Homozygous THAP1 mutations as cause of early‐onset generalized dystonia |
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Authors: | Susanne A Schneider MD PhD Alfredo Ramirez MD Kaveh Shafiee MD Frank J Kaiser PhD Alev Erogullari MSc Norbert Brüggemann MD Susen Winkler BSc Ideh Bahman MSc Alma Osmanovic BSc Mohammad A Shafa MD Kailish P Bhatia MD Hossein Najmabadi PhD Christine Klein MD Katja Lohmann PhD |
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Institution: | 1. Section of Clinical and Molecular Neurogenetics at the Department of Neurology, University of Lübeck, Lübeck, Germany;2. Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London, United Kingdom;3. Department of Neurology, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran;4. Institute of Human Genetics, University of Lübeck, Lübeck, Germany;5. Genetics Research Center;6. University of Social Welfare and Rehabilitation Sciences, Tehran, Iran |
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Abstract: | To identify the underlying genetic cause in a consanguineous family with apparently recessively inherited dystonia, we performed genome‐wide homozygosity mapping. This revealed 2 candidate regions including the THAP1 gene, where heterozygous mutations cause dystonia 6. A homozygous missense mutation in THAP1 (c.95T>A; p.Leu32His) was found in all 3 affected siblings. Symptoms started in childhood in the legs and became generalized within a few years. Three heterozygous mutation carriers were unaffected. Because THAP1 regulates the expression of the DYT1 gene, we used reporter gene assays to show that DYT1 expression was significantly increased for Leu32His. However, this increase was less pronounced than for other THAP1 mutations that cause dystonia in the heterozygous state. Our data suggest that homozygous THAP1 mutations cause dystonia and may be associated with a less severe dysfunction of the encoded protein compared with heterozygous disease‐causing mutations. © 2011 Movement Disorder Society |
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Keywords: | dystonia homozygous mutation THAP1 functional analysis |
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