Augood S J, Penney J B, Friberg I K, Breakefield X O, Young A B, Ozelius L J, Standaert D G
Neurology Service, Massachusetts General Hospital, and Harvard Medical School, Boston 02114, USA.
Ann Neurol. 1998 May;43(5):669-73. doi: 10.1002/ana.410430518.
Early-onset torsion dystonia, an autosomal dominant disease associated with the DYT1 locus on 9q34, is the most frequent genetic form of dystonia. Recent work has revealed that the causative mutation in most cases is deletion of a glutamate residue from the carboxy terminal of torsinA, a 332 amino acid protein encoded by the DYT1 gene. To gain insight into how deletion of a single amino acid can produce such a profound movement disorder, we have mapped the expression of the DYT1 gene in normal human postmortem brain. DYT1 mRNA is highly enriched in the dopamine neurons of the substantia nigra pars compacta. Intense expression was also found in the cerebellum and hippocampal subfields. The prominent expression of the DYT1 gene within the substantia nigra pars compacta, which provides dopaminergic innervation to the basal ganglia, implicates a disturbance of dopaminergic function in the pathophysiology of early-onset torsion dystonia.
早发性扭转性肌张力障碍是肌张力障碍最常见的遗传形式,是一种与9号染色体长臂34区DYT1基因座相关的常染色体显性疾病。最近的研究表明,在大多数病例中,致病突变是由DYT1基因编码的332个氨基酸的蛋白质torsinA的羧基末端缺失一个谷氨酸残基所致。为了深入了解单个氨基酸的缺失如何导致如此严重的运动障碍,我们绘制了DYT1基因在正常人类尸检大脑中的表达图谱。DYT1信使核糖核酸在黑质致密部的多巴胺能神经元中高度富集。在小脑和海马亚区也发现了强烈表达。黑质致密部内DYT1基因的显著表达为基底神经节提供多巴胺能神经支配,这表明多巴胺能功能紊乱在早发性扭转性肌张力障碍的病理生理学中起作用。