Novel THAP1 Sequence Variants in Primary Dystonia
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Background: THAP1 encodes a transcription factor (THAP1) that harbors an atypical zinc finger domain and regulates cell proliferation. An exon 2 insertion/deletion frameshift mutation in THAP1 is responsible for DYT6 dystonia in Amish-Mennonites. Subsequent screening efforts in familial, mainly early-onset, primary dystonia identified additional THAP1 sequence variants in non-Amish subjects.
Objective: To examine a large cohort of subjects with mainly adult-onset primary dystonia for sequence variants in THAP1.
Methods: With high-resolution melting, all 3 THAP1 exons were screened for sequence variants in 1,114 subjects with mainly adult-onset primary dystonia, 96 with unclassified dystonia, and 600 controls (400 neurologically normal and 200 with Parkinson disease). In addition, all 3 THAP1 exons were sequenced in 200 subjects with dystonia and 200 neurologically normal controls.
Results: Nine unique melting curves were found in 19 subjects from 16 families with primary dystonia and 1 control. Age at dystonia onset ranged from 8 to 69 years (mean 48 years). Sequencing identified 6 novel missense mutations in conserved regions of THAP1 (G9C [cervical, masticatory, arm], D17G [cervical], F132S [laryngeal], I149T [cervical and generalized], A166T [laryngeal], and Q187K [cervical]). One subject with blepharospasm and another with laryngeal dystonia harbored a c.-42C>T variant. A c.57C>T silent variant was found in 1 subject with segmental craniocervical dystonia. An intron 1 variant (c.71+9C>A) was present in 7 subjects with dystonia (7/1,210) but only 1 control (1/600).
Conclusions: A heterogeneous collection of THAP1 sequence variants is associated with varied anatomical distributions and onset ages of both familial and sporadic primary dystonia.
Ramage D, Grant D, Timms R Nat Commun. 2025; 16(1):1511.
PMID: 39929834 PMC: 11811203. DOI: 10.1038/s41467-025-56782-1.
variant analysis in blepharospasm and other neurological disorders.
Saeirad S, Ledoux M Dystonia. 2024; 3.
PMID: 39262575 PMC: 11390104. DOI: 10.3389/dyst.2024.12016.
Salamon A, Nagy Z, Pal M, Szabo M, Csosz A, Szpisjak L Int J Mol Sci. 2023; 24(13).
PMID: 37445923 PMC: 10341391. DOI: 10.3390/ijms241310745.
Late-Onset Dystonia With Mutation (DYT6) in South Korea: A Case Report and Literature Review.
Chang H, Woo K, Kim H, Jeon B J Clin Neurol. 2023; 19(2):198-200.
PMID: 36854336 PMC: 9982172. DOI: 10.3988/jcn.2022.0241.
Rogic Vidakovic M, Gunjaca I, Bukic J, Kosta V, Soda J, Konstantinovic I J Clin Med. 2022; 11(12).
PMID: 35743523 PMC: 9224879. DOI: 10.3390/jcm11123453.