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2型脊髓小脑共济失调(SCA2):临床特征与基因分析

Spinocerebellar ataxia type 2 (SCA2): clinical features and genetic analysis.

作者信息

Mutesa Léon, Pierquin Geneviève, Segers Karin, Vanbellinghen Jean François, Gahimbare Laetitia, Bours Vincent

机构信息

Medical Genetics Laboratory, National University of Rwanda, CHU of Butare, Rwanda.

出版信息

J Trop Pediatr. 2008 Oct;54(5):350-2. doi: 10.1093/tropej/fmn034. Epub 2008 May 22.

Abstract

Spinocerebellar ataxia type 2 (SCA2) is an autosomal dominant neurodegenerative disease that results from the expansion of an unstable trinucleotide CAG repeat encoding for a polyglutamine tract. In normal individuals, alleles contain between 14 and 31 CAG repeats, whereas the pathological alleles have more than 35 CAG repeats. The clinical phenotype of SCA2 includes a progressive cerebellar ataxia with additional features such as ophthalmoplegia, extra-pyramidal or pyramidal signs and peripheral neuropathy. We report a SCA2 large African family with several affected individuals. A major pathological allele carrying 43 CAG repeats was identified in the proband. To our knowledge, this is a first report of a SCA disorder described in Central African patients, thus indicating the need to consider this diagnosis in young African ataxic patients.

摘要

2型脊髓小脑共济失调(SCA2)是一种常染色体显性神经退行性疾病,由编码多聚谷氨酰胺序列的不稳定三核苷酸CAG重复序列扩增引起。在正常个体中,等位基因含有14至31个CAG重复序列,而病理性等位基因具有超过35个CAG重复序列。SCA2的临床表型包括进行性小脑共济失调,并伴有诸如眼肌麻痹、锥体外系或锥体束征以及周围神经病变等其他特征。我们报告了一个有多个受累个体的SCA2非洲大家庭。在先证者中鉴定出一个携带43个CAG重复序列的主要病理性等位基因。据我们所知,这是首次报道在中非患者中描述的SCA疾病,因此表明在年轻的非洲共济失调患者中需要考虑这一诊断。

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