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  1. Article ; Online: Next-generation sequencing and bioinformatics in rare movement disorders.

    Zech, Michael / Winkelmann, Juliane

    Nature reviews. Neurology

    2024  Volume 20, Issue 2, Page(s) 114–126

    Abstract: The ability to sequence entire exomes and genomes has revolutionized molecular testing in rare movement disorders, and genomic sequencing is becoming an integral part of routine diagnostic workflows for these heterogeneous conditions. However, ... ...

    Abstract The ability to sequence entire exomes and genomes has revolutionized molecular testing in rare movement disorders, and genomic sequencing is becoming an integral part of routine diagnostic workflows for these heterogeneous conditions. However, interpretation of the extensive genomic variant information that is being generated presents substantial challenges. In this Perspective, we outline multidimensional strategies for genetic diagnosis in patients with rare movement disorders. We examine bioinformatics tools and computational metrics that have been developed to facilitate accurate prioritization of disease-causing variants. Additionally, we highlight community-driven data-sharing and case-matchmaking platforms, which are designed to foster the discovery of new genotype-phenotype relationships. Finally, we consider how multiomic data integration might optimize diagnostic success by combining genomic, epigenetic, transcriptomic and/or proteomic profiling to enable a more holistic evaluation of variant effects. Together, the approaches that we discuss offer pathways to the improved understanding of the genetic basis of rare movement disorders.
    MeSH term(s) Humans ; Proteomics ; Computational Biology/methods ; Genomics/methods ; High-Throughput Nucleotide Sequencing/methods ; Rare Diseases ; Movement Disorders/diagnosis ; Movement Disorders/genetics
    Language English
    Publishing date 2024-01-03
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2491514-2
    ISSN 1759-4766 ; 1759-4758
    ISSN (online) 1759-4766
    ISSN 1759-4758
    DOI 10.1038/s41582-023-00909-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Heterogeneous Phenotypic Evolution in ANO3-Related Dystonia Due to the Recurrent p.Glu510Lys Variant.

    Indelicato, Elisabetta / Boesch, Sylvia / Zech, Michael

    Movement disorders : official journal of the Movement Disorder Society

    2024  Volume 39, Issue 3, Page(s) 631–632

    MeSH term(s) Humans ; Dystonia/genetics ; Dystonic Disorders/genetics ; Anoctamins/genetics
    Chemical Substances Anoctamins ; ANO3 protein, human
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Letter
    ZDB-ID 607633-6
    ISSN 1531-8257 ; 0885-3185
    ISSN (online) 1531-8257
    ISSN 0885-3185
    DOI 10.1002/mds.29727
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Nuclear Pore Complex Dysfunction in Dystonia Pathogenesis: Nucleoporins in the Spotlight.

    Di Fonzo, Alessio / Zech, Michael

    Movement disorders : official journal of the Movement Disorder Society

    2022  Volume 38, Issue 1, Page(s) 23–24

    MeSH term(s) Humans ; Nuclear Pore Complex Proteins/genetics ; Nuclear Pore ; Dystonia/etiology ; Dystonic Disorders/etiology
    Chemical Substances Nuclear Pore Complex Proteins
    Language English
    Publishing date 2022-11-24
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 607633-6
    ISSN 1531-8257 ; 0885-3185
    ISSN (online) 1531-8257
    ISSN 0885-3185
    DOI 10.1002/mds.29289
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Dystonia genes and their biological pathways.

    Di Fonzo, Alessio / Jinnah, H A / Zech, Michael

    International review of neurobiology

    2023  Volume 169, Page(s) 61–103

    Abstract: High-throughput sequencing has been instrumental in uncovering the spectrum of pathogenic genetic alterations that contribute to the etiology of dystonia. Despite the immense heterogeneity in monogenic causes, studies performed during the past few years ... ...

