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May 23, 2000; 54 (10) Article

A gene on SCA4 locus causes dominantly inherited pure cerebellar ataxia

U. Nagaoka, M. Takashima, K. Ishikawa, K. Yoshizawa, T. Yoshizawa, M. Ishikawa, T. Yamawaki, S. Shoji, H. Mizusawa
First published May 23, 2000, DOI: https://doi.org/10.1212/WNL.54.10.1971
U. Nagaoka
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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M. Takashima
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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K. Ishikawa
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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K. Yoshizawa
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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T. Yoshizawa
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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M. Ishikawa
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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T. Yamawaki
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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S. Shoji
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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H. Mizusawa
From the Department of Neurology (Drs. NagaokaTakashima, K. Ishikawa, and Mizusawa), Graduate School of Medicine, Tokyo Medical and Dental University, Bunkyo-ku; Department of Neurology (Drs. K. Ishikawa, K. Yoshizawa, T. Yoshizawa, and Shoji), Institute of Clinical Medicine, The University of Tsukuba, Ibaraki; CREST (Drs. K. Ishikawa and Mizusawa), Japan Science and Technology Society; Department of Neurology (Dr. K. Yoshizawa), National Mito Hospital, Mito, Ibaraki; Department of Internal Medicine (Dr. M. Ishikawa), Kawasaki Hospital, Hitachi, Ibaraki; and Department of Neurology (Dr. Yamawaki), Mito Red Cross Hospital, Ibaraki, Japan.
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Citation
A gene on SCA4 locus causes dominantly inherited pure cerebellar ataxia
U. Nagaoka, M. Takashima, K. Ishikawa, K. Yoshizawa, T. Yoshizawa, M. Ishikawa, T. Yamawaki, S. Shoji, H. Mizusawa
Neurology May 2000, 54 (10) 1971-1975; DOI: 10.1212/WNL.54.10.1971

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Abstract

Background: Several different genes or their loci have been identified for autosomal dominant cerebellar ataxia (ADCA). However, other types of ataxia remain unassigned.

Objective: To identify a new locus for ADCA.

Methods: Six Japanese families with ADCA with pure cerebellar syndrome (ADCA type III) were examined. These families had been molecularly excluded for spinocerebellar ataxia (SCA) types 1 through 3, 5 through 8, and 10. Clinical examination was undertaken, and a genome-wide linkage search was performed on 250 microsatellite DNA markers.

Results: Strong evidence for linkage was found with markers on human chromosome 16q, and haplotype and multipoint analyses further refined the gene locus in a 10.9-cM interval between D16S3089 and D16S515. Linkage disequilibrium was further found with the marker D16S3107 within the interval. The locus was exactly the candidate interval of SCA4, a rare form of ADCA clinically characterized by ataxia with sensory neuropathy and pyramidal tract signs. This would suggest that SCA4 and our ADCA type III are likely to be allelic disorders with different clinical features.

Conclusion: The current study provides evidence that a gene on the SCA4 locus causes a pure cerebellar syndrome.

  • Received September 15, 1999.
  • Accepted in final form February 10, 2000.
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