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Genetics of Dominant Ataxias

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Trials for Cerebellar Ataxias

Part of the book series: Contemporary Clinical Neuroscience ((CCNE))

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Abstract

Autosomal dominant cerebellar ataxia (ADCA) accounts for more than fifty inherited neurological diseases caused by various underlying mechanisms leading to progressive or intermittent phenotypes. Most ADCAs develop due to alterations in signal transduction, ion homeostasis, or pathological DNA expansions. Yet, other pathological mechanisms can directly or indirectly contribute to the development of these diseases. Initially, ADCA diagnosis was dominated by linkage and nucleotide repeat expansion analyses. However, the advent of next-generation sequencing has enhanced ADCA diagnosis, including the discovery of novel forms due to nucleotide repeat expansions and conventional mutations, with limited reliable genotype–phenotype correlations within the major ADCA subgroups. The developments in ADCA diagnosis have outpaced the discovery of effective treatments and biomarkers for these diseases, particularly the progressive neurodegenerative subtypes. Multiple clinical trials are, however, underway with some promising results but there are still many challenges to overcome.

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Abbreviations

ADCA:

Autosomal dominant cerebellar ataxia

ADCADN:

Autosomal dominant cerebellar ataxia, deafness, and narcolepsy

CAPOS:

Cerebellar ataxia, areflexia, pes cavus, optic atrophy, and sensorineural hearing loss

CNV:

Copy number variation

DHA:

Docosahexaenoic acid

DRPLA:

Dentatorubral-pallidoluysian atrophy

EA:

Episodic ataxia

EEAT1:

Excitatory amino acid transporter-1

EGFR:

Epidermal growth factor receptor

ER:

Endoplasmic reticulum

NGS:

Next-generation sequencing

NMDA:

N-methyl-D-aspartate

NPTX1:

Neuronal pentraxin 1 protein/gene

RAN:

Repeat-associated non-AUG

SCA:

Spinocerebellar ataxia

SCA42ND:

SCA42 with neurodevelopmental deficits

SPTBN2:

Spectrin beta non-erythrocytic-2 protein

UTR:

Untranslated region

WES:

Whole exome sequencing

WGS:

Whole genome sequencing

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Acknowledgments

We are grateful to Alexis Brice and Nick Barton for critical reading of the manuscript.

Funding

The authors’ work is financially supported by ATAXIA-UK (to GS), the European Union’s Horizon 2020 research and innovation program under grant agreement No. 779257 (to GS), and the association Connaître les Syndromes Cérébelleux (to GS).

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Correspondence to Giovanni Stevanin .

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Yahia, A., Stevanin, G. (2023). Genetics of Dominant Ataxias. In: Soong, Bw., Manto, M., Brice, A., Pulst, S.M. (eds) Trials for Cerebellar Ataxias. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-031-24345-5_4

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