KEGG   DISEASE: Dopa-responsive dystonia
Entry
H02557                      Disease                                
Name
Dopa-responsive dystonia
  Subgroup
Segawa syndrome, autosomal dominant (DYT5a)
Segawa syndrome, autosomal recessive (DYT5b)
Sepiapterin reductase deficiency [DS:H02597]
  Supergrp
Primary dystonia [DS:H00831]
Description
Dopa-responsive dystonia (DRD) encompasses a clinically and genetically heterogeneous group of disorders that typically manifest as limb-onset dystonia that fluctuates diurnally and improves with levodopa treatment. DRD usually results from genetic defects in enzymes that are involved in the biosynthesis of dopamine. The most common condition is autosomal dominant GTP cyclohydrolase 1 deficiency (Segawa syndrome). An autosomal recessive form of Segawa syndrome is caused by mutation in the tyrosine hydroxylase gene.
Category
Nervous system disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 08 Diseases of the nervous system
  Movement disorders
   8A02  Dystonic disorders
    H02557  Dopa-responsive dystonia
Pathway-based classification of diseases [BR:br08402]
 Amino acid metabolism
  nt06028  Dopamine and serotonin metabolism
   H02557  Dopa-responsive dystonia
 Cellular process
  nt06544  Neuroactive ligand signaling
   H02557  Dopa-responsive dystonia
Pathway
hsa00790 Folate biosynthesis   
hsa00350 Tyrosine metabolism   
hsa04728 Dopaminergic synapse   
Network
nt06028 Dopamine and serotonin metabolism
nt06544 Neuroactive ligand signaling
Gene
(DYT5a) GCH1 [HSA:2643] [KO:K01495]
(DYT5b) TH [HSA:7054] [KO:K00501]
Other DBs
ICD-11: 8A02.11
MeSH: C538007 C537537
OMIM: 128230 605407
Reference
  Authors
Wijemanne S, Jankovic J
  Title
Dopa-responsive dystonia--clinical and genetic heterogeneity.
  Journal
Nat Rev Neurol 11:414-24 (2015)
DOI:10.1038/nrneurol.2015.86
Reference
PMID:19292934 (GCH1)
  Authors
Segawa M
  Title
Autosomal dominant GTP cyclohydrolase I (AD GCH 1) deficiency (Segawa disease, dystonia 5; DYT 5).
  Journal
Chang Gung Med J 32:1-11 (2009)
Reference
PMID:7814018 (TH)
  Authors
Ludecke B, Dworniczak B, Bartholome K
  Title
A point mutation in the tyrosine hydroxylase gene associated with Segawa's syndrome.
  Journal
Hum Genet 95:123-5 (1995)
DOI:10.1007/BF00225091
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