[PDF][PDF] Mutations in ANO3 cause dominant craniocervical dystonia: ion channel implicated in pathogenesis

G Charlesworth, V Plagnol, KM Holmström… - The American Journal of …, 2012 - cell.com
The American Journal of Human Genetics, 2012cell.com
In this study, we combined linkage analysis with whole-exome sequencing of two individuals
to identify candidate causal variants in a moderately-sized UK kindred exhibiting autosomal-
dominant inheritance of craniocervical dystonia. Subsequent screening of these candidate
causal variants in a large number of familial and sporadic cases of cervical dystonia led to
the identification of a total of six putatively pathogenic mutations in ANO3, a gene encoding
a predicted Ca 2+-gated chloride channel that we show to be highly expressed in the …
In this study, we combined linkage analysis with whole-exome sequencing of two individuals to identify candidate causal variants in a moderately-sized UK kindred exhibiting autosomal-dominant inheritance of craniocervical dystonia. Subsequent screening of these candidate causal variants in a large number of familial and sporadic cases of cervical dystonia led to the identification of a total of six putatively pathogenic mutations in ANO3, a gene encoding a predicted Ca2+-gated chloride channel that we show to be highly expressed in the striatum. Functional studies using Ca2+ imaging in case and control fibroblasts demonstrated clear abnormalities in endoplasmic-reticulum-dependent Ca2+ signaling. We conclude that mutations in ANO3 are a cause of autosomal-dominant craniocervical dystonia. The locus DYT23 has been reserved as a synonym for this gene. The implication of an ion channel in the pathogenesis of dystonia provides insights into an alternative mechanism that opens fresh avenues for further research.
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