KMID : 1189120140110020069
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´ëÇÑÀÇÇÐÀ¯ÀüÇÐȸÁö 2014 Volume.11 No. 2 p.69 ~ p.73
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Distribution of five common subtypes of spinocerebellar ataxia in the Korean population
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Choi In-Hee
Kim Gu-Hwan Lee Beom-Hee Choi Jin-Ho Yoo Han-Wook
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Abstract
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Purpose: Spinocerebellar ataxia (SCA) is a genetically heterogeneous disease for which more than 30 subtypes have been identified. However, 5 subtypes, SCA1, SCA2, SCA3, SCA6, and SCA7, account for more than 60% of cases. In this study, we report the distribution of these 5 subtypes in Korean patients.
Materials and Methods: Six hundred and thirty-eight unrelated patients with a presumptive diagnosis of SCA were included in this study. Trinucleotide (CAG) repeat number (TNR) repeat number was determined using fluorescently labeled primers and fragment analysis.
Results: A total of 128 unrelated patients (20.1% of all individuals tested) tested positive for SCA subtypes, including SCA1 (5 patients, 3.9% of those testing positive), SCA2 (38 patients, 29.7%), SCA3 (30 patients, 23.4%), SCA6 (39 patients, 30.5%), and SCA7 (16 patients, 12.5%). The mean copy number of pathogenic TNR alleles was 45¡¾8.5 for SCA1, 42¡¾3.1 for SCA2, 72¡¾5.4 for SCA3, 23¡¾1.5 for SCA6, and 50¡¾11.4 for SCA7. TNR copy number was inversely correlated with onset age in SCA2, SCA6, and SCA7.
Conclusion: SCA2, SCA3, and SCA6 are common SCA subtypes in Korean patients and could be screened as a first-line test. Expanded pathogenic allele size was associated with early onset age.
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KEYWORD
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Spinocerebellar ataxias, Trinucleotide repeats
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