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Patients represented multiple ancestries, including European, Hispanic, Chinese, Near Eastern and Northern African. We confirmed c.757delG (p.Ala253GlnfsTer27) as the most common pathogenic allele, followed by c.458C>A (p.Ala153Asp), while other variants were identified, mostly in single cases Keywords: SORD; natural history; hereditary neuropathy; polyol pathway; aldose reductase Author: Andrea Cortese Creator: Servigistics Arbortext Advanced Print Publisher 11.1.4546/W-x64 Producer: PDFlib+PDI 9.0.7p3 (C++/Win64) CreationDate: Wed Oct 1 03:55:06 2025 CEST ModDate: Fri Oct 3 12:05:06 2025 CEST Custom Metadata: yes Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: none JavaScript: no Pages: 11 Encrypted: no Page size: 612.283 x 790.866 pts Page rot: 0 File size: 554092 bytes Optimized: yes PDF version: 1.6 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- BMXCQZ+TimesNewRomanPS-BoldMT CID TrueType Identity-H yes yes yes 1732 0 KNKMAY+CaeciliaLTStd-Roman Type 1C Custom yes yes yes 1735 0 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Dohrn Riccardo Curro Sara Negri Petra Lassuthova Chiara Pisciotta Stefano Tozza Abdullah Al-Ajmi Changyong Feng Pedro J. Tomaselli Gorka Fernandez-Eulate Saif Haddad Matilde Laurà Alexander M. Rossor Elisa Vegezzi Stefano Facchini James N. Sleigh Adriana Rebelo Danique Beijer Jacquelyn Raposo Mario Saporta Barbora Lauerova Helena F. Pernice Pascal Achenbach Ulrike Schöne Tayir Alon Marcus Deschauer Isabell Cordts Carolin D. Obermaier Natalie Winter Peter D. Creigh Janet E. Sowden Tyler Rehbein Stefania Magri Alessandro Bertini Paola Saveri Paolo Ripellino Jingyu Huang Aleksandra Nadaj-Pakleza Alison Ross James K. L. Holt Kathryn M. Brennan Rivka Sukenik-Halevy Varoona Bizaoui Yesim Parman Esra Battaloglu Arman Cakar Hadil Alrohaif Simon Hammans Kishore R. Kumar Marina L. Kennerson Hülya Kayserili Defne A. Amado Katrin Hahn Paola Valentino Francesca Cavalcanti Carlo Gaetano Franco Taroni Geir J. Braathen Henry Houlden Tanya Stojkovic Stojan Peric Alessandra Bolino Stefano C. Previtali Lee Yi-Chung Ayşe N. Başak Sherifa A. Hamed Ricardo Rojas-Garcia Kristl G. Claeys Wilson Marques Teresa Sevilla Beate Schlotter-Weigel Fiore Manganelli Ruxu Zhang David N. Herrmann Steven S. Scherer Pavel Seeman Davide Pareyson Mary M. Reilly Michael E. Shy The Inherited Neuropathy Consortium Stephan Züchner DOI: 10.1093/brain/awaf021; Brain, 148, 10, 2025-02-13.; Abstract: Biallelic loss-of-function mutations in the sorbitol dehydrogenase (SORD) gene cause the most common recessive type of Charcot-Marie-Tooth disease (CMT), CMT-SORD. However, the full genotype-phenotype spectrum and progression of the disease remain to be defined. Notably, a multicentre phase 2/3 study to test the efficacy of govorestat (NCT05397665), a new aldose reductase inhibitor, is currently ongoing. Diagnosing CMT-SORD will become imperative when disease-modifying therapies become available.In this cross-sectional multicentre study, we identified 144 patients from 126 families, including 99 males (69%) and 45 females (31%). Patients represented multiple ancestries, including European, Hispanic, Chinese, Near Eastern and Northern African. We confirmed c.757delG (p.Ala253GlnfsTer27) as the most common pathogenic allele, followed by c.458C>A (p.Ala153Asp), while other variants were identified, mostly in single cases © The Author(s) 2025. Published by Oxford University Press on behalf of the Guarantors of Brain. SORD natural history hereditary neuropathy polyol pathway aldose reductase Journal Brain © The Author(s) 2025. 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