Dystonia, torsion (GAG deletion)
Definition
The TOR1A gene encodes the torsin-1A ATPase, which is involved in protein transport and the ER stress response; the c.907_909delGAG mutation, seen in more than 98% of cases, causes DYT1 through a dominant-negative mechanism. Onset is typically in childhood (median age 9 years) with action-specific dystonia in a leg or arm and may progress to generalized dystonia; it does not shorten life expectancy.
Gene/region analyzed
DYT1 - GAG deletion
Method
Sequence analysis
Accepted sample types
EDTA blood, AF, CVS
Inheritance
Hereditary, autosomal dominant, with low penetrance (about 30% of carriers develop the disease).