Movement Disorders (revue)

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Clinical and genetic characterizations of 16q‐linked autosomal dominant spinocerebellar ataxia (AD‐SCA) and frequency analysis of AD‐SCA in the Japanese population

Identifieur interne : 002F59 ( Main/Exploration ); précédent : 002F58; suivant : 002F60

Clinical and genetic characterizations of 16q‐linked autosomal dominant spinocerebellar ataxia (AD‐SCA) and frequency analysis of AD‐SCA in the Japanese population

Auteurs : Hiroaki Nozaki [Japon] ; Takeshi Ikeuchi [Japon] ; Akio Kawakami [Japon] ; Akio Kimura [Japon] ; Reiji Koide [Japon] ; Miyuki Tsuchiya [Japon] ; Yuusaku Nakmura [Japon] ; Tatsuro Mutoh [Japon] ; Hiroko Yamamoto [Japon] ; Naoki Nakao [Japon] ; Ko Sahashi [Japon] ; Masatoyo Nishizawa [Japon] ; Osamu Onodera [Japon]

Source :

RBID : ISTEX:648EB27959EB90169C5D4F0F172AC2BD43921B7C

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English descriptors

Abstract

Autosomal dominant spinocerebellar ataxias (AD‐SCAs) form a clinically and genetically heterogeneous group of neurodegenerative disorders. Recently, a single nucleotide substitution in the 5′‐untranslated region of the puratrophin‐1 gene was found to be associated with one type of AD‐SCA linked to chromosome 16q (16q‐SCA). To obtain further insight into the contribution of the C‐to‐T substitution in the puratrophin‐1 gene to the clinical and genetic characteristics of patients with 16q‐SCA, we analyzed 686 families with 719 individuals diagnosed with progressive ataxia. We found C‐to‐T substitution in the puratrophin‐1 gene in 57 unrelated families with 65 affected individuals. The mean age at onset in the patients with 16q‐SCA was 59.1 (range, 46–77). Ataxia is the most common initial symptom. The elderly patients over 65 occasionally showed other accompanying clinical features including abnormalities in tendon reflexes, involuntary movements, and reduced vibration sense. We also examined the frequency of the AD‐SCA subtype, considering the effects of age at onset. In the 686 AD‐SCA families, SCA6 and Machado‐Joseph disease/SCA3 are frequent subtypes, followed by dentatorubral‐pallidoluysian atrophy and 16q‐SCA. 16q‐SCA is not a rare subtype of Japanese AD‐SCA, particularly in patients with ages at onset over 60. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21443


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Le document en format XML

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<name sortKey="Yamamoto, Hiroko" sort="Yamamoto, Hiroko" uniqKey="Yamamoto H" first="Hiroko" last="Yamamoto">Hiroko Yamamoto</name>
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<name sortKey="Sahashi, Ko" sort="Sahashi, Ko" uniqKey="Sahashi K" first="Ko" last="Sahashi">Ko Sahashi</name>
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<term>Cerebellar ataxia</term>
<term>Chromosome Mapping</term>
<term>Chromosomes, Human, Pair 16</term>
<term>DNA (genetics)</term>
<term>DNA (isolation & purification)</term>
<term>Female</term>
<term>Gene Frequency</term>
<term>Genes, Dominant</term>
<term>Guanine Nucleotide Exchange Factors (genetics)</term>
<term>Haplotype</term>
<term>Humans</term>
<term>Japan (epidemiology)</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Nervous system diseases</term>
<term>Polymorphism, Single Nucleotide</term>
<term>Spectrin (genetics)</term>
<term>Spinocerebellar Ataxias (epidemiology)</term>
<term>Spinocerebellar Ataxias (genetics)</term>
<term>Spinocerebellar ataxia</term>
<term>autosomal dominant cerebellar ataxia</term>
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<div type="abstract" xml:lang="en">Autosomal dominant spinocerebellar ataxias (AD‐SCAs) form a clinically and genetically heterogeneous group of neurodegenerative disorders. Recently, a single nucleotide substitution in the 5′‐untranslated region of the puratrophin‐1 gene was found to be associated with one type of AD‐SCA linked to chromosome 16q (16q‐SCA). To obtain further insight into the contribution of the C‐to‐T substitution in the puratrophin‐1 gene to the clinical and genetic characteristics of patients with 16q‐SCA, we analyzed 686 families with 719 individuals diagnosed with progressive ataxia. We found C‐to‐T substitution in the puratrophin‐1 gene in 57 unrelated families with 65 affected individuals. The mean age at onset in the patients with 16q‐SCA was 59.1 (range, 46–77). Ataxia is the most common initial symptom. The elderly patients over 65 occasionally showed other accompanying clinical features including abnormalities in tendon reflexes, involuntary movements, and reduced vibration sense. We also examined the frequency of the AD‐SCA subtype, considering the effects of age at onset. In the 686 AD‐SCA families, SCA6 and Machado‐Joseph disease/SCA3 are frequent subtypes, followed by dentatorubral‐pallidoluysian atrophy and 16q‐SCA. 16q‐SCA is not a rare subtype of Japanese AD‐SCA, particularly in patients with ages at onset over 60. © 2007 Movement Disorder Society</div>
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