Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2000-1-27
pubmed:abstractText
Early-onset, generalized primary torsion dystonia (PTD) is an autosomal dominantly inherited disorder, characterized by involuntary movements and abnormal postures. The majority of cases are caused by a 3-bp deletion in the DYT1 gene on chromosome 9q34 that allows for specific genetic testing. We developed a simple, reliable, and cost-effective, PCR-based screening method for this mutation. Testing results from a cohort of 550 cases, including patients with different forms of dystonia and unclassified movement disorders, revealed that 72.2% of the patients with typical early-onset generalized PTD carried the GAG deletion in the DYT1 gene. Among 300 cases with late-onset focal/segmental dystonia, only 3 patients tested positive for the GAG deletion whereas 12.8% of the patients with an unclassified movement disorder were GAG positive. Our results confirm a genotype/phenotype correlation in early-onset PTD and show that application of strict clinical criteria leads to accurate prediction of carrier status in more than two-thirds of patients with this type of dystonia. Currently, we suggest that testing be recommended in individuals with age of onset of dystonia below 30 years and/or a positive family history of early-onset PTD. Testing is not recommended in patients with onset of symptoms after 30 years or in asymptomatic individuals under the age of 18.
pubmed:grant
pubmed:keyword
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
E
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1090-6576
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
323-8
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:10627938-Adult, pubmed-meshheading:10627938-Age of Onset, pubmed-meshheading:10627938-Aged, pubmed-meshheading:10627938-Carrier Proteins, pubmed-meshheading:10627938-Child, pubmed-meshheading:10627938-Child, Preschool, pubmed-meshheading:10627938-Dystonia, pubmed-meshheading:10627938-Ethics, Medical, pubmed-meshheading:10627938-Female, pubmed-meshheading:10627938-Genetic Testing, pubmed-meshheading:10627938-Heterozygote, pubmed-meshheading:10627938-Humans, pubmed-meshheading:10627938-Infant, pubmed-meshheading:10627938-Jews, pubmed-meshheading:10627938-Male, pubmed-meshheading:10627938-Molecular Chaperones, pubmed-meshheading:10627938-Pedigree, pubmed-meshheading:10627938-Polymerase Chain Reaction, pubmed-meshheading:10627938-Prenatal Diagnosis, pubmed-meshheading:10627938-Sequence Deletion, pubmed-meshheading:10627938-Trinucleotide Repeats
pubmed:year
1999
pubmed:articleTitle
Genetic testing for early-onset torsion dystonia (DYT1): introduction of a simple screening method, experiences from testing of a large patient cohort, and ethical aspects.
pubmed:affiliation
Neurology Department, Massachusetts General Hospital, Boston, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't