Episodic ataxia and severe infantile phenotype in spinocerebellar ataxia type 14: expansion of the phenotype and novel mutations

Author:

De Michele Giovanna,Galatolo Daniele,Galosi Serena,Mignarri Andrea,Silvestri Gabriella,Casali Carlo,Leuzzi Vincenzo,Ricca Ivana,Barghigiani Melissa,Tessa Alessandra,Cioffi Ettore,Caputi Caterina,Riso Vittorio,Dotti Maria Teresa,Saccà Francesco,De Michele Giuseppe,Cocozza Sirio,Filla AlessandroORCID,Santorelli Filippo M.

Abstract

Abstract Introduction Spinocerebellar ataxia type 14 (SCA14) is a dominantly inherited neurological disorder characterized by slowly progressive cerebellar ataxia. SCA14 is caused by mutations in PRKCG, a gene encoding protein kinase C gamma (PKCγ), a master regulator of Purkinje cells development. Methods We performed next-generation sequencing targeted resequencing panel encompassing 273 ataxia genes in 358 patients with genetically undiagnosed ataxia. Results We identified fourteen patients in ten families harboring nine pathogenic heterozygous variants in PRKCG, seven of which were novel. We encountered four patients with not previously described phenotypes: one with episodic ataxia, one with a spastic paraparesis dominating her clinical manifestations, and two children with an unusually severe phenotype. Conclusions Our study broadens the genetic and clinical spectrum of SCA14.

Funder

AISA

Ministero della Salute

E-RARE-3 PREPARE

PROSPAX

Tom Wahlig Foundation

Università degli Studi di Napoli Federico II

Publisher

Springer Science and Business Media LLC

Subject

Neurology (clinical),Neurology

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