    Abstract High-throughput sequencing has been instrumental in uncovering the spectrum of pathogenic genetic alterations that contribute to the etiology of dystonia. Despite the immense heterogeneity in monogenic causes, studies performed during the past few years have highlighted that many rare deleterious variants associated with dystonic presentations affect genes that have roles in certain conserved pathways in neural physiology. These various gene mutations that appear to converge towards the disruption of interconnected cellular networks were shown to produce a wide range of different dystonic disease phenotypes, including isolated and combined dystonias as well as numerous clinically complex, often neurodevelopmental disorder-related conditions that can manifest with dystonic features in the context of multisystem disturbances. In this chapter, we summarize the manifold dystonia-gene relationships based on their association with a discrete number of unifying pathophysiological mechanisms and molecular cascade abnormalities. The themes on which we focus comprise dopamine signaling, heavy metal accumulation and calcifications in the brain, nuclear envelope function and stress response, gene transcription control, energy homeostasis, lysosomal trafficking, calcium and ion channel-mediated signaling, synaptic transmission beyond dopamine pathways, extra- and intracellular structural organization, and protein synthesis and degradation. Enhancing knowledge about the concept of shared etiological pathways in the pathogenesis of dystonia will motivate clinicians and researchers to find more efficacious treatments that allow to reverse pathologies in patient-specific core molecular networks and connected multipathway loops.
    MeSH term(s) Humans ; Dystonia/genetics ; Dopamine ; Dystonic Disorders/metabolism ; Brain/metabolism ; Homeostasis
    Chemical Substances Dopamine (VTD58H1Z2X)
    Language English
    Publishing date 2023-05-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209876-3
    ISSN 2162-5514 ; 0074-7742
    ISSN (online) 2162-5514
    ISSN 0074-7742
    DOI 10.1016/bs.irn.2023.04.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reply to: "Early Onset Nonprogressive Generalized Dystonia Is Caused by Biallelic SHQ1 Variants".

    Indelicato, Elisabetta / Boesch, Sylvia / Zech, Michael

    Movement disorders : official journal of the Movement Disorder Society

    2023  Volume 38, Issue 6, Page(s) 1119–1120

    MeSH term(s) Humans ; Dystonia/genetics ; Dystonic Disorders/genetics ; Mutation/genetics ; Intracellular Signaling Peptides and Proteins
    Chemical Substances SHQ1 protein, human ; Intracellular Signaling Peptides and Proteins
    Language English
    Publishing date 2023-07-20
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 607633-6
    ISSN 1531-8257 ; 0885-3185
    ISSN (online) 1531-8257
    ISSN 0885-3185
    DOI 10.1002/mds.29436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A de novo GRIA3 variant with complex hyperkinetic movement disorder in a girl with developmental delay and self-limited epilepsy.

    Necpál, Ján / Winkelmann, Juliane / Zech, Michael / Jech, Robert

    Parkinsonism & related disorders

    2023  Volume 111, Page(s) 105437

    MeSH term(s) Female ; Humans ; Hyperkinesis/genetics ; Epilepsy/genetics ; Attention Deficit Disorder with Hyperactivity
    Language English
    Publishing date 2023-05-05
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 1311489-x
    ISSN 1873-5126 ; 1353-8020
    ISSN (online) 1873-5126
    ISSN 1353-8020
    DOI 10.1016/j.parkreldis.2023.105437
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: De novo retinoic acid receptor beta (RARB) variant associated with microphthalmia and dystonia.

    Trieschmann, Gesa / Wilhelm, Christian / Berweck, Steffen / Zech, Michael

    European journal of medical genetics

    2023  Volume 66, Issue 8, Page(s) 104802

    Abstract: Background: Definition of the individual genotypes that cause a Mendelian phenotype is of great importance both to clinical diagnostics and disease characterization. Heterozygous de novo gain-of-function missense variants in RARB are associated with ... ...

