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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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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