Tyrosine hydroxylase deficiency in three Greek patients with a common ancestral mutation

We present the clinical, biochemical, and molecular findings of three Greek patients with tyrosine hydroxylase (TH) deficiency. All patients presented with a severe clinical phenotype characterized by prominent motor delay, infantile parkinsonism, oculogyric crises, and signs of autonomic dysfunctio...

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Detalles Bibliográficos
Autores: Area-Gomez, Estela, Roser Pons, Mercedes Serrano, Rafael Artuch, Emmanuel Kanavakis, Sotiris Youroukos, Aida Ormazabal, Claudio Toma, Angels Garcia-Cazorla, Marta Ribasés, Kaliopi Drakaki,, Aristotelis Giannakopoulos, Irene Orfanou, Bru Cormand
Tipo de recurso: artículo
Fecha de publicación:2010
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/378842
Acceso en línea:http://hdl.handle.net/10261/378842
https://doi.org/10.1002/mds.23002
Access Level:acceso abierto
Palabra clave:Autonomic dysfunction | Founder effect | Infantile parkinsonism | Oculogyric crisis | Tyrosine hydroxylase
Descripción
Sumario:We present the clinical, biochemical, and molecular findings of three Greek patients with tyrosine hydroxylase (TH) deficiency. All patients presented with a severe clinical phenotype characterized by prominent motor delay, infantile parkinsonism, oculogyric crises, and signs of autonomic dysfunction. Cerebrospinal fluid analysis disclosed reduced dopamine metabolites and normal pterins. Response to levodopa was favorable though not dramatic. All patients were homozygous for a previously reported mutation (p.L236P). SNP haplotype analysis was consistent with a common ancestral mutation, thus indicating a founder effect in Greek patients with TH deficiency.