Yu Guo-Yun, Howell Michael J, Roller Matthew J, Xie Ting-Dong, Gomez Christopher M
Department of Neurology, University of Minnesota, MMC 295, 420 Delaware Street SE, Minneapolis, MN 55455, USA.
Ann Neurol. 2005 Mar;57(3):349-54. doi: 10.1002/ana.20371.
The dominantly inherited spinocerebellar ataxias (SCA) are a clinically and genetically heterogeneous group of neurodegenerative disorders characterized by progressive gait ataxia, upper limb incoordination, and dysarthria. We studied a six-generation kindred of Norwegian ancestry with pure cerebellar ataxia inherited in an autosomal dominant pattern. All affected family members had a slowly progressive cerebellar ataxia, with an age of onset range from 26 to 60 years. Brain magnetic resonance imaging study of 11 affected patients showed that atrophy was confined to the cerebellum. After excluding all the known SCAs using linkage analysis or direct mutation screen, we conducted a genomewide genetic linkage scan. With the aid of a novel linkage analysis strategy, we found linkage between the disease locus and marker D19S591 and D19S1034. Subsequent genetic and clinical analysis identified a critical region of 15.55cM interval on chromosome 19p13.3, flanked by markers D19S886 and D19S894, and have established a new genetic locus designated SCA26. The SCA26 locus is adjacent to the genes for Cayman ataxia and SCA6. The region consists of 3.3 million base pairs (Mb) of DNA sequences with approximately 100 known and predicted genes. Identification of the responsible gene for SCA26 ataxia will provide further insight into mechanisms of neurodegeneration.
显性遗传性脊髓小脑共济失调(SCA)是一组临床和遗传异质性的神经退行性疾病,其特征为进行性步态共济失调、上肢运动不协调和构音障碍。我们研究了一个具有挪威血统的六代家系,该家系患有以常染色体显性模式遗传的单纯小脑共济失调。所有受影响的家庭成员均患有缓慢进展的小脑共济失调,发病年龄在26岁至60岁之间。对11名受影响患者进行的脑磁共振成像研究表明,萎缩仅限于小脑。在通过连锁分析或直接突变筛查排除所有已知的SCA后,我们进行了全基因组遗传连锁扫描。借助一种新的连锁分析策略,我们发现疾病基因座与标记D19S591和D19S1034之间存在连锁关系。随后的遗传和临床分析确定了19号染色体p13.3上一个15.55cM区间的关键区域,其两侧为标记D19S886和D19S894,并建立了一个新的遗传基因座,命名为SCA26。SCA26基因座与开曼共济失调和SCA6的基因相邻。该区域由330万个碱基对(Mb)的DNA序列组成,包含约100个已知和预测的基因。鉴定SCA26共济失调的致病基因将为神经退行性变的机制提供进一步的见解。