Stage‐Dependent Biomarker Changes in Spinocerebellar Ataxia Type 3

Author:

Faber Jennifer12ORCID,Berger Moritz3,Wilke Carlo4ORCID,Hubener‐Schmid Jeannette5ORCID,Schaprian Tamara1,Santana Magda M.67,Grobe‐Einsler Marcus12,Onder Demet12,Koyak Berkan12,Giunti Paola89,Garcia‐Moreno Hector89,Gonzalez‐Robles Cristina89,Lima Manuela10,Raposo Mafalda1011,Melo Ana Rosa Vieira10,de Almeida Luís Pereira67ORCID,Silva Patrick6712,Pinto Maria M.7812,van de Warrenburg Bart P.13,van Gaalen Judith1314,de Vries Jeroen15,Oz Gulin16ORCID,Joers James M.16,Synofzik Matthis417ORCID,Schols Ludger417,Riess Olaf5,Infante Jon1819,Manrique Leire18,Timmann Dagmar20,Thieme Andreas20,Jacobi Heike21ORCID,Reetz Kathrin2223ORCID,Dogan Imis2223,Onyike Chiadikaobi24,Povazan Michal25,Schmahmann Jeremy26,Ratai Eva‐Maria27,Schmid Matthias13,Klockgether Thomas12

Affiliation:

1. German Center for Neurodegenerative Diseases (DZNE) Bonn Germany

2. Department of Neurology University Hospital Bonn Bonn Germany

3. University of Bonn, Medical Faculty, Institute for Medical Biometry, Informatics, and Epidemiology Bonn Germany

4. German Center for Neurodegenerative Diseases (DZNE) Tübingen Germany

5. Institute for Medical Genetics and Applied Genomics University of Tuebingen Tuebingen Germany

6. Center for Neuroscience and Cell Biology (CNC) University of Coimbra Coimbra Portugal

7. Center for Innovative in Biomedicine and Biotechnology (CIBB) University of Coimbra Coimbra Portugal

8. Ataxia Centre, Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology University College London London UK

9. Department of Neurogenetics, National Hospital for Neurology and Neurosurgery University College London Hospitals NHS Foundation Trust London UK

10. Faculdade de Ciências e Tecnologia, Universidade dos Açores Ponta Delgada Portugal

11. Instituto de Biologia Molecular e Celular (IBMC), Instituto de Investigação e Inovação em Saúde (i3S), Universidade do Porto Porto Portugal

12. Faculty of Pharmacy University of Coimbra Coimbra Portugal

13. Department of Neurology, Donders Institute for Brain, Cognition, and Behaviour Radboud University Medical Center Nijmegen the Netherlands

14. Department of Neurology Rijnstate Hospital Arnhem the Netherlands

15. University Medical Center Groningen, Neurology Groningen the Netherlands

16. Center for Magnetic Resonance Research, Department of Radiology University of Minnesota Minneapolis MN USA

17. Division Translational Genomics of Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research & Center of Neurology University of Tübingen Tübingen Germany

18. University Hospital Marqués de Valdecilla‐IDIVAL Santander Spain

19. Centro de investigación biomédica en red de enfermedades neurodegenerativas (CIBERNED), Universidad de Cantabria Santander Spain

20. Department of Neurology and Center for Translational Neuro‐ and Behavioral Sciences (C‐TNBS), University Hospital Essen University of Duisburg‐Essen Duisburg Germany

21. Department of Neurology University Hospital of Heidelberg Heidelberg Germany

22. Department of Neurology RWTH Aachen University Aachen Germany

23. JARA‐BRAIN Institute Molecular Neuroscience and Neuroimaging Research Centre Juelich GmbH and RWTH Aachen University Aachen Germany

24. Department of Psychiatry and Behavioral Sciences Johns Hopkins University School of Medicine Baltimore MD USA

25. Johns Hopkins University School of Medicine Baltimore MD USA

26. Ataxia Center, Laboratory for Neuroanatomy and Cerebellar Neurobiology, Massachusetts General Hospital and Harvard Medical School Boston MA USA

27. Massachusetts General Hospital, Department of Radiology A. A. Martinos Center for Biomedical Imaging and Harvard Medical School Charlestown MA USA

Abstract

Spinocerebellar ataxia type 3/Machado–Joseph disease is the most common autosomal dominant ataxia. In view of the development of targeted therapies, knowledge of early biomarker changes is needed. We analyzed cross‐sectional data of 292 spinocerebellar ataxia type 3/Machado–Joseph disease mutation carriers. Blood concentrations of mutant ATXN3 were high before and after ataxia onset, whereas neurofilament light deviated from normal 13.3 years before onset. Pons and cerebellar white matter volumes decreased and deviated from normal 2.2 years and 0.6 years before ataxia onset. We propose a staging model of spinocerebellar ataxia type 3/Machado–Joseph disease that includes a biomarker stage characterized by objective indicators of neurodegeneration before ataxia onset. ANN NEUROL 2024;95:400–406

Funder

EU Joint Programme – Neurodegenerative Disease Research

National Ataxia Foundation

National Institute of Neurological Disorders and Stroke

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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