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@ARTICLE{Reid:600663,
author = {Reid, Kimberley M. and Steel, Dora and Nair, Sanjana and
Bhate, Sanjay and Biassoni, Lorenzo and Sudhakar, Sniya and
Heys, Michelle and Burke, Elizabeth and Kamsteeg, Erik-Jan
and Hameed, Biju and Zech, Michael and Mencacci, Niccolo E.
and Barwick, Katy and Topf, Maya and Kurian, Manju A.},
title = {{L}oss-of-{F}unction {V}ariants in {DRD}1 in {I}nfantile
{P}arkinsonism-{D}ystonia},
journal = {Cells},
volume = {12},
number = {7},
issn = {2073-4409},
address = {Basel},
publisher = {MDPI},
reportid = {PUBDB-2023-08086},
pages = {1046},
year = {2023},
abstract = {The human dopaminergic system is vital for a broad range of
neurological processes, including the control of voluntary
movement. Here we report a proband presenting with clinical
features of dopamine deficiency: severe infantile
parkinsonism-dystonia, characterised by frequent oculogyric
crises, dysautonomia and global neurodevelopmental
impairment. CSF neurotransmitter analysis was unexpectedly
normal. Triome whole-genome sequencing revealed a homozygous
variant (c.110C>A, (p.T37K)) in DRD1, encoding the most
abundant dopamine receptor (D1) in the central nervous
system, most highly expressed in the striatum. This variant
was absent from gnomAD, with a CADD score of 27.5. Using an
in vitro heterologous expression system, we determined that
DRD1-T37K results in loss of protein function.
Structure-function modelling studies predicted reduced
substrate binding, which was confirmed in vitro. Exposure of
mutant protein to the selective D1 agonist Chloro APB
resulted in significantly reduced cyclic AMP levels.
Numerous D1 agonists failed to rescue the cellular defect,
reflected clinically in the patient, who had no benefit from
dopaminergic therapy. Our study identifies DRD1 as a new
disease-associated gene, suggesting a crucial role for the
D1 receptor in motor control.},
cin = {CSSB-LIV/UKE-MT},
ddc = {570},
cid = {$I:(DE-H253)CSSB-LIV_UKE-MT-20220525$},
pnm = {899 - ohne Topic (POF4-899) / DFG project
G:(GEPRIS)458949627 - Ganzgenom- und
Transkriptomsequenzierung zur Identifizierung neuer
Krankheitsgene für Dystonie (458949627)},
pid = {G:(DE-HGF)POF4-899 / G:(GEPRIS)458949627},
experiment = {EXP:(DE-MLZ)NOSPEC-20140101},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37048120},
UT = {WOS:000969745100001},
doi = {10.3390/cells12071046},
url = {https://bib-pubdb1.desy.de/record/600663},
}