytoplasmic | Disease-causing (★) |
| GJB1 G12D | 12 | Cytoplasmic | Disease-causing (★) |
| GJB1 M34I | 34 | Transmembrane | Disease-causing (★) |
Showing 60 of 90.
Uncertain variants in Charcot-Marie-Tooth Neuropathy X that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| GJB1 A39T | 39 | Transmembrane | Uncertain (★) | +6: 4 other pathogenic changes within 3 positions; A39V at the same position is pathogenic; REVEL 0.869 |
Same protein, different disease
- Charcot-Marie-Tooth disease is also caused by GJB1 variants; they fall in the same places as the Charcot-Marie-Tooth Neuropathy X variants (54 disease-causing).
Diseases related to Charcot-Marie-Tooth Neuropathy X
- Charcot-Marie-Tooth disease, also linked to GJB1
- Peripheral neuropathy, also linked to GJB1
Frequently asked questions
Which genes are linked to Charcot-Marie-Tooth Neuropathy X?
In CATVariant, Charcot-Marie-Tooth Neuropathy X is linked to 1 analyzed protein: GJB1 (Gap junction beta-1 protein).
How many genetic variants are linked to Charcot-Marie-Tooth Neuropathy X?
274 variants: 90 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 182 are of uncertain significance or have conflicting reports.
Which uncertain variants in Charcot-Marie-Tooth Neuropathy X look disease-causing?
1 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example GJB1 A39T. These are leads for expert review, not diagnoses.
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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