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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-3-23
pubmed:abstractText
Dopa-responsive dystonia (DRD) is typically caused by heterozygous mutations in GTP cyclohydrolase 1 gene (GCH1). Our aim was to investigate the clinical and genetic features of Chinese DRD patients. We analyzed a cohort of Chinese DRD patients' clinical data. Mutation of the GCH1 gene was screened by direct sequencing. Additionally, multiplex ligation-dependent probe amplification (MLPA) assay targeting the GCH1 and the TH gene to evaluate large exon deletion or duplicate mutation of the genes were performed in point mutation-negative patients. Ten sporadic DRD patients and two pedigrees including six patients were included in the study. The onset age ranged from 3 to 15 years old. All patients initially presented with walking problems due to lower limb dystonia. The delay between onset and diagnosis ranged from 1 to 42 years old. The symptoms were completely or near-completely abolished with low dose levodopa treatment (dosages ranged from 25 mg to 400 mg/day). Direct sequencing in 14 patients found two known mutations (Gly203Arg in exon 5 in four unrelated patients and Met102Lys in exon 1 in one patient) and one new mutation (Thr186Ile mutation in exon 5 in two unrelated pedigrees). A heterozygous exon 2 deletion in the GCH1 gene was found in one of three point mutation-negative patients by MLPA analysis. Our clinical findings in DRD patients were consistent with other studies. GCH1 gene mutations were quite common in Chinese patients. MPLA should be performed in routine deletion analysis of GCH1 in point mutation-negative DRD patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1531-8257
pubmed:author
pubmed:issnType
Electronic
pubmed:day
15
pubmed:volume
25
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
447-51
pubmed:meshHeading
pubmed-meshheading:20108370-Adolescent, pubmed-meshheading:20108370-Adult, pubmed-meshheading:20108370-Asian Continental Ancestry Group, pubmed-meshheading:20108370-Child, pubmed-meshheading:20108370-Child, Preschool, pubmed-meshheading:20108370-DNA Mutational Analysis, pubmed-meshheading:20108370-DNA Primers, pubmed-meshheading:20108370-Dopamine Agonists, pubmed-meshheading:20108370-Dystonia, pubmed-meshheading:20108370-Exons, pubmed-meshheading:20108370-Female, pubmed-meshheading:20108370-GTP Cyclohydrolase, pubmed-meshheading:20108370-Humans, pubmed-meshheading:20108370-Infant, pubmed-meshheading:20108370-Levodopa, pubmed-meshheading:20108370-Male, pubmed-meshheading:20108370-Pedigree, pubmed-meshheading:20108370-Point Mutation, pubmed-meshheading:20108370-Polymerase Chain Reaction, pubmed-meshheading:20108370-Young Adult
pubmed:year
2010
pubmed:articleTitle
GCH1 mutation and clinical study of Chinese patients with dopa-responsive dystonia.
pubmed:affiliation
Department of Neurology, West China Hospital, SiChuan University, Sichuan, China.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't