Dora Steel, Michael Zech, Chen Zhao, Katy Es Barwick, Derek Burke, Diane Demailly, Kishore R Kumar, Giovanna Zorzi, Nardo Nardocci, Rauan Kaiyrzhanov, Matias Wagner, Arcangela Iuso, Riccardo Berutti, Matej Škorvánek, Ján Necpál, Ryan Davis, Sarah Wiethoff, Kshitij Mankad, Sniya Sudhakar, Arianna Ferrini, Suvasini Sharma, Erik-Jan Kamsteeg, Marina A Tijssen, Corien Verschuuren, Martje E van Egmond, Joanna M Flowers, Meriel McEntagart, Arianna Tucci, Philippe Coubes, Bernabe I Bustos, Paulina Gonzalez-Latapi, Stephen Tisch, Paul Darveniza, Kathleen M Gorman, Kathryn J Peall, Kai Bötzel, Jan C Koch, Tomasz Kmieć, Barbara Plecko, Sylvia Boesch, Bernhard Haslinger, Robert Jech, Barbara Garavaglia, Nick Wood, Henry Houlden, Paul Gissen, Steven J Lubbe, Carolyn M Sue, Laura Cif, Niccolò E Mencacci, Glenn Anderson, Manju A Kurian, Juliane Winkelmann
OBJECTIVES: The majority of people with suspected genetic dystonia remain undiagnosed after maximal investigation, implying that a number of causative genes have not yet been recognised. We aimed to investigate this paucity of diagnoses. METHODS: We undertook weighted burden analysis of whole-exome sequencing data from 138 individuals with unresolved generalised dystonia of suspected genetic aetiology, followed by additional case-finding from international databases, first for the gene implicated by the burden analysis (VPS16), then for other functionally related genes...
August 18, 2020: Annals of Neurology