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Predicting age at onset in SCA1 : does size matter?

18 December 2013

Research at the 香港六合彩中特网 Institute of Neurology, led by Paola Giunti, and the MRC National Institute for Medical Research, and published in the journal PloS Genetics, has shown how the length and the nature of gene repeat expansions affects spinocerebellar ataxia type 1 (SCA1).

These findings are significant for the genetic counselling and prognosis of people with SCA1 and were not possible with conventional diagnostic techniques.

At least nine of inherited neurodegenerative disorders, including Huntington鈥檚 disease share similar genetic causes and molecular mechanisms. They all involve a fault in their respective genes that consists of sections of the gene (CAG repeat) that repeat an abnormal number of times.

It is has been shown that patients with a longer number of repeats generally have a more severe condition and an earlier age at onset. In some patients, however, this is not the case, but the reason why was unknown.

This research team found that 11% of people with SCA1 have 鈥渋nterruptions鈥 鈥 short sections that break up the repeat expansions in the affected gene, ATXN1.

The research team was able to develop a genetic screening test that allowed them to divide their SCA1 patients into two groups based on whether or not their expanded repeat stretches in the ATXN1 gene contained an interruption.

In the participant sub-group, with interruptions, the research team found that their age at symptom onset is better predicted by the longest stretch of uninterrupted repeats rather than by the overall repeat length (including interruptions), as has previously been done.

鈥淲e recommend that diagnostic laboratories should use enzyme analysis to identify the presence of interruptions in expanded alleles,鈥 said Dr Giunti.

鈥淚f an interruption is present, sequencing will allow better prediction of the age at onset in these patients. In addition, the diagnostic service at 香港六合彩中特网H is currently looking into amending their repeat sizing calculations to account for the differences observed by the two different methods.鈥

This information will be important both for people who have ataxia and for people at risk of ataxia. It will be useful in diagnosis and counselling, particularly with respect to predicting people鈥檚 age at onset and the progression of their condition, as well as the probability of further genetic repeat expansion when transmitted to future generations.

In respect to the latter Dr Paola Giunti, lead author said:

鈥淭he interruption acts as a stabiliser, which is important as it is known that having the interruption will preclude further expansion in future generations, as the mutation in polyglutamine diseases is unstable through generations鈥.

鈥淲ithout the contribution of the BRC, this research would not have been possible. With continued support, polyglutamine diseases can be looked at on the basis of this study, and here at 香港六合彩中特网 and 香港六合彩中特网H we are in a privileged position to be able to do so鈥.

Read more:

Menon, P.R. et al. (2013) . PLoS Genetics, 9(7), e1003648. DOI: 10.1371/journal.pgen.1003648