Kramer P L, de Leon D, Ozelius L, Risch N, Bressman S B, Brin M F, Schuback D E, Burke R E, Kwiatkowski D J, Shale H
Neurology Department, Oregon Health Sciences University, Portland 97201.
Ann Neurol. 1990 Feb;27(2):114-20. doi: 10.1002/ana.410270203.
Idiopathic torsion dystonia (ITD) is a neurological disorder characterized by sustained muscle contractions that appear as twisting movements of the limbs, trunk, and/or neck, which can progress to abnormal postures. Most familial forms of ITD follow autosomal dominant transmission with reduced penetrance. The frequency of ITD in the Ashkenazi Jewish population is five to ten times greater than that in other groups. Recently, a gene for ITD (DYT1) in a non-Jewish kindred was located on chromosome 9q32-34, with tight linkage to the gene encoding gelsolin (GSN). In the present study linkage analysis using DNA polymorphisms is used to locate a gene responsible for susceptibility to ITD in 12 Ashkenazi Jewish families. This dystonia gene exhibits close linkage with the gene encoding argininosuccinate synthetase (ASS), and appears by multipoint analysis to lie in the q32-34 region of chromosome 9, a region that also contains the loci for gelsolin and dopamine-beta-hydroxylase. The same gene may be responsible for ITD both in the non-Jewish kindred mentioned above and in the Ashkenazi Jewish families presented here. However, because there is substantial difference between the penetrance of the dominant allele in these two groups, two different mutations may be operating to produce susceptibility to this disease in the two groups.
特发性扭转性肌张力障碍(ITD)是一种神经系统疾病,其特征为持续的肌肉收缩,表现为四肢、躯干和/或颈部的扭转运动,并可发展为异常姿势。大多数家族性ITD呈常染色体显性遗传,外显率降低。阿什肯纳兹犹太人群中ITD的发病率比其他群体高五到十倍。最近,在一个非犹太家系中发现ITD基因(DYT1)位于9号染色体q32 - 34区域,与编码凝溶胶蛋白(GSN)的基因紧密连锁。在本研究中,利用DNA多态性进行连锁分析,以定位12个阿什肯纳兹犹太人家系中与ITD易感性相关的基因。该肌张力障碍基因与编码精氨琥珀酸合成酶(ASS)的基因紧密连锁,通过多点分析显示位于9号染色体的q32 - 34区域,该区域还包含凝溶胶蛋白和多巴胺β羟化酶的基因座。上述非犹太家系和本文所研究的阿什肯纳兹犹太人家系中,ITD可能由同一个基因引起。然而,由于这两个群体中显性等位基因的外显率存在显著差异,可能存在两种不同的突变导致这两个群体对该疾病易感。