Paulson Henry L, Shakkottai Vikram G, Clark H Brent, Orr Harry T
Department of Neurology, University of Michigan, Ann Arbor, Michigan, 48109, USA.
Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, 55455, USA.
Nat Rev Neurosci. 2017 Oct;18(10):613-626. doi: 10.1038/nrn.2017.92. Epub 2017 Aug 17.
The dominantly inherited spinocerebellar ataxias (SCAs) are a large and diverse group of neurodegenerative diseases. The most prevalent SCAs (SCA1, SCA2, SCA3, SCA6 and SCA7) are caused by expansion of a glutamine-encoding CAG repeat in the affected gene. These SCAs represent a substantial portion of the polyglutamine neurodegenerative disorders and provide insight into this class of diseases as a whole. Recent years have seen considerable progress in deciphering the clinical, pathological, physiological and molecular aspects of the polyglutamine SCAs, with these advances establishing a solid base from which to pursue potential therapeutic approaches.
显性遗传性脊髓小脑共济失调(SCAs)是一大类多样的神经退行性疾病。最常见的SCAs(SCA1、SCA2、SCA3、SCA6和SCA7)是由受影响基因中编码谷氨酰胺的CAG重复序列扩增引起的。这些SCAs占多聚谷氨酰胺神经退行性疾病的很大一部分,并为整体了解这类疾病提供了线索。近年来,在解读多聚谷氨酰胺SCAs的临床、病理、生理和分子方面取得了相当大的进展,这些进展为寻求潜在的治疗方法奠定了坚实的基础。