Progressive atrophy of cerebellum and brainstem as a function of age and the size of the expanded CAG repeats in the MJD1 gene in Machado-Joseph disease

Machado‐Joseph disease (MJD) is an autosomal dominat neurodegenerative disease characterized by cerebellar ataxia associated to varying degrees with pyramidal signs, extrapyramidal signs, or peripheral amyotrophy. It is caused by unstable expansion of the CAG repeat in the MJD1 gene on chromosome 14...

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Veröffentlicht in:Annals of neurology 1998-03, Vol.43 (3), p.288-296
Hauptverfasser: Onodera, Osamu, Idezuka, Jiro, Igarashi, Shuichi, Takiyama, Yoshihisa, Endo, Kotaro, Takano, Hiroki, Oyake, Mutsuo, Tanaka, Hajime, Inuzuka, Takashi, Hayashi, Tsunemi, Yuasa, Tatsuhiko, Ito, Jusuke, Miyatake, Tadashi, Tsuji, Shoji
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container_issue 3
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container_title Annals of neurology
container_volume 43
creator Onodera, Osamu
Idezuka, Jiro
Igarashi, Shuichi
Takiyama, Yoshihisa
Endo, Kotaro
Takano, Hiroki
Oyake, Mutsuo
Tanaka, Hajime
Inuzuka, Takashi
Hayashi, Tsunemi
Yuasa, Tatsuhiko
Ito, Jusuke
Miyatake, Tadashi
Tsuji, Shoji
description Machado‐Joseph disease (MJD) is an autosomal dominat neurodegenerative disease characterized by cerebellar ataxia associated to varying degrees with pyramidal signs, extrapyramidal signs, or peripheral amyotrophy. It is caused by unstable expansion of the CAG repeat in the MJD1 gene on chromosome 14q32.1. To determine how the neurodegenerative process in the central nervous system of patients with MJD correlates with the size of expanded CAG repeats in the MJD1 gene and other factors, we performed detailed quantitative analyses of findings of magnetic resonance imaging of the central nervous system of 21 patients with MJD of various ages and with various sizes of expanded CAG repeats. We found that atrophy of the brainstem and cerebellar vermis in MJD patients is closely correlated not only with the size of expanded CAG repeat in the MJD1 gene but also with patient age, which suggests that the neurodegenerative process in MJD is regulated by the size of expanded CAG repeats as well as by the patient age.
doi_str_mv 10.1002/ana.410430305
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subjects Adult
Aged
Aging - physiology
Atrophy
Biological and medical sciences
Brain Stem - pathology
Cerebellum - pathology
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Female
Humans
Machado-Joseph Disease - diagnosis
Machado-Joseph Disease - genetics
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Neurology
Repetitive Sequences, Nucleic Acid
title Progressive atrophy of cerebellum and brainstem as a function of age and the size of the expanded CAG repeats in the MJD1 gene in Machado-Joseph disease
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