Torsion Dystonia (DYT1)

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Torsion Dystonia, also known as DYT1 dystonia or early-onset generalized dystonia, is a movement disorder characterized by sustained or repetitive muscle contractions that cause twisting movements and abnormal postures. It is the most common and severe form of inherited dystonia, typically beginning in childhood or adolescence.

Symptoms usually first appear between ages 4 and 15, most often starting in a limb—typically a foot or leg—with involuntary twisting or cramping during walking or running. Over time, the dystonia often spreads to involve other limbs and the trunk. About 30% of individuals eventually develop generalized dystonia affecting most of the body. Importantly, cognition remains unaffected, and life expectancy is normal.

The severity of DYT1 dystonia varies considerably, even within families carrying the same mutation. Some individuals have severe, disabling symptoms, while others have mild symptoms or remain asymptomatic throughout life. This reduced penetrance (about 30-40%) and variable expressivity suggests that other genetic and environmental factors influence whether and how severely the disease manifests.

DYT1 dystonia is caused by a specific 3-base-pair deletion (GAG deletion) in the TOR1A gene, which encodes the protein torsinA. The condition is inherited in an autosomal dominant pattern with reduced penetrance. It is more common in Ashkenazi Jews, where the carrier frequency is approximately 1 in 2,000 to 1 in 6,000. Treatment options include oral medications, botulinum toxin injections, and deep brain stimulation (DBS), which can be highly effective for medication-resistant cases.

NutraHacker examines the following gene related to Torsion Dystonia:

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