CACNA1G Causes Dominantly Inherited Myoclonus-Ataxia with Intellectual Disability: A Case Report

Martina De Riggi, Agnese De Giorgi, Luca Pollini, Luca Angelini, Giulia Paparella, Antonio Cannavacciuolo, Daniele Birreci, Davide Costa, Alessandra Tessa, Gemma Natale, Marco Fiorelli, Daniele Galatolo, Filippo Maria Santorelli, Serena Galosi, Matteo Bologna
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Abstract

Spinocerebellar ataxias (SCAs) are characterized by substantial phenotypic variability. Among them, SCA42 is a rare non-expansion entity presenting with slowly progressive cerebellar syndrome but whose clinical spectrum may be also wider. A 53-year-old male presented with progressive myoclonus-ataxia and intellectual disability. Genetic screening revealed a novel c.3835G > A (p. Asp1279Asn) variant in the CACNA1G gene. SCA42 is a rare non-expansion SCA caused by mutations in CACNA1G on chromosome 17q21, encoding the Ca(V)3.1, a low-threshold voltage-gated T-type calcium channel. The novel variant we identified is potentially involved in channel activity. This case expands the knowledge regarding CACNA1G-associated phenotype and highlights the importance of genetic screening in myoclonus-ataxia disorders.

Abstract Image

CACNA1G 导致显性遗传性肌阵挛-共济失调伴智力障碍:病例报告
脊髓小脑性共济失调症(SCA)的特点是表型变化很大。其中,SCA42 是一种罕见的非扩展型病例,表现为缓慢进展的小脑综合征,但其临床表现范围可能更广。一名 53 岁的男性患者出现进行性肌阵挛-共济失调和智力障碍。基因筛查发现,CACNA1G 基因中存在一个新的 c.3835G > A(p. Asp1279Asn)变异。SCA42 是一种罕见的非扩张型 SCA,由染色体 17q21 上编码 Ca(V)3.1 的 CACNA1G 基因突变引起,Ca(V)3.1 是一种低阈值电压门控 T 型钙通道。我们发现的新型变异可能与通道活性有关。本病例拓展了人们对 CACNA1G 相关表型的认识,并强调了基因筛查在肌阵挛-共济失调疾病中的重要性。
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