Frequency of GAA- FGF14 Ataxia in a Large Cohort of Brazilian Patients With Unsolved Adult-Onset Cerebellar Ataxia

Intronic GAA repeat expansions have recently been found to be a common cause of hereditary ataxia (GAA- ataxia; SCA27B). The global epidemiology and regional prevalence of this newly reported disorder remain to be established. In this study, we investigated the frequency of GAA- ataxia in a large co...

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Veröffentlicht in:Neurology. Genetics 2023-10, Vol.9 (5), p.e200094
Hauptverfasser: Novis, Luiz Eduardo, Frezatti, Rodrigo S, Pellerin, David, Tomaselli, Pedro J, Alavi, Shahryar, Della Coleta, Marcus Vinícius, Spitz, Mariana, Dicaire, Marie-Josée, Iruzubieta, Pablo, Pedroso, José Luiz, Barsottini, Orlando, Cortese, Andrea, Danzi, Matt C, França, Jr, Marcondes C, Brais, Bernard, Zuchner, Stephan, Houlden, Henry, Raskin, Salmo, Marques, Wilson, Teive, Helio A
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container_end_page
container_issue 5
container_start_page e200094
container_title Neurology. Genetics
container_volume 9
creator Novis, Luiz Eduardo
Frezatti, Rodrigo S
Pellerin, David
Tomaselli, Pedro J
Alavi, Shahryar
Della Coleta, Marcus Vinícius
Spitz, Mariana
Dicaire, Marie-Josée
Iruzubieta, Pablo
Pedroso, José Luiz
Barsottini, Orlando
Cortese, Andrea
Danzi, Matt C
França, Jr, Marcondes C
Brais, Bernard
Zuchner, Stephan
Houlden, Henry
Raskin, Salmo
Marques, Wilson
Teive, Helio A
description Intronic GAA repeat expansions have recently been found to be a common cause of hereditary ataxia (GAA- ataxia; SCA27B). The global epidemiology and regional prevalence of this newly reported disorder remain to be established. In this study, we investigated the frequency of GAA- ataxia in a large cohort of Brazilian patients with unsolved adult-onset ataxia. We recruited 93 index patients with genetically unsolved adult-onset ataxia despite extensive genetic investigation and genotyped the repeat locus. Patients were recruited across 4 different regions of Brazil. Of the 93 index patients, 8 (9%) carried an (GAA) expansion. The expansion was also identified in 1 affected relative. Seven patients were of European descent, 1 was of African descent, and 1was of admixed American ancestry. One patient carrying a (GAA) expansion developed ataxia at age 28 years, confirming that GAA- ataxia can occur before the age of 30 years. One patient displayed episodic symptoms, while none had downbeat nystagmus. Cerebellar atrophy was observed on brain MRI in 7 of 8 patients (87%). Our results suggest that GAA- ataxia is a common cause of adult-onset ataxia in the Brazilian population, although larger studies are needed to fully define its epidemiology.
doi_str_mv 10.1212/NXG.0000000000200094
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subjects Clinical/Scientific Note
title Frequency of GAA- FGF14 Ataxia in a Large Cohort of Brazilian Patients With Unsolved Adult-Onset Cerebellar Ataxia
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