A Japanese family with spinocerebellar ataxia type 6 which includes three individuals homozygous for an expanded CAG repeat in the SCA6/CACNL1A4 gene

We describe a Japanese family which includes 13 patients in five generations who have dominantly inherited ataxia. Molecular testing revealed that in these patients the SCA6/CACNL1A4 gene carries the smallest known expanded CAG repeat (21 repeat units). The clinical features of these patients exhibi...

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Veröffentlicht in:Journal of the neurological sciences 1998-06, Vol.158 (2), p.141-147
Hauptverfasser: Takiyama, Yoshihisa, Sakoe, Kumi, Namekawa, Michito, Soutome, Michiyo, Esumi, Eisaku, Ogawa, Tomoko, Ishikawa, Kin-ya, Mizusawa, Hidehiro, Nakano, Imaharu, Nishizawa, Masatoyo
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container_end_page 147
container_issue 2
container_start_page 141
container_title Journal of the neurological sciences
container_volume 158
creator Takiyama, Yoshihisa
Sakoe, Kumi
Namekawa, Michito
Soutome, Michiyo
Esumi, Eisaku
Ogawa, Tomoko
Ishikawa, Kin-ya
Mizusawa, Hidehiro
Nakano, Imaharu
Nishizawa, Masatoyo
description We describe a Japanese family which includes 13 patients in five generations who have dominantly inherited ataxia. Molecular testing revealed that in these patients the SCA6/CACNL1A4 gene carries the smallest known expanded CAG repeat (21 repeat units). The clinical features of these patients exhibited predominantly cerebellar ataxia with onset late in adult life and a very slowly progressive disease course. In addition, this SCA6 family showed some characteristic clinical and genetic features, including (1) apparent lack of genetic anticipation, with an intergenerationally stable CAG repeat size and (2) down-beat nystagmus and diabetes mellitus in some of the SCA6 patients. We identified three individuals homozygous for an expanded CAG repeat (21/21) in the SCA6/CACNL1A4 gene, two of whom were symptomatic. There were no apparent differences in clinical phenotype between the individuals homozygous and those heterozygous for an expanded CAG repeat in the SCA6/CACNL1A4 gene.
doi_str_mv 10.1016/S0022-510X(98)00108-7
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Molecular testing revealed that in these patients the SCA6/CACNL1A4 gene carries the smallest known expanded CAG repeat (21 repeat units). The clinical features of these patients exhibited predominantly cerebellar ataxia with onset late in adult life and a very slowly progressive disease course. In addition, this SCA6 family showed some characteristic clinical and genetic features, including (1) apparent lack of genetic anticipation, with an intergenerationally stable CAG repeat size and (2) down-beat nystagmus and diabetes mellitus in some of the SCA6 patients. We identified three individuals homozygous for an expanded CAG repeat (21/21) in the SCA6/CACNL1A4 gene, two of whom were symptomatic. 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Leukodystrophies. Prion diseases</topic><topic>Down-beat nystagmus</topic><topic>Female</topic><topic>Homozygote</topic><topic>Humans</topic><topic>Japan</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Pedigree</topic><topic>Repetitive Sequences, Nucleic Acid</topic><topic>Spinocerebellar Degenerations - classification</topic><topic>Spinocerebellar Degenerations - diagnosis</topic><topic>Spinocerebellar Degenerations - genetics</topic><topic>The SCA6/CACNL1A4 gene</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takiyama, Yoshihisa</creatorcontrib><creatorcontrib>Sakoe, Kumi</creatorcontrib><creatorcontrib>Namekawa, Michito</creatorcontrib><creatorcontrib>Soutome, Michiyo</creatorcontrib><creatorcontrib>Esumi, Eisaku</creatorcontrib><creatorcontrib>Ogawa, Tomoko</creatorcontrib><creatorcontrib>Ishikawa, Kin-ya</creatorcontrib><creatorcontrib>Mizusawa, Hidehiro</creatorcontrib><creatorcontrib>Nakano, Imaharu</creatorcontrib><creatorcontrib>Nishizawa, Masatoyo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takiyama, Yoshihisa</au><au>Sakoe, Kumi</au><au>Namekawa, Michito</au><au>Soutome, Michiyo</au><au>Esumi, Eisaku</au><au>Ogawa, Tomoko</au><au>Ishikawa, Kin-ya</au><au>Mizusawa, Hidehiro</au><au>Nakano, Imaharu</au><au>Nishizawa, Masatoyo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Japanese family with spinocerebellar ataxia type 6 which includes three individuals homozygous for an expanded CAG repeat in the SCA6/CACNL1A4 gene</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>1998-06-30</date><risdate>1998</risdate><volume>158</volume><issue>2</issue><spage>141</spage><epage>147</epage><pages>141-147</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><coden>JNSCAG</coden><abstract>We describe a Japanese family which includes 13 patients in five generations who have dominantly inherited ataxia. Molecular testing revealed that in these patients the SCA6/CACNL1A4 gene carries the smallest known expanded CAG repeat (21 repeat units). The clinical features of these patients exhibited predominantly cerebellar ataxia with onset late in adult life and a very slowly progressive disease course. In addition, this SCA6 family showed some characteristic clinical and genetic features, including (1) apparent lack of genetic anticipation, with an intergenerationally stable CAG repeat size and (2) down-beat nystagmus and diabetes mellitus in some of the SCA6 patients. We identified three individuals homozygous for an expanded CAG repeat (21/21) in the SCA6/CACNL1A4 gene, two of whom were symptomatic. There were no apparent differences in clinical phenotype between the individuals homozygous and those heterozygous for an expanded CAG repeat in the SCA6/CACNL1A4 gene.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>9702684</pmid><doi>10.1016/S0022-510X(98)00108-7</doi><tpages>7</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Anticipation
Base Sequence
Biological and medical sciences
Brain - pathology
CAG repeats
Calcium Channels - genetics
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Down-beat nystagmus
Female
Homozygote
Humans
Japan
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Neurology
Pedigree
Repetitive Sequences, Nucleic Acid
Spinocerebellar Degenerations - classification
Spinocerebellar Degenerations - diagnosis
Spinocerebellar Degenerations - genetics
The SCA6/CACNL1A4 gene
title A Japanese family with spinocerebellar ataxia type 6 which includes three individuals homozygous for an expanded CAG repeat in the SCA6/CACNL1A4 gene
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