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Living with Charcot-Marie-Tooth disease axonal type 2U

A rare inherited nerve condition that begins in late adulthood with slowly worsening weakness and loss of feeling.

Understanding Charcot-Marie-Tooth disease axonal type 2U

Charcot-Marie-Tooth disease axonal type 2U is a type of inherited nerve disease that starts late in adulthood, around ages 50 to 60.

It causes slowly worsening weakness and wasting in the hands and in the upper and lower legs, with loss of feeling in the arms and legs. Reflexes are reduced. Nerve pain has also been linked to it.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Weakness in the hands and feet
  • Wasting of hand muscles
  • Loss of feeling in the hands and feet
  • High-stepping walk (steppage gait)
  • Trouble walking
  • Nerve damage (peripheral axonal neuropathy)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in MARS1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with CMT Research Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can MARS1 genetic testing confirm the diagnosis?
What options exist for nerve pain?
What therapy or braces can help with walking?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesMARS1

Changes in the MARS1 gene cause this condition. It is inherited in an autosomal dominant way, so one changed copy of the gene can cause it.

GeneticNeurological

Also known as: autosomal dominant axonal charcot-marie-tooth disease type 2u; autosomal dominant charcot-marie-tooth disease type 2 due to mars (methionyl-trna synthetase) mutation; autosomal dominant charcot-marie-tooth disease type 2 due to mars mutation; autosomal dominant charcot-marie-tooth disease type 2u; charcot-marie-tooth disease type 2 caused by mutation in mars; charcot-marie-tooth disease, axonal, autosomal dominant, type 2u

Patient organizations

Source: NIH GARD · Charcot-Marie-Tooth disease axonal type 2UGARD ID 17638 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Charcot-Marie-Tooth disease axonal type 2U.

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