Ontology highlight
ABSTRACT: Objective
To determine the contribution of TUBB4A, recently associated with DYT4 dystonia in a pedigree with "whispering dysphonia" from Norfolk, United Kingdom, to the etiopathogenesis of primary dystonia.Methods
High-resolution melting and Sanger sequencing were used to inspect the entire coding region of TUBB4A in 575 subjects with primary laryngeal, segmental, or generalized dystonia.Results
No pathogenic variants, including the exon 1 variant (c.4C>G) identified in the DYT4 whispering dysphonia kindred, were found in this study.Conclusion
The c.4C>G DYT4 mutation appears to be private, and clinical testing for TUBB4A mutations is not justified in spasmodic dysphonia or other forms of primary dystonia. Moreover, given its allelic association with leukoencephalopathy hypomyelination with atrophy of basal ganglia and cerebellum and protean clinical manifestations (chorea, ataxia, dysarthria, intellectual disability, dysmorphic facial features, and psychiatric disorders), DYT4 should not be categorized as a primary dystonia.
SUBMITTER: Vemula SR
PROVIDER: S-EPMC4001202 | biostudies-literature | 2014 Apr
REPOSITORIES: biostudies-literature
Vemula Satya R SR Xiao Jianfeng J Bastian Robert W RW Momčilović Dragana D Blitzer Andrew A LeDoux Mark S MS
Neurology 20140305 14
<h4>Objective</h4>To determine the contribution of TUBB4A, recently associated with DYT4 dystonia in a pedigree with "whispering dysphonia" from Norfolk, United Kingdom, to the etiopathogenesis of primary dystonia.<h4>Methods</h4>High-resolution melting and Sanger sequencing were used to inspect the entire coding region of TUBB4A in 575 subjects with primary laryngeal, segmental, or generalized dystonia.<h4>Results</h4>No pathogenic variants, including the exon 1 variant (c.4C>G) identified in t ...[more]