    Abstract Background: Definition of the individual genotypes that cause a Mendelian phenotype is of great importance both to clinical diagnostics and disease characterization. Heterozygous de novo gain-of-function missense variants in RARB are associated with syndromic microphthalmia 12 (MCOPS12), a developmental disorder characterized by eye malformations and variable involvement of other organs. A subset of patients were described with poorly delineated movement disorders. Additionally, RARB bi-allelic loss-of-function variants, inherited from asymptomatic heterozygous carrier parents, have been found in a recessive family with four MCOPS12-affected members.
    Patient/methods: We used trio whole-exome sequencing to explore the molecular basis of disease in an individual with congenital eye abnormality and movement disorder. All patients with reported RARB variants were reviewed.
    Results: We report on identification of a heterozygous de novo RARB nonsense variant in a girl with microphthalmia and progressive generalized dystonia. Public database entries indicate that the de novo variant is recurrently present in clinically affected subjects but a literature report has not yet been available.
    Conclusions: We provide the first detailed evidence for a role of dominant RARB truncating alterations in congenital eye-brain disease, expanding the spectrum of MCOPS12-associated mutations. Considered together with the published family with bi-allelic variants, the data suggest manifestation and non-manifestation of disease in relation to almost identical RARB loss-of-function variations, an apparent paradox that is seen in a growing number of human genetic conditions associated with both recessive and dominant inheritance patterns.
    MeSH term(s) Female ; Humans ; Dystonia ; Dystonic Disorders ; Eye Abnormalities ; Microphthalmos/genetics ; Movement Disorders ; Receptors, Retinoic Acid/genetics
    Chemical Substances Receptors, Retinoic Acid ; retinoic acid receptor beta
    Language English
    Publishing date 2023-06-13
    Publishing country Netherlands
    Document type Case Reports ; Journal Article
    ZDB-ID 2184135-4
    ISSN 1878-0849 ; 1769-7212
    ISSN (online) 1878-0849
    ISSN 1769-7212
    DOI 10.1016/j.ejmg.2023.104802
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Genetics and Pathogenesis of Dystonia.

    Thomsen, Mirja / Lange, Lara M / Zech, Michael / Lohmann, Katja

    Annual review of pathology

    2023  Volume 19, Page(s) 99–131

    Abstract: Dystonia is a clinically and genetically highly heterogeneous neurological disorder characterized by abnormal movements and postures caused by involuntary sustained or intermittent muscle contractions. A number of groundbreaking genetic and molecular ... ...

    Abstract Dystonia is a clinically and genetically highly heterogeneous neurological disorder characterized by abnormal movements and postures caused by involuntary sustained or intermittent muscle contractions. A number of groundbreaking genetic and molecular insights have recently been gained. While they enable genetic testing and counseling, their translation into new therapies is still limited. However, we are beginning to understand shared pathophysiological pathways and molecular mechanisms. It has become clear that dystonia results from a dysfunctional network involving the basal ganglia, cerebellum, thalamus, and cortex. On the molecular level, more than a handful of, often intertwined, pathways have been linked to pathogenic variants in dystonia genes, including gene transcription during neurodevelopment (e.g.,
    MeSH term(s) Humans ; Dystonia/genetics ; Dystonic Disorders/genetics ; Dopamine ; Molecular Chaperones ; DNA-Binding Proteins/genetics ; Apoptosis Regulatory Proteins ; Anoctamins
    Chemical Substances Dopamine (VTD58H1Z2X) ; TOR1A protein, human ; Molecular Chaperones ; THAP1 protein, human ; DNA-Binding Proteins ; Apoptosis Regulatory Proteins ; ANO3 protein, human ; Anoctamins
    Language English
    Publishing date 2023-09-22
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2227429-7
    ISSN 1553-4014 ; 1553-4006
    ISSN (online) 1553-4014
    ISSN 1553-4006
    DOI 10.1146/annurev-pathmechdis-051122-110756
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online ; Thesis: Paleoclimate reconstruction using biomarker and stable isotope analyses of lake sediments in the Bale Mountains, Ethiopia.

    Bittner, Lucas [Verfasser] / Zech, Michael [Gutachter] / Zech, Michael [Akademischer Betreuer] / Moreno, Ana [Gutachter] / Haberzettl, Torsten [Gutachter]

    2023  

    Author's details Lucas Bittner ; Gutachter: Michael Zech, Ana Moreno Caballud, Torsten Haberzettl ; Betreuer: Michael Zech
    Keywords Geowissenschaften ; Earth Sciences
    Subject code sg550
    Language English
    Publisher Technische Universität Dresden
    Publishing place Dresden
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  10. Book ; Thesis: Die Therapie der renalen Anämie mit rekombinanten humanen Erythropoietin (r-huEPO)

    Zech, Michael

    eine klinische Studie an 16 Hämodialysepatienten

    1991  

    Author's details vorgelegt von Michael Zech
    Size 48 S. : graph. Darst.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Würzburg, Univ., Diss., 1991
    HBZ-ID HT004153987
    Database Catalogue ZB MED Medicine, Health

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